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Biomedical subjects

M F Bellin

Publications and source records attributed to M F Bellin.

At least 55 records · Page 3Linked to original sources
PubMed1991

[The role of imaging in the diagnosis of complications in patients with artificial urinary sphincter].

The artificial urinary sphincters are implanted to treat some urinary incontinence. Abdominal plain films allow the checking of the function of the cuff; the diameter of the pressure regulating balloon can be appreciated by ultrasound or plain film. The main complications (bending of the tubules, leak, urethral erosion, rupture of the cuff) and their radiological diagnosis are described.

Bioprosthesis↗
PubMed1990

MR imaging of adult Wilms' tumor: correlation with US, CT, and pathology.

The magnetic resonance (MR) features of an adult nephroblastoma are presented. The MR appearance is correlated with ultrasound (US), computed tomographic (CT) and pathology. The tumor appeared heterogeneous with calcifications and areas of necrosis and hemorrhage. MR correctly staged the tumor.

Adult↗
PubMed1990

[False image of portal thrombosis in MRI: pitfalls in portal hypertension. Apropos of Budd-Chiari syndrome].

This observation illustrates how difficult it is to interpret the intravascular signal observed with MRI in cases of portal hypertension. A signal occupying the entire lumen of the portal trunk and branches can be seen, which is constantly observed in the axial as well as coronal planes in the 3 series studied. It is hypointense relative to the liver on T1-weighted images, hyperintense on T2-weighted images: this appearance therefore perfectly mimicks portal thrombosis. Ultrasound combined with pulsed Doppler demonstrates the stagnant blood within the patent portal system. This kind of artifact, which is produced by a very slow flow or even by the standstill of flow, is much more difficult to recognize than the common flow artifacts; the criteria put forward by various authors to distinguish between artifacts and thrombosis are of no avail in this case. Examinations must able to confirm or rule out portal thrombosis in the case of portal hypertension with deceleration of flow. In practice, ultrasound studies, combined with pulsed Doppler in the best cases, is therefore indicated as a first-intension technique.

Budd-Chiari Syndrome↗
PubMed1990

[MRI of the normal portal system: the artefacts. Apropos of 45 cases].

The protal system of 45 normal patients have been retrospectively studied on spin echo MRI sequences (interleaved cuts): multiple artifacts have been evaluated and 24% of them were visualized at the portal system level. Thus, partial volume effect responsible for almost 25% of the artifacts is not always easily seen on a single sequence. Respiratory and aortic artifacts can deteriorate the visualization of the vascular lumen but cannot be confused with a thrombosis. Well-known artifacts, as slice entry phenomenon and even echo rephasing, represent more than 60% of the artifacts: they are readily recognized when they are typical and indicate flowing blood. On the contrary, an other artifact, representing less than 5% of the total and seen at the level of the left portal vein, simulates a thrombus, on T2 weighed images. We conclude that the frequency and polymorphism of the artifacts are limiting factors of MRI value in the diagnosis of portal vein thrombosis.

Adult↗
PubMed1990

[Rectosigmoid hemangioma. Specific aspects in x-ray computed tomography. Apropos of a case].

This observation illustrates the use of CT in the diagnosis of rectosigmoid hemangiomas and the assessment of their extension. The CT appearance of hemangiomas is very specific and therefore allows confirming a diagnosis that is often difficult to make with other radiological techniques and with endoscopy: phleboliths within the thickened rectal wall are a characteristic sign. CT is primarily required when radical surgery is contemplated due to disabling repeated proctorrhagia: it provides a better delineation of trans- and extraparietal hemangioma extension, knowing that adhesion (...).

Adult↗
PubMed1989

[Lymphography and x-ray computed tomography in the evaluation of lymph node invasiveness in cancer of the bladder. Comparison of their diagnostic value].

The diagnostic value of lymphography and computed tomography (CT) in the assessment of lymph node invasion by bladder cancers has been compared on the basis of 30 observations. Although computed tomography apparently yields better results (reliability: 93%) than lymphography (reliability: 87%), these findings have no statistical significance. The study of literature shows that the statistical exploitation of the results was seldom carried out. The combination of both exploration techniques seems to improve predictive values, but this improvement was not statistically significant in our study.

Adult↗
PubMed1989

[Comparative study of MRI and CT x-ray in evaluating the extension of kidney cancer in adults].

The assessment of the extent of kidney cancers with MRI and CT is compared in 40 patients. The appearance of the tumor with MRI is very variable but always heterogeneous. Specific MRI features (tumoral pseudocapsule) provide a higher overall reliability (OR) than with CT for the detection of expansion beyond the capsule and into the kidney: 80% for 60%. Although the overall reliability of MRI is similar to that of CT (92% for 86%), MRI has proved its superiority for the assessment of the limits of endovenous tumoral expansion because of natural flow/thrombus contrast and of the multiple incidences of exploration. There is no significant difference between MRI (OR = 91%) and CT (OR = 88%) or the detection of lymph node involvement. Invasion of neighboring organs is better assessed with multi-incidence MRI. According to Robson's classification, the OR of MRI (77%) is not significantly higher than that of CT (65%). MRI is still a time-consuming and expensive technique, which should be reserved for cases in which iodine is contraindicated and used as a second-intention technique after CT to confirm the invasion of the capsule if partial nephrectomy is indicated, or the better delineate venous or regional invasion which CT could not assess properly.

Adrenal Gland Neoplasms↗
PubMed1989

[Encapsulating peritonitis in periodic disease. Apropos of a case studied by x-ray computed tomography].

A case of encapsulating peritonitis complicating the course of familial Mediterranean fever is reported. This encapsulating peritonitis was responsible for abdominal pain and had a "pseudocystic" appearance on ultrasonography and computed tomography. Ultrasound guided aspiration produced a yellowish fluid rich in proteins and poor in cells. Surgical operation revealed a congested appearance of the peritoneum associated with a richly fibrinous appearance of the external wall of the mass. The differential diagnosis is discussed.

Adult↗
PubMed1987

[Double-contrast colonic radiography. Comparative, randomized study of 4 colon preparations].

Since diagnostic value of double contrast colon imaging is dependent on the colon preparation used, tolerance and efficacy of 4 colon preparations were evaluated by a simple-blind, comparative, randomized study in 185 outpatients. Colon preparation involves variable combinations of 3 means: residue-free diet, laxatives and wash-out enemas. Principal criteria were evaluated under blind conditions by the same investigator during all examinations, with quantitative rating by segment (left, transverse and right colon) of adherence and colon cleanliness, and global assessment of quality of preparation. The 4 groups were comparable: mean age 44.7 years, sex ratio (male/female) 51.3%. Tolerance and compliance were elevated without significant inter-group differences. The colon preparations studied did not allow a homogeneous preparation to be obtained throughout the colon, efficacy in left colon being superior to right colon, whatever the method used. Analysis of cleanliness and adherence by segment failed to show significant differences between procedures, probably related to weak differences in their effectiveness and the strict nature of the study. The use of a global criterion tended to show value of wash-out enemas as a routine procedure, whether in outpatients or in the Radiology department.

Adolescent↗
PubMed1987

[X-ray computed tomographic aspect of gastric leiomyoma. Apropos of a case].

This report studies the diagnostic problem raised by benign pedunculated gastric leiomyoma identified by CT scan imaging and associated with hepatic metastases. Evaluation of the angle of attachment to the wall, the conventional feature enabling distinction between malignant and benign submucous tumours is not always a reliable indicator.

Adult↗
PubMed1987

Role of CT in the study of recurrences of Hodgkin's disease on the chest wall. Report on 12 cases.

Twelve cases of recurrences of Hodgkin's disease on the chest wall, associated with three breast lesions and three diaphragmatic lesions, were studied by computed tomography (CT). Although the chest radiographs of all the patients were abnormal, CT was more accurate than clinical and other radiological examinations in delineating the lesions of the chest wall and in studying the extension of the relapse. Muscle enlargement was present in all cases. In seven cases osseous lesions and in seven cases pleural effusion or subpleural plaques were found. Chest wall recurrences were associated with other thoracic or abdominal lesions in 75% of the cases. Recurrences to the chest wall occur late (mean 6.3 years) in the evolution of Hodgkin's disease. They developed during the first relapse in 67% of the cases and during the second to the fourth relapse in 33% of the cases. CT is useful for the screening of lesions for which the outcome is bad. Only in four cases patients were without any evidence of disease after treatment.

Adult↗