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"description": "Quels sont les principaux usages de la tomodensitométrie multidétecteurs ?\nComment la TDM multidétecteurs aide-t-elle au diagnostic du cancer ?\nLa TDM peut-elle détecter des maladies cardiovasculaires ?\nQuels types de pathologies peuvent être évalués par TDM ?\nLa TDM multidétecteurs est-elle utile en cas de traumatisme ?",
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"description": "La TDM est-elle utilisée pour guider des traitements ?\nPeut-on utiliser la TDM pour surveiller l'évolution d'une maladie ?\nLa TDM peut-elle aider à planifier une chirurgie ?\nQuels traitements peuvent être guidés par TDM ?\nLa TDM est-elle utilisée pour évaluer l'efficacité d'un traitement ?",
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"description": "Quels sont les facteurs de risque pour des examens TDM fréquents ?\nLes enfants sont-ils plus à risque avec la TDM ?\nComment l'âge influence-t-il le risque lié à la TDM ?\nLes femmes enceintes doivent-elles éviter la TDM ?\nQuels comportements augmentent le risque de maladies nécessitant une TDM ?",
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"@type": "Question",
"name": "Quels sont les principaux usages de la tomodensitométrie multidétecteurs ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle est utilisée pour diagnostiquer des maladies, évaluer des traumatismes et guider des interventions."
}
},
{
"@type": "Question",
"name": "Comment la TDM multidétecteurs aide-t-elle au diagnostic du cancer ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle permet de visualiser les tumeurs, évaluer leur taille et détecter des métastases."
}
},
{
"@type": "Question",
"name": "La TDM peut-elle détecter des maladies cardiovasculaires ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle est efficace pour visualiser les artères coronaires et détecter des anomalies."
}
},
{
"@type": "Question",
"name": "Quels types de pathologies peuvent être évalués par TDM ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle évalue les pathologies pulmonaires, abdominales, neurologiques et osseuses."
}
},
{
"@type": "Question",
"name": "La TDM multidétecteurs est-elle utile en cas de traumatisme ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle permet une évaluation rapide des blessures internes et des hémorragies."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent nécessiter une TDM ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs abdominales, des maux de tête persistants ou des traumatismes peuvent l'exiger."
}
},
{
"@type": "Question",
"name": "La TDM peut-elle aider à évaluer des symptômes respiratoires ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle est utilisée pour diagnostiquer des infections pulmonaires ou des embolies."
}
},
{
"@type": "Question",
"name": "Quels signes neurologiques justifient une TDM ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes tels que des vertiges, des troubles de la vision ou des pertes de conscience."
}
},
{
"@type": "Question",
"name": "La TDM est-elle utile pour des douleurs thoraciques ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle aide à évaluer des causes comme l'embolie pulmonaire ou l'infarctus du myocarde."
}
},
{
"@type": "Question",
"name": "Quels symptômes digestifs peuvent nécessiter une TDM ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs abdominales aiguës, des vomissements ou des saignements gastro-intestinaux."
}
},
{
"@type": "Question",
"name": "La TDM peut-elle être utilisée en dépistage préventif ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle est parfois utilisée pour le dépistage du cancer du poumon chez les fumeurs."
}
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{
"@type": "Question",
"name": "Quels facteurs de risque justifient une TDM préventive ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents familiaux de cancer ou des expositions professionnelles à des agents cancérigènes."
}
},
{
"@type": "Question",
"name": "La TDM peut-elle aider à prévenir des complications ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle permet de détecter précocement des anomalies pouvant mener à des complications."
}
},
{
"@type": "Question",
"name": "Comment la TDM contribue-t-elle à la prévention des maladies ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle permet une détection précoce des maladies, facilitant des interventions rapides."
}
},
{
"@type": "Question",
"name": "La TDM est-elle recommandée pour les personnes à risque ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut être recommandée pour les personnes à risque élevé de certaines pathologies."
}
},
{
"@type": "Question",
"name": "La TDM est-elle utilisée pour guider des traitements ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle aide à guider des biopsies, des drainages ou des interventions chirurgicales."
}
},
{
"@type": "Question",
"name": "Peut-on utiliser la TDM pour surveiller l'évolution d'une maladie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle permet de suivre la réponse au traitement et l'évolution des lésions."
}
},
{
"@type": "Question",
"name": "La TDM peut-elle aider à planifier une chirurgie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle fournit des images précises pour une meilleure planification chirurgicale."
}
},
{
"@type": "Question",
"name": "Quels traitements peuvent être guidés par TDM ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des traitements comme la radiothérapie ou l'injection de médicaments ciblés."
}
},
{
"@type": "Question",
"name": "La TDM est-elle utilisée pour évaluer l'efficacité d'un traitement ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle permet de visualiser la réduction des tumeurs ou des lésions après traitement."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de la TDM ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'exposition aux radiations et des réactions allergiques au contraste."
}
},
{
"@type": "Question",
"name": "La TDM peut-elle causer des effets secondaires ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des effets secondaires peuvent survenir, notamment des nausées ou des réactions cutanées."
}
},
{
"@type": "Question",
"name": "Comment minimiser les risques liés à la TDM ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "En limitant le nombre d'examens et en utilisant des techniques de réduction de dose."
}
},
{
"@type": "Question",
"name": "Les patients peuvent-ils avoir des allergies au produit de contraste ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines personnes peuvent développer des allergies au produit de contraste utilisé."
}
},
{
"@type": "Question",
"name": "Quelles précautions prendre avant une TDM ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Informer le médecin des allergies, des maladies rénales et des médicaments en cours."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque pour des examens TDM fréquents ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'exposition antérieure aux radiations et des antécédents de cancer augmentent les risques."
}
},
{
"@type": "Question",
"name": "Les enfants sont-ils plus à risque avec la TDM ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les enfants sont plus sensibles aux effets des radiations, nécessitant prudence."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il le risque lié à la TDM ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées peuvent avoir un risque accru de complications liées à la TDM."
}
},
{
"@type": "Question",
"name": "Les femmes enceintes doivent-elles éviter la TDM ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la TDM est généralement évitée pendant la grossesse en raison des risques pour le fœtus."
}
},
{
"@type": "Question",
"name": "Quels comportements augmentent le risque de maladies nécessitant une TDM ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme, l'alcoolisme et une mauvaise alimentation augmentent les risques de maladies."
}
}
]
}
]
}
Pediatric urodynamic studies are performed to evaluate bladder function, commonly in conjunction with a voiding cystourethrogram (VCUG). Contrast-enhanced voiding urosonography (CeVUS) has been approv...
Insensible Urinary Incontinence (IUI) is a situation when you complain of urinary incontinence but are unaware of how it occurred. Therefore, it is necessary to apply highly specific diagnostic method...
A total of 41 women with IUI were retrospectively included. Patients were categorized into two groups: the urodynamic urinary incontinence group (UUI group, n=20) and the non-urodynamic urinary incont...
Compared with the NUUI group, the UUI group had a smaller maximum cystometric capacity (P=0.008), lower maximum urethral closure pressure (P=0.005), shorter functional urethral length (FUL) (P=0.01), ...
The PFU is associated with UDS in evaluating IUI. It has the advantages of low cost and high comfort, thus should be used as an auxiliary examination for IUI....
Children with an isolated fibrolipoma of filum terminale (IFFT) but otherwise normal spinal cord are often evaluated with video urodynamics (VUDS). VUDS interpretation is subjective and can be difficu...
We hypothesized that VUDS in children with IFFT would have limited clinical utility regarding decision for or against detethering surgery and VUDS interpretation would have poor interrater reliability...
Patients with IFFT who underwent VUDS for from 2009 to 2021 were retrospectively reviewed to evaluate clinical utility of VUDS. 6 pediatric urologists who were blinded to patient clinical characterist...
47 patients (24F:23M) were identified. Median age at initial evaluation was 2.8yrs (IQR:1.5-6.8). 24 (51%) patients underwent detethering surgery (Table). VUDS at initial evaluation were interpreted b...
In our cohort, 90% of patients had a normal or reassuring for normal interpretation of VUDS. VUDS interpretation affected clinical course in a minority of patients. There was fair interrater reliabili...
VUDS affected clinical management in about 20% of our cohort and supported the choice for observation in around 50% of patients. This suggests VUDS does have clinical utility in pediatric patients wit...
BACKGROUND Urodynamics can detect subtle voiding changes before cystopathy symptoms manifest. The aim of the present study was to assess urodynamic changes in diabetic women. MATERIAL AND METHODS A sy...
Secondary data analysis....
To characterize autonomic dysreflexia (AD) associated heart rate (HR) changes during penile vibrostimulation (PVS) and urodynamic studies (UDS)....
University-based laboratory....
We analyzed blood pressure (BP) and HR data, recorded continuously, from 21 individuals (4 females; median age 41 years [lower and upper quartile, 37; 47]; median time post-injury 18 years [7; 27]; al...
Overall, 47 AD episodes were recorded (i.e. PVS = 37, UDS = 10), with at least one AD episode in each participant. At AD threshold, bradycardia was observed during PVS and UDS in 43% and 30%, respecti...
Our findings reveal that AD-associated HR changes during PVS and UDS appear to be related to the magnitude of systolic BP increases. Highly elevated systolic BP associated with bradycardia suggests th...
Straining to void is the need to make a muscular effort in order to initiate, maintain or improve the urinary stream, through an increase in abdominal pressure. This pattern of bladder emptying is fre...
This was a retrospective study on women submitted to prolapse repair by vaginal hysterectomy with modified McCall culdoplasty and anterior colporraphy. All patients underwent a preoperative urodynamic...
Women with straining (n = 16), compared to women with normal voiding (n = 43), showed a higher risk of anterior recurrence over time at Kaplan-Meier curves, for both stage II (p = 0.02) and stage III ...
Straining to void identified in preoperative urodynamic study seems to increase the risk of anterior recurrence after surgical repair of pelvic organ prolapse....
To evaluate the clinical and urodynamic variables that may predict the failure of alpha-blockers in primary bladder neck obstruction (PBNO) patients. Alpha-blockers are useful as a treatment option in...
This was a retrospective study, spanning over a period of 8 years. PBNO was diagnosed in the presence of a bladder outlet obstruction index (BOOI) >40 with video-urodynamic evidence of obstruction at ...
Ninety-nine patients were analyzed. 21 patients underwent BNI for the failure of medical management and 31 for recurrence of symptoms at a mean follow-up of 18.8 ± 3.5 months (12-70 months). Independe...
Alpha-blockers are more likely to fail in PBNO in younger patients generating higher voiding pressures and BOOI > 60....
Somatosensory evoked potential (SSEP) and urodynamic studies (UD) are valuable tools for assessing patients with closed spinal dysraphism (CSD) before neurosurgical intervention. No studies have corre...
Retrospective review of all patients referred to a multidisciplinary clinic in a tertiary pediatric surgical center over a 17 years period between April 2004 to September 2021 was performed. Inclusion...
A total of 45 patients were included for analysis. Mean follow up time was 118.9 months (24-216 months, SD 55.8 months). SSEP was normal in 20 patients and abnormal in 25 patients. Baseline demographi...
Pre-operative SSEP and UD results correlate well in patients with closed spinal dysraphism. Patients with abnormal SSEP and UD preoperatively have higher risk of urological deterioration over time. Cl...
Although urodynamic evaluation forms the cornerstone of diagnosis and management of bladder dysfunction in posterior urethral valves (PUV), yet it could be helpful to learn if there are any non-invasi...
To study the diagnostic accuracy of various imaging surrogate markers of urodynamic proven bladder dysfunction in PUV....
This cross-sectional study over two years included 38 children of endoscopically proven PUV. Based on bladder function on Urodynamics the patients were divided into 2 groups: Group 1: PUV with normal ...
Mean age at evaluation was 6.1 ± 4.2 years with a mean follow-up of 5 ± 3.9 years (median: 3.5 years). Voiding dysfunction, persistent or worsening grade III and IV hydroureteronephrosis, retrovesical...
Clinical and imaging parameters are unable to convincingly identify the type of bladder dysfunction which is often required to manage PUV patients appropriately. Increased detrusor wall thickness sugg...
To describe the temporal development of and risk factors for the occurrence of unfavourable urodynamic parameters during the first year after spinal cord injury (SCI)....
This population-based longitudinal study used data from 97 adult patients with a single-event traumatic or ischaemic SCI who underwent video-urodynamic investigation (UDI) at a university SCI centre. ...
The majority of the population (87/97 [90%]) had at least one unfavourable urodynamic parameter. Most unfavourable urodynamic parameters were initially identified during the 1- or 3-month UDI, includi...
The first UDI should take place within 3 months after SCI as to facilitate early diagnosis of unfavourable urodynamic parameters and timely treatment. Neuro-urological guidelines and individualised ma...