The Journal of Bucharest College of Physicians and the Romanian Academy of Medical Sciences

Alexandru Vlad Ciurea

Alexandru Vlad Ciurea

Lumbar Discectomy. Why Romanian Spine Surgeons and Neurosurgeons Need a Paradigm Shift?

Low back pain and its management can be briefly summarized as an entire industry per se. As the general age of the population increases more and more patients find themselves hospitalized with degenerative disorders of the spine which might not always mandate surgery. This article wishes to illustrate the negative tendencies regarding the increasing number of patients frequently receiving ill-advised surgery for low back pain and the consequences that further implicate the healthcare system and the economy. At the same time the authors wish to highlight the need for a national database of patients operated for spine disease and discuss a few key-items spine surgeons and neurosurgeons need to consider prior to operating patients with degenerative diseases of the spine.

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An Overview of Advanced Multimodal Imaging Techniques in Low Grade Gliomas

Diffuse infiltrative low-grade gliomas (LGG) of the cerebral hemispheres in adults are a group of tumors with distinct clinical, histological and molecular characteristics. The management of such tumors is still controversial. (1)
In LGG neuroimaging plays a crucial role. Starting of a "watch and wait" management plan has been frequently based solely on imaging. Conventional MRI is a valuable method in conducting a differential diagnosis, assisting surgery, planning radiotherapy and surveying treatment response, but it focuses on structural changes within tumours and often provides limited information only.

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