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Helmberger T, Schneider P, Olbrich D. Lokoregionäre Therapie des CC - was geht, was nicht? ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1345782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Helmberger T, Schneider P, Olbrich D. Thermische Ablation pimärer Lungenmalignome. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1345794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Gemeinhardt M, Türck J, Piper B, Helmberger T, Nerlich A, Schepp W. [Adenocarcinoma of the stomach and neuroendocrine carcinoma of the colon in a 45-year-old male patient suffering from common variable immunodeficiency (CVID) and ulcerative colitis]. ZEITSCHRIFT FUR GASTROENTEROLOGIE 2012; 50:1292-5. [PMID: 23225557 DOI: 10.1055/s-0032-1313181] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Common variable immunodeficiency (CVID) is the most common primary antibody deficient syndrome in adults. Among the broad spectrum of clinical manifestations are recurrent infections, allergies, autoimmune, tumour, pulmonary, liver and gastrointestinal diseases. Here we report the case of a 45-year-old male patient, who has been suffering from ulcerative colitis - likewise recognised as a CVID-associated disease - for many years. He was admitted to our clinic with a rapid progressive reduction of his general condition and a loss of weight. Diagnostic work-up revealed adenocarcinoma of the stomach as well as an undifferentiated neuroendocrine carinoma of the colorectum at the rectosigmoidal junction. Curative resection of the distal stomach and proctolcolectomy were performed. To date, the pathogenesis of the association of many diseases with CVID is still ambiguous. Yet, there is no doubt about the significantly higher incidence of e.g., inflammatory bowel disease or gastric cancer in patients with CVID. Our case highlights that in patients with CVID and obscure deterioration of their general health condition a careful search for especially malignant complications is mandatory although to date there are no precise recommendations for screening.
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Helmberger T. Diffuse Lebererkrankungen. Radiologe 2012; 52:705. [DOI: 10.1007/s00117-012-2306-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Helmberger T, Wagner HJ. Morbiditäts- und Mortalitätskonferenz. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1310608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Gross-Fengels W, Heuser L, Vorwerk D, Helmberger T. [Certification of vascular centers. Influence on quality and healthcare structures]. Radiologe 2012; 51:864-7. [PMID: 21866387 DOI: 10.1007/s00117-011-2163-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Diagnosis and therapy of vascular diseases are increasingly being performed following a multimodal, interdisciplinary and less invasive approach. The introduction of specialized, organ-related centers is a logical consequence in view of a better treatment quality and a more effective use of resources. The German societies of radiology, vascular surgery and angiology jointly developed a process of certification, which has been successfully applied to more than 100 units in Germany. In this article the terms and results of the process are described and possible effects on the quality and structures of the healthcare system are discussed.
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Bail DH, Helmberger T, Schneider P, Szolnoky J, Eichinger W. Two stage hybrid endovascular and open surgical repair for extending the distal landing zone of a thoracoabdominal aortic aneurysm. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Helmberger T. Guest editor's introduction: state-of-the-art and current developments in local tumor therapy. ABDOMINAL IMAGING 2011; 36:634. [PMID: 21805311 DOI: 10.1007/s00261-011-9778-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Ertl-Wagner B, Reiser MF, Helmberger T. [Quality management and certification - what for?]. Radiologe 2011; 51:833-4. [PMID: 21947238 DOI: 10.1007/s00117-011-2159-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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35
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Helmberger T. [Interventional radiology: state of the art]. ROFO-FORTSCHR RONTG 2011; 183:796-8. [PMID: 21882128 DOI: 10.1055/s-0031-1281652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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36
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Helmberger T. Innovation: Mikrowelle, Elektroporation etc. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1278755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Delorme S, Helmberger T, Stieltjes B. Diffusionsbildgebung im Einsatz. Radiologe 2011; 51:169. [DOI: 10.1007/s00117-011-2139-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Abstract
The therapeutic concept for hepatic metastases is mainly based on surgical resection and systemic chemotherapy. Considering technical respectability, oncological significance and limiting comorbidities, only 10-30% of patients with hepatic metastases can undergo surgery with a curative intention. Patients assessed as being non-resectable qualify in general for (palliative) chemotherapy. However, for many patients surgical therapy of the liver is no longer possible due to medical or technical reasons, nevertheless, the total tumor load is still limited, which makes an interventional, local ablative therapy approach promising, with and without chemotherapy. Thus, various interventional-radiological, minimally invasive techniques could be successfully established as oncological therapy components besides surgery and chemotherapy. These types of intervention encompass mainly chemotherapy (percutaneous alcohol instillation, transarterial chemoembolization and transarterial chemotherapy), thermotherapy (radiofrequency, laser and microwave ablations) and radio-ablative procedures (radio-embolization, selective internal radiation therapy SIRT, interstitial and catheter-guided brachytherapy). Incorporating these procedures into therapeutic multimodal concepts inaugurates a significantly broadened therapy spectrum with a clear additional improvement in patient prognosis.
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Michl M, Hoffmann RT, Laubender R, Haug A, Bartenstein P, Stemmler H, Helmberger T, Stintzing S, Heinemann V, Jakobs TF. Selective internal radiation therapy (SIRT) for treatment of patients with breast cancer with metastatic liver disease. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.1135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Seidl H, Schmidt T, Helmberger T, Gundling F, Nerlich A, Schepp W. [Mesenteric inflammatory veno-occlusive disease (MIVOD)--an underdiagnosed disease?]. ZEITSCHRIFT FUR GASTROENTEROLOGIE 2010; 48:482-5. [PMID: 20352595 DOI: 10.1055/s-0028-1110017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Mesenteric, inflammatory veno-occlusive disease is an entity of unknown incidence and aetiology. Inflammation and necrosis of mesenteric veins leads to severe ischaemic damage of an intestinal segment. The clinical and endoscopic presentation can be ambiguous. However, modern multiphasic contrast-enhanced computed tomography allows early diagnosis, when characteristic features are considered. As local resection is the only known cure with minimal risk of recurrent disease, knowledge of this rare disease entity can spare our patients a risky delay of resection and erroneous therapeutic approaches.
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Helmberger T. Radiologische Interventionen beim Bronchialkarzinom. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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42
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Helmberger T. Klinische Ergebnisse: Update. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Helmberger T. Diagnostik von primären und sekundären Milzerkrankungen. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Helmberger T, Lubienski A. Rolle der minimal-invasiven Therapie (MIT) als Bridgingverfahren beim HCC. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1220968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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45
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Helmberger T. Technik der MRCP. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1220999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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46
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Seidl H, Helmberger T, Schmidt T, Heitland W, Schepp W. Bloody diarrhoea in a 54-year-old Arab patient. Gut 2009; 58:482, 544. [PMID: 19299382 DOI: 10.1136/gut.2008.164939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022]
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Helmberger T. Bildgebung primärer und sekundärer Lebertumoren nach Behandlung. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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48
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Treitl M, Strube H, Helmberger T, Reiser M. [Peripheral arterial disease. Diagnosis and therapy according to current guidelines]. Radiologe 2009; 48:1022-8, 1030-1. [PMID: 18806988 DOI: 10.1007/s00117-008-1705-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Guidelines conduce to establish consistent standards of therapy and contribute to the orientation and safeguard of the attending physician. Peripheral arterial disease (PAD) may be classified according to its stage as intermittent claudication, chronic critical limb ischemia or acute limb ischemia. Since these diseases are common and life-threatening, current guidelines are of major interest for the attending physician, not least because of forensic reasons. This overview describes the current principles of diagnosis and therapy as well as recent developments in peripheral endovascular intervention. Current national and international guidelines, particularly the Transatlantic Intersociety Consensus (TASC), were taken into account.
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Herrmann KA, Helmberger T, Bruns C, Reiser MF, Zech CJ. [Solid pseudopapillary pancreas tumors--often neglected]. Radiologe 2008; 48:764-9. [PMID: 18648761 DOI: 10.1007/s00117-008-1673-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Solid pseudopapillary tumors of the pancreas (SPTP) are rare tumors of the pancreas with low malignancy potential and a very good prognostic outcome after surgery. They typically occur in young women or adolescents and consist of solid, cystic and cystic-hemorrhagic components.Imaging findings in these tumors are characteristic and include a fibrotic capsule with a clear delineation and exhibit solid and cystic-hemorrhagic signal and density characteristics. Calcifications may be present in the periphery of the tumor. The tumor capsule shows contrast enhancement, the solid components in the periphery enhance in the early phase and gradually and inhomogeneously in late phases. MRI is superior to CT and other imaging modalities for characterization of SPTP. Awareness and knowledge of this tumor entity with an excellent prognosis is crucial to guide the patient towards effective, predominantly organ-sparing surgical treatment.
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