Abstract:
AIM:Post-arthroplasty knee pain is common and clinically it can be difficult to identify those patients with complications requiring active treatment. The aim of this study was to determine the usefulness of(99)Tc(m)-MDP bone scintigraphy. METHOD:A retrospective study of all patients having a(99)Tc(m)-MDP bone scintigram for a painful knee arthroplasty between 1993 and 1999 was performed. Bone scintigrams were classified as normal or abnormal by a single observer. The results of these investigations were correlated with clinical outcome. RESULTS:Seventy-five patients with painful knee arthroplasties were referred for investigation. A total of 80 bone scintigrams were performed. The average patient age was 66.2 years (42 female and 33 male). The mean time period between surgery and onset of knee pain was 3 years. A final clinical diagnosis based on arthroscopy, open surgery, and extended clinical follow-up was available for all patients. Forty-three (53.8%) of the scintigrams were normal and 37 (46.3%) abnormal. Two patients with a normal bone scintigram has loose prostheses. Thirteen patients with an abnormal study had normal prostheses on follow-up and these tended to be patients scanned less than a year after surgery. The sensitivity, specificity, positive predictive value and negative predictive value of an unequivocally normal or abnormal bone scintigram was 92.3, 75.9, 64.9 and 95.0%, respectively. The pattern of isotope uptake in the abnormal studies was not specific enough to reliably differentiate aseptic from septic loosening. CONCLUSION:Radionuclide bone scintigraphy is useful in the assessment of the painful knee arthroplasty. A negative bone scintigram is reassuring and makes loosening or infection unlikely.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Smith SL,Wastie ML,Forster Idoi
10.1053/crad.2000.0620subject
Has Abstractpub_date
2001-03-01 00:00:00pages
221-4issue
3eissn
0009-9260issn
1365-229Xpii
S0009-9260(00)90620-2journal_volume
56pub_type
杂志文章abstract:AIM:To estimate the sensitivity and specificity of computed tomography (CT) for the diagnosis of deep vein thrombosis (DVT) in patients with suspected DVT and pulmonary embolus (PE). MATERIALS AND METHODS:A search of the medical literature and citation lists was undertaken, and selected studies comparing CT to a refer...
journal_title:Clinical radiology
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.crad.2007.09.010
更新日期:2008-03-01 00:00:00
abstract:AIM:To evaluate incidental findings in major trauma patients, and to explore whether computed tomography (CT) could be used to assess prevalence and estimate disease spread in the general population. MATERIALS AND METHODS:The study population included all patients admitted following major trauma between 1 January 2020...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2020.10.008
更新日期:2021-01-01 00:00:00
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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::Although extramedullary haemopoiesis (EMH) is relatively common in myelofibrosis, it is seldom symptomatic and rarely involves the intestinal tract. We report a case in which perirectal infiltrate resulted in clinically symptomatic constipation. The barium enema showed tubular rectal narrowing with mucosal pleating. O...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82672-8
更新日期:1994-10-01 00:00:00
abstract:AIMS:The aim of this retrospective study was to assess the relative efficacy of plain abdominal radiographs and detailed renal tract ultrasound (US) examination in the diagnosis and follow-up of children with renal tract calculi. METHODS:The records and imaging studies of 28 paediatric patients who had presented with ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0501
更新日期:2000-09-01 00:00:00
abstract:AIM:To determine the optimum approach for double-pigtail stent placement in malignant ureteric obstruction. PATIENTS AND METHODS:Retrograde stent placement was attempted in a consecutive series of patients presenting with malignant ureteric obstruction. If retrograde stent placement was unsuccessful, percutaneous neph...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.11.014
更新日期:2005-05-01 00:00:00
abstract:AIM:To evaluate the feasibility of a low-dose contrast medium protocol for 64-detector row computed tomography angiography (CTA) of the neck using a low-tube-voltage/high-tube-current setting. MATERIALS AND METHODS:A phantom study was performed using 64-detector row spiral CT at multiple tube voltage and current setti...
journal_title:Clinical radiology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.crad.2013.12.001
更新日期:2014-04-01 00:00:00
abstract::A comparison has been undertaken between conventional radiographic imaging and computed tomography (CT) in 35 patients with testicular teratoma as part of an audit of our investigative approach to staging and follow-up. The CT examination included alternate cuts from the carina of the trachea to the lung bases as the ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(84)80038-0
更新日期:1984-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0637
更新日期:2001-01-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2008.04.012
更新日期:2008-10-01 00:00:00
abstract::Sudden athlete death (SAD) is a widely publicized and increasingly reported phenomenon. For many, the athlete population epitomize human physical endeavour and achievement and their unexpected death comes with a significant emotional impact on the public. Sudden deaths within this group are often without prior warning...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2010.10.011
更新日期:2011-03-01 00:00:00
abstract::Three patients with late-onset Bochdalek's hernia are presented. All three had obstruction of the herniated bowel and, in two patients, this was complicated by strangulation and necrosis. The spectrum of roentgenographic manifestation included obvious findings of bowel in the chest in one patient; in another, the find...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80327-4
更新日期:1983-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.02.017
更新日期:2015-07-01 00:00:00
abstract::Sixty-four patients (37 stage I and 27 stage II) with low grade non-Hodgkin's lymphoma were treated by surgical excision alone (two patients) or with radiotherapy (53 patients), chemotherapy (five patients) or both (four patients). Actuarial survival was 80.7% at 5 years and 77.9% at 10 years. Actuarial recurrence-fre...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80537-3
更新日期:1988-05-01 00:00:00
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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 investigate the diagnostic ability of maximum standardised uptake value (SUVmax) at combined single-photon-emission computed tomography/computed tomography (SPECT/CT) for the evaluation of osteonecrosis of the jaw. MATERIALS AND METHODS:Seven patients with mandibular osteonecrosis (three osteoradionecrosis, thr...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.05.025
更新日期:2020-01-01 00:00:00
abstract:AIM:To determine the willingness of women with extremely dense breasts to undergo breast cancer screening with magnetic resonance imaging (MRI) in a research setting, and to examine reasons for women to participate or not. MATERIALS AND METHODS:Between 2011 and 2015, 8,061 women (50-75 years) were invited for suppleme...
journal_title:Clinical radiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.crad.2018.04.002
更新日期:2018-08-01 00:00:00
abstract::Intestinal failure (IF) is the inability of the alimentary tract to digest and absorb sufficient nutrition to maintain normal fluid balance, growth, and health. It commonly arises from disease affecting the mesenteric root. Although severe IF is usually managed in specialized units, it lies at the end of a spectrum wi...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2010.01.011
更新日期:2010-05-01 00:00:00
abstract:AIM:To determine whether radiographers are able to perform and interpret barium swallows and meals (BSM) to an acceptable standard. MATERIALS AND METHODS:A retrospective audit was performed of all radiographer-managed BSMs over a 4-year period in an acute hospital. Descriptive statistics were used to analyse patient d...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2009.04.008
更新日期:2009-08-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(82)80283-3
更新日期:1982-05-03 00:00:00
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1053/crad.2001.0772
更新日期:2001-08-01 00:00:00
abstract::Thirty-three patients with non-Hodgkin lymphoma have been treated with total body irradiation (TBI). A very high remission rate is obtained in lymphocytic lymphomas (83%), but response in histiocytic lymphoma is extremely poor. Bone marrow study suggests that marrow depression following TBI is transient and complete r...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80077-x
更新日期:1979-05-01 00:00:00
abstract::The contribution of intravenous contrast medium to the final diagnosis was assessed in 300 patients undergoing routine axial computed tomography (CT) of the brain. Two-hundred-and-twelve patients presented with symptoms or signs suggesting focal intracranial pathology and 88 with non-focal features. A total of 110 pos...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80860-8
更新日期:1991-09-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(02)00463-4
更新日期:2003-03-01 00:00:00
abstract:AIMS:To determine if the number of flecks of calcification retrieved at stereotaxic core needle biopsy or the number of core samples obtained containing calcification are related to biopsy sensitivity, and to determine how many calcifications or cores containing calcification the radiologist should aim to retrieve when...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.1999.0483
更新日期:2000-07-01 00:00:00
abstract::Integrated positron-emission tomography and computed tomography (PET/CT) is one of the most important imaging techniques to have emerged in oncological practice in the last decade. Hybrid imaging, in general, remains a rapidly growing field, not only in developing countries, but also in western industrialised healthca...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2016.03.013
更新日期:2016-07-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.08.008
更新日期:2016-12-01 00:00:00
abstract::In the past four decades, a variety of methods for minimal or non-invasive diagnosis and treatment of breast cancer have been introduced. Although breast imaging has become more and more specific for diagnosis, specimen biopsy with histopathological confirmation is still necessary. Core-needle biopsy under ultrasound ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2017.10.018
更新日期:2018-08-01 00:00:00
abstract::Extramedullary haematopoiesis (EMH) refers to the formation of non-neoplastic blood cell lines outside the bone marrow and is a common incidental finding when patients with haematological disorders are imaged. EMH presenting as mass (tumefactive EMH) has long been a radiological conundrum as it resembles neoplasms. Se...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2019.12.016
更新日期:2020-08-01 00:00:00