State of the art in vulvar cancer imaging
Abstract Vulvar carcinoma is an uncommon tumor that predominantly affects postmenopausal women. Currently, there is no screening procedure for vulvar carcinoma; in most cases, it is diagnosed only when symptoms appear. The most widely used staging system is that developed by the International Federation of Gynecology and Obstetrics. Lymph node status is the most important prognostic factor. We searched the PubMed/Medline database to identify relevant English-language articles on vulvar cancer, with a special focus on its imaging evaluation. Magnetic resonance imaging is useful for local and nodal staging, as well as facili...
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Percutaneous cholangioscopy for the treatment of choledocho­lithiasis
Conclusion: In the absence of any clinical contraindications, antegrade JJ stenting is a suitable alternative to both percutaneous nephrostomy and retrograde stenting in patients with dilated renal collecting systems secondary to malignant ureteral obstruction, providing significant cost savings and high success rates.Resumo Objetivo: Comparar a rela ção custo-efetividade de duas técnicas percutâneas utilizadas no tratamento da uropatia obstrutiva maligna - inserção anterógrada de cateter duplo J (JJ) versus nefrostomia percutânea - sob a perspectiva do sistema de saúde pública brasileira. Materiais e Métodos:...
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Intraoperative ultrasound for identifying residual tumor during glioma surgery
Conclusion: In the absence of any clinical contraindications, antegrade JJ stenting is a suitable alternative to both percutaneous nephrostomy and retrograde stenting in patients with dilated renal collecting systems secondary to malignant ureteral obstruction, providing significant cost savings and high success rates.Resumo Objetivo: Comparar a rela ção custo-efetividade de duas técnicas percutâneas utilizadas no tratamento da uropatia obstrutiva maligna - inserção anterógrada de cateter duplo J (JJ) versus nefrostomia percutânea - sob a perspectiva do sistema de saúde pública brasileira. Materiais e Métodos:...
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Percutaneous nephrostomy versus antegrade double-J stent placement in the treatment of malignant obstructive uropathy: a cost-effectiveness analysis from the perspective of the Brazilian public health care system
Conclusion: In the absence of any clinical contraindications, antegrade JJ stenting is a suitable alternative to both percutaneous nephrostomy and retrograde stenting in patients with dilated renal collecting systems secondary to malignant ureteral obstruction, providing significant cost savings and high success rates.Resumo Objetivo: Comparar a rela ção custo-efetividade de duas técnicas percutâneas utilizadas no tratamento da uropatia obstrutiva maligna - inserção anterógrada de cateter duplo J (JJ) versus nefrostomia percutânea - sob a perspectiva do sistema de saúde pública brasileira. Materiais e Métodos:...
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Accuracy of breast magnetic resonance imaging in evaluating the response to neoadjuvant chemotherapy: a study of 310 cases at a cancer center
Conclusion: Breast MRI showed good accuracy in the prediction of a pathological complete response after NAC. The sensitivity and positive predictive value were highest for the HER2 and triple-negative subtypes.Resumo Objetivo: Avaliar a acur ácia da ressonância magnética (RM) das mamas na identificação de resposta patológica completa em pacientes com câncer de mama submetidas a quimioterapia neoadjuvante (QTN). Materiais e Métodos: Teste de validação diagnóstica, realizado por meio de estudo observacional, unicêntrico e ret rospectivo. As variáveis avaliadas no estudo foram idade, resultado histológico e im...
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Quantitative evaluation of brain volume among elderly individuals in São Paulo, Brazil: a population-based study
Conclusion: We have corroborated the findings of studies conducted in the United States and Europe. The total brain volume/intracranial brain volume ratio is higher in men, representing a potential bias for the conventional radi ological assessment of atrophy, which is typically based on the evaluation of the cerebrospinal fluid spaces.Resumo Objetivo: Analisar, quantitativamente, o volume cerebral de idosos em uma amostra de base populacional em S ão Paulo. Materiais e Métodos: O estudo é uma avaliação radiológica e análise quantitativa baseada em voxel com alinhamento de superfície de 525 imagens de ressonâ...
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Microvascular invasion in hepatocellular carcinoma: is it predictable with quantitative computed tomography parameters?
Conclusion: Quantitative dynamic CT parameters measured in the preoperative period do not appear to correlate with MVI in HCC.Resumo Objetivo: O objetivo deste estudo foi investigar se par âmetros quantitativos da tomografia computadorizada (TC) podem predizer invasão microvascular (IMV) no carcinoma hepatocelular (CHC). Materiais e Métodos: Foram analisados, retrospectivamente, 200 CHCs comprovados de 125 pacientes submetidos consecutivamente a transplante ou ressecção hepáti ca entre março/2010 e novembro/2017. Foram realizadas medidas quantitativas da densidade das lesões e do parênquima hepático adjacent...
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Differences in negative predictive value of prostate MRI based in men with suspected or known cancer
Conclusion: The NPV of multiparametric MRI for GS ≥ 3+4 is higher in men with suspected prostate cancer than in men under AS. PSA density ≤ 0.15 improved the prediction of intermediate to high-grade disease in patients without known cancer.Resumo Objetivo: Comparar o valor preditivo negativo (VPN) da RM multiparam étrica da próstata para o diagnóstico de tumores escore de Gleason (EG) ≥ 3+4 e avaliar os preditores desses tumores em homens com suspeita de doen ça e nos sob vigilância ativa (VA). Materiais e Métodos: Este estudo retrospectivo incluiu 38 homens com suspeita de câncer de próstata e 38 em VA ...
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

The importance of prospective and longitudinal studies on ischiofemoral impingement syndrome
(Source: Radiologia Brasileira)
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Women, endometriosis, and the evolution of imaging
(Source: Radiologia Brasileira)
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Can biopsy be avoided in patients with clinical suspicion of prostate cancer and a negative result on multiparametric magnetic resonance imaging?
(Source: Radiologia Brasileira)
Source: Radiologia Brasileira - October 24, 2019 Category: Radiology Source Type: research

Mesenteric panniculitis in a patient with rheumatoid arthritis
Abstract Primary extranodal lymphoma is defined as a lymphoma at a solitary extranodal site, with or without involvement of the lymph nodes. The clinical and radiological features of extranodal lymphoma have been documented in recent studies. In this pictorial essay, we reviewed imaging findings of extranodal lymphoma in the head and neck region.Resumo Linfoma extranodal prim ário é definido como um sítio extranodal solitário de linfoma, com ou sem envolvimento dos gânglios linfáticos. As características clínicas e radiológicas do linfoma extranodal foram documentadas em estudos recentes. Neste ensaio revisamos os...
Source: Radiologia Brasileira - August 20, 2019 Category: Radiology Source Type: research

Primary essential cutis verticis gyrata
Abstract Primary extranodal lymphoma is defined as a lymphoma at a solitary extranodal site, with or without involvement of the lymph nodes. The clinical and radiological features of extranodal lymphoma have been documented in recent studies. In this pictorial essay, we reviewed imaging findings of extranodal lymphoma in the head and neck region.Resumo Linfoma extranodal prim ário é definido como um sítio extranodal solitário de linfoma, com ou sem envolvimento dos gânglios linfáticos. As características clínicas e radiológicas do linfoma extranodal foram documentadas em estudos recentes. Neste ensaio revisamos os...
Source: Radiologia Brasileira - August 20, 2019 Category: Radiology Source Type: research

The main radiologic findings in annular pancreas
Abstract Primary extranodal lymphoma is defined as a lymphoma at a solitary extranodal site, with or without involvement of the lymph nodes. The clinical and radiological features of extranodal lymphoma have been documented in recent studies. In this pictorial essay, we reviewed imaging findings of extranodal lymphoma in the head and neck region.Resumo Linfoma extranodal prim ário é definido como um sítio extranodal solitário de linfoma, com ou sem envolvimento dos gânglios linfáticos. As características clínicas e radiológicas do linfoma extranodal foram documentadas em estudos recentes. Neste ensaio revisamos os...
Source: Radiologia Brasileira - August 20, 2019 Category: Radiology Source Type: research

Transmural migration of a gossypiboma: a rare cause of intestinal obstruction
Abstract Primary extranodal lymphoma is defined as a lymphoma at a solitary extranodal site, with or without involvement of the lymph nodes. The clinical and radiological features of extranodal lymphoma have been documented in recent studies. In this pictorial essay, we reviewed imaging findings of extranodal lymphoma in the head and neck region.Resumo Linfoma extranodal prim ário é definido como um sítio extranodal solitário de linfoma, com ou sem envolvimento dos gânglios linfáticos. As características clínicas e radiológicas do linfoma extranodal foram documentadas em estudos recentes. Neste ensaio revisamos os...
Source: Radiologia Brasileira - August 20, 2019 Category: Radiology Source Type: research