Dr. Ruud Pijnappel, PhD

Breast
6 vital steps to ensure success in breast screening
Screening for breast cancer works, but it requires a solid infrastructure, consisting of rigorous training and education, monitoring, auditing, and continuous adjustment, Dr. Ruud Pijnappel, PhD, from the Netherlands told delegates on the second day of the Total Radiology conference at Arab Health 2019.
January 29, 2019
2019 01 29 23 28 4154 Pijnappel Ruud 20190129234809
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Lateral conventional attenuation (a, b, e, f) and co-registered dark-field (c, d, g, h) images of two spine specimens. Vertical (a, c, e, g) and horizontal (b, d, f, h) scans of the spine specimen of a 77-year-old female with osteoporosis (bone mineral density = 65.75 mg/dL) (a–d) and a non-osteoporotic spine specimen (e–h) of a 61-year-old female (bone mineral density = 169.38 mg/dL).
Digital X-Ray
Dark-field x-ray detects bone changes related to osteoporosis
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Podcast: What's next for chest radiographs?
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Thermal ablation effective long term in patients with thyroid cancer
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Outcomes over 10 years suggest that image-guided thermal ablation is a safe and effective option for patients with papillary thyroid carcinoma.
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Dark-field x-ray imaging can provide insights into bone microstructure and potentially could have a role in assessing osteoporosis.
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Lateral conventional attenuation (a, b, e, f) and co-registered dark-field (c, d, g, h) images of two spine specimens. Vertical (a, c, e, g) and horizontal (b, d, f, h) scans of the spine specimen of a 77-year-old female with osteoporosis (bone mineral density = 65.75 mg/dL) (a–d) and a non-osteoporotic spine specimen (e–h) of a 61-year-old female (bone mineral density = 169.38 mg/dL).
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Images depict a 43-year-old woman with a malignant non-mass lesion that was diagnosed as microinvasive ductal carcinoma. (A) Transverse and (B) longitudinal ultrasound images show a hypoechoic non-mass lesion (solid arrows) with segmental distribution in the left breast. The lesion has associated calcifications (dashed arrows in A). (C) Longitudinal color Doppler ultrasound image shows high vascularity. (D) Magnified image in the mediolateral oblique view from screening mammography shows grouped calcifications (arrows), which are considered a mammographic correlate of the ultrasound-detected non-mass lesion (A radiopaque marker attached to the skin is visible in the image because the mammographic exam was performed after screening breast ultrasound). Ultrasound-guided core needle biopsy and pathologic examination revealed ductal carcinoma in situ, but the lesion was upgraded to microinvasive ductal carcinoma at subsequent surgery (2.5-cm ductal carcinoma in situ, histologic grade II, estrogen receptor-positive, progesterone receptor-positive, human epidermal growth factor receptor type 2-negative).
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