Radiologie München

Category: Allgemein

Fußball-EM in München

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Radiologie München fiebert mit
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Unsere Radiologie München an der Säbener Straße gehört in der bayrischen Landeshauptstadt zu den Topadressen in puncto Kernspin-Tomographien. Insbesondere die Profis vom FC Bayern gehören zu den prominenten Patienten. Der sportmedizinische Bereich ist, verständlicherweise, einer der wichtigsten Zweige dieser Teilpraxis. Prof. Dr. med. Martin Mack hat mit seiner jahrzehntelangen Erfahrung in der Diagnostik von Verletzungen und Erkrankungen durch MRT, CT oder anderer diagnostischer Methoden einen herausragenden Ruf.

Für die Euro 2020 – der ein Jahr verspäteten gesamteuropäischen Kontinentalmeisterschaft der Fußballer – fiebert das Team von der Säbener Straße besonders mit. Für die Deutsche Röntgengesellschaft hat Prof. Mack ein interessantes Interview zum Einfluss der Radiologie auf den Erhalt der Leistungsfähigkeit von Spitzensportlern gegeben.

Darin geht er unter anderem auch auf die Möglichkeiten der Kernspin-Diagnostik im Hochleistungsbereich ein.

Bei einer zusätzlichen Belastung durch verengte Spielpläne, dank Corona ja mittlerweile fast eine Normalität, und ein großes internationales Turnier, vermehrt sich die Anfälligkeit der Bundesligaspieler erheblich.

Fußball ist, so Prof. Mack, „ein sehr schneller Sport geworden, der sehr körperbetont im Zweikampf ist und zumindest im Profifußballbereich eine hohe Anzahl an Spielen hat.“ Natürlich zählt das auch für andere Ballsportler, wie etwa die Basketballer oder Handballer.

Muskel- und Sehnenverletzungen sind dabei die wahrscheinlichsten Verletzungsbilder. Mittels einer Kernspin-Untersuchung lassen sich danach sehr schnell Ausmaß, genauer Ort und auch die innere Struktur von Muskelverletzungen analysieren. Dadurch lassen sich die notwendigen Therapien sehr gezielt und damit hochwirksam einsetzen. Verkürzte Genesungszeiten und schnelleres Erreichen des Ausgangsniveaus sind die logische Folge.

Durch die Beobachtung der Heilungsfortschritte mittels regelmäßiger MRT-Untersuchungen kann auch der bestmögliche Trainings- und Wettkampf-Restart festgelegt werden. Natürlich hofft das Team an der Säbener Straße, dass es in den Europameisterschaftsspielen in den kommenden Tagen hier in München nicht zu irgendwelchen Verletzungen kommt. Prof. Dr. Mack sieht, genauso wie die anderen Spezialisten der Radiologie, lieber ein gutes Fußballspiel – bestenfalls mit einer gut spielenden deutschen Mannschaft. Wir hoffen auf den vierten Titel bei einer EURO. Auf denn!

Das ganze Interview finden Sie übrigens hier, bei der Deutschen Röntgengesellschaft: https://www.drg.de/de-DE/9047/interview-radiologie-und-fussball/
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17.06.2021
Einzigartig in Bayern: Schonende Brustkrebsbestrahlung in Bauchlage

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An unserem Strahlentherapie-Standort am Maximiliansplatz steht ab sofort ein neues Bestrahlungssystem für Brustkrebs-Patientinnen zur Verfügung, das bislang in nur vier Strahlentherapiezentren in Deutschland eingesetzt wird.
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30.04.2021
Fusion Strahlentherapie Schwabing

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Sehr geehrte Kolleginnen und Kollegen, sehr verehrte Patientinnen und Patienten,

wir freuen uns sehr Ihnen mitteilen zu dürfen, dass wir seit dem 01.01.2021 mit der Strahlentherapie Schwabing fusioniert haben. Was bedeutet diese Fusion für Sie und für uns:

1. Durch diesen Zusammenschluss haben wir insbesondere unser onkologisches Spektrum erweitern können und bieten Ihnen ab sofort auch die Brachytherapie an.

2. Darüber hinaus gibt es auf Grund der Anbindung an das Klinikum Schwabing nun auch die Möglichkeit, die Strahlentherapie unter stationären Bedingungen durchzuführen, sofern dieses gewünscht oder unter der Therapie notwendig sein sollte.
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3. Patientinnen und Patienten mit bösartigen Tumorerkrankungen, aber auch mit gutartigen/orthopädischen Strahlentherapieindikationen (z.B. Arthrose, Fersensporn, Tennisellenbogen) können für die Therapie nun zwischen zwei Standorten (Maximiliansplatz oder Schwabing) wählen.

Wir freuen uns auf die kommende Zusammenarbeit an unserem neuen Standort mit Ihnen!
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02.02.2021
Prof. Dr. A. Graser zum Thema: Biopsien reduzieren und Diagnosegenauigkeit erhöhen: Multiparametrisches MRT der Prostata

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Mit der multiparametrischen Magnetresonanztomografie der Prostata nimmt die Radiologie in der Prostatakarzinomdiagnostik eine immer wichtigere Rolle ein. In diesem Beitrag werden die technischen Grundlagen und die wissenschaftliche Evidenz dieser Technik vermittelt und anhand zweier repräsentativer klinischer Fallbeispiele veranschaulicht.
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27.01.2021
Wachsmann-Innovations-Preis an Prof. Mack

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Bereits zum 4. Mal erhält Prof. Mack den Wachsmann-Innovations-Preis. In diesem Jahr insbesondere durch sein unermüdliches Engagement im Rahmen des RÖKO DIGITAL. Herzlichen Glückwunsch!
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18.12.2020
Paros-Studie zum Prostatakarzinom
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Zusammenfassung der Studienziele

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Primärer Endpunkt

Verbesserte QoL bezüglich Rektum-assoziierter Symptome durch die Verwendung einer hypofraktionierten Protonen-RT (QLQ PR 25); Differenz 12 Wochen – Baseline. Die Studie ist eine multizentrische, prospektive, dreiarmige Phase-III-Studie.
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Sekundäre Endpunkte
- Nicht-Unterlegenheit hinsichtlich bPFS der hypofraktionierten Therapiearme im Vgl. zum Standardarm nach 5 Jahren
- OS nach 5 Jahren
- Allgemeine Lebensqualität (EORTC QLQ C30) nach 2 und 5 Jahren
- Toxizität (CTCAE Version 5.0) nach 2 und 5 Jahren
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Ablauf und Teilnahmevoraussetzungen

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Die PAROS-Studie ist eine Phase III Studie, die insgesamt 897 Patienten an mehrere Zentren in Deutschland einschließen wird. Allen Patienten mit Prostatakarzinomen, bei denen eine Bestrahlung nach erfolgter Operation des Prostatakarzinoms notwendig ist und die gleichzeitig die Studienkriterien erfüllen, wird eine Studienteilnahme angeboten. Unsere Praxis wird Patienten im Münchener Raum rekrutieren, die Koordination der Studie läuft über die Abteilung für Strahlentherapie und Radioonkologie des Universitätsklinikums Heidelberg.

Im Rahmen der PAROS-Studie sollen drei verschiedene Radiotherapieansätze direkt miteinander verglichen werden. Hierbei variieren sowohl die Bestrahlungsdauer (19 oder 35 Bestrahlungstage), die Bestrahlungsdosis pro Tag (2 Gy oder 3 Gy), als auch die Bestrahlungsart (Photonen (Röntgenstrahlen) oder Protonen (Wasserstoffionen)). Die sog. biologische, also wirksame Strahlendosis, welche am Ende im Gewebe ankommt unterscheidet sich jedoch gemäß strahlenbiologischer Rechenmodelle nicht. Im Einzelnen handelt es sich um folgende drei mögliche Therapiearme:
- Die leitlinien-gerechte Standardbehandlung mit 35 Bestrahlungstagen mit Photonen in moderner IMRT (intensitätsmodulierte Radiotherapie) Technik = Arm 1
- Eine verkürzter Gesamtbehandlungszeit mit 19 Bestrahlungstagen mit Photonen in moderner IMRT Technik = Arm 2
- Eine verkürzter Gesamtbehandlungszeit mit 19 Bestrahlungstagen mit Protonen = Arm 3
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Vorherige Arbeiten am Universitätsklinikum Heidelberg konnten bereits in einarmigen Studien zeigen, dass eine Verkürzung der Bestrahlungszeit über 3,5 Wochen mittels Photonen (PRIAMOS-Studie, 18 Bestrahlungstage) oder auch Protonen (PROLOG-Studie, 18 Bestrahlungstage) hinsichtlich der Erfolgsrate und Nebenwirkungsrate vergleichbar ist. Ziel der Studie ist es, Lebensqualität, Effektivität und Nebenwirkungsraten zu vergleichen.

Die Bestrahlung mit Photonen (Arme 1 und 2) würde in unserer Praxis am Maximiliansplatz in München stattfinden. Die Protonenbestrahlung (Arm 3) würde im Heidelberger IonenTherapiezentrum (HIT) erfolgen.

Sollten Sie Interesse an der Teilnahme dieser Studie haben, können Sie sich gerne einen Termin für ein Beratungsgespräch unter 089-552528-50 vereinbaren.
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Einschlusskriterien

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- Histologisch gesichertes Prostatakarzinom mit feingeweblicher Einteilung gemäß Gleason-Score und vorliegendem PSA-Wert
- Indikation zur Bestrahlung der Prostataloge (adjuvant/ Salvage) nach erfolgter Prostatektomie
- Karnofsky-Index ≥ 70%
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- Alter ≥ 18 Jahren
- Durchgeführte Patientenaufklärung und schriftliche Einwilligung
- Einwilligungsfähigkeit des Patienten
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Ausschlusskriterien

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- Antihormonelle Therapie
- Lymphogene Metastasierung – makroskopischer Tumor / R2
- Stadium IV (Fernmetastasen) – vorangegangene Strahlentherapie im Becken
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- Hüft-TEP
- Gleichzeitige Teilnahme an einer anderen klinischen Studie, die die Ergebnisse der jeweiligen Studie beeinflussen könnte
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Weiterführende Informationen

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01.12.2020
French-Open Sieger Krawietz im Interview mit SkySports

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Das Tennis-Doppel Krawietz und Mies verteidigt den French-Open-Titel von 2019 – sensationell und als erstes deutsches Doppelpaar.
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01.10.2020
mpMRT der Prostata: Höchste in Deutschland erreichbare Qualifikationsstufe für die Experten Prof. Graser und Prof. Vogt

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Seit Juni 2020 verfügen unsere beiden Experten für die multiparametrische MRT der Prostata (mpMR-Prostatographie) über das Q2-Zertifikat der Deutschen Röntgengesellschaft. Voraussetzung für den Erwerb dieser höchsten in Deutschland vergebenen Qualifikationsstufe ist die Durchführung von mehr als 500 Prostata-MRTs sowie der Nachweis von mindestens 50 gesicherten Prostatakarzinomen; daneben müssen zahlreiche Fortbildungen zum Thema besucht worden sein, bei denen 25 CME-Punkte erworben wurden.
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Mit aktuell 1.500 jährlichen Untersuchungen und wöchentlichen gemeinsamen Fallbesprechungen mit urologischen Kollegen zeigt die Radiologie München höchste Kompetenz auf dem Gebiet der Prostata-MRT.
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10.06.2020
Radiologe zur Corona-Lunge: ″Für den Patienten ist das wie innerliches Ertrinken”

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29.04.2020
Möglichkeiten und Grenzen der Bildgebung bei Stressfrakturen

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28.04.2020