{"id":6095,"date":"2015-06-18T14:12:31","date_gmt":"2015-06-18T13:12:31","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=6095"},"modified":"2026-01-03T01:58:05","modified_gmt":"2026-01-03T00:58:05","slug":"alternativ-till-mr-2","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/alternativ-till-mr-2","title":{"rendered":"Alternativ till MR"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" style=\"border: 0px none;\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"Fr\u00e5ga\" width=\"12\" height=\"13\" \/>Opererats med Sugitakl\u00e4mma mot aunerysm i hj\u00e4rna -87 p\u00e5 KS Solna. F\u00e5r inte r\u00f6ntga med MR kamera. Beh\u00f6ver r\u00f6ntga hypofys och binjurar. Ev Cushings. Vilken r\u00f6ntgen \u00e4r b\u00e4st d\u00e5 f\u00f6r mig.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" style=\"border: 0px none;\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"Svar\" width=\"12\" height=\"13\" \/>\u00c4ldre k\u00e4rlkl\u00e4mmor (clips) var av rostfritt st\u00e5l och dessa \u00e4r kontraindicerat f\u00f6r MR-unders\u00f6kningar. Detta ferromagnetiska metall riskerar att migrera (\u00e4ndra l\u00e4ge) samt att de blir n\u00e5gon eller n\u00e5gra grader varmare. Nutida k\u00e4rlclips \u00e4r av material som kobolt-krom, titan, mm. vilka klarar en MR-under\u00f6kning.<br \/>\nIdag g\u00f6rs MR-unders\u00f6kningar av hj\u00e4rnan trots ev. clips <em>om<\/em> dessa \u00e4r v\u00e4ldokumenterad i journalhandling och \u00e4r av r\u00e4tt material samt att en MR-unders\u00f6kning har en v\u00e4lgrundad indikation f\u00f6r patientens h\u00e4lsa..<br \/>\nI annat fall g\u00f6rs ingen MR.<\/p>\n<p>Det enda bilddiagnostiska alternativet till MR f\u00f6r att unders\u00f6ka hypofysen \u00e4r med datortomografi (CT\/r\u00f6ntgenstr\u00e5lar). Inget annat radiologiskt bildmedium ser in i skallen.<br \/>\nBinjurarna unders\u00f6ks med datortomografi (CT) som d\u00e5 oftast \u00e4ven inkluderar en bildserie med injektion av kontrastmedel. Binjurarna kan \u00e4ven enkelt unders\u00f6kas med ultraljud.<\/p>\n<p>Diagnosen Cushings syndrom som inneb\u00e4r ett \u00f6verskott av kortisol och ACTH-hormon i kroppen st\u00e4lls efter kliniska analyser och fynd. Man b\u00f6r f\u00f6rst utesluta om en stor anv\u00e4ndning av kortisonpreparat ligger bakom \u00f6verskottet.<br \/>\nR\u00f6ntgen sker f\u00f6rst i ett senare skede f\u00f6r att leta efter bakomliggande orsaker till detta \u00f6verskott av kortisol och \u00f6verproduktion\u00a0 ACTH.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" style=\"border: 0px none;\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"Svarat av\" width=\"12\" height=\"13\" \/>K.T. rtgssk<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Opererats med Sugitakl\u00e4mma mot aunerysm i hj\u00e4rna -87 p\u00e5 KS Solna. F\u00e5r inte [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[142,141,24],"class_list":["post-6095","post","type-post","status-publish","format-standard","hentry","category-ct","tag-ct","tag-mr","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6095","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=6095"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6095\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=6095"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=6095"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=6095"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}