{"id":5103,"date":"2015-12-18T10:20:23","date_gmt":"2015-12-18T10:20:23","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=5103"},"modified":"2016-01-15T13:02:04","modified_gmt":"2016-01-15T13:02:04","slug":"5103-2","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/5103-2\/","title":{"rendered":"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102"},"content":{"rendered":"<p style=\"text-align: justify\">Rolul rezonantei magnetice \u00een investigarea imagistic\u0103 a abdomenului a crescut considerabil \u00een ultima perioad\u0103. Avantajele majore ale IRM fa\u021b\u0103 de CT sunt date de caracterizarea mult mai bun\u0103 a leziunilor focale intraparenchimatoase \u0219i de lipsa iradierii (important\u0103 \u00een special pentru persoanele tinere, pentru femeile \u00eens\u0103rcinate \u0219i pentru persoanele ce necesit\u0103 investiga\u021bii imagistice seriate \u2013 monitorizarea bolii, \u00een special \u00een patologia oncologic\u0103).<\/p>\n<p style=\"text-align: justify\">IRM func\u021bional, prin secven\u021bele DWI (<em>Diffusion Weighted Imaging)<\/em> \u0219i DCE <em>(Dynamic Contrast Enhanced)<\/em>, permite detectarea tumorilor cu volum mic \u0219i a recuren\u021belor timpurii, care nu prezint\u0103 modific\u0103ri morfologice detectabile pe secven\u021bele conven\u021bionale.<\/p>\n<p style=\"text-align: justify\">DWI (<em>Diffusion Weighted Imaging) <\/em>&#8211; tehnic\u0103 func\u021bional\u0103 recent\u0103 IRM, care ofer\u0103 informa\u021bii despre celularitatea \u021besuturilor \u0219i despre integritatea membranelor celulare, joac\u0103 azi un rol din ce \u00een ce mai important \u00een imagistica oncologic\u0103. DWI investigheaz\u0103 difuzia apei la nivel celular, oferind informa\u021bii func\u0163ionale esen\u021biale despre \u021besuturi. DWI caracterizeaz\u0103 leziunile infracentimetrice \u0219i modific\u0103rile intraparenchimatoase, \u00eenainte ca acestea s\u0103 fie vizibile \u00een secven\u0163ele conven\u0163ionale (morfologice).<\/p>\n<p style=\"text-align: justify\">DWI ofer\u0103 evalu\u0103ri calitative \u015fi cantitative \u2013 coeficientul aparent de difuzie\u00a0 (ADC)<em> \u2013<\/em> utile \u00een diagnosticul diferen\u0163ial al leziunilor intraparenchimatoase. \u00cen compara\u021bie cu un chist, o tumor\u0103 va prezenta pe imaginile DWI o restric\u021bie de difuzie mai mare, deoarece membranele intacte ale celulelor tumorale \u00eempiedic\u0103 mi\u0219carea liber\u0103 a moleculelor de ap\u0103. Pe har\u021bile ADC, tumorile prezint\u0103 valori sc\u0103zute ale coeficientului \u0219i se eviden\u021biaz\u0103 ca arii de intensitate mai sc\u0103zut\u0103 a semnalului comparativ cu \u021besuturile normale.Valorile cantitative ale ADC pot ajuta la caracterizarea leziunilor \u0219i au aplica\u021bii \u00een evaluarea r\u0103spunsului la terapie. H\u0103r\u021bile ADC \u0219i imaginile DWI trebuie interpretate \u00eentotdeuna \u00een corela\u021bie cu imaginile anatomice IRM conven\u021bionale. Fuziunea dintre imaginile DWI si T2-WI este capabil\u0103 s\u0103 caracterizeze at\u00e2t tumorile maligne c\u00e2t \u0219i rela\u021biile anatomice de vecin\u0103tate.<\/p>\n<p style=\"text-align: justify\">DCE <em>(Dynamic Contrast Enhanced) <\/em>implic\u0103 achizi\u021bia de imagini secven\u021biale \u00een timpul trecerii agentului de contrast prin \u021besuturile de interes. Intensitatea capt\u0103rii agentului de contrast este corelat\u0103 cu densitatea vascular\u0103 din \u021besut, \u00een timp ce rata \u0219i wash-out-ul agentului de contrast este corelat\u0103 cu factori angiogenici precum densitatea capilar\u0103 \u0219i factorul de cre\u0219tere vascular\u0103 endotelial\u0103. Oferind informa\u021bii despre perfuzia tumoral\u0103 \u0219i permeabilitatea capilar\u0103, DCE are capacitatea de a caracteriza noninvaziv vasculariza\u021bia \u021besutului tumoral, inclusiv r\u0103spunsul la terapia antiangiogenic\u0103.<\/p>\n<p style=\"text-align: justify\"><strong>IRM\u00a0 hepatic<\/strong><\/p>\n<p style=\"text-align: justify\">IRM eviden\u021biaz\u0103 leziuni hepatice\u00a0 pe care CT sau ecografia nu le depisteaz\u0103, iar caracterizarea leziunilor este net superioar\u0103 prin rezonan\u021b\u0103 magnetic\u0103. Aceste avantaje, la care se adauga lipsa iradierii, fac din IRM tehnica de elec\u021bie pentru evaluarea imagistic\u0103 a patologiei hepatice.<\/p>\n<p style=\"text-align: justify\">Protocolul de achizi\u021bie IRM se poate completa cu angiografia RM arterial\u0103 \u0219i venos\u0103 abdominal\u0103, cu sau f\u0103r\u0103 substan\u021b\u0103 de contrast, pentru identificarea unor leziuni stenozante, tromboze, ocluzii, malforma\u021bii vasculare sau a unor semne de invazie vascular\u0103 tumoral\u0103.<\/p>\n<p style=\"text-align: justify\"><strong>Aplicatiile IRM \u00een patologia hepatic\u0103:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>depisteaz\u0103 \u0219i caracterizeaz\u0103 leziunile focale solide intrahepatice:leziuni primare (hiperplazia focal\u0103 nodular\u0103, adenom, hepatocarcinom, colangiocarcinom intrahepatic etc.) \u0219i leziuni secundare (metastaze cu diferite puncte de plecare);<\/li>\n<li>este util\u0103 \u00een evaluarea ficatului cirotic (aprecieri morfologice asupra ficatului);<\/li>\n<li>diferen\u021biaz\u0103 nodulii regenerativi hepatici de nodulii displazici;<\/li>\n<li>caracterizeaz\u0103, \u00een patologia hepatic\u0103 difuz\u0103, steatoza hepatic\u0103, hemosideroza \u0219i hemocromatoza;<\/li>\n<li>diferen\u021biaz\u0103 leziunile chistice hepatice: chiste simple, abcese, hamartoame biliare, determin\u0103ri secundare chistice;<\/li>\n<li>caracterizeaz\u0103 leziuni hepatice vasculare: \u0219unturi arterio-venoase, sindrom Budd Chiari, patologia venei porte.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>IRM \u00een patologia pancreatico-biliar\u0103<\/strong><strong>. <\/strong><\/p>\n<p style=\"text-align: justify\">\u00cen patologia<strong> tumoral\u0103 pancreatic\u0103, <\/strong>IRM aduce informa\u021bii suplimentare \u00een diagnosticul diferen\u021bial pancreatit\u0103 cronic\u0103 pseudotumoral\u0103 vs neoplasm pancreatic (tumori mucinoase papilare intraductale, adenocarcinoame pancreatice). IRM este util\u0103 pentru monitorizarea pacien\u021bilor trata\u021bi pentru neoplasme pancreatice \u0219i pentru detec\u021bia precoce a recidivei tumorale, a extensiei locoregionale sau la distan\u021b\u0103.<\/p>\n<p style=\"text-align: justify\">IRM are aplica\u021bii \u00een patologia malformativ\u0103 a pancreasului \u0219i a c\u0103ilor biliare hepatice \u0219i extrahepatice \u0219i \u00een patologia inflamatorie de tip colangitic. \u00cen cazul obstruc\u021biilor biliare, IRM este ulit \u00a0pentru determinarea naturii obstacolului, a localiz\u0103rii \u0219i a aspectului arborelui biliar \u00een aval \u0219i amonte de obstacol.<\/p>\n<p style=\"text-align: justify\"><strong>Secven\u021ba colangiopancreatografie IRM (MRCP)<\/strong><\/p>\n<p style=\"text-align: justify\">Unul dintre beneficiile majore al IRM \u00een explorarea imagistic\u0103 abdominal\u0103 este evaluarea patologiei biliare. ColangioRM este tehnica neinvaziv\u0103 de elec\u021bie \u00een explorarea arborelui biliar (intra- \u0219i extrahepatic) \u0219i a ductului pancreatic. Este superior CT \u00een evaluarea neoplasmelor pancreatice chistice, deoarece eviden\u021biaz\u0103 prezen\u021ba\/absen\u021ba comunic\u0103rii cu ductul pancreatic principal \u0219i este util\u0103 \u00een alegerea tratamentului specific fiec\u0103rui tip de tumor\u0103 \u00een parte.<\/p>\n<p style=\"text-align: justify\">Rezultatele ob\u021binute sunt comparabile cu ERCP (tehnic\u0103 invaziv\u0103 cu rezolu\u021bie spa\u021bial\u0103 \u00eenalt\u0103). Avantajele colangioRM fa\u021b\u0103 de ERCP sunt reprezentate de lipsa manipularii endoscopice, de lipsa iradierii, de faptul c\u0103 nu necesit\u0103 administrare de substan\u021b\u0103 de contrast \u0219i de lipsa complica\u021biilor iatrogene (5% post ERCP, cea mai frecvent\u0103 fiind pancreatita).<\/p>\n<p style=\"text-align: justify\"><strong>IRM \u00een patologia suprarenal\u0103<\/strong><\/p>\n<p style=\"text-align: justify\">Informatiile aduse de IRM\u00a0 sunt superioare celor ob\u021binute prin tomografia computerizat\u0103. Rezonan\u021ba magnetic\u0103 diferen\u021biaz\u0103 mai u\u0219or dec\u00e2t CT leziunile benigne suprarenaliene (adenom) de cele maligne primare sau secundare. IRM depisteaz\u0103 gr\u0103simea intralezional\u0103, tipic\u0103 pentru adenom, prin folosirea secven\u021belor \u00een pondera\u021bie T1 (in phase\/out of phase). De multe ori nu mai este nevoie de administrarea substan\u021bei de contrast i.v..<\/p>\n<p style=\"text-align: justify\"><strong>IRM \u00een patologia renal\u0103<\/strong><\/p>\n<p style=\"text-align: justify\">Este o metod\u0103 neinvaziv\u0103 de vizualizare a \u00eentregului aparat excretor (rinichi, uretere, vezic\u0103 urinar\u0103). At\u00e2t IRM c\u00e2t \u0219i CT pot caracteriza corespunz\u0103tor patologia tumoral\u0103 \u0219i infec\u021bioas\u0103 renal\u0103. Odat\u0103 cu introducerea urografiei RM se poate evalua \u0219i patologia sistemului excretor renal. CT este superioar\u0103 IRM \u00een depistarea litiazei renale \u0219i ureterale. Rezonan\u021ba magnetic\u0103 este util\u0103 \u00een caracterizarea unor leziuni cu caracter incert la CT- leziuni mici (sub 1 cm) a c\u0103ror\u00a0 iodofilie este dificil de apreciat tomografic \u0219i \u00een diferen\u021bierea unui chist complicat (hemoragic, infec\u021bios) de o leziune solid\u0103 renal\u0103. IRM permite o analiz\u0103 morfologic\u0103 \u0219i func\u021bional\u0103 net superioar\u0103 urografiei conven\u021bionale;<\/p>\n<p style=\"text-align: justify\"><strong>IRM \u00een patologia prostatei<\/strong><\/p>\n<p style=\"text-align: justify\">Prostata prezint\u0103 de multe ori la v\u00e2rstnici un aspect heterogen al glandei centrale (datorit\u0103 hiperplaziei benigne \u0219i\/sau modific\u0103rilor inflamatorii) care face dificil\u0103 detec\u021bia precoce a leziunilor maligne prin examinarea ecografic\u0103. IRM aduce informa\u021bii suplimentare ecografiei prin capacitatea excelent\u0103 de vizualizare a arhitecturii zonale prostatice \u0219i a leziunilor de mici dimensiuni.<\/p>\n<p style=\"text-align: justify\">Protocoale IRM de prostat\u0103 multiparametrice permit evaluarea:<\/p>\n<ul style=\"text-align: justify\">\n<li>morfologiei (imagini T2 ponderate),<\/li>\n<li>perfuziei lezionale (IRM cu contrast dinamic),<\/li>\n<li>densit\u0103\u021bii tisulare (difuzia RM cu evaluarea h\u0103r\u021bii ADC),<\/li>\n<li>metabolismului (spectroscopia RM).<\/li>\n<\/ul>\n<p style=\"text-align: justify\">IRM permite caracterizarea de fine\u021be a leziunilor prostatice conform unei scale de gradare de la benign la malign, cu impact \u00een decizia terapeutic\u0103 (monitorizare, radioterapie, interven\u021bie chirurgical\u0103).<\/p>\n<p style=\"text-align: justify\">IRM este metoda imagistic\u0103 cu cea mai mare sensibilitate \u00een evaluarea extensiei locale a tumorii (informa\u021bie necesar\u0103 pentru planning-ul terapeutic).<\/p>\n<p style=\"text-align: justify\">IRM permite localizarea leziunilor suspecte \u0219i ghidarea biopsiei \u00een arii mai dificil de abordat pe cale intrarectal\u0103 (cancere inferioare, cancere ventrale).<\/p>\n<p style=\"text-align: justify\"><strong>IRM testicular<\/strong> permite caracterizarea suplimentar\u0103 a leziunilor testiculare \u0219i scrotale decelate \u00een examinarea ecografic\u0103 \u0219i evaluarea tumorilor testiculare \u0219i a gradului de diseminare local\u0103 sau la distan\u021b\u0103 \u00een momentul diagnosticului, cu impact \u00een alegerea tratamentului oncologic adecvat pentru pacient.Este util\u0103 \u00een monitorizarea posttratament a tumorilor testiculare \u0219i permite detectarea precoce a recidivelor tumorale.<\/p>\n<p style=\"text-align: justify\"><strong>Entero \u2013 RMN<\/strong><\/p>\n<p style=\"text-align: justify\">Este o tehnic\u0103 \/alternativ\u0103 neiradiant\u0103 de monitorizare a pacien\u021bilor cu boli inflamatorii intestinale, \u00een perioadele intercritice.<\/p>\n<p style=\"text-align: justify\">Indica\u021bia major\u0103 a acestei metode este evaluarea bolii Crohn: activitatea bolii, num\u0103rul de anse intestinale implicate \u00een procesul inflamator, lungimea procesului inflamator, fistule, abcese \u0219i adenopatii.<\/p>\n<p style=\"text-align: justify\">Este util\u0103 \u00een detectarea altor patologii precum: diverticulul Meckel, tumori stromale gastrointestinale, limfom intestinal, tumori neuroendocrine ale tractului gastrointestinal, adenocarcinom primar al intestinului sub\u021bire, anomalii de rota\u021bie \u0219i fixa\u021bie ale tractului gastrointestinal, invagina\u021bie \u0219i polipi ai intestinului sub\u021bire.<\/p>\n<p style=\"text-align: justify\">Entero-RMN permite vizualizarea originii unei hemoragii sau a implic\u0103rii osoase\u00a0 care poate fi asociat\u0103 cu anumite boli inflamatorii intestinale.<\/p>\n<p style=\"text-align: justify\"><strong>IRM rectal<\/strong><\/p>\n<p style=\"text-align: justify\">IRM rectal este superioar\u0103 ecografiei endorectale prin faptul c\u0103 permite vizualizarea at\u00e2t a peretelui intestinal, c\u00e2t \u0219i a structurilor anatomice pelvine de vecin\u0103tate.<\/p>\n<p style=\"text-align: justify\">Avantajele IRM \u00een patologia oncologic\u0103 rectal\u0103:<\/p>\n<p style=\"text-align: justify\">&#8211; permite stadializarea* tumorilor rectale, fiind modalitatea imagistic\u0103 cu cel mai \u00eenalt constrast pentru \u021besuturile moi.<\/p>\n<p style=\"text-align: justify\">&#8211; are capacitatea de a evalua at\u00e2t extinderea tumorii (rela\u021biile topografice ale tumorii cu fascia mezorectal\u0103) c\u00e2t \u0219i profunzimea invaziei \u00een \u021besuturile \u00eenvecinate.<\/p>\n<p style=\"text-align: justify\">&#8211; ofer\u0103 informa\u021bii importante pentru planificarea\u00a0 strategiei terapeutice corecte.<\/p>\n<p style=\"text-align: justify\">&#8211; ajut\u0103 la identificarea pacien\u021bilor oncologici care\u00a0 prezint\u0103 risc \u00eenalt de rezec\u021bie incomplet\u0103, pentru care radiochimioterapia preoperativ\u0103 este necesar\u0103.<\/p>\n<p style=\"text-align: justify\">Rolul IRM \u00een patologia tumoral\u0103 rectal\u0103:<\/p>\n<p style=\"text-align: justify\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00een stadializarea tumorilor;<\/p>\n<p style=\"text-align: justify\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00een decizia de excizie mesorectal\u0103 total\u0103;<\/p>\n<p style=\"text-align: justify\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00een planificarea strategiei terapeutice, mai ales (\u00een cazul cazurilor aflate) \u00een stadiile avansate.<\/p>\n<p style=\"text-align: justify\">*Cea mai important\u0103 structur\u0103 anatomic\u0103 folosit\u0103 \u00een\/de sistemul de stadializare este <em>lamina muscularia propria<\/em>. \u00cen timp ce carcinoamele rectale T1 sunt limitate la mucoas\u0103 \u0219i submucoas\u0103, cele aflate \u00een stadiul T2 invadeaz\u0103 \u201cmuscularis propria\u201d. Cancerul \u00een stadiul T 3 se extinde dincolo de \u201clamina muscularia propria\u201d.<\/p>\n<p style=\"text-align: justify\">\n<p style=\"text-align: justify\">Cristina MAIER<br \/>\nMEDINST Diagnostic<br \/>\nRom\u00e2no-German<\/p>\n<p style=\"text-align: justify\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/MEDinst-logograma-claim_4c_P2945.jpg\" rel=\"attachment wp-att-4113\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-4113\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/MEDinst-logograma-claim_4c_P2945-300x90.jpg\" alt=\"MADinst\" width=\"300\" height=\"90\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/MEDinst-logograma-claim_4c_P2945-300x90.jpg 300w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/MEDinst-logograma-claim_4c_P2945.jpg 800w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p style=\"text-align: justify\"><strong>Medinst Diagnostic Rom\u00e2no-German func\u021bioneaz\u0103 din anul 1997 \u00een cadrul Institutului Na\u021bional de Neurologie \u0219i Boli Neurovasculare Bucure\u0219ti.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rolul rezonantei magnetice \u00een investigarea imagistic\u0103 a abdomenului a crescut considerabil \u00een ultima perioad\u0103. Avantajele majore ale IRM fa\u021b\u0103 de CT sunt date de caracterizarea mult mai bun\u0103 a leziunilor [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":5150,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[33,257],"tags":[442],"class_list":["post-5103","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-medicina-interna","tag-medinst"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102 - Jurmed - Medici<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/5103-2\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102 - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"Rolul rezonantei magnetice \u00een investigarea imagistic\u0103 a abdomenului a crescut considerabil \u00een ultima perioad\u0103. Avantajele majore ale IRM fa\u021b\u0103 de CT sunt date de caracterizarea mult mai bun\u0103 a leziunilor [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/medici\/5103-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - Medici\" \/>\n<meta property=\"article:published_time\" content=\"2015-12-18T10:20:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-01-15T13:02:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"241\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"costelv\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"costelv\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/\"},\"author\":{\"name\":\"costelv\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/d32bd0fe3243bb12082045e5e5635d2d\"},\"headline\":\"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102\",\"datePublished\":\"2015-12-18T10:20:23+00:00\",\"dateModified\":\"2016-01-15T13:02:04+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/\"},\"wordCount\":1523,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg\",\"keywords\":[\"Medinst\"],\"articleSection\":[\"Articole\",\"Medicina Interna\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/jurmed.ro\/medici\/5103-2\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/\",\"url\":\"https:\/\/jurmed.ro\/medici\/5103-2\/\",\"name\":\"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102 - Jurmed - Medici\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg\",\"datePublished\":\"2015-12-18T10:20:23+00:00\",\"dateModified\":\"2016-01-15T13:02:04+00:00\",\"author\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/d32bd0fe3243bb12082045e5e5635d2d\"},\"breadcrumb\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/jurmed.ro\/medici\/5103-2\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/#primaryimage\",\"url\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg\",\"contentUrl\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg\",\"width\":800,\"height\":241},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/jurmed.ro\/medici\/5103-2\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/jurmed.ro\/medici\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#website\",\"url\":\"https:\/\/jurmed.ro\/medici\/\",\"name\":\"Jurmed - Medici\",\"description\":\"JURMED \u2013 Jurnal de Sanatate este o publicatie lunara de informare si preventie medicala. Revista si site-ul au un continut bogat de articole si informatii cu adresabilitate catre publicul larg.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/jurmed.ro\/medici\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ro-RO\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/d32bd0fe3243bb12082045e5e5635d2d\",\"name\":\"costelv\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/562bbd538aef9094eff6466c34ed9504fe82c1cb144e421d853e80c3b3d5a9f8?s=96&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/562bbd538aef9094eff6466c34ed9504fe82c1cb144e421d853e80c3b3d5a9f8?s=96&r=g\",\"caption\":\"costelv\"},\"url\":\"https:\/\/jurmed.ro\/medici\/author\/costelvoicu\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102 - Jurmed - Medici","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/jurmed.ro\/medici\/5103-2\/","og_locale":"ro_RO","og_type":"article","og_title":"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102 - Jurmed - Medici","og_description":"Rolul rezonantei magnetice \u00een investigarea imagistic\u0103 a abdomenului a crescut considerabil \u00een ultima perioad\u0103. Avantajele majore ale IRM fa\u021b\u0103 de CT sunt date de caracterizarea mult mai bun\u0103 a leziunilor [&hellip;]","og_url":"https:\/\/jurmed.ro\/medici\/5103-2\/","og_site_name":"Jurmed - Medici","article_published_time":"2015-12-18T10:20:23+00:00","article_modified_time":"2016-01-15T13:02:04+00:00","og_image":[{"width":800,"height":241,"url":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg","type":"image\/jpeg"}],"author":"costelv","twitter_misc":{"Scris de":"costelv","Timp estimat pentru citire":"8 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/jurmed.ro\/medici\/5103-2\/#article","isPartOf":{"@id":"https:\/\/jurmed.ro\/medici\/5103-2\/"},"author":{"name":"costelv","@id":"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/d32bd0fe3243bb12082045e5e5635d2d"},"headline":"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102","datePublished":"2015-12-18T10:20:23+00:00","dateModified":"2016-01-15T13:02:04+00:00","mainEntityOfPage":{"@id":"https:\/\/jurmed.ro\/medici\/5103-2\/"},"wordCount":1523,"commentCount":0,"image":{"@id":"https:\/\/jurmed.ro\/medici\/5103-2\/#primaryimage"},"thumbnailUrl":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg","keywords":["Medinst"],"articleSection":["Articole","Medicina Interna"],"inLanguage":"ro-RO","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/jurmed.ro\/medici\/5103-2\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/jurmed.ro\/medici\/5103-2\/","url":"https:\/\/jurmed.ro\/medici\/5103-2\/","name":"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102 - Jurmed - Medici","isPartOf":{"@id":"https:\/\/jurmed.ro\/medici\/#website"},"primaryImageOfPage":{"@id":"https:\/\/jurmed.ro\/medici\/5103-2\/#primaryimage"},"image":{"@id":"https:\/\/jurmed.ro\/medici\/5103-2\/#primaryimage"},"thumbnailUrl":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg","datePublished":"2015-12-18T10:20:23+00:00","dateModified":"2016-01-15T13:02:04+00:00","author":{"@id":"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/d32bd0fe3243bb12082045e5e5635d2d"},"breadcrumb":{"@id":"https:\/\/jurmed.ro\/medici\/5103-2\/#breadcrumb"},"inLanguage":"ro-RO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/jurmed.ro\/medici\/5103-2\/"]}]},{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/jurmed.ro\/medici\/5103-2\/#primaryimage","url":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg","contentUrl":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/12\/MEDinst-logograma-claim_4c_P2945.jpg","width":800,"height":241},{"@type":"BreadcrumbList","@id":"https:\/\/jurmed.ro\/medici\/5103-2\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/jurmed.ro\/medici\/"},{"@type":"ListItem","position":2,"name":"IRM \u00ceN PATOLOGIA ABDOMINO-PELVIN\u0102"}]},{"@type":"WebSite","@id":"https:\/\/jurmed.ro\/medici\/#website","url":"https:\/\/jurmed.ro\/medici\/","name":"Jurmed - Medici","description":"JURMED \u2013 Jurnal de Sanatate este o publicatie lunara de informare si preventie medicala. Revista si site-ul au un continut bogat de articole si informatii cu adresabilitate catre publicul larg.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/jurmed.ro\/medici\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ro-RO"},{"@type":"Person","@id":"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/d32bd0fe3243bb12082045e5e5635d2d","name":"costelv","image":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/562bbd538aef9094eff6466c34ed9504fe82c1cb144e421d853e80c3b3d5a9f8?s=96&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/562bbd538aef9094eff6466c34ed9504fe82c1cb144e421d853e80c3b3d5a9f8?s=96&r=g","caption":"costelv"},"url":"https:\/\/jurmed.ro\/medici\/author\/costelvoicu\/"}]}},"_links":{"self":[{"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/posts\/5103","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/comments?post=5103"}],"version-history":[{"count":3,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/posts\/5103\/revisions"}],"predecessor-version":[{"id":5167,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/posts\/5103\/revisions\/5167"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/media\/5150"}],"wp:attachment":[{"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/media?parent=5103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/categories?post=5103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/tags?post=5103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}