Abstract:
AIM:To analyse reasons for and the nature of clinico-radiological contacts and their clinical impact. MATERIALS AND METHODS:Three different surveys were performed. (1) Data concerning contacts between staff radiologists (n = 20) and clinicians during 10 consecutive working days were collected; (2) staff clinicians (n = 174) filled in a questionnaire asking for their opinions about relationships with radiologists; (3) staff radiologists collected data about contacts with clinicians related to more urgent/complicated cases. Radiologists assessed the clinical impact of the radiological procedure and of the consultation. RESULTS:(1) During 220 working days 20 radiologists had a mean of 3.95 contacts per day (48.2% personal contacts, 51.8% telephone contacts), amounting to a personal total of 21.65 min per day. These contacts amounted to a total of 7.08 h per day, roughly one whole-time equivalent radiologist. (2) These consultations helped to refine the diagnostic strategy often (12.6%) or sometimes (71.4%) and to alter therapeutic decisions often (10.4%) or sometimes (56.6%). (3) The initial clinical diagnosis was changed in 50% of cases and the therapy was substantially changed on the basis of further radiological investigations and clinical-radiological discussion in 60% of cases. CONCLUSION:Clinical-radiological consultations are time consuming but have a beneficial diagnostic and therapeutic impact.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Dalla Palma L,Stacul F,Meduri S,Geitung JTdoi
10.1053/crad.2000.0495subject
Has Abstractpub_date
2000-08-01 00:00:00pages
602-5issue
8eissn
0009-9260issn
1365-229Xpii
S0009-9260(00)90495-1journal_volume
55pub_type
杂志文章abstract::We report the findings of computed tomography and magnetic resonance imaging in two cases of surgically proven benign cavernous haemangiomas of the mediastinum. Both techniques produced similar results, although both were non-diagnostic for haemangioma as was percutaneous needle biopsy, which was performed in one pati...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81585-5
更新日期:1991-02-01 00:00:00
abstract::Currarino et al. in 1981 described an association between an anterior sacral defect, congenital anorectal stenosis or another type of low anorectal malformation and a presacral mass. We are only aware of one previous report in the English literature of the association of a rectovaginal fistula with this triad and to o...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81859-8
更新日期:1994-04-01 00:00:00
abstract::Three patients with tuberous sclerosis (TS) and hepatic hamartomas are presented. Liver lesions are uncommonly documented in TS, compared to renal angiomyolipomas. The imaging characteristics of liver hamartoma in TS may resemble those of renal angiomyolipoma, hepatic cavernous haemangiomas, metastasis or abscess. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81064-5
更新日期:1993-06-01 00:00:00
abstract:AIM:To compare prostate volumes and distances between anatomical landmarks on MRI images obtained with a phased-array coil (PAC) only and with a PAC and an endorectal coil (ERC). MATERIALS AND METHODS:Informed consent was waived for this Health Insurance Portability and Accountability Act-compliant study. Fifty-nine m...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2014.12.002
更新日期:2015-04-01 00:00:00
abstract:AIMS:To report the magnetic resonance imaging (MRI) findings of osteomalacic insufficiency fractures of the pelvis. MATERIALS AND METHODS:In all, 12 persons presenting with chronic pelvic pain and with a definitive diagnosis of osteomalacia (OM) were enrolled in this study. Radiological work-up included direct radiogr...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.04.021
更新日期:2005-01-01 00:00:00
abstract:AIM:Recent protein expression profiling of breast cancer has identified specific subtypes with clinical, biological, and therapeutic implications. The aim of this study was to identify the mammographic correlates of these novel molecular classes of invasive breast cancer. MATERIALS AND METHODS:The mammographic finding...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2008.06.006
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:To access concordance between radiological severity of aphthae and the more advanced features of Crohn's disease. PATIENTS AND METHODS:In 75 patients with an established diagnosis of Crohn's disease, we evaluated the radiological severity of colonic aphthae by meticulous double-contrast radiography. The degr...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(96)80243-1
更新日期:1996-10-01 00:00:00
abstract::Fibro-osseous lesions of the bone are well-recognized primary bone tumours. However, given the degree of overlap of imaging findings and variation in management of various sub-types, it is a widely accepted practice to perform a biopsy to obtain histopathological confirmation of the diagnosis. The following is a summa...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2013.09.011
更新日期:2014-02-01 00:00:00
abstract::Chordoma is generally thought to be a locally invasive tumour of low metastatic potential. Review of the literature suggests that metastatic spread from chordoma is not an uncommon occurrence, but that the metastases are usually clinically silent. We present an unusual case where a metastasis from a sacrococcygeal cho...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)83143-5
更新日期:1995-06-01 00:00:00
abstract::Healthcare expenditure is continually increasing and projected to accelerate in the future, with an increasing proportion being spent on interventional radiology. The role of cost effectiveness studies in ensuring the best allocation of resources is discussed, and the role of National Institute of Health and Care Exce...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2020.09.017
更新日期:2020-10-17 00:00:00
abstract:AIM:To identify the most effective manual aspiration thrombectomy (MAT) method for the initial endovascular management of acute deep-vein thrombosis (DVT) in the lower extremity using a phantom model. MATERIALS AND METHODS:An acute DVT phantom model was created by infusing a bovine acute thrombus in a 20-mm diameter, ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.11.016
更新日期:2016-04-01 00:00:00
abstract:AIM:To determine whether reporting plain films at faster rates lead to a deterioration in accuracy. METHODS:Fourteen consultant radiologists were asked to report a total of 90 radiographs in three sets of 30. They reported the first set at the rate they would report normally and the subsequent two sets in two thirds a...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(03)00289-7
更新日期:2003-12-01 00:00:00
abstract:AIM:To evaluate the diagnostic performance of dual-energy computed tomography (DECT) using the virtual non-calcium (VNCa) technique for the detection of different degrees of vertebral bone marrow oedema. MATERIALS AND METHODS:The present prospective study was approved by the institutional ethics committee. Informed co...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.09.143
更新日期:2020-02-01 00:00:00
abstract:AIM:To compare the performance of a direct digital mammography system with normal-view and magnified-view conventional screen-film methods using quality control phantoms. MATERIALS AND METHODS:Using a Siemens Mammomat((R))3000 and an Opdima((R))digital spot imaging and biopsy attachment, film and direct digital images...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0521
更新日期:2000-10-01 00:00:00
abstract::A low speed rotational catheter system (ROTACS) was used to recanalize total occlusions of the femoropopliteal artery in two patient groups. In Group A, previous attempts to recanalize the occlusions using standard guidewires and catheters had failed. Group B had undergone no previous attempts at recanalization. The R...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81791-x
更新日期:1994-05-01 00:00:00
abstract:AIM:To compare combined 2-[18F]-fluoro-2-deoxy-d-glucose (FDG)-positron-emission tomography (PET) and cardiac magnetic resonance imaging (CMR) for the diagnosis and therapy monitoring of cardiac sarcoidosis (CS). MATERIALS AND METHODS:Eighty patients with sarcoidosis and a suspicion of CS who underwent PET and CMR wer...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.09.015
更新日期:2019-01-01 00:00:00
abstract::Three cases of pneumatosis coli (PC) in adult patients with acute myeloid leukaemia seen over the last five years in Hammersmith Hospital are reported. Although definite conclusions are impossible, we suggest that that pneumatosis could be due to damage to the bowel mucosa as a result of the disease or the treatment. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80145-2
更新日期:1979-03-01 00:00:00
abstract:AIM:To identify characteristic high-resolution computed tomography (CT) findings for individual collagen vascular disease (CVD)-related interstitial pneumonias (IPs). MATERIALS AND METHODS:The HRCT findings of 187 patients with CVD, including 55 patients with rheumatoid arthritis (RA), 50 with systemic sclerosis (SSc)...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.04.017
更新日期:2018-09-01 00:00:00
abstract:AIM:To report the authors' experience of focal nodular haematopoietic marrow hyperplasia (FNHMH) and diffuse haematopoietic marrow hyperplasia (DHMH) clinically masquerading as skip, distant, or disseminated metastasis in seven patients with underlying malignant neoplasms. MATERIALS AND METHODS:Five patients with FNHM...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.10.015
更新日期:2017-03-01 00:00:00
abstract:AIM:To compare the diagnostic quality of time-of-flight magnetic resonance angiography (TOF-MRA) and metal-artefact-reduction (MAR) flat-panel-detector computed tomography angiography (FPCTA) and to determine the imaging technique best suited for evaluation endovascular and surgically treated aneurysms. METHODS:The im...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2017.07.011
更新日期:2018-02-01 00:00:00
abstract::A case of multifocal xanthogranulomatous pyelonephritis (XPN) in childhood diagnosed by ultrasound, computed tomography and needle biopsy is described. Following antibiotic therapy, ultrasound and a DMSA renal scintiscan showed no discernible scarring and restoration of function. This has not been previously described...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81705-2
更新日期:1990-05-01 00:00:00
abstract::Either radionuclide or contrast venography, or both, were performed in nine patients 2 months to 4 years after insertion of Mobin-Uddin caval umbrella filter for prevention of recurrent pulmonary embolism. In six patients the cava was occluded, and three major groups of collaterals were observed (central, intermediate...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(82)80185-2
更新日期:1982-09-01 00:00:00
abstract::Tuberculous abscess of the liver is rare and delay in diagnosis is common. The case of a 66-year-old Singaporean Chinese female with tuberculous liver abscess is reported. The abscess had an unusual septated ('honeycomb-like') ultrasonographic and computed tomographic appearance and the diagnosis was made with difficu...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80484-2
更新日期:1991-03-01 00:00:00
abstract::Large trials have confirmed the benefit of carotid endarterectomy in the prevention of stroke in patients with transient ischaemic attacks and > or =70% stenosis of the ipsilateral internal carotid artery. Invasive confirmatory angiography carries some risk, but these patients can be identified by Doppler ultrasound. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(99)91086-3
更新日期:1999-10-01 00:00:00
abstract::Conjugated phenobutiodil (Biliodyl) in the small and large bowel can be recognised by its fine, homogeneous appearance. The findings in 41 patients undergoing oral cholecystography with subsequent clinical follow-up are reported. When the gallbladder fails to opacify on oral cholecystography, the presence of conjugate...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(77)80183-9
更新日期:1977-05-01 00:00:00
abstract::Five adult females with swelling, tenderness and similar sclerotic changes of the sternal end of the clavicle are presented. They were recognised during a 10-year period, suggesting that the condition is rare and may be misdiagnosed. In three patients strain of the sternoclavicular joint seemed to be an aetiological f...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(85)80010-6
更新日期:1985-01-01 00:00:00
abstract::Twenty-nine United Kingdom deep sea divers were examined radiographically for skeletal abnormalities and also bone images were obtained using technetium-99m methylene diphosphonate. The results of the two forms of examination were compared and the use of radionuclide bone scanning was shown to be more sensitive than r...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(87)80332-x
更新日期:1987-11-01 00:00:00
abstract::We report a case of a solitary, painless, lytic lesion in the frontal bone in an otherwise asymptomatic patient. This was investigated with plain radiographs, computed tomography (CT), angiography and finally biopsy. Histology showed it to be a plasmacytoma. The radiological features of this lesion are discussed. Soli...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82123-3
更新日期:1990-10-01 00:00:00
abstract:AIM:To compare readers' performance in detecting architectural distortion (AD) compared with other breast cancer types using digital mammography. MATERIALS AND METHODS:Forty-one experienced breast screen readers (20 US and 21 Australian) were asked to read a single test set of 30 digitally acquired mammographic cases....
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.10.009
更新日期:2016-01-01 00:00:00
abstract::A case of multiple tuberculomas of the spleen, detected as hypoechoic masses on ultrasound and subsequently proved at operation and histopathology, is presented. This was the only manifestation of the disease. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81593-4
更新日期:1991-02-01 00:00:00