Mitä teen, kun löydän maksasta pesäkkeen?

Teema : hepatologia. English summaryPeer reviewe

Kohdennettu kaikukuvaus kliinikon työn tukena

Teema : päivystäjän kaikukuvau

Performance of imaging studies in patients with suspected appendicitis after stratification with adult appendicitis score

Background: Diagnostic scoring is used to stratify patients with suspected appendicitis into three groups: high, intermediate, and low probability of appendicitis. The stratification can be used for selective imaging to avoid the harms of radiation without compromising diagnostic accuracy. The aim was to study how stratification by Adult Appendicitis Score affects diagnostic performance of imaging studies. Methods: Analysis of 822 patients who underwent diagnostic imaging for suspected appendicitis was made. Adult Appendicitis Score was used to stratify patients into groups of high, intermediate, and low probability of appendicitis. Diagnostic performance of computed tomography (CT) and ultrasound (US) was compared between these patient groups. Results: After scoring, pre-test probability of appendicitis ranged from 9-16% in low probability group to 75-79% in high probability group in patients who underwent US or CT. Post-test probability of appendicitis after positive CT was 99, 91, and 75% in high probability, intermediate probability and low probability groups, respectively, p <0.001. After positive US the respective probabilities were 95, 91 and 42%, p <0.001. Conclusion: Diagnostic imaging has limited value in patients with low probability of appendicitis according to Adult Appendicitis Score.Peer reviewe

Nutrient recycling – from vision to practice

Nutrient losses to water need to be reduced. This can be accomplished by sustainable use of nutrients and by recycling the nutrients contained in organic side streams. Researchers propose specific actions to speed up the changes needed for better nutrient recycling in Finland.201

A body-sized phantom for evaluation of diffusion-weighted MRI data using conventional, readout-segmented, and zoomed echo-planar sequences

Peer reviewe

Pesäke haimassa : miten tutkin, seuraan ja hoidan?

VertaisarvioituHaiman pesäke voi löytyä sattumalta vatsan kuvantamistutkimuksessa. Kystisen kasvaimen jatkoselvittelyyn sopii parhaiten magneettikuvaus ja kiinteän kasvaimen selvittelyyn varjoainetehosteinen, monivaiheinen tietokonetomografia. Seerumin CA 19-9 on tavallisin merkkiaine haimapesäkkeen luonteen selvittelyssä. Histologinen näyte voidaan ottaa mm. kaikutähystyksessä. Kystisten ja neuroendokriinisten haimakasvainten seuranta ja leikkaushoidon aiheet on sovittu kansainvälisissä suosituksissa. Muihin syöpiin liittyvien haimametastaasien hoito on usein kirurginen.Peer reviewe

A retrospective study of intraductal papillary neoplasia of the pancreas (IPMN) under surveillance

Background and objective: The growing number of identified intraductal papillary mucinous neoplasm (IPMN) patients places greater pressure on healthcare systems. Only a minority of patients have IPMN-related symptoms. Thus, more precise surveillance is required. Methods: In this retrospective single-center cross-sectional study, patients with an active diagnosis of branch duct IPMN (BD-IPMN) and >6 months of surveillance were classified as follows: presence/absence of worrisome features (WF) or high-risk stigmata (HRS), newly developed WF/HRS, under/over 15 mm cyst, growing/not growingPeer reviewe

Levinneen paksusuolisyövän hoidon räätälöinti

Teema : suolistosyöpä. English summar