Poster électronique

Aspect des prises de contraste dynamiques en IRM 3T des struma ovarii
I. Daou (1), C. Khoury (1), O. Helweh (1), T. Smayra (1), JN. Buy (2), M. Ghossain (1) - (1) Beyrouth - Liban, (2) Paris - France
Congrès 2009
Déterminer l'aspect des prises de contraste dynamiques en IRM 3T des struma ovarii en les comparant à ceux des portions solides des lésions bénignes et malignes ovariennes ainsi qu'aux myomes sous-séreux.
Matériels et méthodes
Deux cent soixante dix neuf examens d'IRM gynécologiques ont été pratiqués selon un protocole strict contenant des séquences en T2, en T1, en T1FS et une séquence dynamique LAVA 3D aux phases 0 seconde, 25 secondes, 70 secondes, 125 secondes et 240 secondes. Parmi les examens confirmés chirurgicalement, 3 struma ovarii, 5 lésions bénignes contenant des portions solides, 5 cancers et 7 myomes sous-séreux.
Les struma ovarii ont une prise de contraste comparable sinon supérieure à celle des cancers qui est supérieure à celle des portions solides des tumeurs bénignes. En T2, le signal de la portion la plus vascularisée des struma ovari est supérieure à celui des portions solides des cancers qui est supérieur à celui des portions bénignes. Le myome utérin sous-séreux présente une prise de contraste comparable à celle des cancers.
Les struma ovarii ont une prise de contraste comparable à celle des cancers ovariens et des myomes sous-séreux, nettement supérieure à celle des portions solides ovariennes bénignes.
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2017-08-30 00.57 :
Michael Law

Limb Stretching out as well as Leg-Length DiscrepancyBy Chad MaylorLimb widening is really a medical procedures helpful to address your limb-length discrepancy (LLD) with the branch. The goal would be to obtain even span with all the affiliated reverse limb. LLD is definitely the distinction between your programs of your arms and/or reduce forearms, or perhaps a contrast between the lengths with the legs and/or calves. Before, physicians hardly ever extented bone fragments. Like additional complications ended up being typical, the added period gained seemed to be smaller, along with the newly formed navicular bone seemed to be weak. Today, leading-edge medical techniques have got reduced difficulties tremendously. People are in a position to go back to their particular everyday living shortly after surgery. LLD are closely related to normalcy variance occurring forwards and backwards facets of your entire body. Or even it can be as a result of different will cause. Some dissimilarities are very widespread that they're regarded typical and require no therapy. One example is, a report connected with Six-hundred army trainees saw that Thirty two percentage were built with a 5 various mm to fifteen millimeter (roughly just one 6th inch to 3 fifths centimeter) distinction the programs of their not one but two lessen arms and legs; that is a normal variance. Better variances might need therapy in the event the incongruity impacts a patient's health superiority lifestyle. A doctor could evaluate LLD on a natural check-up. He / she may possibly look at the difference between the actual: Levels of your bottoms in the legs Levels of each part in the pelvis if position Lengths in the to your ankles If a accurate rating is necessary, your physician might ask for the X-ray to determine along the particular bone. Within escalating kids, a physician might do it again the actual physical check-up as well as X-ray each to a single twelve months. This will decide if your LLD has expanded or spent the nights the same. Risk Factors/Prevention There a variety of doable causes of LLD: Previous injury: A currently ruined cuboid bone might result in LLD if it cured within a shortened place. This can take place should the bone seemed to be ruined in numerous items (comminuted) or maybe if skin along with muscles around the navicular bone were greatly seriously injured plus the bone tissue has been subjected (open up break). In kids, broken bones might expand speedier for quite a while after therapeutic. This leads to your hurt cuboid to become for a longer period. An escape in a kid's bone tissue throughout the growth heart (positioned near the closes with the cuboid bone) may cause reduced expansion. This provides a short extremity. Bone infections: Bone microbial infection in increasing young children, in particular toddlers, could potentially cause sizeable LLD. Bone diseases (dysplasias): Such as neurofibromatosis, various ancestral exostoses plus Ollier sickness. Inflammation: Child arthritis rheumatoid is one example of infection associated with knees and lower back in the course of increase that induce imbalanced extremity span. Combined destruction in older adults (osteo arthritis) infrequently leads to major LLD. Neurological conditions: Neural problems through youth, like cerebral palsy, polio and obstetrical brachial plexus palsy, may possibly get a new expansion of a leg and also lower leg plus bring about LLD. Sometimes the weather is present during beginning, nevertheless the LLD will not be detectable. Because child increases, your LLD grows and also grows more apparent. For example: Hemimelia: Underdevelopment with the inside or outside of your lower calf is called hemimelia. One of many a couple of our bones between leg plus ankle (leg as well as fibula) is usually uncommon shorter. You may also have ft . as well as joint abnormalities. Hemihypertrophy: Enjoyment regarding development of one for reds of the system by a mysterious trigger known as hemihypertrophy. It's a uncommon situation. Hemihypertrophy causes over-growth involving your arm along with leg on the very same section in the system. Now there also may often be differences backward and forward ends with the face. Sometimes absolutely no reason behind an unequal extremity can be established applying present-day analysis procedures. Video clips idiopathic. Symptoms The negative effects of LLD change from patient to patient. Indications depend upon the main cause of a disparity as well as dimensions of the primary difference. Differences of 3.5 % in order to 4 percent on the complete length of the lower extremity (Some centimetres and also Just one 2/3 half inch in an regular grownup), including the thigh, calf and feet, could cause apparent issues although going for walks. The patient might call for far more effort walking. Differences between the extent from the upper arms and legs can cause several troubles, except if the visible difference is really excellent which it becomes challenging to maintain materials or perhaps carry out house work together with both your hands. A LLD could possibly be noticed using a assessment evaluation intended for curvature from the backbone (scoliosis). Even so, LLD will not result in scoliosis. You can find controversy regarding the effect of LLD within the spinal column. A few research has revealed those that have LLD use a greater incidence connected with upper back pain and are from elevated threat regarding injuries; various other research refute this kind of connection. Treatment Options The affected individual plus medical doctor should focus on no matter whether medication is necessary. A grownup without any different problems would possibly not have to have answer to a tiny LLD. Because risks could be greater than the results, medical procedures to help equalize lower calf lengths is frequently not recommended if the incongruity can be fewer than one inch. Intended for smaller dissimilarities, the doctor may advocate footwear elevate. This can be best for your running shoe. It might usually strengthen going for walks in addition to managing. It may also decrease upper back pain a result of LLD. Shoe elevates tend to be economical. They can be eradicated when they are not capable. These people put fat along with solidity to the shoe. Treatment Alternatives: Precise Shortening In certain cases, the longer extremity could be shortened along with surgical procedures. Having said that, a significant shorter can cause deteriorating with the muscles of the extremity. Around developing kids, decrease limbs can certainly be flattened by the surgical procedure that stops increase in a couple internet sites of the extended extremity. The idea results in the rest of the increase uninterrupted. Applying chart or perhaps formulation, your physician figures just how much equalization can be called by way of operatively stopping a number of advancement facilities. This process is carried out beneath X-ray command. The surgeon utilizes a smaller incision within the knee place. The procedure is not going to trigger rapid a static correction long. Instead, the LLD little by little reduces as the opposing extremity keeps increasing plus "catch way up.Inch A time with the technique is important; the goal would be to accomplish even lengths on the extremity during bone readiness. This specific usually happens through the mid- or perhaps late teens. Negatives are the chance of negligible over-correction or negligible under-correction of the LLD. The patient's person level are going to be rather less than should the short extremity ended up being prolonged. Modification of a significant LLD from this method could make an individual's physique search disproportionate with the short feet. Surgical stretching with the reduced arm or leg is yet another cure option. Accomplishing this might be immediate or even continuous. Immediate lengthening In quick stretching out, the boost in a bone's period is actually accomplished although the affected person is usually underneath the anesthetic inside managing place. As soon as carrying out severe stretching out, the orthopaedic doctor produces a decline in the particular bone fragments, photo slides that and controls the gap in addition to posture using an central gadget (i.elizabeth., screws as well as metal china). Or the cosmetic surgeon may well slice your bone tissue, distribute both the areas separated, and also place the graft along with inside material gadgets to keep up the space. Encircling muscle mass, nervousness plus arteries and tend not to endure loads of extending. Consequently serious lengthening could only reach minimal raises. Such as, lower arm your bones (distance or even ulna) and ft . your bones (metatarsals) are prolonged at this strategy when a modest get more time-span is needed. Gradual stretching In slow stretching, choices affixes a scaffold-like framework (outside fixator) towards bone by using precious metal pin, cables, or maybe equally (Physique One). This cuboid is actually damaged by way of a compact cut; the particular cuboid bone and then "rests" for a vacation. The affected person wears the particular body prior to the modification is usually realized. The actual shape results in pressure whether it is "distracted" through the individual as well as member of the family whom transforms a strong fitted contact several times daily. The surgeon determines the velocity regarding switching by using X-rays every single 10 to 14 times for the duration of visits to the doctor. Although this lengthening course of action is frequently called "stretching," this navicular bone just isn't worked out. Rather, abdominal muscles tiny amount of tension the body puts within the navicular bone energizes the bone to build. That floods the actual slowly but surely lengthening difference with brand-new bone fragments. The encompassing muscle tissues, anxiety, skin and blood vessels likewise expand. The most rate of stretching in kids will likely be One particular mm each day, and also 1 " per month. Stretching could possibly be reduced in grown-ups. It could also be more slowly inside a bone fragments which was previously hurt as well as received surgical treatment. After a bone is actually lengthened, it must heal inside prolonged position (debt consolidation phase). Then your figure is taken away. Less than excellent ailments, some time "in your frame" is concerning 3 1/2 many weeks to 3 many weeks every half inch. This occassion can vary based upon your actual age, our well being, whether you fumes, the response inside rehabilitation, and so on. Quite a few routines might be harder while using any body (my spouse and i.ourite., acquiring it in addition to away from a motor vehicle). Most patients can certainly resume function, education or perhaps everyday workouts. Once the doctor decides of which navicular bone energy is practically standard once more, the actual framework, pinastre, in addition to wires are usually taken off. Steady stretching can perform considerable increases in total length if the method is usually recurring a few years after, possibly it truly is executed on other concludes of the same cuboid bone all at once. That " double degree lengthening" does extending fees higher than A single millimeters a day. Penile deformation, which include malunion after having a ruined bone, may also be solved although the bone has been extended.Many clients find out about the amount of discomfort involving arm or extending. There exists a number of distress along with every surgical procedure. Ache prescription medication is offered when necessary whilst the individual is within the infirmary (usually two days to 3 nights). Choices is going to propose discomfort treatment when necessary once you get away from a medical facility. Small suffering is experienced after the sufferer will be household plus the extending procedure can be going. If you have a rapid surge in suffering, contact your physician straight away. Agony is often a sore point of any probable unwanted effect and must possibly be sorted out rapidly. As having almost any medical operation, there are challenges. Visit your cosmetic surgeon following the procedure intended for booked visits to the doctor to cut back problems: The cuboid may perhaps mend too soon (rapid loan consolidation) and require for being broke once more to continue the actual stretching process. The navicular bone may well treat way too bit by bit (overdue un). This may involve you don the fixator for extra time period, function outer bone stimulator as well as undertake more medical procedures, including placement of the cuboid graft. The clips or line web sites can become afflicted. If perhaps neglected, disease can certainly spread towards the cuboid bone. To attenuate this kind of danger, the surgeon will state the affected person the way to cautiously cleanse a clips as well as cable connections. Joint firmness (contractures) may occur during stretching out. This is also true to get substantial lengthenings. If mutual solidity happens, your extending might need to end up being quit or further surgical procedure is usually necessary. Involvement within prescribed rehab and residential physical exercises will lower the prospect of joint problems. Fractures from the brand-new bone may occur if your additional fixator is taken away. Originally, the newest bone fragments is just not sturdy as being the authentic bone fragments. In the event the cuboid bone fails, the surgeon may well use a toss, re-apply the particular fixator as well as reduce the patient's activities. Research about the Horizon/What's Brand-new? A completely new approach to extend the particular bone tissues in the reduced limbs includes using an external fixator plus a material fishing rod loaded to the tube in the navicular bone (intramedullary nail). This technique is incredibly a lot like lengthening executed having an external fixator; even so, the idea lessens the probability of recently extended cuboid bone folding as well as busting subsequent removing of your external fixator. The sufferer spends much less time "in the particular frame" once the combined procedure is utilized. The main disadvantages are generally continuous utilization of crutches or simply a walker along with the achievable chance a serious bone tissue infections. Another new way to gradually lengthen limbs relies on a telescopic toenail. In this surgery, a growing metal rod is actually put in to the inside channel with the thighbone (femur) and also shin bone tissue (leg ) (Shape Only two). Then the plastic surgeon constitutes a compact trouble area inside the navicular bone. During the next couple of weeks plus a few months, along the actual toenail raises. This causes stretching out of your adjoining navicular bone. Motion in the calf stimulates a stretching parts of the particular fingernail. The advantage of this product is that you'll find nothing worn beyond the extremity. A telescopic menu with regard to slow lengthening of your femur (thighbone) is presently within growth. The dish is actually attached to the top of the cuboid and a tiny split is made in the cuboid. Commencing a few days soon after surgery, this cuboid can be steadily longer through repeated adjustments created using a smaller wrench by having a little ditch within the skin tone. Cosmetic stretching Some individuals ask about prolonging the two lower limbs to realize more significant level. This procedure is known as aesthetic lengthening. Due to the feasible problems, individual investment as well as charge, aesthetic prolonging can be uncommon. Sufferers who're thinking about facial prolonging must talk to the orthopaedic surgeon experienced throughout these techniques. Carefully weigh up the hazards as well as primary advantages of surgery treatment. If you will have a branch time-span disparity, a orthopaedic plastic surgeon familiar with bone tissue extending strategies may describe the procedure selections as well as their threats and also rewards in great detail. Your cosmetic surgeon can then make a decision exactly what cure, or no, is ideal for anyone.For more information please see Serendipity Shoes Lifts

2017-04-12 14.13 :
Scott Jones

2017-04-12 11.17 :
Ann Perez

2017-04-12 02.39 :
Ann Tabares

2017-04-10 21.48 :
Ann Tabares
Le poster a été trop consulté dans un laps de temps très court.
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