1. Magnetic resonance angiography of the portal venous systemPavel Berden, 2004, professional article Abstract: Background. Imaging of the portal venous system is necessary in different clinical conditions. Three-dimensional (3D) contrast-enhanced magnetic resonance angiography (MRA) is useful in obtaining high quality portal vein images. A fast gradient-echo MR imaging sequence with minimum repetition time and echo time is used. Up to 40 ml of paramagnetic contrast is injected into peripheral vein as a bolus. The Arrival of contrast medium in the aorta is preferably detected with an automated system, when breath-hold sequence is started, and repeated two times, to depict arterial and venous phase. Maximum-intensity-projection (MIP) imaging is the usual postprocessing method.Conclusions. In patients with portal hypertension, MRA can present collateral pathway and patency of the portal vein or portosystemic shunt. In portal vein thrombosis MRA provides information about the location and length of portal vein obstruction and helps in therapeutic strategy decision. MRA is a proper technique in Budd-Chiari syndrome, where it is important to determinethe location and length of hepatie outflow obstruction. MRA is a verygood modality before liver transplantation to depict vascular anatomy and portal vein patency, and after liver transplantation to image possible liver complications. Its limitations include inappropriate positioning of the 3D acquisition slab, respiratory motion artefacts, and metal implants (e.g. pacemaker).
Published in DiRROS: 13.02.2024; Views: 140; Downloads: 31
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2. Magnetic resonance of the thoracic aortic diseasePavel Berden, 2000, review article Abstract: Conventional ECG gated spin-echo (SE) magnetic resonance imaging (MR) and magnetic resonance angiography (MRA) are excellent methods for diagnosing thoracic aortic disease. SE image provides a good spatial resolution for defining aortic anatomy and relationships to adjacent tissues. MRA shows flow but temporal resolution is inferior to conventional MR images. Contrast-enhanced 3D (three-dimensional) MRA is very accurate for defining thoracic aortic anatomy and is particularly good for defining branch vessel abnormality. The sensitivity and specificity for diagnosing aortic dissection are the highest in comparison to other modalities (echocardiography, CT angiography) and range from 95% to 100% and 94% to 100%, respectively. MR can define clearly the full diameter of aortic aneurysm and also shows the amount of thrombi within it and its craniocaudal extent. A combination of SE and cineMRA is usually necessary. The same sequence with contrast enhancement provides all the required information on the congenital abnormalities of the aorta. MR is very reliable in congenital aortic abnormalities, aortic aneurysmand aortic dissection in hemodynamically stable patients. It should beused for all chronic thoracic aortic disease and postsurgical follow-up. Unstable patients that need intensive hemodynamic monitoring are unsuitable for MR.
Published in DiRROS: 24.01.2024; Views: 182; Downloads: 36
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3. Magnetic resonance of cardiac tumors and massesPavel Berden, 2000, review article Abstract: Cardiac tumors are rare and should be differentiated from nontumoral cardiac masses because of different therapeutic approach. For this purpose, spin-echo (SE) technique and gradient-echo (GE) technique are used in magnetic resonanceimaging (MR). The first provides anatomic evaluation of the heart andtissue characterization, while the second provides dynamic information on the blood flow and heart contraction. Cardiac myxoma is differential from thrombus by paramagnetic contrast agent administration. Their mobility is evaluated with GE technique. Lipomas and subacute hemorrhage have the same, high signal intensity on T1-weighted spin-echo image, therefore, the fat suppression technique is appropriate to recognize them. MR is used in evaluating the response of the malignant tumor to chemotherapy. GE MR is useful to differentiate between the thrombus and slow-flowing blood; the administration of gadolinium helps to distinguish the thrombus from the tumor.In patients suspected of having a cardiac tumor, echocardiography is thefirst method of choice. MR is used to confirm the findigs of echocardiography, to determine precisely the tumor location, extent, and its tissue characterization, to follow up patients under treatment, and to detect early tumor recurrence.
Published in DiRROS: 24.01.2024; Views: 168; Downloads: 32
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4. Computed tomographic angiography of body vasculatureTomaž Kunst, Pavel Berden, 2000, review article Abstract: Background. The introduction of helical CT scanners in combination with simultaneous opacification of vessels with contrast medium allows the demonstration of vessels within the chosen volume of interest. This examination is called CT angiography. Being a minimally invasive method, it has been quickly accepted in the spectrum of vessel-imaging modalities, as forexample: Doppler ultrasound, magnetic resonance angiography, transesophageal ultrasound etc. In the field of cardiovascular radiology, it has been used to demonstrate pathology of ascending and descending aorta, likethe aneurysms, dissection, traumatic rupture or congenital anomalies. It is also very useful in pre- and postoperative follow-up in the aortic stent-graft insertion, a method which has recently become popular. Also the CTangiography has greatly influenced the preoperative calculations and has clearly demonstrated the postoperative anatomical changes as well as complications (i.e. peristental leakage). Conclusions. In this context, it is comparable to intraarterial angiography and even offers some advantages over the latter. The only draw-back being somewhat lower spatial resolution and longer processing time, but with the advent of a new, so called multi-slice scanners and powerful workstations, these draw-backs will be minimized.
Published in DiRROS: 24.01.2024; Views: 173; Downloads: 35
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6. Percutaneous transluminal renal angioplasty - a multicentre study of the long term results : Belan A.... [et al.]A. Belan, Dušan Pavčnik, A. Petrosijan, L. Horvath, I. Rabkin, A. H. Muller, Miloš Šurlan, Janez Klančar, Jernej Knific, Pavel Berden, D. Vidmar, Rok Cesar, Igor Kocijančič, Staša Kaplan-Pavlovčič, 1990, original scientific article Published in DiRROS: 18.09.2023; Views: 270; Downloads: 91
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7. Arteriografija malignomov mehkih tkiv (MMT)Miloš Šurlan, Dušan Pavčnik, Janez Klančar, Jernej Knific, Pavel Berden, 1992, published scientific conference contribution Keywords: onkologija, rak (medicina), tumor, mehka tkiva, diagnostika
Published in DiRROS: 16.09.2019; Views: 1890; Downloads: 489
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