Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Konkret geht es um den Diabetes-Patienten mit kardiovaskulären Erkrankungen oder Risiken, die Herzinsuffizienz sowie die kardiovaskuläre Primär- und Sekundärprävention. Sind Sie hier schon auf dem neuesten Stand? Unsere Experten beleuchten, wo und warum das bisherige Procedere geändert werden soll und was in der Praxis sinnvoll ist. Holen Sie sich Ihr Update und 2 CME-Punkte beim MMW-Webinar am 24. April von 17.30 bis 19 Uhr. 
Erweiterte Suche
Anmelden
nach oben
Clinical Neuroradiology
Erschienen in: Clinical Neuroradiology 1/2016

06.09.2014 | Original Article

Symptomatic unruptured isolated middle cerebral artery dissection: clinical and magnetic resonance imaging features

verfasst von: P. H. Gao, MD, L. Yang, G. Wang, MD, L. Guo, MD, X. Liu, MD, B. Zhao, MD

Erschienen in: Clinical Neuroradiology | Ausgabe 1/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Isolated middle cerebral artery dissection (MCAD) is a rare but important clinical entity. The purpose of this study is to demonstrate the clinical and magnetic resonance imaging (MRI) features of symptomatic unruptured isolated MCAD.

Methods

We retrospectively analyzed clinical characteristics and MRI features of eight consecutive ischemic stroke patients diagnosed with unruptured isolated MCAD over a 1-year period.

Results

All the patients had symptoms of cerebral infarction, whereas one patient was presented as transient ischemic attack. The most common finding of MCAD on the magnetic resonance angiography (MRA) images was irregular stenosis, found in six patients, followed by double lumen in three, while there was an occlusion in one, as well as stenosis and dilation in one. A total of five of seven patients demonstrated susceptibility vessel signal in the involved segment of MCA on susceptibility-weighted imaging. The high-resolution cross-sectional MRI (hrMRI) delineated intramural hematoma and double lumen in seven patients, respectively, and intimal flap in three, while gadolinium-enhanced T1-weighted images (WI) visualized mural linear or intramural crescentic enhancement in all the patients. In acute and chronic phase, the intramural hematomas appeared isointense or slightly hyperintense or unrecognizable, while gadolinium-enhanced T1WI showed slight to obvious enhancement. Subacute hematomas had a characteristic of crescentic hyperintense on T1- and T2WI.

Conclusions

The presence of unruptured isolated MCAD should be considered when a healthy young subject suffers from a sudden onset of ischemic symptoms or a minor head trauma accompanied by headache. Early MRA with combination of hrMRI precontrast and contrast-enhanced T1-weighted sequence may be helpful in definite diagnosis.
Literatur
1.
Kern R, Steinke W, Daffertshofer M, Prager R, Hennerici M. Stroke recurrences in patients with symptomatic vs asymptomatic middle cerebral artery disease. Neurology. 2005;65(6):859–64. doi:10.1212/01.wnl.0000175983.76110.59.CrossRefPubMed
2.
Sinclair W, Jr. Dissecting aneurysm of the middle cerebral artery associated with migraine syndrome. Am J Pathol. 1953;29(6):1083–91.PubMedPubMedCentral
3.
Sharif AA, Remley KB, Clark HB. Middle cerebral artery dissection: a clinicopathologic study. Neurology. 1995;45(10):1929–31.CrossRefPubMed
4.
Adams C, Trevenen C. Middle cerebral artery dissection. Neuropediatrics. 1996;27(6):331–2. doi:10.1055/s-2007-973804.CrossRefPubMed
5.
Manz HJ, Vester J, Lavenstein B. Dissecting aneurysm of cerebral arteries in childhood and adolescence. Case report and literature review of 20 cases. Virchows Arch A Pathol Anat Histol. 1979;384(3):325–35.CrossRefPubMed
6.
Kunze S, Schiefer W. Angiographic demonstration of a dissecting aneurysm of the middle cerebral artery. Neuroradiology. 1971;2(4):201–6.CrossRefPubMed
7.
Robert F, Maltais R, Giroux JC. Dissecting aneurysm of middle cerebral artery; Case report. J Neurosurg. 1964;21:413–5. doi:10.3171/jns.1964.21.5.0413.CrossRefPubMed
8.
Willinsky RA, Taylor SM, TerBrugge K, Farb RI, Tomlinson G, Montanera W. Neurologic complications of cerebral angiography: prospective analysis of 2,899 procedures and review of the literature. Radiology. 2003;227(2):522–8. doi:10.1148/radiol.2272012071.CrossRefPubMed
9.
Swartz RH, Bhuta SS, Farb RI, Agid R, Willinsky RA, Terbrugge KG, Butany J, Wasserman BA, Johnstone DM, Silver FL, Mikulis DJ. Intracranial arterial wall imaging using high-resolution 3-tesla contrast-enhanced MRI. Neurology. 2009;72(7):627–34. doi:10.1212/01.wnl.0000342470.69739.b372/7/627.CrossRefPubMed
10.
Kroner ES, van Schinkel LD, Versluis MJ, Brouwer NJ, van den Boogaard PJ, van der Wall EE, de Roos A, Webb AG, Siebelink HM, Lamb HJ. Ultrahigh-field 7-T magnetic resonance carotid vessel wall imaging: initial experience in comparison with 3-T field strength. Invest Radiol. 2012;47(12):697–704. doi:10.1097/RLI.0b013e31826dc174.CrossRefPubMed
11.
Ryu CW, Jahng GH, Kim EJ, Choi WS, Yang DM. High resolution wall and lumen MRI of the middle cerebral arteries at 3T. Cerebrovasc Dis. 2009;27(5):433–42. doi:10.1159/000209238.CrossRefPubMed
12.
Fabiano S, Mancino S, Stefanini M, Chiocchi M, Mauriello A, Spagnoli LG, Simonetti G. High-resolution multicontrast-weighted MR imaging from human carotid endarterectomy specimens to assess carotid plaque components. Eur Radiol. 2008;18(12):2912–21. doi:10.1007/s00330-008-1091-x.CrossRefPubMed
13.
Zhao H, Zhao X, Liu X, Cao Y, Hippe DS, Sun J, Li F, Xu J, Yuan C. Association of carotid atherosclerotic plaque features with acute ischemic stroke: a magnetic resonance imaging study. Eur J Radiol. 2013. doi:S0720-048X(13)00210-6 10.1016/j.ejrad.2013.04.014.
14.
Oppenheim C, Naggara O, Touzé E, Lacour JC, Schmitt E, Bonneville F, Crozier S, Guégan-Massardier E, Gerardin E, Leclerc X, Neau JP, Sirol M, Toussaint JF, Mas JL, Méder JF. High-resolution MR imaging of the cervical arterial wall: what the radiologist needs to know. Radiographics. 2009;29(5):1413–31. doi:10.1148/rg.29508518329/5/1413.CrossRefPubMed
15.
Li ML, Xu WH, Song L, Feng F, You H, Ni J, Gao S, Cui LY, Jin ZY. Atherosclerosis of middle cerebral artery: evaluation with high-resolution MR imaging at 3T. Atherosclerosis. 2009;204(2):447–52. doi:10.1016/j.atherosclerosis.2008.10.019.CrossRefPubMed
16.
Naggara O, Soares F, Touze E, Roy D, Leclerc X, Pruvo JP, Mas JL, Meder JF, Oppenheim C. Is it possible to recognize cervical artery dissection on stroke brain MR imaging? A matched case-control study. AJNR Am J Neuroradiol. 2011;32(5):869–73. doi:10.3174/ajnr.A2553.CrossRefPubMed
17.
Provenzale JM. MRI and MRA for evaluation of dissection of craniocerebral arteries: lessons from the medical literature. Emerg Radiol. 2009;16(3):185–93. doi:10.1007/s10140-008-0770-x.CrossRefPubMed
18.
Levy C, Laissy JP, Raveau V, Amarenco P, Servois V, Bousser MG, Tubiana JM. Carotid and vertebral artery dissections: three-dimensional time-of-flight MR angiography and MR imaging versus conventional angiography. Radiology. 1994;190(1):97–103.CrossRefPubMed
19.
Kwak HS, Hwang SB, Chung GH, Jeong SK. High-resolution magnetic resonance imaging of symptomatic middle cerebral artery dissection. J Stroke Cerebrovasc Dis. 2014;23(3):550–3. doi:10.1016/j.jstrokecerebrovasdis.2013.03.019.
20.
Takano K, Yamashita S, Takemoto K, Inoue T, Kuwabara Y, Yoshimitsu K. MRI of intracranial vertebral artery dissection: evaluation of intramural haematoma using a black blood, variable-flip-angle 3D turbo spin-echo sequence. Neuroradiology. 201;55(7):845–51. doi:10.1007/s00234-013-1183-4.
21.
Nagahiro S, Hamada J, Sakamoto Y, Ushio Y. Follow-up evaluation of dissecting aneurysms of the vertebrobasilar circulation by using gadolinium-enhanced magnetic resonance imaging. J Neurosurg. 1997;87(3):385–90. doi:10.3171/jns.1997.87.3.0385.CrossRefPubMed
22.
Jung JM, Lee YH, Park MH, Kwon DY. Shadow sign in a T2* brain image in spontaneous middle cerebral artery dissection. Neurology. 2013;80(4):419. doi:10.1212/WNL.0b013e31827f0916.CrossRefPubMed
23.
Naggara O, Oppenheim C, Louillet F, Touzé E, Mas JL, Leclerc X, Méder JF. Traumatic intracranial dissection: mural hematoma on high-resolution MRI. J Neuroradiol. 2010;37(2):136–7. doi:10.1016/j.neurad.2009.07.002S0150-9861(09)00119-9.CrossRefPubMed
24.
Chen ZC, Sun JZ, Shi ZH, Lou M. Capsular warning syndrome caused by spontaneous middle cerebral artery dissection. CNS Neurosci Ther. 2012;18(8):702–4. doi:10.1111/j.1755–5949.2012.00352.x.CrossRefPubMed
25.
Lin CH, Jeng JS, Yip PK. Middle cerebral artery dissections: differences between isolated and extended dissections of internal carotid artery. J Neurol Sci. 2005;235(1–2):37–44. doi:10.1016/j.jns.2005.03.047.CrossRefPubMed
26.
Lee HO, Kwak HS, Chung GH, Hwang SB. Diagnostic usefulness of high resolution cross sectional MRI in symptomatic middle cerabral arterial dissection. J Korean Neurosurg Soc. 2011;49(6):370–2. doi:10.3340/jkns.2011.49.6.370.CrossRefPubMedPubMedCentral
27.
Piepgras DG, McGrail KM, Tazelaar HD. Intracranial dissection of the distal middle cerebral artery as an uncommon cause of distal cerebral artery aneurysm. Case report. J Neurosurg. 1994;80(5):909–13. doi:10.3171/jns.1994.80.5.0909.CrossRefPubMed
28.
Aoki N, Sakai T, Oikawa A, Takizawa T, Koike M. Dissection of the middle cerebral artery caused by invasion of malignant glioma presenting as acute onset of hemiplegia. Acta Neurochir (Wien). 1999;141(9):1005–8.CrossRef
29.
Iwamuro Y, Jito J, Shirahata M, Tokime T, Hosotani K, Tokuriki Y. Transient ischemic attack due to dissection of the middle cerebral artery–case report. Neurol Med Chir (Tokyo). 2001;41(8):399–401.
30.
Kondoh R, Utsugisawa K, Obara D, Mizuno M, Yonezawa H, Terayama Y. Striatocapsular infarction caused by middle cerebral artery dissection. Eur Neurol. 2004;51(2):120–1. doi:10.1159/00007679476794.CrossRefPubMed
31.
Hidaka D, Toyoda K, Fujimoto S, Yasumori K, Okada Y. Ischemic stroke in a young adult due to dissection of a branch of the middle cerebral artery. Intern Med. 2005;44(5):505–6.CrossRefPubMed
32.
Prabhakaran S, Krakauer JW. Multiple reversible episodes of subcortical ischemia following postcoital middle cerebral artery dissection. Arch Neurol. 2006;63(6):891–3.doi:63/6/891 10.1001/archneur.63/6/891.CrossRefPubMed
33.
Szatmary Z, Boukobza M, Vahedi K, Stapf C, Houdart E, Bousser MG. Orgasmic headache and middle cerebral artery dissection. J Neurol Neurosurg Psychiatry. 2006;77(5):693–4. doi:77/5/693 10.1136/jnnp.2005.082719.CrossRefPubMedPubMedCentral
34.
Lee JS, Bang OY, Lee PH, Kim BM, Yong SW. Two cases of spontaneous middle cerebral arterial dissection causing ischemic stroke. J Neurol Sci. 2006;250(1–2):162–6. doi:S0022-510X(06)00335-2 10.1016/j.jns.2006.07.006.CrossRefPubMed
35.
Hsu KC, Kao HW, Chen SJ. Backward somersault as a cause of childhood stroke: a case report of isolated middle cerebral artery dissection in an adolescent boy. Am J Emerg Med. 2008;26(4):519 e3–5. doi:10.1016/j.ajem.2007.08.028.PubMed
36.
Liu YC, Chung CP, Yip PK, Wang V. Spontaneous middle cerebral arterial dissection presented with limb shaking. Acta Neurol Taiwan. 2009;18(1):26–9.PubMed
37.
Kato Y, Dembo T, Takeda H, Uchino A, Deguchi I, Furuya D, Tanahashi N. Outer contour of middle cerebral artery revealed by sylvian vallecula-parallel anatomic scanning-magnetic resonance imaging: a method useful for detecting dissection. Arch Neurol. 2010;67(10):1278–9. doi:10.1001/archneurol.2010.23867/10/1278.CrossRefPubMed
38.
Torihashi K, Chin M, Sadamasa N, Yoshida K, Narumi O, Yamagata S. Ischemic stroke due to dissection of the middle cerebral artery treated by superficial temporal artery-middle cerebral artery anastomosis–case report. Neurol Med Chir (Tokyo). 2011;51(7):503–6. doi:JST.JSTAGE/nmc/51.503.
39.
Anichini G, Passacantilli E, Lenzi J, Guidetti G, Santoro A. Dissecting aneurysm of the middle cerebral artery treated with heparin infusion in a 6-year-old child; neurological recovery with delayed spontaneous thrombosis: case illustration and literature review. Neurol Sci. 2012;33(2):313–6. doi:10.1007/s10072-011-0704-3.CrossRefPubMed
40.
Kim BM, Kim SH, Kim DI, Shin YS, Suh SH, Kim DJ, Park SI, Park KY, Ahn SS. Outcomes and prognostic factors of intracranial unruptured vertebrobasilar artery dissection. Neurology. 2011;76(20):1735–41. doi:10.1212/WNL.0b013e31821a7d9476/20/1735.CrossRefPubMed
41.
Kitanaka C, Tanaka J, Kuwahara M, Teraoka A. Magnetic resonance imaging study of intracranial vertebrobasilar artery dissections. Stroke. 1994;25(3):571–5.CrossRefPubMed
42.
Tamura A, Yamamoto Y, Nagakane Y, Takezawa H, Koizumi T, Makita N, Makino M. The relationship between neurological worsening and lesion patterns in patients with acute middle cerebral artery stenosis. Cerebrovasc Dis. 2013;35(3):268–75. doi:10.1159/000348313000348313.CrossRefPubMed
43.
Pelkonen O, Tikkakoski T, Leinonen S, Pyhtinen J, Sotaniemi K. Intracranial arterial dissection. Neuroradiology. 1998;40(7):442–7.CrossRefPubMed
44.
Abe A, Nishiyama Y, Kamiyama H, Kitahara I, Katsura K, Katayama Y. Symptomatic middle cerebral artery dissection in a young tennis player. J Nippon Med Sch. 2009;76(4):209–11.CrossRefPubMed
45.
Pfefferkorn T, Saam T, Rominger A, Habs M, Gerdes LA, Schmidt C, Cyran C, Straube A, Linn J, Nikolaou K, Bartenstein P, Reiser M, Hacker M, Dichgans M. Vessel wall inflammation in spontaneous cervical artery dissection: a prospective, observational positron emission tomography, computed tomography, and magnetic resonance imaging study. Stroke. 2011;42(6):1563–8. doi:10.1161/STROKEAHA.110.599548STROKEAHA.110.599548.CrossRefPubMed
46.
Bahr M, Postler E, Meyermann R. Fatal stroke in a patient with carotid and middle cerebral artery dissection associated with cystic medial necrosis. J Neurol. 1996;243(10):722–3.CrossRefPubMed
47.
Kurino M, Yoshioka S, Ushio Y. Spontaneous dissecting aneurysms of anterior and middle cerebral artery associated with brain infarction: a case report and review of the literature. Surg Neurol. 2002;57(6):428–36; discussion 36–8. doi:S0090301902007255.CrossRefPubMed
48.
Ohkuma H, Suzuki S, Shimamura N, Nakano T. Dissecting aneurysms of the middle cerebral artery: neuroradiological and clinical features. Neuroradiology. 2003;45(3):143–8. doi:10.1007/s00234-002-0919-3.PubMed
49.
Verny C, Marc G, Pasco A, Dubas F. Middle cerebral artery dissection gives rise to giant serpentine aneurysm. Cerebrovasc Dis. 2008;25(3):283–5. doi:10.1159/000119639.CrossRefPubMed
50.
Esposito G, Albanese A, Sabatino G, Scerrati A, Sturiale C, Pedicelli A, Pilato F, Maira G, Di Lazzaro V. Large middle cerebral artery dissecting aneurysm mimicking hemorrhagic stroke. Clin Neurol Neurosurg. 2011;113(10):901–3. doi:10.1016/j.clineuro.2011.05.009S0303-8467(11)00142-9.CrossRefPubMed
51.
Patel RR, Adam R, Maldjian C, Lincoln CM, Yuen A, Arneja A. Cervical carotid artery dissection: current review of diagnosis and treatment. Cardiol Rev. 2012;20(3):145–52. doi:10.1097/CRD.0b013e318247cd15.CrossRefPubMed
52.
Houser OW, Mokri B, Sundt TM, Jr., Baker HL, Jr., Reese DF. Spontaneous cervical cephalic arterial dissection and its residuum: angiographic spectrum. AJNR Am J Neuroradiol. 1984;5(1):27–34.PubMed
53.
Beletsky V, Norris JW. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. 2001;345(6):467.PubMed
54.
Johnston DC, Chapman KM, Goldstein LB. Low rate of complications of cerebral angiography in routine clinical practice. Neurology. 2001;57(11):2012–4.CrossRefPubMed
55.
Suwanwela N, Koroshetz WJ. Acute ischemic stroke: overview of recent therapeutic developments. Annu Rev Med. 2007;58:89–106. doi:10.1146/annurev.med.58.070605.115306.CrossRefPubMed
56.
Goldberg HI, Grossman RI, Gomori JM, Asbury AK, Bilaniuk LT, Zimmerman RA. Cervical internal carotid artery dissecting hemorrhage: diagnosis using MR. Radiology. 1986;158(1):157–61.CrossRefPubMed
57.
Zuber M, Meary E, Meder JF, Mas JL. Magnetic resonance imaging and dynamic CT scan in cervical artery dissections. Stroke. 1994;25(3):576–81.CrossRefPubMed
58.
Jacobs A, Lanfermann H, Neveling M, Szelies B, Schroder R, Heiss WD. MRI- and MRA-guided therapy of carotid and vertebral artery dissections. J Neurol Sci. 1997;147(1):27–34. doi:S0022510X96053002.CrossRefPubMed
59.
Rodallec MH, Marteau V, Gerber S, Desmottes L, Zins M. Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics. 2008;28(6):1711–28. doi:10.1148/rg.286085512.CrossRefPubMed
60.
Haacke EM, Mittal S, Wu Z, Neelavalli J, Cheng YC. Susceptibility-weighted imaging: technical aspects and clinical applications, part 1. AJNR Am J Neuroradiol. 2009;30(1):19–30. doi:10.3174/ajnr.A1400ajnr.A1400.CrossRefPubMedPubMedCentral
61.
Cho KH, Kim JS, Kwon SU, Cho AH, Kang DW. Significance of susceptibility vessel sign on T2*-weighted gradient echo imaging for identification of stroke subtypes. Stroke. 2005;36(11):2379–83. doi:01.STR.0000185932.73486.7a 10.1161/01.STR.0000185932.73486.7a.CrossRefPubMed
62.
Assouline E, Benziane K, Reizine D, Guichard JP, Pico F, Merland JJ, Bousser MG, Chabriat H. Intra-arterial thrombus visualized on T2* gradient echo imaging in acute ischemic stroke. Cerebrovasc Dis. 2005;20(1):6–11. doi:86120 10.1159/000086120.CrossRefPubMed
63.
Bae YJ, Jung C, Kim JH, Choi BS, Kim E, Han MK, Bae HJ, Han MH. Potential for the use of the solitaire stent for recanalization of middle cerebral artery occlusion without a susceptibility vessel sign. AJNR Am J Neuroradiol. 2014;35(1):149–55. doi:ajnr.A3562 10.3174/ajnr.A3562.
64.
Menon R, Kerry S, Norris JW, Markus HS. Treatment of cervical artery dissection: a systematic review and meta-analysis. J Neurol Neurosurg Psychiatry. 2008;79(10):1122–7. doi:10.1136/jnnp.2007.138800jnnp.2007.138800.CrossRefPubMed
65.
Arauz A, Ruiz A, Pacheco G, Rojas P, Rodriguez-Armida M, Cantu C, Murillo-Bonilla L, Ruiz-Sandoval JL, Barinagarrementeria F. Aspirin versus anticoagulation in intra- and extracranial vertebral artery dissection. Eur J Neurol. 2013;20(1):167–72. doi:10.1111/j.1468-1331.2012.03825.x.CrossRefPubMed
66.
Makhijani MK, Hu HH, Pohost GM, Nayak KS. Improved blood suppression in three-dimensional (3D) fast spin-echo (FSE) vessel wall imaging using a combination of double inversion-recovery (DIR) and diffusion sensitizing gradient (DSG) preparations. J Magn Reson Imaging. 2010;31(2):398–405.doi: 10.1002/jmri.22042.CrossRefPubMed
Metadaten
Titel
Symptomatic unruptured isolated middle cerebral artery dissection: clinical and magnetic resonance imaging features
verfasst von
P. H. Gao, MD
L. Yang
G. Wang, MD
L. Guo, MD
X. Liu, MD
B. Zhao, MD
Publikationsdatum
06.09.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Neuroradiology / Ausgabe 1/2016
Print ISSN: 1869-1439
Elektronische ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-014-0337-z

Weitere Artikel der Ausgabe 1/2016

Clinical Neuroradiology 1/2016 Zur Ausgabe

Original Article

The pREset Stent Retriever for Endovascular Treatment of Stroke Caused by MCA Occlusion: Safety and Clinical Outcome

Original Article

Comparisons of MR Findings Between Supratentorial and Infratentorial Gangliogliomas

Original Article

Aneurysm Recurrence Volumetry Is More Sensitive than Visual Evaluation of Aneurysm Recurrences

Review Article

Imaging Approach to Temporomandibular Joint Disorders

Correspondence

Hypertrophic Olivary Degeneration Secondary to Neuro-Behçet’s Disease

Editorial

Editorial on the Impact of the “International Training Guidelines for Endovascular Stroke Intervention” on Training and Education in Germany

Neu im Fachgebiet Radiologie

18.04.2024 | Pädiatrische Notfallmedizin | Nachrichten

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

08.04.2024 | Andrologie | Nachrichten

Wie toxische Männlichkeit der Gesundheit von Männern schadet

29.03.2024 | Diagnostische Radiologie | Nachrichten

Studie bestätigt Potenzial von KI in der Radiologie

26.03.2024 | Koronare Herzerkrankung | Nachrichten

Quantitative Angiografie könnte IVUS-Alternative darstellen
weitere anzeigen

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen