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脂肪营养不良患者连续血糖监测仪的影像学表现。

Radiographic appearances of a continuous glucose monitor in a patient with lipodystrophy.

作者信息

Hanley Marion, Ryan David T, Kyle Eimear, Kavanagh Eoin C

机构信息

Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland.

出版信息

Radiol Case Rep. 2023 Jul 8;18(9):3287-3290. doi: 10.1016/j.radcr.2023.06.055. eCollection 2023 Sep.

DOI:10.1016/j.radcr.2023.06.055
PMID:37520385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10375375/
Abstract

We report the case of a 50-year old woman with a known history of lipodystrophy. A pelvic radiograph was taken for the investigation of right hip pain. The image shown demonstrates an indeterminate artefact projected over the right iliac fossa. A previous CT renal study was reviewed, demonstrating the same device in the subcutaneous tissues of the contralateral left lower quadrant which on close inspection was consistent with a continuous glucose monitoring device. Features of lipodystrophy were also noted on review of the CT imaging. Although many devices such as vagal stimulators and prosthetic valves are easily recognized by radiologists on radiographic images, they may be less familiar with devices such as continuous glucose monitors. The aim of this case report is to familiarize radiologists with the appearances of continuous glucose monitors to allow for effective reporting.

摘要

我们报告了一例有脂肪营养不良病史的50岁女性病例。因右髋疼痛进行了骨盆X线检查。所示图像显示右髂窝有一个不确定的伪影。回顾了之前的肾脏CT研究,发现在对侧左下腹的皮下组织中有相同的装置,仔细检查后发现与连续血糖监测装置一致。在回顾CT影像时也注意到了脂肪营养不良的特征。虽然许多装置,如迷走神经刺激器和人工瓣膜,放射科医生在X线影像上很容易识别,但他们可能对连续血糖监测装置等不太熟悉。本病例报告的目的是让放射科医生熟悉连续血糖监测装置的表现,以便进行有效的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727d/10375375/a9a47ec7162c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727d/10375375/ceb07e1967ff/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727d/10375375/6e334e744f84/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727d/10375375/a9a47ec7162c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727d/10375375/ceb07e1967ff/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727d/10375375/6e334e744f84/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727d/10375375/a9a47ec7162c/gr3.jpg

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本文引用的文献

1
Approach to the Patient With Lipodystrophy.脂代谢障碍患者处理方法。
J Clin Endocrinol Metab. 2022 May 17;107(6):1714-1726. doi: 10.1210/clinem/dgac079.
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The competitive athlete with type 1 diabetes.1 型糖尿病患者运动员
Diabetologia. 2020 Aug;63(8):1475-1490. doi: 10.1007/s00125-020-05183-8. Epub 2020 Jun 12.
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Accuracy and Precision of Continuous Glucose Monitoring in Hospitalized Patients Undergoing Radiology Procedures.接受放射学检查的住院患者连续血糖监测的准确性和精密度
J Diabetes Sci Technol. 2020 Nov;14(6):1135-1136. doi: 10.1177/1932296820930038. Epub 2020 Jun 1.
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Safety and Functional Integrity of Continuous Glucose Monitoring Components After Simulated Radiologic Procedures.模拟放射程序后连续血糖监测组件的安全性和功能完整性。
J Diabetes Sci Technol. 2021 Jul;15(4):781-785. doi: 10.1177/1932296820920948. Epub 2020 Apr 22.
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A history of continuous glucose monitors (CGMs) in self-monitoring of diabetes mellitus.糖尿病自我监测中持续葡萄糖监测仪(CGM)的使用史。
Diabetes Metab Syndr. 2018 Apr-Jun;12(2):181-187. doi: 10.1016/j.dsx.2017.09.005. Epub 2017 Sep 22.
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Lipodystrophy Syndromes.脂肪营养不良综合征。
Endocrinol Metab Clin North Am. 2016 Dec;45(4):783-797. doi: 10.1016/j.ecl.2016.06.012. Epub 2016 Oct 6.
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Skin and adhesive issues with continuous glucose monitors: a sticky situation.持续葡萄糖监测仪的皮肤与黏附问题:棘手的情况。
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Susceptibility of interstitial continuous glucose monitor performance to sleeping position.间质连续血糖监测性能对睡眠姿势的敏感性。
J Diabetes Sci Technol. 2013 Jul 1;7(4):863-70. doi: 10.1177/193229681300700408.
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Clinical review#: Lipodystrophies: genetic and acquired body fat disorders.临床综述#:脂肪营养不良症:遗传性和获得性体脂肪障碍。
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