The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform
E Wenkel - One of the best experts on this subject based on the ideXlab platform.
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does direct mr Galactography have the potential to become an alternative diagnostic tool in patients with pathological nipple discharge
Clinical Imaging, 2011Co-Authors: E Wenkel, Michael Uder, Rudiger Schulzwendtland, Rolf Janka, Michael Doellinger, Katja Melzer, S SchwabAbstract:Abstract Purpose To compare direct magnetic resonance Galactography (dMRG) and conventional Galactography (CGal). Materials and Methods Thirty women underwent CGal and dMRG. Duct localization and the depth of the assumed underlying pathology in CGal and dMRG were analyzed. Results Comparing CGal and dMRG, there was no significant difference regarding sector localization, but for depth of pathology ( P =.023). Conclusion Duct localization with dMRG was possible with the same reliability as with CGal. Thus, dMRG may have the potential to become an alternative method to CGal.
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direct mr Galactography feasibility study
Radiology, 2008Co-Authors: S Schwab, Michael Uder, W Bautz, Rudiger Schulzwendtland, Rolf Janka, E WenkelAbstract:Purpose: To compare T1- and T2-weighted direct magnetic resonance (MR) Galactography, indirect MR Galactography, and conventional Galactography in women with pathologic nipple discharge. Materials and Methods: The study was approved by the institutional review board. Written informed consent was obtained from all patients. Twenty-three women (age range, 30–85 years) with pathologic nipple discharge and pathologic conventional galactographic findings underwent physical examination, ultrasonography, and MR imaging before surgery. A T2-weighted sequence of the affected breast was performed before (indirect MR Galactography), and T1- and T2-weighted sequences were performed after (direct MR Galactography), gadopentetate dimeglumine was injected into the discharging duct. MR galactographic findings were analyzed and compared with conventional galactographic findings. Sequences used were T2-weighted three-dimensional constructive interference in steady state (CISS), T1-weighted volumetric interpolated breath-ho...
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cutaneous application of local anaesthetic a useful help in Galactography
European Radiology, 2008Co-Authors: S Schwab, R Schulzwendtland, Michael Uder, W Bautz, E WenkelAbstract:Galactography is an important step in the diagnostic workup of abnormal nipple discharge. At times it is impossible to insert the cannula in the secreting duct and Galactography cannot be performed. In such cases we tried applying local anaesthetic spray (LA) cutaneously to the nipple followed by a further insertion attempt. LA has enabled us to insert the Galactography cannula in all patients so far. We concluded that after previous unsuccessful attempts, the presented technique may relax the duct orifice and therefore permit insertion of the Galactography cannula into the secreting duct.
Mitchell D Schnall - One of the best experts on this subject based on the ideXlab platform.
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solitary intraductal papilloma findings at mr imaging and mr Galactography
American Journal of Roentgenology, 1999Co-Authors: H D S Rovno, Evan S Siegelman, Carol Reynolds, Susan G Orel, Mitchell D SchnallAbstract:OBJECTIVE: The purpose of this article is to describe MR findings in surgically proven solitary intraductal papillomas of the breast, including findings on MR Galactography. CONCLUSION: Women with spontaneous nipple discharge and solitary intraductal papilloma show, on MR imaging, dilated ducts with an associated enhancing, well-circumscribed mass.
S Schwab - One of the best experts on this subject based on the ideXlab platform.
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does direct mr Galactography have the potential to become an alternative diagnostic tool in patients with pathological nipple discharge
Clinical Imaging, 2011Co-Authors: E Wenkel, Michael Uder, Rudiger Schulzwendtland, Rolf Janka, Michael Doellinger, Katja Melzer, S SchwabAbstract:Abstract Purpose To compare direct magnetic resonance Galactography (dMRG) and conventional Galactography (CGal). Materials and Methods Thirty women underwent CGal and dMRG. Duct localization and the depth of the assumed underlying pathology in CGal and dMRG were analyzed. Results Comparing CGal and dMRG, there was no significant difference regarding sector localization, but for depth of pathology ( P =.023). Conclusion Duct localization with dMRG was possible with the same reliability as with CGal. Thus, dMRG may have the potential to become an alternative method to CGal.
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direct mr Galactography feasibility study
Radiology, 2008Co-Authors: S Schwab, Michael Uder, W Bautz, Rudiger Schulzwendtland, Rolf Janka, E WenkelAbstract:Purpose: To compare T1- and T2-weighted direct magnetic resonance (MR) Galactography, indirect MR Galactography, and conventional Galactography in women with pathologic nipple discharge. Materials and Methods: The study was approved by the institutional review board. Written informed consent was obtained from all patients. Twenty-three women (age range, 30–85 years) with pathologic nipple discharge and pathologic conventional galactographic findings underwent physical examination, ultrasonography, and MR imaging before surgery. A T2-weighted sequence of the affected breast was performed before (indirect MR Galactography), and T1- and T2-weighted sequences were performed after (direct MR Galactography), gadopentetate dimeglumine was injected into the discharging duct. MR galactographic findings were analyzed and compared with conventional galactographic findings. Sequences used were T2-weighted three-dimensional constructive interference in steady state (CISS), T1-weighted volumetric interpolated breath-ho...
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cutaneous application of local anaesthetic a useful help in Galactography
European Radiology, 2008Co-Authors: S Schwab, R Schulzwendtland, Michael Uder, W Bautz, E WenkelAbstract:Galactography is an important step in the diagnostic workup of abnormal nipple discharge. At times it is impossible to insert the cannula in the secreting duct and Galactography cannot be performed. In such cases we tried applying local anaesthetic spray (LA) cutaneously to the nipple followed by a further insertion attempt. LA has enabled us to insert the Galactography cannula in all patients so far. We concluded that after previous unsuccessful attempts, the presented technique may relax the duct orifice and therefore permit insertion of the Galactography cannula into the secreting duct.
H D S Rovno - One of the best experts on this subject based on the ideXlab platform.
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solitary intraductal papilloma findings at mr imaging and mr Galactography
American Journal of Roentgenology, 1999Co-Authors: H D S Rovno, Evan S Siegelman, Carol Reynolds, Susan G Orel, Mitchell D SchnallAbstract:OBJECTIVE: The purpose of this article is to describe MR findings in surgically proven solitary intraductal papillomas of the breast, including findings on MR Galactography. CONCLUSION: Women with spontaneous nipple discharge and solitary intraductal papilloma show, on MR imaging, dilated ducts with an associated enhancing, well-circumscribed mass.
Francesco Sardanelli - One of the best experts on this subject based on the ideXlab platform.
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diagnostic performance of mri versus Galactography in women with pathologic nipple discharge a systematic review and meta analysis
American Journal of Roentgenology, 2017Co-Authors: Nicole Berger, Andrea Luparia, Giovanni Di Leo, Luca Alessandro Carbonaro, Rubina M Trimboli, Federico Ambrogi, Francesco SardanelliAbstract:OBJECTIVE. The objective of our study was to perform a systematic review of the literature of the diagnostic accuracy of MRI compared with Galactography in women with pathologic nipple discharge. MATERIALS AND METHODS. A systematic literature search was performed (MEDLINE, Embase, Web of Science) for articles evaluating the diagnostic performance of MRI and Galactography in patients with pathologic nipple discharge and with histologic verification or clinical follow-up. Distinction between any abnormality and cancer was made. Two independent readers selected eligible articles published until December 2015. The quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool. Data analyses were performed using the bivariate model. RESULTS. Ten articles were analyzed for a total of 921 patients. The study quality was high, with a low risk of bias and low concerns regarding applicability. The pooled sensitivity for any abnormality was significantly higher for ...
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breast intraductal masses us guided fine needle aspiration after Galactography
Radiology, 1997Co-Authors: Francesco Sardanelli, A Imperiale, F Zandrino, Massimo Calabrese, Antonino Bonifacio, Giuseppe Canavese, Guido NicoloAbstract:PURPOSE: To evaluate ultrasonographic (US)-guided fine-needle aspiration (FNA) of intraductal masses performed immediately after Galactography and to compare cytologic findings from US-guided FNA with those from nipple discharge. MATERIALS AND METHODS: In 36 patients with nipple discharge from a single duct in one breast and intraductal masses diagnosed at Galactography, US was performed to detect intraductal lesions and perform FNA before removal of the galactographic catheter. Cytologic analysis of nipple discharge, excisional biopsy, and histopathologic evaluation were performed in all patients. RESULTS: Cytologic analysis revealed 23 nonpapillary benignancies, seven papillomas, five indeterminate cases, and one carcinoma. US-guided FNA cytologic analysis revealed 16 papillomas, 10 nonpapillary benignancies, five indeterminate cases, and three carcinomas. The two carcinomas misdiagnosed as papillomas at US-guided FNA cytologic analysis were papillary in situ carcinomas, while the three carcinomas corre...
