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COVID-19 and the role of imaging: early experiences in Central Switzerland

Viewpoint
Fechner C, Strobel K, Treumann T, Sonderegger B, Azzola A, Fornaro J, Schrading S, Roos JE
Swiss Med Wkly. 2020;150:w20304

The authors describe the first clinical experiences with 55 COVID-19 patients in Central Switzerland. They provide an illustrative and schematic description of typical COVID-19 imaging features and suggest that imaging plays an important role in the clinical work-up of suspected or confirmed COVID-19 patients. 

Interventional radiology workflow during the COVID-19 pandemic: recommendations of the Swiss Society of Vascular and Interventional Radiology

Special article
Qanadli SD, Zech CJ, Monnard E, Binkert C, Denys A, Pfammater T
Swiss Med Wkly. 2020;150:w20261

Given the importance of continuum in providing services and exigence of protecting health care professionals during this period, the Swiss Society of Vascular and Interventional Radiology (SSVIR) is releasing guidance for interventional radiologists as preparedness to manage COVID-19 patients, the workflow of non-COVID-19 patients and optimize interactions with other healthcare professionals.

Imaging patterns of Pneumocystis jirovecii pneumonia in HIV-positive and renal transplant patients – a multicentre study

Original article
Christe A, Walti L, Charimo J, Rauch A, Furrer H, Meyer A, Huynh-Do U, Heverhagen JT, Mueller NJ, Cavassini M, Mombelli M, van Delden C, Frauenfelder T, Montet X, Beigelman-Aubry C, Arampatzis S, Ebner L
Swiss Med Wkly. 2019;149:w20130

Pneumocystis jirovecii pneumonia (PJP) may present with a very variable pattern of clinical and radiological manifestations, depending on the immunological status of the patient.

Systematic use of cardiac magnetic resonance imaging in MINOCA led to a five-fold increase in the detection rate of myocarditis: a retrospective study

Original article
Heidecker B, Ruedi G, Baltensperger N, Gresser E, Kottwitz J, Berg J, Manka R, Landmesser U, Lüscher TF, Patriki D
Swiss Med Wkly. 2019;149:w20098

In a previous pilot study, the authors showed that systematic work-up of patients with myocardial infarction and non-obstructive coronary artery disease (MINOCA) using CMR led to a more than six-fold increase in the detection rate of myocarditis.

Molecular imaging for neuroendocrine tumours

Review article: Biomedical intelligence
Antwi K, Nicolas G, Wild D, Christ E
Swiss Med Wkly. 2019;149:w20017

Considerable progress has been made over the last decades in the diagnosis of NET with new tracers. In addition, the successful administration of these molecules with radioisotopes, which have positron emitting properties, has been extensively and successfully explored.

Clinical presentation of 54 patients with endogenous hyperinsulinaemic hypoglycaemia: a neurological chameleon (observational study)

Original article
Valente LG, Antwi K, Nicolas GP, Wild D, Christ E
Swiss Med Wkly. 2018;148:w14682

Important causes of endogenous hyperinsulinaemic hypoglycaemia (EHH) in adult patients are insulinoma and adult nesidioblastosis. Data on main symptoms in EHH are scarce and controversial.

The clinical benefit of imaging in the diagnosis and treatment of giant cell arteritis

Review article: Biomedical intelligence
Berger CT, Sommer G, Aschwanden M, Staub D, Rottenburger C, Daikeler T
Swiss Med Wkly. 2018;148:w14661

The manifestations of giant cell arteritis can be variable. About a third of large-vessel giant cell arteritis patients have no sonographic evidence of temporal vasculitis, and more than half have normal histology of the temporal artery.

The role of molecular imaging in assessing degenerative parkinsonism – an updated review

Review article: Biomedical intelligence
Nicastro N, Garibotto V, Burkhard PR
Swiss Med Wkly. 2018;148:w14621

Atypical parkinsonian syndromes are characterised by a modest or nonexistent response to dopaminergic therapy and a poor prognosis, with selective neuronal loss in distinct brain regions that differ from those involved in of Parkinson’s disease.

Gamma knife radiosurgery for arteriovenous malformations: general principles and preliminary results in a Swiss cohort

Original article
Raboud M, Tuleasca C, Maeder P, Schiappacasse L, Marguet M, Daniel RT, Levivier M
Swiss Med Wkly. 2018;148:w14602

Arteriovenous malformations are characterised by an abnormal connection between arteries and veins, bypassing the capillary system. Management modalities are observation, microsurgical clipping, endovascular treatment and radiosurgery.

Computed tomography imaging for the characterisation of drugs with radiation density measurements and HU spectroscopy

Original article
Sieron DA, Steib M, Suter D, Obmann VC, Huber AT, Ebner L, Inderbitzin D, Christe A
Swiss Med Wkly. 2018;148:w14585

In patients undergoing an abdominal CT scan, a density assessment of pills incidentally found within the gastrointestinal tract might provide additional information on therapy compliance, and might even be life-saving.

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