Biomedical subjects
J D Swartz
Publications and source records attributed to J D Swartz.
Annotated bibliography.
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Metastatic hypernephroma to the larynx: an unusual presentation.
We report a renal cell carcinoma which presented as a metastasis to the larynx. The only preoperative clue to the diagnosis was its hypervascularity.
Protrusion, extrusion ... confusion!
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The acute lumbar disc herniation: imaging diagnosis.
The acute lumbar herniated nucleus pulposus (HNP) can often be diagnosed on good quality MRI or CT examination. Myelography, discography, and postmyelography/postdiscography CT ordinarily are reserved for equivocal and protracted cases. MRI is recommended as the initial study of choice except for older patients for whom CT may be more valuable because of the high incidence of osteophytosis. Patients with acute herniated nucleus pulposus (HNP) may have varied clinical symptoms depending on the level of the HNP, extent of the annulus tear/depth of penetration of nuclear material, and the direction of the disc herniation. HNP does not necessarily produce radiculopathy and may cause vague low back pain. This article reviews and analyzes the clinical symptoms and problems associated with HNP, as well as the pitfalls and differential diagnostic possibilities in interpretation.
Pathophysiological basis of lumbar disc degeneration: imaging analysis.
This article provides a brief synopsis of the pathoanatomic basis of disc degeneration. An attempt is made to correlate CT, MR and CT discographic findings. The T2-weighted sagittal images are the most sensitive for evaluating disc degeneration. The contour changes on axial CT and MR scans are sensitive for abnormalities but not always specific. The CT discogram adds information unavailable by other imaging methods pertaining to the internal architecture of the disc. It additionally defines focal nuclear herniations and also is helpful in evaluating the stage of disc degeneration.
The HIT and the HIT 25: comments and clarifications.
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Imaging of neck masses in infants and children.
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Imaging of the neck: nodal disease.
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Imaging the soft tissues of the neck: non-nodal acquired disease.
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The laryngeal mucocele. Imaging analysis of a rare lesion.
Four patients with laryngeal mucocele (fluid-filled laryngocele) are described. Two laryngeal mucoceles were external, lying outside the thyrohyoid membrane, and two were combined, lying both internal and external to the membrane. The combined laryngeal mucoceles presented with both neck mass and hoarseness. The external lesions and one combined lesion were diagnosed using computed tomography (CT) and ultrasound. Another combined lesion had the benefit of CT and magnetic resonance imaging (MRI) prior to exploration. All were homogeneously hypodense at CT with rim enhancement only in the case of the laryngopyocele. The mucocele evaluated with MRI had homogeneously long T1 and T2 relaxation times similar to cerebrospinal fluid.
The temporal bone: imaging considerations.
CT and MRI have revolutionized the evaluation of the temporal bone and its diseases. Conventional polytomography, once the mainstay of clinical imaging, has now been completely replaced by CT for evaluation of the middle ear, ossicular chain, and otic capsule and by MRI for the study of the internal auditory canal, cerebellopontine angle, and brainstem. This article is an overview of these current methods and depicts normal and pathologic anatomy. The technical aspects and clinical indications for both modalities are discussed.
The temporal bone: magnetic resonance imaging.
MRI has made a remarkable impact upon diagnostic evaluation of the temporal bone and its diseases. Although high resolution CT is preferable for study of common maladies of the middle ear and optic capsule, MRI is currently the study of choice for evaluation of the internal auditory canal, cerebellopontine angle, and brainstem. MRI is also very useful in evaluations of complications of chronic otitis media. This manuscript is divided into sections on inflammatory disease, internal auditory canal/cerebellopontine angle, vascular compartments, facial nerve, and trauma. In addition, several miscellaneous entities are discussed.
Current imaging approach to the temporal bone.
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Acquired disruptions of the incudostapedial articulation: diagnosis with CT.
To determine the best technique for diagnosing incudostapedial joint disruption with computed tomography (CT), the authors reviewed 15 surgically proved cases. In each case, the articulation was depicted on axial but not coronal images. Disruption was due to inflammation in ten cases and trauma in five. Axial high-resolution CT is valuable in the diagnosis of traumatic and inflammatory disruption of the incudostapedial joint.
Otosclerosis, diagnosis, and differential diagnosis.
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