Imaging
Osler-Weber-Rendu Disease
- Preliminary Diagnosis: Osler-Weber-Rendu Disease
-
I. What imaging technique is first-line for this diagnosis
- II. Describe the advantages and disadvantages of this technique for diagnosis of Osler-Weber-Rendu disease.
-
III. What are the contraindications for the first-line imaging technique?
-
IV. What alternative imaging techniques are available?
- V. Describe the advantages and disadvantages of the alternative techniques for diagnosis Osler-Weber-Rendu disease.
- VI. What are the contraindications for the alternative imaging techniques?
Preliminary Diagnosis: Osler-Weber-Rendu Disease
I. What imaging technique is first-line for this diagnosis
Plain radiography.
II. Describe the advantages and disadvantages of this technique for diagnosis of Osler-Weber-Rendu disease.
Advantages
Quick and relatively inexpensive imaging modality
Exposes patients to minimal ionizing radiation
Disadvantages
Poorly sensitive and specific in detailing and characterizing any potential hereditary hemorrhagic telangiectatic lesions
Does not offer exquisite visualization and evaluation of the surrounding soft tissues and osseous structures
Unable to guide treatment and therapy
III. What are the contraindications for the first-line imaging technique?
No specific contraindications to plain radiography exist. Some institutions may require consent for pregnant women.
IV. What alternative imaging techniques are available?
CT of the area of interest
Catheter angiography
V. Describe the advantages and disadvantages of the alternative techniques for diagnosis Osler-Weber-Rendu disease.
CT of the area of interest
Advantages
Offers exquisite visualization of the surrounding soft tissues, vascular structures, and osseous structures
May guide treatment
Relatively quick imaging modality
Highly sensitive and specific in detecting, diagnosing, and characterizing potential lesions
Disadvantages
Exposes patients to ionizing radiation.
Catheter angiography
Advantages
Gold standard in diagnosing and treating patients with Osler-Weber-Rendu disease
Highly sensitive and specific in detecting and characterizing telangiectatic lesions
Disadvantages
Invasive procedure and exposes patients to the risks of an invasive procedure
May expose patients to large amounts of ionizing radiation
VI. What are the contraindications for the alternative imaging techniques?
CT of the area of interest
May be contraindicated in pregnant patients
Catheter angiography
May be contraindicated in pregnant patients and those in a hypocoagulable state
Copyright © 2017, 2014 Decision Support in Medicine, LLC. All rights reserved.
No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
Clinical Pain Advisor Articles
- Cannabis May Be Effective for Migraine Treatment
- Replacing Sleep, Sedentary Behavior With Physical Activity Beneficial in Knee Osteoarthritis
- Medicinal Cannabis May Not Have Opioid-Sparing Effects in Chronic Noncancer Pain
- Depression May Partially Mediate the Relationship Between PTSD and Opioid Misuse
- Galcanezumab May Result in Functional Improvements in Migraine
- Ketamine: Mechanisms of Action, Uses in Pain Medicine, and Side Effects
- Cannabis May Be Effective for Migraine Treatment
- Medicinal Cannabis May Not Have Opioid-Sparing Effects in Chronic Noncancer Pain
- Integrating Psychological Interventions Into Chronic Pain Management
- Leveraging the Placebo Effect to Reduce Opioid Requirements
- Investigational Treatment Shows Promise in Chronic Low Back Pain
- Rheumatologist-Assessed vs Criteria for Inflammatory Back Pain in Psoriatic Arthritis
- Incorporating Guidelines Into Clinical Practice: An Interview With Gary L. LeRoy, MD
- Pain Severity May Partly Mediate the Association Between Depression and Physical Performance in Knee OA
- Rates of Concurrent Opioid, Sedative-Hypnotic Prescription Fills in Veterans
