AJR. American journal of roentgenology
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AJR Am J Roentgenol · Aug 1994
Diagnosis of intracranial lymphoma in patients with AIDS: value of 201TI single-photon emission computed tomography.
Although the prevalence of intracranial lymphoma is high among patients with AIDS, current imaging techniques are not reliable for differentiating this tumor from other common nonneoplastic lesions, such as those seen in toxoplasmosis. The purpose of this study was to prospectively investigate the use of 201Tl single-photon emission computed tomography (SPECT) in identifying intracranial lymphoma in patients with AIDS. ⋯ This preliminary study indicates that 201Tl SPECT might be a useful, noninvasive method for differentiating intracranial lymphoma from nonneoplastic lesions in patients with AIDS.
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AJR Am J Roentgenol · Aug 1994
ReviewLymphoproliferative disorders of the lung: histopathology, clinical manifestations, and imaging features.
The lymphoproliferative disorders represent a spectrum of lymphoid abnormalities that can involve the chest. Plasma cell granuloma, pseudolymphoma, posttransplantation lymphoproliferative disorders, lymphoid interstitial pneumonia, and lymphomatoid granulomatosis involve the pulmonary parenchyma, whereas Castleman's disease, infectious mononucleosis, and angioimmunoblastic lymphadenopathy with dysproteinemia involve intrathoracic lymph nodes. Recent immunohistochemical techniques give us a better understanding of the lymphoproliferative disorders. Clinical and radiologic features often allow differentiation of the lymphoproliferative disorders from the more common aggressive lymphomas.
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AJR Am J Roentgenol · Aug 1994
ReviewThe role of sonography in the placement and management of jugular and subclavian central venous catheters.
Placement of large-bore central venous catheters via a jugular or subclavian vein is becoming increasingly common. Although the great majority of these catheters are successfully placed by clinicians using anatomic landmark techniques, this procedure is neither innocuous nor always successful. ⋯ The patient may experience considerable discomfort when multiple needle passes are made. Sonographic imaging of the jugular and subclavian veins can significantly improve the safety, speed, and comfort of the procedure by defining the vascular anatomy of the jugular and subclavian veins before puncture, showing complications from prior attempts or placements of central venous catheters in these vessels, and providing guidance for needle puncture of the jugular and subclavian veins.
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AJR Am J Roentgenol · Aug 1994
Localization of pulmonary nodules before thoracoscopic surgery: value of percutaneous staining with methylene blue.
Video-assisted thoracic surgery (VATS) is a new procedure that makes it possible to see the intrathoracic organs and to resect pulmonary nodules without thoracotomy. Preoperative localization of small nodules that may not be visible or palpable during VATS is desirable. Percutaneous placement of spring hookwires is widely used to localize pulmonary nodules before VATS; infrequently, the adjacent lung parenchyma is also stained with methylene blue. The purpose of this study was to evaluate the effectiveness of methylene blue staining of pulmonary nodules without placement of a hookwire. ⋯ Percutaneous staining of pulmonary nodules is an accurate technique for localizing nodules before VATS. The procedure is easily and safely performed, and it obviates wire-related complications, such as severe pleuritic pain.