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Fortschritte in der Diagnostik anorektaler Erkrankungen

Teil II: Radiologische Verfahren

Progress in diagnostics of anorectal disorders

Part II: radiology

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Zusammenfassung

Diagnostik und Therapie von Erkrankungen des Anorektums sind eine Domäne der Chirurgie. In enger interdisziplinärer Zusammenarbeit mit Radiologie und Gastroenterologie, Urologie und Gynäkologie sowie Dermatologie und klinischer Psychologie kommt der Radiologie zunehmend Bedeutung zu. Das genaue Verständnis der strukturellen und funktionellen Anatomie bilden die Basis des weiteren therapeutischen Vorgehens. Hierzu hat die Radiologie entscheidenden Beitrag geleistet. Weiterentwicklungen im Bereich der bildgebenden Verfahren haben insbesondere mit der Entwicklung dynamischer Magnetresonanztomographie (MRT)-Untersuchungen zu einem besseren Verständnis der komplexen Funktionsstörungen des Beckenbodens beigetragen. Die Kombination von nanotechnologischen Verfahren und verbesserter Bildauflösung ermöglichen insbesondere beim Rektumkarzinom präzises Staging. Darüber hinaus könnten in naher Zukunft Fortschritte im Bereich der virtuellen Koloskopie die Ausweitung von Screeninguntersuchungen zur Diagnostik kolorektaler Neoplasien ermöglichen.

Abstract

Diagnostics and therapy of anorectal disorders remain a surgical question. In close cooperation between different departments (radiology and gastroenterology, urology and gynecology, dermatology and psychology), the role of radiologic imaging is of growing importance. Exact knowledge of functional anatomy and precise clinical examination constitute the basis of the according therapeutic strategies. In this context radiology has contributed decisively. Developments in imaging techniques, e.g. dynamic MRI, highly contributed to better understanding of complex functional pelvic floor disorders. The combination of nanotechnology and high-resolution imaging allows precise staging, especially in rectal cancer. Furthermore, advances in virtual colonoscopy could lead to widely acceptable and patient-friendly screening for colorectal malignancies.

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Authors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburgerallee 160, 23538, Lübeck, Deutschland

    F.G. Bader, R. Bouchard, R. Keller, L. Mirow, R. Czymek, J.K. Habermann, H.-P. Bruch &  U.J. Roblick

  2. Karolinska Institutet, Karolinska Biomics Centre, Stockholm, Schweden

    F.G. Bader

  3. Klinik für Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland

    A. Lubienski

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  1. F.G. Bader
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  2. R. Bouchard
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  4. R. Keller
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Correspondence to U.J. Roblick.

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Bader, F., Bouchard, R., Lubienski, A. et al. Fortschritte in der Diagnostik anorektaler Erkrankungen. Chirurg 79, 410–417 (2008). https://doi.org/10.1007/s00104-008-1544-4

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