Abstract:
UNLABELLED:This review considers the process of contracting for a picture archiving and communication system (PACS) using the private finance initiative (PFI) managed service route. The PFI process is reviewed and the advantages and disadvantages of a managed service detailed. During contract negotiations several areas of conflict were encountered. These are discussed with an outline of how they were resolved. CONCLUSION:A contract for a PACS has been achieved by a large acute hospital Trust using a managed service provision through PFI. In detailing the specific problems encountered in the course of negotiations, it is intended that other Trusts entering on this course will be equipped and strengthened in the finalizing of satisfactory and robust contracts.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Pilling JRdoi
10.1053/crad.2001.0901subject
Has Abstractpub_date
2002-03-01 00:00:00pages
178-83issue
3eissn
0009-9260issn
1365-229Xpii
S0009926001909018journal_volume
57pub_type
杂志文章,评审abstract::In this review the imaging features of a range of parotid lesions are presented and the roles of ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) in the assessment of parotid disease are discussed. ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1053/crad.2001.0865
更新日期:2002-08-01 00:00:00
abstract:AIM:To evaluate splenic phenotype in autosomal dominant polycystic kidney disease (ADPKD) including presence of cysts and splenomegaly to determine if these are ADPKD related or represent unrelated incidental findings. MATERIALS AND METHODS:The axial/coronal T2-weighted images of ADPKD patients (n=215) and age/gender-...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.08.015
更新日期:2019-12-01 00:00:00
abstract::Cavernous haemangiomas (CH) are relatively uncommon non-shunting vascular malformations of the central nervous system and can present with seizures or with neurological deficits due to haemorrhage. Radiologists can often suggest the diagnosis of CH based on characteristic magnetic resonance imaging (MRI) features, thu...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2011.10.013
更新日期:2012-04-01 00:00:00
abstract:AIM:To evaluate vertebral scalloping in patients with neurofibromatosis type 1 (NF-1) and spinal deformity using plain radiographs and magnetic resonance imaging (MRI), and to determine the possible aetiological association with neurofibromas, dural ectasia and lateral meningocoeles. MATERIAL AND METHODS:Nineteen pati...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.04.006
更新日期:2004-11-01 00:00:00
abstract::Imaging plays a significant role in the detection, characterization and treatment of hepatic infections. Infectious diseases of the liver include pyogenic and amoebic abscesses and parasitic, fungal, viral and granulomatous infections. With increases in worldwide travel, immunosuppression and changing population demog...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2006.03.010
更新日期:2006-09-01 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:Oral contrast media are commonly given prior to computed tomography (CT) examination of the upper abdomen. Although positive oral contrast media are normally used, there is increasing interest in using negative agents such as water and less commonly fat density products. The aim of this study was to compare a posit...
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:AIM:To establish a "one-stop" dysphagia service in which a consultation, barium swallow and endoscopy can all be performed in the same hospital visit. MATERIALS AND METHODS:In order to allow both barium swallow examination and endoscopy to be performed on the same day, a novel technique for clearing barium from the up...
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
abstract:AIM:To investigate whether it is possible to reduce the radiation dose during video fluoroscopic feeding studies below the current 30 frames/s (continuous fluoroscopy). METHODS:Ten consecutive children who had supraglottic penetration while swallowing barium were evaluated as part of a video fluoroscopic feeding study...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2008.07.011
更新日期:2009-01-01 00:00:00
abstract::Sporadic cases or radiation hepatitis have been reported following doses above 3500 rad delivered in 3-4 weeks to the liver. The authors report their experience of radiation hepatitis in two out of 117 consecutive lymphoma cases treated with total abdominal irradiation. These two patients developed clinically overt ma...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(76)80107-9
更新日期:1976-10-01 00:00:00
abstract::Intracranial gliomas can erode or thin the skull. These changes are detectable on conventional radiographs but they appear to be rare. Only a few examples of the appearances on computed tomography (CT) are recorded in the literature. This paper describes the CT appearances of 11 cases. All of the patients presented wi...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80660-9
更新日期:1991-12-01 00:00:00
abstract:AIM:To assess the accuracy and risk factors for complications of computed tomography (CT)-guided percutaneous core needle biopsy (CNB) for small (≤20 mm) pulmonary lesions. MATERIALS AND METHODS:A retrospective study was undertaken comprising 169 patients who underwent CT-guided CNB for small (≤20 mm) pulmonary lesion...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2012.09.008
更新日期:2013-01-01 00:00:00
abstract::Radiology has a significant role in the evaluation of surgery for rectal cancer. With recent developments in surgical techniques, the number of neorectal reservoir configurations has increased. It is important to recognize the normal and abnormal appearances, both early and late, following pelvic surgery. The aim of t...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2005.02.007
更新日期:2005-08-01 00:00:00
abstract::Clinical experience with the new technology of magnetic resonance imaging (MRI) has indicated that the procedure may produce anxiety in a number of patients, to the extent that occasionally a patient may be unwilling to undergo the procedure. A study of patients' subjective experiences of MRI was therefore conducted a...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81665-4
更新日期:1990-04-01 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
abstract::A postal survey of 150 radiologists within the West Midlands Regional Health Authority was undertaken to obtain information about hepatitis B vaccination uptake and its relationship, if any, to their involvement in interventional radiology. Overall, 64% were vaccinated, the rate being higher amongst trainees (81%). No...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80087-x
更新日期:1992-05-01 00:00:00
abstract::The role of ultrasound for the diagnosis of pyloric stenosis has yet to be definitely established. We have carried out 147 ultrasound examinations of 142 infants (99 male and 43 female) with a history of projectile vomiting or the possibility of a pyloric mass. Measurements of the pyloric canal length, transverse pylo...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81849-5
更新日期:1994-04-01 00:00:00
abstract:AIM:To assess the effectiveness and economy of routinely using commercially available in-plane bismuth shielding during CT scanning of the chest and brain. METHODS AND MATERIALS:Forty patients were scanned with thermoluminescent dosemeters (TLDs) in situ to measure the radiation dose to the thyroid and eye during CT s...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2003.10.016
更新日期:2004-05-01 00:00:00
abstract::We report a patient who presented acutely to a neurosurgical unit with a mild left hemiparesis following mild trauma and an episode of hypotension. Computed tomography of the brain showed fresh partial thrombosis of a right parietal arteriovenous malformation. Subsequent angiography confirmed partial obliteration of a...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82085-9
更新日期:1990-08-01 00:00:00
abstract::The intravascular contrast media in current use are solutions of salts of tri-iodinated substituted benzoic acids. Haemodynamic changes following injection of these contrast media are due mainly to their high osmolar concentration which is five to eight times physiological levels. In this study we compare the effect i...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(80)80001-8
更新日期:1980-11-01 00:00:00
abstract::We present 19 patients who were found to have colonic herniation into the chest via the oesophageal hiatus on barium enema. This was demonstrated by showing the position of the hernia and its intimate association with the oesophagus at barium swallow. In nearly all cases there was a co-existent partially volved hernia...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81743-x
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:To quantify how magnetic resonance imaging (MRI) influences clinicians' diagnosis, diagnostic confidence and management plans in patients with shoulder problems. To investigate whether such changes are associated with an improvement in health. METHODS:A prospective observational study on all patients referr...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章
doi:10.1016/s0009-9260(97)80131-6
更新日期:1997-05-01 00:00:00
abstract::A wide spectrum of congenital and acquired abnormalities can affect the superior vena cava (SVC). Congenital anomalies can present either as incidental findings or be associated with underlying cardiac abnormalities; these include left-sided or double SVCs and anomalous venous drainages. Acquired conditions involving ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2007.04.001
更新日期:2007-09-01 00:00:00
abstract:AIM:To present the neuroradiological and clinical findings of fourth-ventricular meningiomas to increase awareness of this entity. MATERIALS AND METHODS:The computed tomography (CT; n=5), magnetic resonance imaging (MRI; n=9) features and clinical presentations of 10 patients with pathologically documented fourth-vent...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.10.017
更新日期:2012-05-01 00:00:00
abstract::Ultrasound is a routine investigation for the assessment of scrotal masses. Many of the detected lesions involve the paratesticular structures. The most common paratesticular masses in clinical practice are epididymal cysts and spermatoceles, but there are a large number of other pathologies that can be encountered an...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2007.09.004
更新日期:2008-08-01 00:00:00
abstract::Widespread use of MRI now allows the routine identification of previously unevaluated traumatic bone marrow oedema and haemorrhage. Similar marrow oedema is identified in patients with tumours, hyperaemia and medullary congestion. Patterns and extent of traumatic bone marrow oedema and haemorrhage are dictated by mech...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1053/crad.2000.0585
更新日期:2001-01-01 00:00:00
abstract::Massive haemoptysis is a respiratory emergency. Computed tomography angiography (CTA) can play a crucial role in assessing the cause and origin of the haemoptysis and directing the interventional radiologist prior to treatment. The bronchial arterial supply and to a lesser extent the non-bronchial systemic arterial su...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2011.03.001
更新日期:2011-09-01 00:00:00
abstract::The aim of this study was to document the appearances of fistula-in-ano on magnetic resonance imaging (MRI) and to prospectively evaluate the accuracy of MRI in the pre-operative assessment of anal fistulae. Patients with a clinical diagnosis of fistula-in-ano and awaiting surgery (n = 35) were examined with MRI. The ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82906-x
更新日期:1994-01-01 00:00:00
abstract::Over a 12 month period all patients but one presenting to our hospital with occluded prosthetic grafts were treated by thrombolysis using local pulsed administration of tissue-type plasminogen activator (t-PA). There were 30 interventions in 23 patients but in one patient no thrombolytic was given after aspiration of ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80683-x
更新日期:1992-12-01 00:00:00
abstract:AIM:To undertake a pilot study assessing whether tumour heterogeneity evaluated using computed tomography texture analysis (CTTA) has the potential to provide a marker of tumour aggression and prognosis in oesophageal cancer. MATERIALS AND METHODS:In 21 patients, unenhanced CT images of the primary oesophageal lesion ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.08.012
更新日期:2012-02-01 00:00:00