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  1. Book ; Online ; E-Book: Cross-sectional imaging in Crohn's disease

    Rimola, Jordi

    2019  

    Author's details Jordi Rimola editor
    Keywords Crohn's disease/Imaging
    Subject code 616.3/440754
    Language English
    Size 1 Online-Ressource (vii, 176 Seiten), Illustrationen
    Publisher Springer
    Publishing place Cham
    Publishing country Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT020028134
    ISBN 978-3-319-96586-4 ; 9783319965857 ; 3-319-96586-7 ; 3319965859
    DOI 10.1007/978-3-319-96586-4
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book: Bowel imaging

    Rimola, Jordi

    (Magnetic resonance imaging clinics of North America ; 22,1)

    2014  

    Author's details ed. Jordi Rimola
    Series title Magnetic resonance imaging clinics of North America ; 22,1
    Collection
    Language English
    Size XIV, 127 S. : zahlr. Ill.
    Publisher Elsevier
    Publishing place Philadelphia, Pa
    Publishing country United States
    Document type Book
    HBZ-ID HT018165144
    ISBN 978-0-323-26666-6 ; 0-323-26666-5
    Database Catalogue ZB MED Medicine, Health

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  3. Article ; Online: Heterogeneity of Hepatocellular Carcinoma on Imaging.

    Rimola, Jordi

    Seminars in liver disease

    2019  Volume 40, Issue 1, Page(s) 61–69

    Abstract: Tumor heterogeneity in hepatocellular carcinomas (HCC) occurs at different levels. On conventional imaging modalities, the spectrum of tumor heterogeneity is evident in the dynamic enhancement pattern, where the characteristic wash-in and wash-out is ... ...

    Abstract Tumor heterogeneity in hepatocellular carcinomas (HCC) occurs at different levels. On conventional imaging modalities, the spectrum of tumor heterogeneity is evident in the dynamic enhancement pattern, where the characteristic wash-in and wash-out is present in only 60% of small HCCs. In larger HCCs, heterogeneity within the tumor, known as the mosaic pattern, can reflect the presence of different grades of HCC differentiation. The advent of functional imaging techniques has not improved the diagnostic sensitivity of imaging techniques for the diagnosis of HCC. However, the combination of conventional and functional imaging techniques potentially allows the identification of heterogeneity in tumor vascularity, cellularity, and molecular expression.
    MeSH term(s) Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/pathology ; Humans ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/pathology ; Magnetic Resonance Imaging ; Tomography, X-Ray Computed
    Language English
    Publishing date 2019-07-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603177-8
    ISSN 1098-8971 ; 0272-8087
    ISSN (online) 1098-8971
    ISSN 0272-8087
    DOI 10.1055/s-0039-1693512
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Screening of liver cancer with abbreviated MRI.

    Ronot, Maxime / Nahon, Pierre / Rimola, Jordi

    Hepatology (Baltimore, Md.)

    2023  Volume 78, Issue 2, Page(s) 670–686

    Abstract: Current recommendations for the surveillance of HCC are based on the semiannual liver ultrasound (with or without serum alpha-fetoprotein) in patients with cirrhosis and in subgroups with chronic hepatitis B infection. However, the sensitivity of this ... ...

    Abstract Current recommendations for the surveillance of HCC are based on the semiannual liver ultrasound (with or without serum alpha-fetoprotein) in patients with cirrhosis and in subgroups with chronic hepatitis B infection. However, the sensitivity of this strategy is suboptimal for the detection of early-stage tumors, especially in obese patients, due to interoperator variability and poor adherence. The detection rate of focal liver lesions is excellent with MRI, making it the best alternative candidate for surveillance. However, performing a full contrast-enhanced MRI is unrealistic because of limited availability and health economics. Abbreviated MRI (AMRI) corresponds to the acquisition of a limited number of sequences with a high detection rate. The theoretical benefits of AMRI are a reduced acquisition time (≤10 min) with improved time-effectiveness and cost-effectiveness compared with conventional MRI, and greater accuracy than ultrasound. Numerous protocols may be performed, including T1-weighted, T2-weighted, and DWI sequences, with or without contrast administration. Although published studies report promising per-patient results, they should be interpreted with caution. Indeed, most studies were simulated, retrospectively reviewing a subset of sequences in relatively small populations who underwent a full MRI. They also included groups that were not representative of screening populations. In addition, most were published by Asian groups, with at-risk populations that were different from Western populations. There are no existing longitudinal studies that directly compare the different AMRI approaches or AMRI to ultrasound. Finally, it is possible that 1 approach will not fit all patients and that strategies should be tailored to the risk of HCC, in particular in relation to the cost and availability of AMRI. Several trials are ongoing to evaluate these questions.
    MeSH term(s) Humans ; Liver Neoplasms/diagnostic imaging ; Carcinoma, Hepatocellular/diagnostic imaging ; Retrospective Studies ; Contrast Media ; Early Detection of Cancer ; Magnetic Resonance Imaging/methods
    Chemical Substances Contrast Media
    Language English
    Publishing date 2023-03-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604603-4
    ISSN 1527-3350 ; 0270-9139
    ISSN (online) 1527-3350
    ISSN 0270-9139
    DOI 10.1097/HEP.0000000000000339
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Hepatobiliary contrast agents in MR: Where we stand and future perspectives.

    Rimola, Jordi / Forner, Alejandro

    Liver international : official journal of the International Association for the Study of the Liver

    2021  Volume 41, Issue 5, Page(s) 888–890

    MeSH term(s) Carcinoma, Hepatocellular ; Contrast Media ; Gadolinium DTPA ; Humans ; Liver Neoplasms ; Magnetic Resonance Imaging
    Chemical Substances Contrast Media ; gadolinium ethoxybenzyl DTPA ; Gadolinium DTPA (K2I13DR72L)
    Language English
    Publishing date 2021-04-16
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2102783-3
    ISSN 1478-3231 ; 1478-3223
    ISSN (online) 1478-3231
    ISSN 1478-3223
    DOI 10.1111/liv.14883
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Navigating the landscape of liver cancer management: Study designs in clinical trials and clinical practice.

    Cabibbo, Giuseppe / Celsa, Ciro / Rimassa, Lorenza / Torres, Ferran / Rimola, Jordi / Kloeckner, Roman / Bruix, Jordi / Cammà, Calogero / Reig, Maria

    Journal of hepatology

    2024  

    Abstract: Hepatocellular carcinoma (HCC) is the fourth leading cause of cancer death worldwide and its prognosis is highly heterogeneous, being related not only to tumour burden but also to the severity of underlying chronic liver disease. Moreover, advances in ... ...

    Abstract Hepatocellular carcinoma (HCC) is the fourth leading cause of cancer death worldwide and its prognosis is highly heterogeneous, being related not only to tumour burden but also to the severity of underlying chronic liver disease. Moreover, advances in systemic therapies for HCC have increased the complexity of patient management. Randomised-controlled trials represent the gold standard for evidence generation across all areas of medicine and especially in the oncology field, as they allow for unbiased estimates of treatment effect without confounders. Observational studies have many problems that could reduce their internal and external validity. However, large prospective (well-conducted) observational real-world studies can detect rare adverse events or monitor the occurrence of long-term adverse events. How best to harness real world data, which refers to data generated from the routine care of patients, and real-world 'evidence', which is the evidence generated from real-world data, represents an open challenge. In this review article, we aim to provide an overview of the benefits and limitations of different study designs, particularly focusing on randomised-controlled trials and observational studies, to address important and not fully resolved questions in HCC research.
    Language English
    Publishing date 2024-02-01
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 605953-3
    ISSN 1600-0641 ; 0168-8278
    ISSN (online) 1600-0641
    ISSN 0168-8278
    DOI 10.1016/j.jhep.2024.01.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Enteric duplication cyst as a rare presentation of adult acute abdomen.

    Rafart, Gerard / Bassaganyas, Clara / Morales, Xavier / Cuatrecasas, Míriam / Rimola, Jordi

    Gastroenterologia y hepatologia

    2023  Volume 47, Issue 4, Page(s) 389–390

    Title translation Quiste de duplicación entérica como presentación poco frecuente de abdomen agudo en adulto.
    MeSH term(s) Adult ; Humans ; Abdomen, Acute/etiology ; Cysts/complications ; Cysts/diagnostic imaging ; Cysts/surgery ; Digestive System Abnormalities ; Intestines ; Intestinal Diseases
    Language Spanish
    Publishing date 2023-04-19
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/j.gastrohep.2023.04.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Heterogeneity of Hepatocellular Carcinoma on Imaging

    Rimola, Jordi

    Seminars in Liver Disease

    2019  Volume 40, Issue 01, Page(s) 61–69

    Abstract: Tumor heterogeneity in hepatocellular carcinomas (HCC) occurs at different levels. On conventional imaging modalities, the spectrum of tumor heterogeneity is evident in the dynamic enhancement pattern, where the characteristic wash-in and wash-out is ... ...

    Abstract Tumor heterogeneity in hepatocellular carcinomas (HCC) occurs at different levels. On conventional imaging modalities, the spectrum of tumor heterogeneity is evident in the dynamic enhancement pattern, where the characteristic wash-in and wash-out is present in only 60% of small HCCs. In larger HCCs, heterogeneity within the tumor, known as the mosaic pattern, can reflect the presence of different grades of HCC differentiation. The advent of functional imaging techniques has not improved the diagnostic sensitivity of imaging techniques for the diagnosis of HCC. However, the combination of conventional and functional imaging techniques potentially allows the identification of heterogeneity in tumor vascularity, cellularity, and molecular expression.
    Keywords hepatocellular carcinoma ; liver ; magnetic resonance imaging ; contrast media ; heterogeneity
    Language English
    Publishing date 2019-07-02
    Publisher Thieme Medical Publishers
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 603177-8
    ISSN 1098-8971 ; 0272-8087
    ISSN (online) 1098-8971
    ISSN 0272-8087
    DOI 10.1055/s-0039-1693512
    Database Thieme publisher's database

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  9. Article: Role of Intestinal Ultrasound in the Management of Patients with Inflammatory Bowel Disease.

    Jauregui-Amezaga, Aranzazu / Rimola, Jordi

    Life (Basel, Switzerland)

    2021  Volume 11, Issue 7

    Abstract: Intestinal ultrasound (IUS) has gained popularity as a first line technique for the diagnosis and monitoring of patients with inflammatory bowel diseases (IBD) due to its many advantages. It is a non-invasive imaging technique with non-ionizing radiation ...

    Abstract Intestinal ultrasound (IUS) has gained popularity as a first line technique for the diagnosis and monitoring of patients with inflammatory bowel diseases (IBD) due to its many advantages. It is a non-invasive imaging technique with non-ionizing radiation exposure. It can be easily performed not only by radiologists but also by trained gastroenterologists at outpatient clinics. In addition, the cost of IUS equipment is low when compared with other imaging techniques. IUS is an accurate technique to detect inflammatory lesions and complications in the bowel in patients with suspected or already known Crohn's disease (CD). Recent evidence indicates that IUS is a convenient and accurate technique to assess extension and activity in the colon in patients with ulcerative colitis (UC), and can be a non-invasive alternative to endoscopy. In patients with IBD, several non-specific pathological ultrasonographic signs can be identified: bowel wall thickening, alteration of the bowel wall echo-pattern, loss of bowel stratification, increased vascularization, decreased bowel peristalsis, fibro-fatty proliferation, enlarged lymph nodes, and/or abdominal free fluid. Considering the transmural CD inflammation, CD complications such as presence of strictures, fistulae, or abscesses can be detected. In patients with UC, where inflammation is limited to mucosa, luminal inflammatory ultrasonographic changes are similar to those of CD. As the technique is related to the operator's experience, adequate IUS training, performance in daily practice, and a generalized use of standardized parameters will help to increase its reproducibility.
    Language English
    Publishing date 2021-06-23
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662250-6
    ISSN 2075-1729
    ISSN 2075-1729
    DOI 10.3390/life11070603
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Differentiation of fibrotic and inflammatory component of Crohn's disease-associated strictures.

    Rimola, Jordi / Capozzi, Nunzia

    Intestinal research

    2020  Volume 18, Issue 2, Page(s) 144–150

    Abstract: Patients with Crohn's disease (CD) commonly develop bowel strictures, which may contain various degrees of inflammation and fibrosis. While predominantly inflammatory strictures may benefit from a medical anti-inflammatory treatment approach, fibrotic ... ...

    Abstract Patients with Crohn's disease (CD) commonly develop bowel strictures, which may contain various degrees of inflammation and fibrosis. While predominantly inflammatory strictures may benefit from a medical anti-inflammatory treatment approach, fibrotic strictures would require endoscopic balloon dilation or surgery. Cross-sectional imaging surpasses endoscopy for characterization of stenotic segments and potentially may contribute to the optimal clinical management of these patients. This short review aims to discuss the potentialities and limitations of cross-sectional imaging techniques for assessing bowel fibrosis in patients with CD.
    Language English
    Publishing date 2020-04-20
    Publishing country Korea (South)
    Document type Journal Article ; Review
    ZDB-ID 3018469-1
    ISSN 2288-1956 ; 1598-9100
    ISSN (online) 2288-1956
    ISSN 1598-9100
    DOI 10.5217/ir.2020.00015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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