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Einen protektiven Effekt hat eine hohe ethnische Dichte am Wohnort der Immigranten. Gelingt es, diesen Affekt z. Es kommen jedoch Rezidive vor. Dieses Ergebnis steht im Gegensatz zu Migranten der 1. In der Biografie von Migranten lassen sich viele belastende Lebensereignisse und Stressoren finden, die mit der Migration und Integration im Zusammenhang stehen Abschn. Man kann diese als kultur- Normen, Werte, Glauben etc.

Die Angst manifestiert sich kognitiv, affektiv, somatisch und auf der Verhaltensebene. In Nigeria z. In vielen Kulturen wird Angst symbolisch mit einem Organ in Verbindung gebracht, wie z. Ihre Prognose ist besser sowohl im Hinblick auf die Spontanheilungsquote als auch unter Therapie als in Europa. Ein enger Zusammenhang von Zwangssymptomen besteht z. Auch kann sich der Wiederholungszwang auf die richtige Anrufung Gottes mit der rituellen Gebetsformel beziehen.

Indessen erleben Waswas-Betroffene den Reinigungszwang als Ich-dyston und hatten einen Leidensdruck, den sie zu mindern suchten. Ein wichtiges Kriterium ist das der kulturellen Norm. Angemessenheit bzw. Unangemessenheit kann am ehesten von Vertretern derselben Kultur beurteilt werden. Verhaltensmodifikationen konvulsive Zuckungen, Laufen, Fallen etc. Diese Unterscheidung und Kategorisierung ist nicht unumstritten Van Duijl et al. Die Dauer der Episoden reicht von wenigen Minuten bis Stunden. Daran muss sich die weitere Behandlung orientieren.

Bis Mitte des So zeigte eine Studie der WHO, in welcher u. Diese Studie deckte v. Glaesmer et al. Generation und Migranten der 2. Ganz im Gegenteil dazu zeigten Adoptierte und Migranten der 2. In tropischen Kulturen wird dagegen die Stellung des einzelnen in der Familie und der Gesellschaft durch die Geburt festgelegt.

Um suizidales Verhalten zu verstehen, ist es daher notwendig, die kulturelle Matrix, vor der es erscheint, zu kennen. Hier kann es folglich zu erheblichen Interpretationsfehlern im transkulturellen diagnostischen Prozess kommen. Ergebnisse von Kirmayer et al. In der psychiatrisch-psychotherapeutischen Arbeit mit Migranten kommen kulturspezifische Unterschiede zwischen westlichen Psychotherapiemethoden und traditionalen Heilvorstellungen zum Tragen.

Als Therapeut sollte man die therapeutischen Ziele daher in Einklang mit dem kulturellen Hintergrund des Patienten definieren Sato Zwischen Migranten der 1. Stressoren relevant sind Abschn. Entsprechend der Art der Belastung und deren kulturspezifischer Bedeutung und Bewertung wird die Reaktion darauf unterschiedlich ausfallen.

Kulturtypische Reaktionsmuster stellen z. Bei deren Auftreten wird der Betroffene von der Sozialgemeinschaft von seinen sozialen Rollenerwartungen entpflichtet. Die Folgen sind u. Ein Lebensereignis, wie z. Das eigene Konzept des Kulturschocks, das inzwischen aufgegeben wurde, wird unter die AS subsummiert. Bei einem Andauern des Ereignisses kann die AS fortbestehen bzw. Dabei sollte der Therapeut offen und neugierig auf einen sich entwickelnden interkulturellen Diskurs sein, bei dem er der Lernende ist. Ganz im Gegenteil dazu zeigten Adoptierte aus dem Ausland und Migranten der 2. Parasuizidale Handlungen wie Schnittverletzungen am Handgelenk sind in Kulturen des Mittleren Ostens sowie bei indianischen Kulturen Teil kulturell determinierter Bindungsrituale Paris Durch Probleme im Akkulturationsprozess kann bei Migranten ein vermeidendes, selbstunsicheres Verhalten auftreten.

Von den ca. Dazu werden die Geister durch die Opfer des Heilkundigen freundlich gestimmt. Behandlungen mit westlich orientierten psychotherapeutischen Verfahren waren bei Studenten in Nigeria erfolgreich Peltzer Krieg, Folter Sieberer und Machleidt ;. Eine bi- bzw. Der Einbezug mehrkultureller Therapeuten z. Die Anwendung allgemeiner gesundheitspsychologischer Modelle von Krankheits- bzw. Auf der Ebene der intrapsychischen Regulation kann man annehmen, dass z. Initiierung von Forschungsprojekten zur seelischen Gesundheit von Migranten und Migrantinnen und deren Behandlung.

Die Psychiatrie verfolgt in diesem Sinne, die Integration von Migranten in das psychiatrische Versorgungssystem als einen Beitrag zur Integration von Migranten in die Gesellschaft und ist bestrebt, diese Option langfristig und nachhaltig umzusetzen. Das Hilfesuchverhalten von Migranten entwickelt sich zunehmend in diese Richtung wie neuere Inanspruchnahmedaten zeigen Koch et al. Weitere Aufgaben sind der Aufbau eines Dolmetschernetzes, die Mehrsprachigkeit relevanter Formulare und Informationsmaterialien, spezielle Sprechstunden und Informationsveranstaltungen.

Interne Fort- und Weiterbildungen sollten alle Berufsgruppen einbeziehen und kultursensible Pflege schon in den Krankenpflegeschulen vermittelt werden. Die Aufgaben eines Integrationsbeauftragten umfassen also verschiedene der in den Sonnenberger Leitlinien s. SL formulierten Forderungen. Koch et al. Nach Koch et al. In fast allen Einrichtungen war der Migrantenanteil unter den Patienten doppelt bis 3-mal so hoch wie unter den Mitarbeitern und bei letzteren besonders niedrig in den Diensten, in denen ein hoher Patientenanteil mit Migrationshintergrund zu finden bzw.

Die in der 4. Beteiligung der Betroffenen und 6. Skip to main content Skip to sections.

Advertisement Hide. Transkulturelle Aspekte psychischer Erkrankungen. Living reference work entry First Online: 09 May Download reference work entry PDF. Fragen nach den in der Heimat bzw. In der akkulturativen Stresstheorie von Berry und Hovey a , b wird von der Annahme ausgegangen, dass der Migrationsprozess ein gewisses Stresserleben darstellt.

Dem zufolge entwickeln Individuen in Auseinandersetzung mit dem Stress der Akkulturation — und je nach Reaktion der Aufnahmegesellschaft bzw. Diese sog. Hieraus ergeben sich 4 unterschiedliche Strategien der Akkulturation: a. Integration ,. In diesem Verfahren werden mithilfe von 20 Items auf der Verhaltens- und Erlebensebene 2 Faktoren abgebildet: Orientierung an der Herkunftskultur und Orientierung an der Aufnahmekultur.

Therapie Behandlungen mit westlich orientierten psychotherapeutischen Verfahren waren bei Studenten in Nigeria erfolgreich Peltzer Psychosoziale Belastung von Migranten In der Tat ist davon auszugehen, dass nicht nur das kritische Lebensereignis der Migration per se Abschn. Open image in new window. Auf diese hat Sluzki zum ersten Mal hingewiesen , als er die Phasen der Migration beschrieb. Sonnenberger Leitlinien Machleidt 1. Dabei sollten u. In einer deutschlandweit einzigartigen Studie des Sozialpsychiatrischen Verbundes der Region Hannover ca.

Einwohner zur psychiatrischen Versorgung von den ca. Wiley, New York Google Scholar. Google Scholar. Berry JW Immigration, acculturation and adaptation. J Appl Psychol —68 Google Scholar. Bhugra D Migration and depression. Bhugra D Cultural identities and cultural congruency: a new model for evaluating mental distress in immigrants. Bhugra D, Jones P Migration and mental illness. Bhugra D, Mastrogianni A Globalisation and mental disorders. Bolton P Cross-cultural validity and reliability testing of a standard psychiatric assessment instrument without a gold standard. Psychotherapeut —41 CrossRef Google Scholar.

PTT — Google Scholar. Calliess IT, Sieberer M, Machleidt W, Ziegenbein M Personality disorders in a cross-cultural perspective: impact of culture and migration on diagnosis and etiological aspects. Klin Diag Eval — Google Scholar. A Danish population based cohort study. Clemens CV Misusing psychiatric models: the culture of narcissism. Psychoanal Rev — Google Scholar. Cochrane R, Bal S Migration and schizophrenia: an examination of five hypotheses.

Cooke DJ Psychopathic personality in different cultures: what do we know? What do we need to find out? Fox RC Cultural competence and the culture of medicine.

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CCholin bei der Detektion von tumoroesen Lymphknoten ueberlegen erweisen. Bei Keimzelltumoren konnte ein Nutzen der PET im primaeren Staging bei den bisher publizierten kleinen Studien nicht nachgewiesen werden. Eine multizentrische Studie wurde begonnen, die hierueber Aufschluss geben wird. Knochenstoffwechsel bei malignen Erkrankungen. Directory of Open Access Journals Sweden. Das Gleichgewicht knochenaufbauender wie -abbauender Mechanismen scheint somit durch die Ratio von. Malignant and benign diseases of the breast in 41 male patients : mammography, sonography and pathological correlations; Maligne und benigne Erkrankungen der Brust bei 41 maennlichen Patienten: Mammographie und Sonographie mit histopathologischer Korrelation.

Partik, B. Klinik fuer Radiodiagnostik; Rudas, M. Aim: The goal of our study was to evaluate findings in mammography and sonography in male patients with pathohistologically proven diseases of the breast. Material and Methods: Mammographies and sonographies, which were obtained in 41 male patients in a 6-year period, were retrospectively evaluated in accordance with the BI-RADS trademark classification. Results: Histologically 13 carcinomas, 21 gynecomastias, 3 pseudogynecomastias, 2 epithelial inclusion cysts and 2 other benign lesions were diagnosed.

Additional sonography did not change these results. However, sonography increased diagnostic confidence in Conclusion: In our study the invasive ductal carcinoma of male patients was a predominantly lobulated, ill-defined lesion in mammography and sonography. The differentiation of carcinoma to pseudogynecomastia and diffuse or dendritic gynecomastia was securely feasible. However, we could not reliably distinguish between carcinoma and some benign mass lesions. In cases of mammographically diagnosed masses or unclear mammography, additional sonography should be performed to increase the diagnostic confidence.

Resultate: Es wurden 13 Karzinome, 21 Gynaekomastien, 3 Pseudogynaekomastien, 2 Atherome und 2 weitere benigne Laesionen histologisch diagnostiziert. Die Mammographie zeigte in der Differenzierung maligne versus benigne Laesion. Psychosocial distress and need for supportive counselling in patients during radiotherapy; Subjektiv erlebte Belastung und Bedarf an psychosozialer Unterstuetzung bei Tumorpatienten in strahlentherapeutischer Behandlung.

Vries, A. Purpose: Psychosocial distress and patient attitude towards psychosocial support as well as the correlations with clinical and sociodemographic characteristics should be assessed. In addition, the interest of these patients in professional psychosocial support was assesed with the help of the Questionnaire for Psychosocial Support.

Results: Patients in the course of radiotherapy and patients with a poor prognosis and advanced disease were more strongly distressed. Interest in professional psychosocial support correlated with the amount of distress, but not with sociodemographic variables.

Conclusions: Results stress the importance of training programs for oncologists in order to improve their ability to detect psychosocial distress in cancer patients and to offer adequate emotional support to them. Der Mangel an ausreichendem Wissen ueber die Art und das Ausmass der Belastung sowie ueber die Einstellung der Patienten gegenueber psychosozialer Unterstuetzung erschwert die Ausarbeitung adaequater Unterstuetzungsangebote. Das Interesse an professioneller psychosozialer Unterstuetzung wurde mit Hilfe des Fragebogens zur psychosozialen Unterstuetzung erhoben.

Letztere wurde in einen an den behandelnden Onkologen sowie an einen Psychotherapeuten. Strahlungsfeldbedingungen bei der Ionisationsdosimetrie. Die Bandscheibenprothese bei schmerzhafter Diskusdegeneration. Full Text Available Bandscheibenprothesen sind indiziert bei Patienten mit einer schmerzhaften Bandscheibendegeneration, einer sogenannten DDD degenerative disc disease, bei gut erhaltenen Facettengelenken. Nachhaltige Komplikationen traten nicht auf. Mehrfacheffekt-Feuchtluftdestillation bei Umgebungsdruck. Ein neuartiges Verfahren zur Feuchtluftdestillation mittels Verdunstung und Kondensation in einer einzigen Kammer wurde im Rahmen der Arbeit umfassend analysiert.

Der Transport der im Verdunster beladenen Feuchtluft zum Kondensator erfolgt innerhalb einer optimierten geometrischen Anordnung der Baueinheit Cardiac magnetic resonance imaging in patients with congenital heart disease; Kardiale MRT bei Patienten mit angeborenen Herzfehlern. Kreitner, Karl-Friedrich [Mainz Univ. Universitaetsmedizin Mainz Germany. Germany ; Sorantin, Erich [Univ. Klinische Abt. The prevalence of congenital heart disease CHD is around 10 per live births in Germany. The classification of CHD may be based according to the anatomic structures involved, to the presence of an intracardiac shunt, the presence of a cyanosis and the intensity of therapy and complexity of the disease.

Nearly half of all patients with CHD suffer from an intracardiac shunt, whereas complex cases such as patients with a tetralogy of Fallot or transposition of the great arteries are much more rare. Cardiac magnetic resonance imaging plays an important role in the work-up and follow-up of patients with CHD, especially after infancy and childhood. Depending on the abnormality in question, a multiparametric examination protocol is mandatory. Knowledge of operative procedures and findings of other imaging modalities help to optimize examination and time needed for it.

Imaging modalities and therapy options in patients with acute flank pain; Bildgebungsmodalitaeten und Therapieoptionen bei Patienten mit akutem Flankenschmerz. The objective of this article is the description of imaging techniques for the evaluation of patients with acute flank pain and suspicion of urolithiasis and the impact of these techniques in the therapy management of patients with calculi. Hentschel, F. Klinik fuer Kinder- und Jugendpsychiatrie. Conclusion: AN is not associated with neuronal damage. It is possible that the increase of membrane catabolism leads to a hyperosmolar state.

Signifikante Unterschiede wurden ausschliesslich fuer Cholin Cho resp. Die Ergebnisse fuer myo-Inositol m-Ino resp. Investigations on uncertainties in patient positioning for prostate treatment with EPID; Untersuchungen zur Positionierungsgenauigkeit bei Prostatakonformationsbestrahlungen mittels Portal-Imaging.

Bakai, A. Medizinische Physik; Paulsen, F. Background: Conformal radiotherapy techniques as used in prostate treatment allow to spare normal tissue by conforming the radiation fields to the shape of the planning target volume PTV. To be able to fully utilize the advantages of these techniques correct patient positioning is an important prerequisite. This study employing an electronic portal imaging device EPID investigated the positioning uncertainties that occur in the pelvic region for different patient positioning devices. For each patient multiple portal images were taken from different directions and compared to the digitally reconstructed radiographs DRRs of the treatment planning system and to simulation films Table 1, Figure 1.

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Results: In spite of different positioning devices, all patients showed comparable total positioning uncertainties of 4. The lateral positioning error was reduced for the pelvic mask patients while the cranio-caudal error increased Table 2, Figure 2. A systematic and a random component sum up to the total positioning error, and a good estimate of the magnitudes of the two is possible from six to eight portal images Figure 3.

Conclusions: With a small number of portal images it is possible to find out the systematic and random positioning error of a patient. Knowledge of the random error can be used to resize the treatment margin which is clinically relevant since this error differs greatly for different patients Figure 4.


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Image analysis with EPID is convenient, yet has some problems. For example, one only gets indirect information on the movement of the ventral rectum wall. The successful operation of positioning devices, although, needs further improvement - especially if one focuses on IMRT. Block, W [Radiogische Klinik der Univ.

Bonn Germany. In the hippocampal region metabolic maps of the local distribution of N-acetylaspartate NAA , choline Cho , creatine compounds P Cr and lactate were determined. The observed reduction of NAA is due to neuronal degeneration. Das Krankheitsbild des M. Deposition of radon decay products on the skin of balneotherapy patients in Gastein; Anlagerung von Radon-Folgeprodukten auf der Haut von Patienten bei der Baedertherapie in Gastein.

Tempfer, H. Salzburg Austria ; Foisner, W. In Bad Gastein and Bad Hofgastein, radon-rich thermal water is used for the treatment of various diseases, especially for Morbus Bechterew, a degenerative illness of the spinal column. One of the therapeutic applications of the thermal water is the exposition of patients in 1 bathtubs ''Best'sche Wanne''. To check the hypothesis that the radon decay products contribute to the therapeutic effect, the adsorption behaviour of radon decay products was examined. A group of patients was exposed to the thermal water for 20 minutes.

Immediately after leaving the bathtub, the activities were measured at several locations of the human body forearms, belly, lower legs by alpha spectrometry. In order to study the time dependence of the decay product adsorption, one test person was exposed for 10, 20, to 30, 40 and 60 minutes; afterwards the decay curves were recorded again over a period of 30 minutes. The results showed that the activities of the decay products on the skin can differ appreciably. On the one hand, the distribution on the body surface seems to be quite inhomogeneous, on the other hand, the deposition varies considerably from person to person.

As a result of this, skin activities varied between 1. The exposition and measurement of copper and PVC plates confirmed earlier results, that the deposition of radon decay products in water on artificial surfaces is much less than that on living surfaces. In conclusion, the remarkably high decay product activities on the skin does indeed suggest a positive correlation with the observed therapeutic effects.

Erkrankungen des rheumatischen Formenkreises speziell des Morbus Bechterew. Zoephel, K. Dresden Germany ; Koch, R. Dresden Germany. A second generation assay using the human, recombinant TSH-receptor was developed during the last years. Medipan Diagnostica GmbH, Selchow, Germany : 60 pts suffering from GD showing a relapse after anti-thyroid drug treatment and before radioiodine therapy, pts with disseminated autonomia DA and 38 pts suffering from Hashimoto's thyroiditis. A ROC-analysis was performed to find the optimal decision threshold level for positivity.

Handling of the new assay is also improved. Gutberlet, M. Cardiovascular magnetic resonance imaging CMRI has become the primary tool for the non-invasive assessment in patients with suspected myocarditis, especially after exclusion of acute coronary syndrome ACS for the differential diagnosis.

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Various MRI parameters are available which have different accuracies. Volumetric and functional ventricular assessment and the occurrence of pericardial effusion alone demonstrate only a poor sensitivity and specificity. The calculation of the T2-ratio edema assessment , the early or global relative myocardial enhancement gRE and the late gadolinium enhancement LGE , which represents irreversibly injured myocardium, are more specific parameters.

All MRI parameters demonstrate the best accuracy in infarct-like acute myocarditis, whereas in chronic myocarditis sensitivity and specificity are less accurate. Therefore, a multisequential at least two out of three parameters are positive approach is recommended. The assessment of the value of newer, more quantitative MRI sequences, such as T1 and T2-mapping is still under investigation.

Die Beurteilung der Volumetrie und Ventrikelfunktion weisen ebenso wie der Nachweis eines Perikardergusses alleine nur eine geringe Sensitivitaet und Spezifitaet auf. Alle MR-Parameter zeigen die beste diagnostische Genauigkeit bei einer ''infarktaehnlichen'' akuten. Magnetic resonance imaging MRI of liver and brain in haematologic-organic patients with fever of unknown origin; Magnetresonanztomographie MRT der Leber und des Gehirns bei haematologisch-onkologischen Patienten mit Fieber unbekannter Ursache.

Heussel, C. Klinik und Poliklinik fuer Radiologie; Heussel, G. Medizinische Klinik und Poliklinik. To examine the advantage of liver and brain MRI in clinically anomalous haematological patients with fever of unknown origin. Comparison with clinical follow-up. Results: suspected organ system. The remaining 9 cases with normal MRI were not suspicious of infectious hepatic disease during follo-wup.

Because of the delayed detectability of cerebral manifestations, in cases of persisting suspicion even a previously normal MRI of the brain should be repeated. Es erfolgte der Abgleich mit dem weiteren klinischen Verlauf. MRI of the fingers in patients with systemic scleroderma. Bonel, H. Muenchen Germany ; Messer, G.

Muenchen Germany. To estimate disease activity in patients with systemic sclerosis using contrast-enhanced MRI of the skin. Material and Methods. In a pre-study, sequences of a low-field 0. Material und Methoden. Basierend auf dieser Sequenzoptimierung wurden 17 Patienten mit systemischer Sklerodermie 7 Patienten mit sklerosierender, Herholz, K.

Tissue viability is of particular interest in acute cerebral ischemia because it may be preserved if reperfusion can be achieved rapidly, e. Measurements of regional cerebral blood flow CBF and oxygen consumption by PET can assess tissue viability, and they have substantially increased our knowledge of th pathophysiology of ischemic stroke and the associated penumbra. Widerspread clinical application in acute stroke, however, is unlikely because of the large logistic and personnel resources required. In chronic cerebrovascular disease, measurement of regional CBF and glucose metabolism, which is usually coupled, provide detailed insights in disturbance of cortical function, e.

Chronic misery perfusion, i. It may be found in some patients with high-grade arterial stenoses. Less severe impairment of brain perfusion can be demonstrated by measurement of the cerebrovascular reserve capacity. The most frequent clinical situations can be assessed by less demanding procedures, e. In conclusion, PET has its role in cerebrovascular disease primarily within scientific studies, where high resolution and absolute quantitation of physiological variables are essential. Messungen der zerebralen Durchblutung und des Sauerstoffumsatzes mittels PET geben darueber wesentliche Aufschluesse, und sie sind wichtig fuer das Verstaendnis der Pathophysiologie ischaemischer Infarkte und der Penumbra mit kritischer Perfusion beim Menschen.

Ihre breitere Anwendung in der klinischen Patientenversorgung kommt allerdings wegen des hohen Aufwandes derzeit kaum in Betracht. Assessment of hemodynamic changes in patients with renal artery stenosis by means of the cine MR phase-contrast technique; Einstufung haemodynamischer Veraenderungen bei Nierenarterienstenosen mittels MR-Cine-Phasenkontrastflussmessungen. Schoenberg, S. Sektion Gefaesschirurgie; Just, A. Physiologisches Inst. Purpose: To evaluate the use of high-temporal resolution cine MR phase-contrast flow measurements for assessment of flow dynamics in renal artery stenosis RAS.

Material and methods: In a dog model, cine MR flow measurements were validated by comparing the MR flow data to an invasive transit-time ultrasound reference technique for different degrees of RAS. Cardiac-gated MR flow curves were recorded in 56 renal arteries of 28 patients with a temporal resolution of at least 32 ms. Abnormalities of flow dynamics were assessed in the calculated flow curves using the MR parameters mean flow, maximum velocity, and time to systolic maximum.

Conclusion: Analysis of cardiac-gated MR flow curves provides a non-invasive method to assess the hemodynamic significance of RAS and thus allows a functional evaluation in relation to the morphologic characteristics of the stenosis. In einem Hundemodell wurde die Cine-MR-Flussmessung validiert, indem fuer unterschiedliche Stenosegrade Vergleichsmessungen mit einer invasiven Transitzeit-Ultraschallreferenztechnik durchgefuehrt wurden. Alle Nierenarterienstenosen wurden mittels digitaler Subtraktionsangiographie gesichert.

Incidental findings of liver, biliary system, pancreas and spleen in asymptomatic patients. Assessment and management recommendations; Zufallsbefunde von Leber, Gallensystem, Pankreas und Milz bei asymptomatischen Patienten. Bewertung und Managementempfehlung. Scharitzer, M. The increased use of highly developed imaging procedures, such as multidetector-row computed tomography and magnetic resonance imaging has led to a substantial increase of asymptomatic and unexpected findings.

Abdominal CT investigations are particularly affected with a large number of incidental findings. This valuable diagnostic procedure also entails the risk of complex and cost-intensive subsequent investigations with partly invasive procedures. For this reason radiologists are more often confronted with the difficult task of correctly assessing these lesions, to decide on the need for additional investigations and to inform the patient in detail about the clinical relevance. The aims of this article are to describe the most common abdominal incidentalomas, to assist with the interpretation and differential diagnosis and to give recommendations for further management.

Dieses wertvolle Diagnoseverfahren birgt auch die Gefahr aufwendiger und auch kostenintensiver Folgeuntersuchungen mit z. Vor diesem Hintergrund stellt sich fuer den Radiologen immer haeufiger die schwierige Aufgabe, diese Laesionen korrekt einzuschaetzen, ueber die Notwendigkeit einer weiteren Abklaerung zu entscheiden und den Patienten umfassend ueber die klinische Relevanz zu informieren. Das Ziel dieses Artikels ist es, die am haeufigsten vorkommenden abdominellen Zufallsbefunde zu beschreiben sowie Hilfestellung bei ihrer Interpretation und Differenzialdiagnose mit Empfehlungen fuer das weitere Management zu geben.

Hauser, T. With an increasingly aging population we are faced with the problem of an increasing number of dementia patients. In addition to clinical, neuropsychological and laboratory procedures, MRI plays an important role in the early diagnosis of dementia. In addition to various morphological changes functional changes can also help in the diagnosis and differential diagnosis of dementia. Overall the diagnosis of dementia can be improved by using parameters from MR spectroscopy. This article focuses on MR spectroscopic changes in the physiological aging process as well as on changes in mild cognitive impairment a precursor of Alzheimer's dementia, in Alzheimer's dementia, frontotemporal dementia, vascular dementia and Lewy body dementia.

Neben klinischen, neuropsychologischen und laborchemischen Verfahren spielt die MRT zur Fruehdiagnostik einer Demenz eine wichtige Rolle. Morphologische Veraenderungen wie auch verschiedene funktionelle Verfahren helfen bei der Diagnostik und Differenzialdiagnostik einer Demenz. In diesem Artikel soll auf MR-spektroskopische Veraenderungen im Rahmen des physiologischen Alterungsprozesses eingegangen werden.

Ferner werden speziell Veraenderungen bei leichter kognitiver Beeintraechtigung, einer Vorform der Alzheimer-Demenz, bei Alzheimer-, frontotemporaler, vaskulaerer und Lewy-Koerper-Demenz eroertert. Die Dankesrede bei der Preisverleihung. Obwohl die Dankesrede eine kleinere Randgattung innerhalb des epideiktischen Genres ist, steht sie im Mittelpunkt des Ereignisses.

Schaefer, A. Strahlentherapie der Radiologischen Klinik. Aim: The aim of the study was the determination of the radiation exposure to the patient caused by single-photon transmission measurement for 3D whole-body PET. During a simulation of a whole body transmission scan axial length: 75 cm, 6 contigous bed positions dose measurements with thermoluminescent dosimeters were carried out using a thorax and an abdomen phantom.

The estimation of the effective dose for a patient 's transmission acquisition time of 3. The comparison of the effective doses caused by single-photon transmission and by emission measurement injection of MBq of FDG yields a ratio of 2. Conclusion: The radiation exposure of the patient caused by the transmission measurement for 3D whole-body-PET can be neglected.

In comparison with the coincidence-transmission using uncollimated line sources of low activity the radiation exposure is still reduced using single photon transmission with collimated point sources of high activity. Sehlen, S. Purpose: In the course of radiotherapy oncological patients often experience considerable psychosocial distress.

For its measurement however, no specific questionnaire is available. The stress index radiooncology SIRO , which is based upon the results of extensive preliminary studies, will be made available as a screening-instrument to facilitate measurement of psychosocial distress of cancer patients , including radiotherapy-induced distress. The aim of this study is, to psychometrically evaluate the preliminary version of the questionnaire, to transfer it to the final version SIRO and to gain information about the psychosocial distress of radiooncological patients at the beginning of radiotherapy.

Patients and Methods: cancer patients 18 to 85 years with different diagnoses have been included in the study Table 1. With 25 patients semistructured clinical interviews have been conducted. Mit dem stress index radioonkologie SIRO , der auf den Analyseergebnissen umfangreicher Voruntersuchungen beruht, soll erstmals ein Screening-Instrument zur Verfuegung gestellt werden, mit dem die psychosozialen Belastungen von Tumorpatienten, einschliesslich der durch Strahlentherapie induzierten, erfasst werden koennen.

Darueber hinaus sollen Informationen ueber das psychosoziale Belastungsprofil radioonkologischer Patienten zu Beginn einer Strahlentherapie gewonnen werden. Patienten und Methoden: Tumorpatienten Jahre mit unterschiedlichen Diagnosen wurden in die Studie aufgenommen.

Pulmonary manifestations in collagen vascular diseases; Pulmonale Manifestationen bei Kollagenosen. Vogel, M. Pulmonary complications are frequent in patients with collagen vascular diseases CVD. Frequent causes are a direct manifestation of the underlying disease, side effects of specific medications and lung infections. The standard radiological procedure for the work-up of pulmonary pathologies in patients with CVD is multidetector computed tomography MDCT with thin-slice high-resolution reconstruction. The accuracy of thin-slice CT for the identification of particular disease patterns is very high.

Both direct pulmonary manifestations, drug-induced toxicity and certain infections can have a similar appearance in thin-slice MDCT in various forms of CVD. Knowledge of the patterns and causes contributes to the diagnostic certainty. Clinical, lung function and imaging follow-up examinations should be performed every months depending on the results of the MDCT. In every case the individual CT morphological patterns of pulmonary involvement must be identified.

The combination of information on the anamnesis, clinical and imaging results is a prerequisite for an appropriate disease management. Haeufig sind eine direkte Manifestation der Grunderkrankung, eine Nebenwirkung der medikamentoesen Therapie oder eine Lungeninfektion die Ursachen. So kann beispielsweise das Muster einer.

Groetz, K. Hauptbereich Medizin; Kohnen, R. Patients and Method: Forty-eight radiotherapy patients 60 Gy with head and neck cancer were included in this trial.

During radiotherapy the salivary glands were located in the core irradiation field. Primary efficacy parameters were sialometry, quantitative salivary gland scientigraphy and clinical evaluation of early effects of radiotherapy RTOG-score. All data were collected at 6 assessments: 1 week pre-radiation U1 , at start U2 , half time U3 and end U4 of irradiation, 8 days U5 and 28 days U6 after the end of irradiation. Results: Twenty-three patients 11 verum, 12 placebo completed the study with all assessments. Sialometrically, all patients were severely half of radiotherapy or completely end of radiotherapy xerostomatic.

After start of irradiation therapy, the RTOG-score showed continuously and significantly lower early radiation effects under verum than under placebo U3 vs U6: p patients , early clinical effects of irradiation RTOG-score were less pronounced in the active treatment group than in the placebo group, but the sample. Seeger, A. Tuebingen Germany ; Scheule, A. Tuebingen Germany ; May, A. Tuebingen Germany. Purpose: the aim of the study was to assess the feasibility and additional diagnostic information of cardiac MRI as a supplement to state-of-the-art MR angiography MRA in the case of vascular risk patients.

Therefore, the prevalence of delayed myocardial enhancement DE was determined in patients suffering from peripheral artery disease PAD and a clinical follow-up was evaluated after 2 years. Follow-up data was able to be obtained after 2 years for 82 patients. Berlin Germany ; Roegler, G [2. Berlin Germany. CT examinations of the liver in HIV-infected patients show more frequent pathological findings. The extended spectrum of differential diagnosis and atypical manifestations of disorders in immunodeficient patients needs to be considered in the interpretation of CT scans.

Difficulties in the differential diagnosis of focal hepatic lesions in HIV-infected patients are demonstrated in the following. Besides the relatively common findings in HIV-infection such as hepato- or hepatosplenomegalia, lymphoma, and inflammatory changes of the bowel an infection with Cryptococcus neoformans, hepatitis, and local steatosis of the liver are discussed as the rare causes for suspect computertomographic findings in the live of HIV-infected patients.

The examinations were obtained consecutively in 76 HIV-infected patients during abdominal CT staging. Spinal metastases of malignant gliomas; Spinale Metastasierung bei malignen Gliomen. Zwei Fallbeschreibungen. Luebeck Germany. Klinik fuer Neurologie. Purpose: Extracranial metastases of malignant gliomas are rare. We report 2 cases with spinal metastases in patients suffering from glioma.

Patients and Method: Two patients 33 and 57 years old developed spinal canal metastases of a glioblastoma multiforme and anaplastic astrocytoma Grade III respectively 25 and 9 months after surgical resection and radiotherapy. Both metastases were confirmed pathohistologically. Results: Intraspinal metastases were irradiated with a total dose of Treatment withdrawal was necessary in one patient due to reduced clinical condition. Regression of neurological symptoms was observed in the second patient. Conclusions: Spinal spread of malignant glioma should be considered during care and follow-up in glioma patients with spinal symptoms.

Wir stellen zwei Faelle einer spinalen Filialisierung bei Gliompatienten vor. Patientengut und Methode: Zwei Patienten 33 und 57 Jahre alt entwickelten 25 bzw. Ergebnisse: Die intraspinalen Filiae wurden mit 12,6 Gy bzw. Bei einem Patienten musste die Radiatio wegen zunehmender Verschlechterung des Allgemeinzustandes abgebrochen werden, bei dem zweiten Patienten besserte sich die neurologische Symptomatik.

Schlussfolgerung: Bei der Betreuung von Gliompatienten sollte, insbesondere in der Nachsorge, an die Moeglichkeit der spinalen Metastasierung mit entsprechender Symptomatik gedacht werden. Radiotherapy for treatment of induratio penis plastica; Strahlentherapie bei Induratio penis plastica. Bruns, F. Klinik und Poliklinik fuer Strahlentherapie-Radioonkologie. Radiotherapy is shown to be an effective, low-cost and non-invasive modality for treatment of induratio penis plastica.

Its efficiency could be proven especially for inflammatory stages of the disease, or as an alternative after failure of conventional treatment. A total dose of no more than Gy was found to achieve clear improvements in two thirds of the patients treated, while avoiding at the same time cosmetically disadvantageous late effects.

Ihren Stellenwert konnte sie insbesondere im inflammatorischen Stadium und nach Versagen anderer konservativer Therapieansaetze zeigen. Percutaneous arteriovenous shunting in patients with severe COPD. Eine neue interventionelle radiologische Technik. Schlosser, Thomas; Forsting, M. Klinik fuer Strahlendiagnostik; Ulrich, M.

Purpose: The aim of this study was to evaluate the technical feasibility and safety of a new interventional radiological technique to create a shunt percutanously between the external iliac vein and artery in patients with severe COPD. Materials and Methods: 40 patients were included in this multicenter trial. In 38 patients the artery was punctured from the vein using a novel crossing needle. A special delivery system was used to implant a novel nitinol device ACS, ROX Medical between the artery and the vein to maintain a 4 mm calibrated and structured fistula between the two vessels.

Results: Shunt implantation was successful in 38 patients. The perfused arteriovenous shunts could be well documented in DSA and the diameter was measured between 3 and 4 mm in all cases. Peri-interventional non-flow-limiting dissection of the iliac artery occurred in one patient. Post-interventional venous bleeding in two patients was treated successfully by local compression. In one patient a peripheral artery thrombembolism was successfully treated by thrombolysis. Conclusion: The new interventional radiological technique to create an arteriovenous shunt in the iliac vessels presented in this study has proven to be feasible and safe.

Intravenous contrast medium application in elderly patients - evaluation of Iopentol Imagopaque trademark ; Intravenoese Kontrastmittel-Applikation bei aelteren Patienten - Anwendungsbeobachtung von Iopentol Imagopaque trademark Rathsmann, P. Purpose: We examined the subjective compatibility of elderly patients who received the intravenous contrast medium Iopentol Imagopaque trademark In addition, objective data were acquired to show possible interactions between contrast media and organ systems in old patients.

Methods and materials: A CT scan with intravenous application of contrast media was performed on patients ranging in age from 75 to 96 years. The patients were questioned about their individual sensations. In addition, blood pressure, creatinine and CT-densitometry were acquired as objective date.

Results: The patients ' individual sensations and clinical data show a very low rate of complications. Mild allergic reactions were noticed in two patients. No severe anaphylactic reactions were encountered. Statistically significant changes in blood pressure before and after administration of the contrast medium were not observed. The serum creatinine concentration was unchanged after application of contrast media. For CT-densitometry, the patients were divided into two groups, one group with patients years and the other group with patients years of age.

CT-densitometry showed no age-related differences. The protocol of contrast administration resulted in excellent opacification of the examined regions, only the liver did not enhance in some cases before the opacification of the portal vein. Conclusion: It is shown that old age alone is no reason to withhold contrast media containing iodine when performing CT. For the evaluation of the liver, however, the peculiarities of old age have to be taken into account and the interval between injection of the contrast medium and beginning of the spiral-CT has to be extended.

Uterine adenomyosis in infertile patients : MR imaging findings and clinical conclusions; MRT der uterinen Adenomyose bei infertilen Patientinnen: Ergebnisse und klinische Rueckschluesse. Zangos, S. Frankfurt Germany ; Kissler, S. Frankfurt Germany ; Hamscho, N. Frankfurt Germany. Purpose: To evaluate the clinical value of magnetic resonance imaging MRI of the uterus and the pelvis in infertile female with symptomatic endometriosis for the assessment of uterine morphology and function.

Materials and Methods: Forty-one infertile women mean age: In addition, the patients underwent hysterosalpingoscintigraphy HSSG for evaluation of the uterotubal transport capacity. Pathologic findings of the uterine junction zone were correlated with the laparoscopic results, clinical symptoms and uterotubal transport capacity. Results: Adenomyosis was diagnosed on T2-weighted MR-images in 35 Patients showing signs of adenomyosis tended to be older than patients without adenomyosis mean age A positive transport capacity in HSSG was observed in In Conclusion: MRI of the uterus is a helpful diagnostic tool for the diagnosis of adenomyosis and for planning further therapies.

Patients with the diagnosis of adenomyosis showed a reduced uterotubal transport capacity that depended on the severity of adenomyotic changes and might be a possible cause of infertility. Sommer, T. Erwin L. Hahn Inst. The aim of this paper is to inform physicians, especially radiologists and cardiologists, about the technical and electrophysiological background of MR imaging of patients with implanted cardiac pacemakers PM and to provide dedicated clinical practice guidelines how to perform MR exams in this patient group.

The presence of a conventional PM system is not any more considered an absolute contraindication for MR imaging. Furthermore the use of special PM-related e. MR conditional PM devices are tested and approved for the use in the MR environment under certain conditions, including the field strength and gradient slew rate of the MR system, the maximum whole body SAR value and the presence of MR imaging exclusion zones.

If MR imaging within these specific conditions cannot be guaranteed in a given patient , the procedure guidelines for conventional PM should be used. The complexity of MR imaging of PM patients requires close cooperation of radiologists and cardiologists. Wiesinger, B. Purpose: to describe typical morphological patterns of abacterial prostatitis using magnetic resonance imagine MRI in chronic pelvic pain syndrome patients including spectroscopy.

Materials and methods: 18 patients age range between 25 and 67 years, average In 6 patients changes also had a triangular but more homogeneous aspect Three patients had an additional periurethral uptake T2w SI measurements and T2w SI ratios showed much lower values for the peripheral zone suspected of inflammation as compared to the normal peripheral zone of the prostate Costs and role of ultrasound follow-up of polytrauma patients after initial computed tomography; Kosten und Stellenwert von Ultraschallverlaufskontrollen bei polytraumatisierten Patienten nach initialer Computertomografie.

Maurer, M. Centrum fuer Muskuloskeletale Chirurgie. Purpose: To assess the costs and diagnostic gain of abdominal ultrasound follow-up of polytrauma patients initially examined by whole-body computed tomography CT. Materials and Methods: A total of patients with suspected multiple trauma men, 50 women; age A process model was used to document the staff, materials, and total costs of the ultrasound follow-up examinations. Follow-up ultrasound examinations revealed new findings in 2 of the 25 patients with abdominal injuries detected with initial CT. In the patients without abdominal injuries in the initial CT scan, ultrasound follow-up did not yield any supplementary or new findings.

The total costs of an ultrasound follow-up examination were EUR The total costs of all follow-up ultrasound examinations performed in the study population were EUR Conclusion: Follow-up abdominal ultrasound yields only a low overall diagnostic gain in polytrauma patients in whom initial CT fails to detect any abdominal injuries but incurs high personnel expenses for radiological departments. Entwicklungstrends bei landwirtschaftlichen Applikationen - ein Zwischenfazit.

In diesem Kontext nimmt diese Arbeit eine Bestandsaufnahme und Kategorisierung nativer Applikationen mit landwirtschaftlichem Bezug vor. Planung und Analyse. Kloska, S. The spectrum of pathology affecting the central nervous system CNS in patients suffering from acquired immunodeficiency syndrome AIDS includes not only the human immunodeficiency virus HIV infection itself but also opportunistic infections and tumors secondary to AIDS.

Despite progress in antiretroviral therapy and the subsequent decrease in the incidence of associated diseases, opportunistic infections and tumors secondary to the HIV infection continue to be the limiting factor in terms of survival with AIDS. Therefore, the therapeutic aim is permanent antiretroviral therapy as well as early diagnosis and treatment of opportunistic infections.

In the following, the typical clinical and radiological features of several AIDS-related pathologies are presented and discussed. Balloon dilatation and balloon-expandable stents for PTA of proximal venous stenoses in haemodialysis patients. Dilatation und ballonexpandierbare Stents zur Therapie zentralvenoeser Stenosen bei Dialysepatienten. Germany, F. On 10 dialysis patients we performed 12 balloon dilatations, 2 catheter lyses, 6 stent implants Palmaz stent and one atherectomy of central venous stenoses or occlusions v.

The angiographical and clinical primary result after stent implantation was significantly better than after conventional dilatation. Whether long-term exclusion of recurrence can be achieved by stent implantation, must be established by means of follow-up studies that are at present in progress. Significance of findings of both emergency chest X-ray and thoracic computed tomography routinely performed at the emergency unit in polytrauma patients. A prospective study; Relevanz der Befunde von Thoraxroentgen und Thorax-CT im routinemaessigen Schockraumeinsatz bei polytraumatisierten Patienten.

Eine prospektive Studie. Grieser, T.

Charter & Annotations in German

Klinik fuer Diagnostische Radiologie und Neuroradiologie. Purpose: To evaluate prospectively whether and to what extent both thoracic computed tomography Tx-CT and supine X-ray of the chest Rx-Tx are able to show additional findings that are therapeutically relevant. Patients and Methods: According to a fixed study protocol, we performed Rx-Tx and Tx-CT in consecutive, haemodynamically stable polytrauma patients mean age, Findings of therapeutical relevance drawn from both Tx-CT and Rx-Tx, and urgent interventions indicated by an attending trauma team were documented on a standardized evaluation sheet immediately.

Any change in the patient 's management that is different from routine life-saving procedures, and any therapeutical intervention done in the emergency room or elsewhere operating theatre, angiographic facility were considered therapeutically relevant. Results: Of patients , 43 Rx-Tx alone yielded 23 relevant findings Of them, Tx-CT has shown additional important findings in 7 patients When Tx-CT alone is considered, it revealed 22 new findings of therapeutical relevance Altogether, Tx-CT was able to show 30 relevant findings in 27 patients , i.

Conclusions: Polytrauma patients if haemodynamically stable may profit from computed tomography of the chest when therapeutically relevant thoracic injuries are looked for or early therapeutical interventions are to be checked. However, chest X-ray should stay as a 'front-line' screening method because of its superbly quick feasibility and availability. Magnetic resonance imaging of the pelvis in patients with polycystic ovary syndrome; Magnetresonanztomografie MRT des Beckens bei Patientinnen mit polyzystischem Ovarsyndrom.

Hauth, E. Introduction: MRI evaluation of parameters of the ovaries for the diagnosis of polycystic ovaries in patients with polycystic ovary syndrome PCOS. The volume and maximum diameter of the bigger ovary, the number of follicles, and the maximum diameter and volume of the biggest follicle of the bigger ovary were determined in relation to patient age and were statistically compared.

ROC analysis was performed to evaluate the prognostic quality of the parameters of the ovaries regarding the diagnosis of PCOS. Results: in a cohort aged 21 - 30 a significant difference between patients with PCOS and healthy volunteers was able to be determined for all 5 parameters p Magnet discolation - An increasing and serious complication following MRI in patients with chochlear implants; Magnetdiskolation - eine zunehmende und folgenreiche Komplikation nach MRT bei Patienten mit Cochlea Implantat.

Hassepass, F. Medical Center Freiburg Germany. Cochlear implantation CI represents the gold standard in the treatment of children born deaf and postlingually deafened adults. Meanwhile, there are specific recommendations concerning MRI compatibility depending on the type of CI system and the device manufacturer. The aim of this study was to analyze all magnet revision surgeries in CI patients at one CI center and the relationship to MRI scans over time. Between and , a total of CIs were implanted. The number of magnet dislocation MD surgeries and their causes was assessed retrospectively.

As per the labeling, it was considered safe to leave the internal magnet in place during MRI while following specific manufacturer recommendations: MRI intensity of 1. A compression head bandage in a 1. We recommend a Stenvers view radiograph after MRI with the internal magnet in place for early identification of MD, at least in the case of pain during or after MRI examination.

MRI in CI patients should be indicated with restraint and patients should be explicitly informed about the possible risks. Radiation therapy in patients with cardiac pacemakers or implantable cardioverter defibrillators. Interdisciplinary safety recommendations; Strahlentherapie bei Patienten mit Herzschrittmachern oder implantierbaren Kardioverter-Defibrillatoren. Interdisziplinaere Sicherheitsempfehlungen. Dorenkamp, M. Klinik fuer Radioonkologie und Strahlentherapie; Heymann, C.

Adaptation forced by external factors? The anti-Semitism movement in Fascist Italy

Klinik fuer Anaesthesiologie mit Schwerpunkt operative Intensivmedizin. Background: With increasing numbers of implanted pacemakers and implantable cardioverter defibrillators ICD and a rising incidence of malignant tumors, there is a growing probability of radiation-mediated device dysfunction. The only guidelines for the management of patients with cardiac pacemakers in the case of radiation therapy were published in and have not been updated since then.

Based on the current evidence and modern device technology, the present paper aims to develop contemporary and interdisciplinary safety recommendations for the minimization of patient risk. Methods and results: A systematic literature research was carried out including the most relevant medical electronic databases. The search yielded articles published between and of which 45 met the selection criteria and of these studies 34 presented primary data 9 in vitro and 25 in vivo studies.

The impact of ionizing radiation varied significantly between implanted devices and ranged from no functional changes to complete loss of function. Important device dysfunctions included changes in sensing capability, altered pacing pulses or rate, changed or disabled tachyarrhythmia ICD therapies, early battery depletion and loss of telemetry. Modern pacemakers and ICDs are more sensitive to radiation than older models. Potentially life-threatening complications were observed after exposure of the pulse generator to comparatively low radiation doses 0.

Conclusions: Practical recommendations for patient management and safety are presented that can be readily adopted by any institution carrying out radiation therapy. Diagnostic value of somatostatin receptor scintigraphy in patients with intracranial tumours. Luyken, C. Klinik fuer Neurochirurgie, Koeln Univ. Germany ; Hildebrandt, G.

Endometriose

Germany ; Scheidhauer, K. Klinik fuer Nuklearmedizin, Koeln Univ. Germany ; Kirsch, B. Anatomisches Inst. The aim of the study was to detect the SR binding sites in intracranial tumours and to evaluate the benefit of SRS in pre- and postoperative diagnostics. The histological classification corresponded to the WHO grading system. Somatostatin binding sites were detected in vito using somatostatin-gold conjugates. Neurinomas did not show any tracer uptake. In patients with gliomas with disturbed blood-brain-barrier positive tracer uptake was detected, while none of the gliomas with intact blood-brain-barrier could be visualized by SRS but showed somatostatin binding sites in vitro.

In intracranial metastases a local tracer uptake was detected in vivo. In vitro 3 of 4 cases showed somatostatin binding sites. In 2 cases extracranial tracer uptake showed the primary tumour and metastases of the lymphnodes. Somatostatin receptor scintigraphy can help to detect or to exclude meningiomas especially in the cerebellopontine angle or in the orbit. In intracranial metastases SRS may point to the primary tumour or other metastases.

In all other intracranial tumours receptor scintigraphy provides no clinical relevant information. Dederichs, B. Koeln Germany ; Otte, R. Koeln Germany ; Klink, J. Koeln Germany ; Schicha, H. Koeln Germany. But until now only little data has been presented due to the course of time and the extent of TVR. Results: All the patients showed a highly significant p patients with SAG with a 1.

Bisher wurden jedoch nur vereinzelt systematische Daten zum zeitlichen Verlauf und quantitativen Ausmass der SVR veroeffentlicht. Ergebnisse: Fuer alle Patientengruppen ergab sich eine hochsignifikante p Pilzinfektionen des Zentralnervensystems bei immunkompetentem Wirt. Full Text Available This research aimed to do interpret the marking which flange social criticism and know laboring ideology in story of Comic Strip Pak Bei.

Research based on theory of structural semiotic according to Ferdinand De Saussure. Using analysis of Syntagmatic as first level of meaning to the text network and also picture, and analysis of Paradigmatic as second level of meaning or implicit meaning connota-tion, myth, ideology Analysis done to six Comic choice edition of Strip Pak Bei period of November - Februari which tend to flange social criticism. At band of syntagmatic, result of research indicate that story theme lifted from social problems that happened in major society.

The fact clear progressively when connected by Intertextual with information and texts which have preexisted. At band of Paradigmatic, social criticism tend to emerge dimly, is not transparent. Because of Comic Strip Pak Bei expand in the middle of Java cultural domination that developing myth of criticize as action menacing compatibility and orderliness of society. Story of Comic Strip Pak Bei also confirm dominant ideology in Java society culture, namely ideology of Patriarkhi and Feudalism which still go into effect until now.

This prove ideology idea according to Louis Althusser which not again opposition between class, but have been owned and practiced by all social class. Analysis of patients ' X-ray exposure in percutaneous radiologic gastrostomies; Analyse der Strahlenexposition fuer Patienten bei perkutanen radiologischen Gastrostomien.

Hospital Leipzig Germany. Analysis of patient 's X-ray exposure during percutaneous radiologic gastrostomies PRG in a larger population. Data of primary successful PRG-procedures, performed between and in patients , were analyzed regarding the exposition to X-ray. Image Itensifier BV and the necessity for periprocedural placement of a nasogastric tube. The median DLZ was 2. In order to minimize X-ray exposure during PRG-procedures for patients and staff, fluoroscopically-guided interventions should employ flat detector systems with short transmittance sequences in low dose mode and with slow image frequency.

Series recordings can be dispensed with. The intraprocedural placement of a naso- or orogastric probe significantly extends FT, but has little effect on the overall dose of the. Bares, R. Despite dramatic improvements in diagnostic imaging ultrasonography, in particular endoscopic ultrasound, CT, MRI treatment results of pancreatic cancer are still poor. Due to the lack of early symptoms, most tumors are diagnosed at an advanced stage of disease which excludes curative surgical treatment.

FDG-PET has been shown to be effective in detecting pancreatic cancer as well as differentiating benign from malignant pancreatic tumors. Results might be further improved by applying quantitative analyses, in particular kinetic modelling of FDG metabolism. Nevertheless false negative as well as false positive findings may occur. Small lesions lymphnode or liver metastases patients with pancreatic disease might reduce tumor uptake and subsequently tumor detectability by PET. False positive findings were reported in active pancreatitis and some benign tumors.

Aufgrund der spaet einsetzenden klinischen Symptomatik wird die Diagnose meist erst bei lokaler Inoperabilitaet gestellt. Dennoch koennen falsch negative wie auch falsch positive Ergebnisse. Pasireotid: Eine neue Therapieoption bei Morbus Cushing. Diagnostic evaluatuin of gastrointestinal tumors; Diagnostik bei Tumoren im Gastrointestinaltrakt. Linke, R. Klinik und Poliklinik fuer Nuklearmedizin. In such cases a PET scan may be helpful. PET seems to be more accurate in this respect, too.

Auch die Differenzierung eines Lokalrezidivs von postoperativer Narbenbildung, z. Lebertumoren sollten primaer sonographisch und bei fraglicher Dignitaet anschliessend mittels MRT untersucht werden. In der Differentialdiagnostik von unklaren Leberherden ist die nuklearmedizinische Rezeptorszintigraphie wegweisend.

Ergeben die vorgeschalteten Untersuchungen den Verdacht auf einen malignen Prozess, sollte zusaetzlich eine CT-Arterioportographie durchgefuehrt werden, da dieses. Lembcke, A.