scholarly journals Proposal of New Radiological Classification and Treatment Strategy for Transverse Fractures of the C2 Axis Body

2021 ◽  
Author(s):  
Sung‐Kyu Kim ◽  
Jong‐Hyun Ko ◽  
Jong‐Beom Park ◽  
Hyoung‐Yeon Seo ◽  
Dong‐Gune Chang ◽  
...  
Keyword(s):  
Treatment Strategy ◽  
Radiological Classification ◽  
Axis Body ◽  
Transverse Fractures ◽  
Classification And Treatment

Proposed diagnostic criteria, disease severity classification and treatment strategy for TAFRO syndrome, 2015 version

2016 ◽  
Vol 103 (6) ◽  
pp. 686-692 ◽  
Author(s):  
Yasufumi Masaki ◽  
Hiroshi Kawabata ◽  
Kazue Takai ◽  
Masaru Kojima ◽  
Norifumi Tsukamoto ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Disease Severity ◽  
Treatment Strategy ◽  
Tafro Syndrome ◽  
Severity Classification ◽  
Classification And Treatment

scholarly journals Value Assessment of Atypical Central Neurocytoma Classification and Treatment Options

2021 ◽  
Author(s):  
Zuocheng Yang ◽  
Changxiang Yan ◽  
Zuozhen Yang ◽  
Song Han
Keyword(s):  
Treatment Strategy ◽  
Perioperative Complications ◽  
Postoperative Radiotherapy ◽  
Complete Resection ◽  
Therapeutic Modality ◽  
Incomplete Resection ◽  
Potential Candidate ◽  
Value Assessment ◽  
Resection Group ◽  
Classification And Treatment

Abstract Background The classification and treatment strategy of atypical central neurocytomas (CNs) are still controversial largely, this study aimed to explore the optical treatment strategy and characteristics in transcriptomic profile. Methods This study retrospectively analyzed data from Sixty-one patients with CNs who underwent surgery in single institution. Whole-transcriptome analysis was used to investigate the differences between typical and atypical CNs. Results The five-year OS (P= 0.015) and PFS rates (P= 0.000002) were significantly higher in the complete resection group than in the incomplete resection group. Postoperative radiotherapy did not affect OS (P=0.255) or PFS (P=0.398) in the complete resection group. The five-year PFS rate (P=0.000038) among patients in the complete resection group who did not receive radiotherapy was significantly longer than that among patients in the incomplete resection group who received radiotherapy. The extent of surgical resection and operative approaches were irrelevant to perioperative complications and dsyfunctions at the last follow-up. Compared with caudate control, some of differentially expressed genes may involve cancer. Finally, the overexpression of ten genes (AMOTL1, PIK3R3, TGFBR1, SMO, COL4A6, MGP, SOX4, IGF2, Slit1 and CKS2) in atypical CNs may be associated with malignancy in atypical CNs. Conclusion Complete resection is relatively the best therapeutic modality for atypical CNs, radiotherapy is not necessary for patients after complete resection of the tumor. Although the previous definition of atypical CNs may not have significant prognostic value, the overexpression of ten genes may be involved in malignant behaviors and potential candidate hallmarks for differentiating the atypical CNs. Although the number of cases was relatively small, the findings could be helpful and instructive in the clinical treatment of this disease.

scholarly journals A proposed radiological classification system of Hoffa’s fracture based on fracture configuration and consequent optimal treatment strategy along with the review of literature

SICOT-J ◽  
2019 ◽  
Vol 5 ◽  
pp. 18 ◽  
Author(s):  
Vaibhav Bagaria ◽  
Gaurav Sharma ◽  
Chaitanya Waghchoure ◽  
Rajendra M Chandak ◽  
Amit Nemade ◽  
...  
Keyword(s):  
Treatment Strategy ◽  
Classification System ◽  
Fragment Size ◽  
Tertiary Care ◽  
Treatment Modalities ◽  
Hoffa Fracture ◽  
Observer Reliability ◽  
Fracture Patterns ◽  
Fracture Configuration ◽  
Radiological Classification

Background: Coronal fractures of distal end femur, referred as Hoffa’s fracture are not uncommon, yet easily missed injuries lacking proper classification system and consensus for ideal treatment. While most trauma surgeons adopt different strategies based on the fracture configuration and their own experience, there are no set ways to classify these based on the most appropriate treatment strategy. Methods: Thirty cases of Hoffa fracture from tertiary care centres were studied for the fracture pattern, fragment size, comminution and possible variations to formulate a radiological classification and treatment guidelines. Additionally, a literature search was used to analyze 77 case studies based on Hoffa fracture to find out the common fracture patterns and treatment modalities adopted for varying fracture patterns in these studies. Six independent observers participated in testing the inter-observer reliability of the proposed classification. Results: A new proposed radiological classification for Hoffa fracture consists of four main types. Type 1 is with fracture fragment >2.5 cm, Type 2 with fragment <2.5 cm, Type 3 is comminuted fracture, Type 4 are subdivided as Type 4a – Anterior, Type 4b – Bicondylar, Type 4c – Osteochondral type and Type 4d – With supracondylar extension. Optimum treatment modality depends on the type of Hoffa’s fracture and has been suggested in the study. Interobserver reliability demonstrated that overall agreement was 0.907692 with a fixed marginal Kappa of 0.881067 and free Marginal Kappa at 0.892308. Intra-observer reliability test for the classification system showed a strong Kappa value of +1.0. Conclusion: The new suggested classification helps identify different types of Hoffa’s fracture. This is likely to help decide optimal surgical treatment depending on the nature of the injury. The classification system has high inter and intra-observer reliability that enables its universal applicability.

Novel Surgical Classification and Treatment Strategy for Atlantoaxial Dislocations

Spine ◽  
2013 ◽  
Vol 38 (21) ◽  
pp. E1348-E1356 ◽  
Author(s):  
Shenglin Wang ◽  
Chao Wang ◽  
Ming Yan ◽  
Haitao Zhou ◽  
Gengting Dang
Keyword(s):  
Treatment Strategy ◽  
Classification And Treatment

scholarly journals Choledochal cysts: Precise clinical classification and treatment strategy – Based on 451 cases in a single center

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e26-e27
Author(s):  
J. Dong ◽  
X. Zheng ◽  
Y. Xu ◽  
H. Xia ◽  
B. Liang ◽  
...  
Keyword(s):  
Treatment Strategy ◽  
Clinical Classification ◽  
Single Center ◽  
Choledochal Cysts ◽  
Classification And Treatment

Classification and Treatment of Axis Body Fractures

1996 ◽  
Vol 10 (8) ◽  
pp. 536-540 ◽  
Author(s):  
Yoshikazu Fujimura ◽  
Yukimi Nishi ◽  
Keiji Kobayashi
Keyword(s):  
Axis Body ◽  
Classification And Treatment

1108: Treatment Strategy Improves the in Vivo Stone Comminution Efficiency and Reduces Renal Tissue Injury During Shock Wave Lithotripsy

2005 ◽  
Vol 173 (4S) ◽  
pp. 300-301
Author(s):  
Michaella E. Maloney ◽  
Pei Zhong ◽  
Charles G. Marguet ◽  
Yufeng F. Zhou ◽  
Jeffrey C. Sung ◽  
...  
Keyword(s):  
Shock Wave ◽  
Treatment Strategy ◽  
Shock Wave Lithotripsy ◽  
Tissue Injury ◽  
Renal Tissue

1115: The Effect of Treatment Strategy on Stone Comminution Efficiency in Shock Wave Lithotripsy

2004 ◽  
Vol 171 (4S) ◽  
pp. 294-294
Author(s):  
Yufeng Zhou ◽  
Charles G. Marguet ◽  
Michaella E. Maloney ◽  
Franklin H. Cocks ◽  
Glenn M. Preminger ◽  
...  
Keyword(s):  
Shock Wave ◽  
Treatment Strategy ◽  
Shock Wave Lithotripsy ◽  
Effect Of Treatment
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