📇 Rhumatologue · VALENCIENNES · (59) · Mixte
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3 raisons identifiées
Cabinet de groupe — continuité de soins
Plusieurs praticiens dans le même cabinet — un confrère peut prendre le relais en cas d'absence
Disponibilité géographique
5 lieux d'exercice — choisissez celui qui vous arrange
Délais de RDV courts dans la région
126.7 rhumatos / 100 000 hab. — département bien doté
✨ Génération du profil synthétique IA en cours…
POLYCLINIQUE VAUBAN
10 AV VAUBAN, 59300 VALENCIENNES
IMAGERIE MEDICALE DE CONDE SUR L ESCAUT
70 RUE GAMBETTA, 59163 CONDE SUR L ESCAUT
SCM SCANNER SAMBRE ESCAUT
6 R DES VIVIERS, 59300 VALENCIENNES
Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.
IRM DU PARC
CLINIQUE DU PARC IRM DU PARC 48 B RUE HENRI BARBUSSE, 59880 ST SAULVE
Secteur de conventionnement non disponible (médecin hospitalier ou non présent dans l'Annuaire santé CNAM des libéraux conventionnés).
Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
European radiology · 2023
Abstract Objectives To compare the diagnostic accuracy of a single T2 Dixon sequence to the combination T1+STIR as anatomical sequences used for detecting tumoral bone marrow lesions in whole-body MRI (WB-MRI) examinations. Methods Between January 2019 and January 2020, seventy-two consecutive patients (55 men, 17 women, median age = 66 years) with solid (prostate, breast, neuroendocrine) cancers at high risk of metastasis or proven multiple myeloma (MM) prospectively underwent a WB-MRI examination including coronal T1, STIR, T2 Dixon and axial diffusion-weighted imaging sequences. Two radiologists independently assessed the combination of T1+STIR sequences and the fat+water reconstructions from the T2 Dixon sequence. The reference standard was established by consensus reading of WB-MRI and concurrent imaging available at baseline and at 6 months. Repeatability and reproducibility of MRI scores (presence and semi-quantitative count of lesions), image quality (SNR: signal-to-noise, CNR: contrast-to-noise, CRR: contrast-to-reference ratios), and diagnostic characteristics (Se: sensitivity, Sp: specificity, Acc: accuracy) were assessed per-skeletal region and per-patient. Results Repeatability and reproducibility were at least good regardless of the score, region, and protocol (0.67 ≤ AC1 ≤ 0.98). CRR was higher on T2 Dixon fat compared to T1 (p < 0.0001) and on T2 Dixon water compared to STIR (p = 0.0128). In the per-patient analysis, Acc of the T2 Dixon fat+water was higher than that of T1+STIR for the senior reader (Acc = +0.027 [+0.025; +0.029], p < 0.0001) and lower for the junior reader (Acc = −0.029 [−0.031; −0.027], p < 0.0001). Conclusions A single T2 Dixon sequence with fat+water reconstructions offers similar reproducibility and diagnostic accuracy as the recommended combination of T1+STIR sequences and can be used for skeletal screening in oncology, allowing significant time-saving. Key Points • Replacement of the standard anatomic T1 + STIR WB-MRI protocol by a single T2 Dixon sequence drastically shortens the examination time without loss of diagnostic accuracy. • A protocol based on fat + water reconstructions from a single T2 Dixon sequence offers similar inter-reader agreement and a higher contrast-to-reference ratio for detecting lesions compared to the standard T1 + STIR protocol. • Differences in the accuracy between the two protocols are marginal (+ 3% in favor of the T2 Dixon with the senior reader; −3% against the T2 Dixon with the junior reader).
Radiology · 2024
Both zero echo time and black bone pseudo-CT MRI sequences had high diagnostic accuracy in detecting osteolytic myeloma lesions; black bone outperformed zero echo time in the spine.
Computer methods and programs in biomedicine · 2023
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Radiology · 2024 · Comparative Study
Lecouvet FE, Zan D, Lepot D, Chabot C, et al.
Computer methods and programs in biomedicine · 2023 · Journal Article
Ceranka J, Wuts J, Chiabai O, Lecouvet F, et al.
European radiology · 2023 · Journal Article
Chiabai O, Van Nieuwenhove S, Vekemans MC, Tombal B, et al.