Jacques Frija
University of Paris
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European Radiology | 2007
Eric de Kerviler; Cédric de Bazelaire; Nicolas Mounier; O. Mathieu; Benoit Brethon; Josette Briere; Jean-Pierre Marolleau; Pauline Brice; Christian Gisselbrecht; Jacques Frija
It is commonly admitted that the diagnosis of lymphomas can be assessed by the image-guided needle biopsy (IGNB) of deep lymph nodes. However, when peripheral lymph nodes are present, surgical dissection remains the standard strategy. The aim of this study was to evaluate the diagnostic yield of IGNB of peripheral lymph nodes in patients with suspected lymphomas. The records of 180 multisampling IGNBs of peripheral lymph nodes in 180 patients were reviewed. One hundred and twenty-three IGNBs were observed at first diagnosis and 57 at progression using large-cutting core-biopsy needles ranging between 18 G and 14 G in size. Immunohistochemistry studies were performed in all cases and at least one biopsy was systematically frozen. A diagnosis of lymphoma with sufficient information such that a therapeutic decision could be made was obtained in 146 of the 152 patients with lymphoproliferative disorders (96%). IGNB was equally effective in making the correct diagnosis of lymphoma at the time of original diagnosis than at relapse. The results did not depend on the biopsy site, lymph nodes size, or needle type. We recommend that IGNB may be performed as an initial procedure for the diagnosis of lymphomas either in the presence of peripheral or deep lymph nodes, as it avoids surgery.
European Respiratory Journal | 2012
Abdellatif Tazi; K. Marc; S. Dominique; Cédric de Bazelaire; Bruno Crestani; Thierry Chinet; Dominique Israel-Biet; Jacques Cadranel; Jacques Frija; Gwenaël Lorillon; Dominique Valeyre; Sylvie Chevret
Little is known about longitudinal lung function variation in patients with pulmonary Langerhans’ cell histiocytosis (LCH). The contribution of serial lung computed tomography (CT) to managing these patients has not been evaluated. This long-term retrospective study included 49 patients who were serially evaluated by lung CT and pulmonary function tests. The lung function variation was categorised as improvement or deterioration. The extent of the CT lesions was correlated with lung function. Lung function deteriorated in ∼60% of the patients. Forced expiratory volume in 1 s (FEV1) and diffusing capacity of the lung for carbon monoxide (DL,CO) were the parameters that most frequently deteriorated. A subgroup of patients experienced a dramatic decline in FEV1 within 2 yrs of diagnosis. Airway obstruction was the major functional pattern observed. In a multivariate analysis, % predicted FEV1at diagnosis was the only factor associated with the incidence of airway obstruction. The increase in cystic lesions on the lung CTs was associated with impaired lung function but did not anticipate the decline in FEV1 or DL,CO. Serial lung function tests are essential for following patients with pulmonary LCH, who frequently develop airway obstruction. A lung CT at diagnosis is informative, but routine sequential CTs seem less useful. A prospective study is needed to characterise those patients with early progressive disease.
Journal De Radiologie | 2007
Catherine Beigelman-Aubry; Gilbert Ferretti; Dominique Mompoint; Jacques Ameille; Marc Letourneux; Jacques Frija; Fabrice Laurent
The demonstration by computed tomography of abnormalities related to asbestos is essential for the recognition of industrial disease, the compensation of which has considerable economic consequences. The use of compute tomography, the most reliable technique for the detection of pleuro-parenchymatous abnormalities related to asbestos exposure, has increased considerably in France since the publication of the results of a consensus conference in Paris in 1999. Since that time, developments in technology have noticeably modified the protocols of investigation and increased the sensitivity of the detection of pleural and interstitial parenchymatous abnormalities and of nodules. The technical recommendations and those for the interpretation of pleural and parenchymatous abnormalities need to be well known. They are presented in the form of an atlas that gives detailed criteria for asbestosis, pleural plaques and pleural fibrosis. The diagnosis of pleural plaques depends on the combination of clear limits at the pleural and pulmonary interface, typical topography and multiple, bilateral localization. In the context of asbestos exposure the plaques are characteristic of this exposure, unlike diffuse pleural thickening, crows feet images, parenchymatous bands and entrapped atalectasis. The writing of the radiological report would be most appropriate on this basis.
American Journal of Roentgenology | 2009
Cédric de Bazelaire; C Farges; O. Mathieu; Anne-Marie Zagdanski; P. Bourrier; Jacques Frija; Eric de Kerviler
OBJECTIVE We describe a coaxial introducer provided with an additional blunt-tip stylet that allows safe access to difficult-to-reach lymph nodes in the chest, abdomen, and pelvis under CT control. CONCLUSION Once the thoracic, abdominal, or pelvic wall is crossed by the introducer fitted with the sharp-tip stylet, the blunt-tip stylet replaces the sharp stylet for further progression in the fat toward the target. The soft-tip stylet carries a smaller risk of inadvertent perforation displacing vital structures.
Journal De Radiologie | 2007
Jacques Frija; Maurille J. Fournier
Le Comité de Rédaction tient à remercier tous les participants ayant contribué à la réalisation de cet atlas qui n’aurait pu voir le jour sans la parfaite coordination entre le Groupe PAPPE de la Société de Pneumologie de Langue Française et la Société Française de Radiologie. Cet Atlas bénéficie d’une publication conjointe, simultanément dans la Revue des Maladies Respiratoires ainsi que dans le Journal de Radiologie qui en partagent le Copyright, et peut être consulté sur le site de la Revue des Maladies Respiratoire via www.splf.org/rmr/.
American Journal of Respiratory and Critical Care Medicine | 2012
Gwenaël Lorillon; Anne Bergeron; Laurence Detourmignies; Stéphane Jouneau; Benoit Wallaert; Jacques Frija; Abdellatif Tazi
american thoracic society international conference | 2011
Abdellatif Tazi; Karima Marc; Stéphane Dominique; Cédric de Bazelaire; Bruno Crestani; Thierry Chinet; Dominique Israel-Biet; Jacques Cadranel; Jacques Frija; Anne Bergeron; Dominique Valeyre; Sylvie Chevret
Oncologie | 2010
Cédric de Bazelaire; M. Chapellier; A. Pluvinage; A. Scemama; F. Pilehvari; P. Bourrier; Jacques Frija; Eric de Kerviler
Revue Des Maladies Respiratoires | 2007
Jacques Frija; Maurille J. Fournier
Journal De Radiologie | 2005
Jacques Frija; Pierre Bourrier; Anne-Marie Zagdanski; Eric de Kerviler