{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T11:44:28Z","timestamp":1698493468361},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"45","license":[{"start":{"date-parts":[[2022,11,6]],"date-time":"2022-11-06T00:00:00Z","timestamp":1667692800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,11,6]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Az als\u00f3 v\u00e9gtagi ver\u0151\u00e9rbetegs\u00e9g (lower extremity\n                    arterial disease, LEAD) gyakran sz\u00f6v\u0151dik kr\u00f3nikus veseel\u00e9gtelens\u00e9ggel, \u00edgy az\n                    \u00e9rintett betegekn\u00e9l kiemelten fontos a nephroprotectiv k\u00e9palkot\u00f3 elj\u00e1r\u00e1sok\n                    alkalmaz\u00e1sa. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> C\u00e9lunk a kontrasztanyag n\u00e9lk\u00fcli\n                    \u201equiescent-interval single-shot\u201d m\u00e1gnesesrezonancia-angiogr\u00e1fia (QISS MRA) \u00e9s\n                    digit\u00e1lis szubtrakci\u00f3s angiogr\u00e1fia (DSA) diagnosztikus teljes\u00edtm\u00e9ny\u00e9nek\n                    \u00f6sszehasonl\u00edt\u00e1sa volt. <jats:italic>M\u00f3dszerek:<\/jats:italic> A LEAD-betegekn\u00e9l az elekt\u00edv,\n                    diagnosztikai c\u00e9l\u00fa DSA napja\u0301n QISS MRA vizsg\u00e1latot is v\u00e9gezt\u00fcnk. Egy 19\n                    szegmentumb\u00f3l \u00e1ll\u00f3 modell alapj\u00e1n \u00e9rt\u00e9kelt\u00fck a sz\u0171k\u00fclet m\u00e9rt\u00e9k\u00e9t (nincs\n                    sz\u0171k\u00fclet, &lt;50%, 50\u201370%, &gt;70%) \u00e9s a k\u00e9pmin\u0151s\u00e9get (5 pontos Likert-sk\u00e1la, 1:\n                    nem diagnosztikus, 5: kiv\u00e1l\u00f3 k\u00e9pmin\u0151s\u00e9g). A QISS MRA diagnosztikus\n                    teljes\u00edtm\u00e9ny\u00e9t az obstrukt\u00edv (&gt;70%) lumensz\u0171k\u00fcletre vonatkoztatva hat\u00e1roztuk\n                    meg, a DSA-t tekintve referenciastandardk\u00e9nt. A sz\u0171k\u00fcletek meg\u00edt\u00e9lhet\u0151s\u00e9g\u00e9nek\n                    interobszerver reproduk\u00e1lhat\u00f3s\u00e1g\u00e1t az \u2019intraclass\u2019 korrel\u00e1ci\u00f3s koefficiens (ICC)\n                    kisz\u00e1m\u00edt\u00e1s\u00e1val oszt\u00e1lyoztuk. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> 34 betegn\u00e9l 623\n                    szegmentumot \u00e9rt\u00e9kelt\u00fcnk a fenti szempontok szerint (10 n\u0151, \u00e1tlag\u00e9letkor: 67 \u00b1 9\n                    \u00e9v). A QISS MRA minden r\u00e9gi\u00f3ban legal\u00e1bb a DSA-val megegyez\u0151, j\u00f3 k\u00e9pmin\u0151s\u00e9get\n                    eredm\u00e9nyezett (minden r\u00e9gi\u00f3: 4 [4\u20135] <jats:italic>vs.<\/jats:italic> 4 [3\u20135];\n                    aortoiliacalis: 4 [4\u20134] <jats:italic>vs.<\/jats:italic> 4 [4\u20135]; femoropoplitealis: 4 [4\u20134]\n                        <jats:italic>vs.<\/jats:italic> 4 [4\u20135]; tibioperonealis: 4 [4\u20135] <jats:italic>vs.<\/jats:italic>\n                    3,5 [3\u20134]; minden esetben p\u22640,01). A QISS MRA \u00e9rt\u00e9kelhet\u0151s\u00e9ge az \u00f6sszes r\u00e9gi\u00f3ban\n                    fel\u00fclm\u00falta a DSA-t (99,0% <jats:italic>vs.<\/jats:italic> 96,1%, p&lt;0,001). A\n                    diagnosztikusan \u00e9rt\u00e9kelhetetlen szegmentumok sz\u00e1ma n\u00e9gyszer t\u00f6bb volt a DSA\n                    eset\u00e9ben, mint a QISS MRA-n\u00e1l (n = 24 <jats:italic>vs.<\/jats:italic> n = 6). A QISS MRA\n                    diagnosztikus pontoss\u00e1ga 91,3%, szenzitivit\u00e1sa 84,8%, specificit\u00e1sa 93,0%,\n                    pozit\u00edv predikt\u00edv \u00e9rt\u00e9ke 76,3%, negat\u00edv predikt\u00edv \u00e9rt\u00e9ke 95,8% volt. A sz\u0171k\u00fclet\n                    m\u00e9rt\u00e9k\u00e9nek interobszerver variabilit\u00e1sa az \u00f6sszes r\u00e9gi\u00f3ra vonatkoztatva 0,94\n                    volt a QISS MRA \u00e9s 0,88 a DSA eset\u00e9ben. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A QISS\n                    MRA megb\u00edzhat\u00f3 alternat\u00edv\u00e1nak bizonyult a DSA-val \u00f6sszehasonl\u00edtva az als\u00f3\n                    v\u00e9gtagi ver\u0151\u00e9rbetegs\u00e9g diagnosztik\u00e1j\u00e1ban. Orv Hetil. 2022; 163(45):\n                    1782\u20131788.<\/jats:p>","DOI":"10.1556\/650.2022.32624","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T05:11:47Z","timestamp":1668834707000},"page":"1782-1788","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["A kontrasztanyag n\u00e9lk\u00fcli m\u00e1gnesesrezonancia-angiogr\u00e1fia diagnosztikus teljes\u00edtm\u00e9nye als\u00f3 v\u00e9gtagi ver\u0151\u00e9rbetegekben"],"prefix":"10.1556","volume":"163","author":[{"given":"Georgina","family":"Juh\u00e1sz","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judit","family":"Cs\u0151re","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferenc Imre","family":"Suhai","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcell","family":"Gy\u00e1n\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"Pataki","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mil\u00e1n","family":"Vecsey-Nagy","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00e1niel","family":"P\u00e1l","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele Mariastefano","family":"Fontanini","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"B\u00e9rczi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Csobay-Nov\u00e1k","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"1329","DOI":"10.1016\/S0140-6736(13)61249-0","article-title":"Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis","volume":"382","author":"1 Fowkes","year":"2013","unstructured":"1 Fowkes FG, Rudan D, Rudan I, et al. 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[Az amput\u00e1ci\u00f3k ter\u00fcleti gyakoris\u00e1ga t\u00e1rsadalmi \u00e9s ell\u00e1t\u00f3rendszeri \u00f6sszef\u00fcgg\u00e9sben Magyarorsz\u00e1gon 2016-2017-ben.] Orv Hetil. 2020; 161: 747-755.","journal-title":"] Orv Hetil"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1148\/radiol.11101336","article-title":"Evaluation of peripheral arterial disease with nonenhanced quiescent-interval single-shot MR angiography","volume":"260","author":"11 Hodnett","year":"2011","unstructured":"11 Hodnett PA, Koktzoglou I, Davarpanah AH, et al. Evaluation of peripheral arterial disease with nonenhanced quiescent-interval single-shot MR angiography. 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