Notes

Stories, goggles and also COVID-19: The qualitative reflection.
Diagnostic imaging plays akey role in the evaluation of non-accidental consequences of injuries in childhood. Fractures are the second most common consequence of child abuse, after skin lesions such as abrasions or bleeding. With the evidence of radiological criteria, non-accidental fractures can be differentiated from accidental fractures. Special types of fractures such as the classic metaphyseal lesion can only be differentiated if the image quality is high.

The goal of this prospective study was to assess adherence to guidelines and quality assurance of radiological diagnostics in the event of suspected abuse in Germany. For this purpose, the quantity and diagnostic quality in university and non-university hospitals as well as the existence of apediatric radiology department were analyzed.

In all, 958 X‑ray examinations of 114 suspected abuse cases (46girls, 68boys) were evaluated; 42cases from university, 42 from maximum care and 30 from regular care clinics with amedian age of 6months (3weeks-3yeaill change in the future with the broader implementation of child protection groups and the S3+ child protection guideline adopted in 2019 (AWMF register 027-069). The establishment of reference centers for asecond diagnosis and recommendations for imaging technology can also improve the quality of care over the long term.
In Germany, a guideline-compliant procedure in the event of suspected child abuse is largely lacking. It remains to be seen whether this will change in the future with the broader implementation of child protection groups and the S3+ child protection guideline adopted in 2019 (AWMF register 027-069). The establishment of reference centers for a second diagnosis and recommendations for imaging technology can also improve the quality of care over the long term.
Diagnosis and treatment of primary prostate cancer (PCA) have undergone significant changes in the last few years due to modern imaging.

Established and modern diagnostic and therapeutic modalities for detection and treatment of primary PCA are presented and discussed critically.

Background knowledge and guideline recommendations on primary PCA are summarized and additional information from relevant publications is given.

Modern imaging, in particular multiparametric magnetic resonance imaging (mpMRI), has revolutionized the diagnostic work-up of primary PCA. Due to mpMRI, tumors are detected significantly better in both initial and re-biopsy with asignificant reduction of overdiagnosis of clinically insignificant PCA. Therapeutic approaches such as active surveillance, radical prostatectomy and focal therapies are increasingly being planned and carried out relying on MR-imaging information concerning tumor extent and tumor aggressiveness. In addition, prostate-specific membrane antigen-positron emission tomography/computed tomography (PSMA-PET/CT) has shown superiority in assessing patients with suspected biochemical recurrence and in primary staging of PCA compared to conventional imaging in terms of detection of metastases.

Modern imaging, especially mpMRI and PSMA-PET/CT, has added substantial benefits in modern diagnosis and treatment of primary PCA. Moreover, multiparametric ultrasound is also apromising addition to the radiological armamentarium in the management of primary PCA.
Modern imaging, especially mpMRI and PSMA-PET/CT, has added substantial benefits in modern diagnosis and treatment of primary PCA. Moreover, multiparametric ultrasound is also a promising addition to the radiological armamentarium in the management of primary PCA.
The detection of clinically significant prostate cancers while simultaneously avoiding over-diagnosing tumors with low malignant potential is achallenge in clinical practice.

Multiparametric prostate magnetic resonance imaging (MRI) in accordance with the Prostate Imaging Reporting and Data System (PI-RADS) guidelines is accepted as standard-of-care with both urologists and radiologists.

The PI-RADS guidelines have been updated to version2.1, including revised technical recommendations and changes to the scoring of lesions.

The PI-RADS guidelines have had great impact on the standardization of multiparametric prostate MRI and offer templates for structured reporting. This simplifies communication with the referring physician.

The new version2.1 of the guidelines represents an evolutionary improvement of the widely accepted version2.0. Several aspects of reporting have been revised-however, some pre-known limitations persist, which will require further refinement in the future.
The new version 2.1 of the guidelines represents an evolutionary improvement of the widely accepted version 2.0. Several aspects of reporting have been revised-however, some pre-known limitations persist, which will require further refinement in the future.
Not only is the evidence for multiparametric magnetic resonance prostatography clearly proven based on current research, the S3guideline for prostate cancer recommends its use prior to invasive biopsy. Remuneration through the GKV does not occur.

The negotiations concerning the inclusion in the EBM (German Uniform Evaluation Standard) Catalogue of statutory health insurance funds take place in ahighly politicized environment and under economic priorities. The routes that are possible in the complex registration procedure are described.

Radiology associations (Berufsverband der Deutschen Radiologen [BDR] und Deutsche Röntgengesellschaft [DRG]) have supported their methods with evidence and quality assurance. Special contracts with health insurance funds, coordinated at the level of the federal states, pave the way and accelerate accreditation.

The definition of the service according to the EBM, the recommendation concerning remuneration as well as supporting documents and afunctional quality assurance system have been made available to the Joint Valuation Committee of physicians & health insurance funds as part of the application for approval.

Due to the nature of the system, the presented evidence and quality assurance, as well as the development of special contracts, have inevitably been transferred to radiology and the unified work of their associations. https://www.selleckchem.com/products/az-33.html The imaging modality prostatography shows the advancement of radiological methods for dedicated multiparametric organ diagnostics.
Due to the nature of the system, the presented evidence and quality assurance, as well as the development of special contracts, have inevitably been transferred to radiology and the unified work of their associations. The imaging modality prostatography shows the advancement of radiological methods for dedicated multiparametric organ diagnostics.
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