{"id":26307,"date":"2018-03-09T09:18:04","date_gmt":"2018-03-09T09:18:04","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-de-los-estudios-de-imagen-en-la-deteccion-de-enfermedad-meningea-secundaria-a-tumores-del-sistema-nervioso-central-tumores-solidos-extraneurales-y-tumores-hematologicos\/"},"modified":"2018-03-09T09:18:04","modified_gmt":"2018-03-09T09:18:04","slug":"valor-de-los-estudios-de-imagen-en-la-deteccion-de-enfermedad-meningea-secundaria-a-tumores-del-sistema-nervioso-central-tumores-solidos-extraneurales-y-tumores-hematologicos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/valor-de-los-estudios-de-imagen-en-la-deteccion-de-enfermedad-meningea-secundaria-a-tumores-del-sistema-nervioso-central-tumores-solidos-extraneurales-y-tumores-hematologicos\/","title":{"rendered":"Valor de los estudios de imagen en la deteccion de enfermedad meningea secundaria a tumores del sistema nervioso central, tumores solidos extraneurales y tumores hematologicos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Agustina Vicente Bartulos <\/strong><\/h2>\n<p>La meningitis carcinomatosa (mc) es la afectaci\u00f3n men\u00edngea secundaria a tumores de distintas categor\u00edas (sistema nervioso central, s\u00f3lidos extraneurales o hematol\u00f3gicos). Su incidencia est\u00e1 aumentando y tiene importante morbi-mortalidad. la presentaci\u00f3n cl\u00ednica es inespec\u00edfica y pleom\u00f3rfica y el diagn\u00f3stico es complejo. La sensibilidad de la citolog\u00eda del lcr var\u00eda seg\u00fan el tipo de afectaci\u00f3n (dural o leptomen\u00edngea, focal o difusa, lisa o nodular), oscilando entre el 50-80% (primera y m\u00faltiples punciones respectivamente). los estudios de neuroimagen (tc y rm) juegan un importante papel en el diagn\u00f3stico y en la elecci\u00f3n del tratamiento, que es paliativo y consiste en quimioterapia intratecal y radioterapia local, siendo la cirug\u00eda menos usada, aunque a veces curativa.  los objetivos del estudio fueron: 1\u00c2\u00ba conocer los hallazgos de imagen (en tc y rm) en la mc, 2\u00c2\u00ba valorar la eficacia de la rm en el diagn\u00f3stico de la diseminaci\u00f3n men\u00edngea, utilizando como control los resultados de la citolog\u00eda del lcr y\/o anatom\u00eda patol\u00f3gica, 3\u00c2\u00ba comparar la informaci\u00f3n aportada por la rm con la aportada por la tc y conocer el grado de concordancia entre ambas t\u00e9cnicas, 4\u00c2\u00ba valorar la especificidad de los hallazgos de la rm y 5\u00c2\u00ba establecer la importancia de la rm en la elecci\u00f3n del tipo y lugar de aplicaci\u00f3n del tratamiento.  se trata de un estudio de temporalidad mixta (1994-2002), con una b\u00fasqueda por doble v\u00eda (archivos de rm y de citolog\u00eda), incluy\u00e9ndose los enfermos con rm pre y postciv (con\/sin tc) confirmados con citolog\u00eda y\/o histolog\u00eda. la muestra fue de 652 sujetos, 184 con meningitis carcinomatosa confirmada.  las conclusiones obtenidas fueron:  1\u00aa. La rm post-contraste paramagn\u00e9tico endovenoso es la prueba ideal de imagen para el diagn\u00f3stico de la mc y alcanza una sensibilidad del 97.3%, especificidad del 94.2%, valor predictivo positivo del 86.9%, exactitud diagn\u00f3stica del 95% y cociente de probabil<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor de los estudios de imagen en la deteccion de enfermedad meningea secundaria a tumores del sistema nervioso central, tumores solidos extraneurales y tumores hematologicos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor de los estudios de imagen en la deteccion de enfermedad meningea secundaria a tumores del sistema nervioso central, tumores solidos extraneurales y tumores hematologicos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Agustina Vicente Bartulos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/10\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Martinez San Millan  Juan<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas Millan nu\u00f1ez cortes <\/li>\n<li>Luis Marti bonmati (vocal)<\/li>\n<li> Millan juncos Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>eduardo Fraile (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Agustina Vicente Bartulos La meningitis carcinomatosa (mc) es la afectaci\u00f3n men\u00edngea secundaria a tumores de distintas categor\u00edas [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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