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Bolado, M. Victoria Bárcena, José Luis del Cura, Olatz Gorriño, Domingo Grande" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Ana G." "apellidos" => "Bolado" ] 1 => array:2 [ "nombre" => "M. Victoria" "apellidos" => "Bárcena" ] 2 => array:2 [ "nombre" => "José" "apellidos" => "Luis del Cura" ] 3 => array:2 [ "nombre" => "Olatz" "apellidos" => "Gorriño" ] 4 => array:2 [ "nombre" => "Domingo" "apellidos" => "Grande" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833803779053?idApp=UINPBA00004N" "url" => "/00338338/0000004500000005/v1_201307311045/S0033833803779053/v1_201307311045/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S003383380377903X" "issn" => "00338338" "doi" => "10.1016/S0033-8338(03)77903-X" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "77903" "copyright" => "Sociedad Española de Radiología Médica (SERAM) and Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "err" "cita" => "Radiologia. 2003;45:206" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2542 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 1708 "PDF" => 825 ] ] "es" => array:6 [ "idiomaDefecto" => true "titulo" => "Fe de erratas" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "206" ] ] "contienePdf" => array:1 [ "es" => true ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S003383380377903X?idApp=UINPBA00004N" "url" => "/00338338/0000004500000005/v1_201307311045/S003383380377903X/v1_201307311045/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Experiencia clínica inicial en la estadificación del mieloma múltiple mediante técnicas de resonancia de todo el cuerpo<a class="elsevierStyleCrossRef" href="#fn0005">*</a>" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "207" "paginaFinal" => "212" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José Ignacio Gallego, Sergio Alonso, Federico Manzi, Luis Concepción, Blanca Sánchez" "autores" => array:5 [ 0 => array:4 [ "nombre" => "José Ignacio" "apellidos" => "Gallego" "email" => array:1 [ 0 => "jigl8@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">†</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Sergio" "apellidos" => "Alonso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Federico" "apellidos" => "Manzi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Luis" "apellidos" => "Concepción" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Blanca" "apellidos" => "Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico. Hospital General Universitario de Alicante. Alicante. España." "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de resonancia magnética. Hospital General Universitario de Alicante. Alicante. España." "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Hematología. Hospital General Universitario de Alicante. Alicante. España." "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "†" "correspondencia" => "JOSÉ IGNACIO GALLEGO. Servicio de Radiodiagnóstico. Hospital General Universitario de Alicante. C/ Maestro Alonso, 109. 03016 Alicante. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Initial Clinical Experience in Multiple Myeloma Staging by Means of Whole-Body Resonance Techniques" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-10-30" "fechaAceptado" => "2003-07-16" "PalabrasClave" => array:1 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec227260" "palabras" => array:3 [ 0 => "Myeloma" 1 => "Staging" 2 => "Resonance" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec227261" "palabras" => array:3 [ 0 => "Mieloma" 1 => "Estadificación" 2 => "Resonancia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Desarrollar una técnica de exploración de resonancia magnética (RM) equivalente a la serie ósea radiológica (SOR) y com-parar su precisión en la estadificación de pacientes con mieloma múlti-ple (MM).</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se desarrollaron secuencias TSE T1 Y STIR en plano coronal con adquisición múltiple. Se incluyeron 10 volunta-rios sanos y 11 pacientes con diagnóstico de mieloma múltiple. Se comprobó la visualización de estructuras óseas en el estudio, con especial referencia a las que se incluirían en una SOR, y en el caso de los pacientes se comparó la capacidad diagnóstica de las secuencias de RM.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La RM visualizó un número significativamente mayor (p < 0,05) de elementos óseos que la SOR, gracias al desplazamiento secuencial de la mesa de exploración, abarcando al menos desde la ca-beza hasta el tercio proximal de las piernas. La resonancia magnética detectó a su vez un número significante mayor (p < 0,05) de lesiones y evidenció una mayor extensión de éstas, llegando incluso a suponer cambios de estadificación en el 18% de los pacientes.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La aplicación de técnicas de RM de todo el cuerpo en enfermos de mieloma múltiple es factible y prometedora clínica-mente. La RM resulta más sensible y específica para la evolución de las lesiones óseas en el MM que la SOR, constituyendo actualmente una alternativa a validar en grupos más numerosos de pacientes.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To develop a magnetic resonance (MR) exploratory technique equivalent to serial bone X-ray, and to compare their precision in the staging of multiple myeloma (MM) patients.</p> <span class="elsevierStyleSectionTitle">Materials and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Multiple acquisition T1-weighted TSE and STIR sequences in the coronal plane were performed. Ten healthy volunteers and 11 multiple myeloma diagnosed patients were included. The visualization of bony structures was particularly noted, with special attention given to those which would normally be included in a serial bone X-ray. In the case of the patients, a comparison was made between diagnostic capacities of the MR sequences.</p> <span class="elsevierStyleSectionTitle">ResultsM</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">R highlighted significantly more (p < 0.05) bony elements than did the serial bone X-ray. This was greatly due to a sequential displacement of the scanner bed, allowing for field-of-views which were minimally from head to third proximal of the leg. Magnetic resonance detected a significantly higher number (p < 0.05) of lesions. It was, in turn, capable of revealing greater lesion extensions, even to the point of implying staging classification changes in 18% of the patients</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The utilization of whole-body MR techniques in multiple myeloma patients is feasible and clinically beneficial. MR is both more sensitive and more specific than serial bone X-ray for evaluation of bony lesions in MM. It is currently serving as a valid alternative in a growing numbers of patients.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara">Gallego JI, Concepción L, Alonso S, et al. Experiencia clínica inicial en la esta-dificación del mieloma múltiple mediante técnicas de resonancia de todo el cuer-po. Radiología 2003;45(5):207-212.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A clinical sytem for multiple myeloma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Durie" 1 => "S. 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Laub" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.220.1.r01jn07252" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "2001" "volumen" => "220" "paginaInicial" => "252" "paginaFinal" => "256" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11426006" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00338338/0000004500000005/v1_201307311045/S0033833803779041/v1_201307311045/es/main.assets" "Apartado" => array:4 [ "identificador" => "8060" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00338338/0000004500000005/v1_201307311045/S0033833803779041/v1_201307311045/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833803779041?idApp=UINPBA00004N" ]
Journal Information
Experiencia clínica inicial en la estadificación del mieloma múltiple mediante técnicas de resonancia de todo el cuerpo*
Initial Clinical Experience in Multiple Myeloma Staging by Means of Whole-Body Resonance Techniques