Abstract:
AIM:Peripherally inserted central catheters (PICC) are increasingly used as a route of chemotherapy administration. Our aims were to assess a collaborative approach to PICC placement, with radiological support for a nurse led line insertion service in a minority of cases, and to determine whether PICC provided a safe and reliable method of chemotherapy administration. MATERIALS AND METHODS:Prospective data on 100 consecutive patients undergoing PICC placement for chemotherapy were collected. Lines were inserted by ward based nurses or under ultrasound guidance by radiologists. End points were successful completion of treatment or patient death. RESULTS:One hundred and forty-four lines were placed for 118 courses of chemotherapy. 107 (74%) were placed by nurses and 37 (26%) by radiologists. Ninety-five percent of patients completed therapy with either one or two lines. Seventy percent of lines were removed on achieving the primary end points. In two additional patients PICC could not be placed radiologically. Twelve patients were unable to complete treatment with PICC alone, nine of these required an alternative administration route. The catheter related sepsis rate was 4.9%. CONCLUSION:The majority of PICC can be successfully placed by trained nurses, reserving image guidance only for more difficult cases. PICC have an acceptable complication profile, and decrease the need for tunnelled central lines.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Barber JM,Booth DM,King JA,Chakraverty Sdoi
10.1053/crad.2001.0843subject
Has Abstractpub_date
2002-05-01 00:00:00pages
352-4issue
5eissn
0009-9260issn
1365-229Xpii
S0009926001908438journal_volume
57pub_type
杂志文章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::Coronavirus disease 2019 (COVID-19) has spread fast and extensively around the world, with significant mortality and morbidity. As this is a respiratory infection, chest radiography and computed tomography (CT) are important imaging techniques in the work-up of this disease. Given its highly infectious nature, cross-i...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2020.03.028
更新日期:2020-06-01 00:00:00
abstract::Major trauma services in England are currently undergoing a radical overhaul with the formation of regional trauma networks and designated major trauma centres (MTCs). Radiology is scheduled to play a key role within major trauma care both in terms of 24/7 access to whole body computed tomography (WBCT) and interventi...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2013.01.006
更新日期:2013-09-01 00:00:00
abstract::Left ventriculography with selective coronary angiography was performed on 13 patients with acute myocardial infarcts complicated by cardiogenic shock of left ventricular failure and hypotension. Twelve patients (92-3%) tolerated the procedure well. Irreversible ventricular fibrillation resulting in death occurred in ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(77)80105-0
更新日期:1977-03-01 00:00:00
abstract::A review of 200 cases in which routine oral cholecystography was supplemented by tomography is presented. In 69 out of 82 non-visualised gallbladders (NVGB) definite confirmation of gallbladder apthology was obtained. In the poorly functioning gallbladder and the gallbladder obscured by bowel, further information was ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(80)80154-1
更新日期:1980-03-01 00:00:00
abstract::Primary cardiac neoplasms are extremely rare and are far outnumbered by metastases. These are difficult to diagnose and differentiate clinically due to lack of specific clinical manifestations. Technological advances have revolutionised cardiac imaging, with the cardiac magnetic resonance imaging (CMRI) showing promis...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2019.11.014
更新日期:2020-04-01 00:00:00
abstract:AIM:To investigate the clinical value of diffusion tensor imaging (DTI) in assessing renal function changes in diabetic patients with early-stage chronic kidney disease (CKD), and the relationship of DTI parameters with estimated glomerular filtration rate (eGFR) and urinary biomarkers. MATERIALS AND METHODS:Thirty-si...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.09.011
更新日期:2019-02-01 00:00:00
abstract:AIM:To evaluate the contribution which addition of pelvic computed tomography venography (CTV) to a standard CT pulmonary angiography (CTPA) imaging protocol makes to a definitive diagnosis of thromboembolic disease. MATERIALS AND METHODS:One hundred and six consecutive patients over the age of 55 years referred for (...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2001.0796
更新日期:2002-06-01 00:00:00
abstract:AIM:To describe the imaging features of inferior mesenteric vein (IMV)-inferior vena cava (IVC) shunts, and to describe a treatment strategy for portosystemic encephalopathy, which can be caused by them. MATERIALS AND METHODS:Between 2000 and 2004, we treated seven patients who had symptomatic IMV-IVC shunts. The resu...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2006.11.014
更新日期:2007-04-01 00:00:00
abstract:AIM:To correlate CT morphological features and histopathological findings of adenosquamous carcinoma of the lung. MATERIALS AND METHODS:In all, 29 patients underwent contrast-enhanced CT of an adenosquamous carcinoma of the lung, followed by resection of the cancer. Correlations between CT morphological and histopatho...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.08.014
更新日期:2005-03-01 00:00:00
abstract:AIM:To examine whether Positron Emission Tomography Response Criteria in Solid Tumours (PERCIST) is useful to predict tumour response and prognosis of patients with oesophageal cancer who received neoadjuvant chemoradiotherapy (NACRT) followed by surgery. MATERIALS AND METHODS:This multicentre retrospective study incl...
journal_title:Clinical radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.crad.2019.09.132
更新日期:2020-01-01 00:00:00
abstract:AIMS:To report the outcomes of elective and emergency embolization of renal angiomyolipoma and describe an angiographic sign that will help localize the symptomatic aneurysm in emergency cases. MATERIALS AND METHODS:A retrospective review of all patients undergoing embolization of renal angiomyolipoma at a two centres...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2008.02.005
更新日期:2008-08-01 00:00:00
abstract::A case of a middle-aged man with symptomatic, localised chondrocalcinosis of the knee following irradiation is described. Cartilage damage induced by radiotherapy should be added to the list of local factors which can predispose to chondrocalcinosis. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80302-7
更新日期:1988-07-01 00:00:00
abstract::The most commonly used modalities in the diagnosis of chronic pancreatitis are ultrasonography, computed tomography (CT) and endoscopic retrograde pancreatography (ERP). Computed tomography scanning is only of value in severe chronic pancreatitis. Both ultrasound and pancreatography are capable of showing ductal chang...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80339-8
更新日期:1988-01-01 00:00:00
abstract::Three adult patients with late presentation of Ebstein's anomaly were studied using MRI, including cine MRI. Spin-echo MRI demonstrated a large right atrium in each case and suggested an abnormal tricuspid valve in two. Systolic signal loss, on cine MRI, deep within the right ventricular cavity correctly indicated the...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82661-3
更新日期:1994-10-01 00:00:00
abstract:AIM:To compare assessment by MR excretory urography (MREU), Doppler ultrasound and isotope renography of women with symptomatic hydronephrosis in pregnancy and to define its cause. MATERIALS AND METHODS:Eleven women at 19-34 weeks of gestation were studied prospectively with gadolinium-enhanced breath-hold gradient ec...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0443
更新日期:2000-06-01 00:00:00
abstract::Renal artery stenosis (RAS) causes chronic, progressive ischaemic nephropathy and is the most common cause of secondary hypertension. Radiology plays a large part in the diagnosis, with a variety of imaging techniques available. Each has relative advantages and disadvantages depending on each unique clinical setting. ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2012.11.007
更新日期:2013-06-01 00:00:00
abstract:AIM:To assess the morphology and colour Doppler parameters in patients with polycystic ovarian syndrome (PCOS) and also to assess the changes in Doppler parameters in follow-up patients, who underwent treatment. MATERIALS AND METHODS:The study was conducted on 50 women of reproductive age who had clinical and biochemi...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2020.05.023
更新日期:2020-10-01 00:00:00
abstract::In a controlled study of barium swallow radiographs in systemic sclerosis, longitudinal oesophageal mucosal folds were absent in eight of 30 patients and in one of 30 control subjects (P less than 0.03). Patients without mucosal folds developed Raynaud's phenomenon at an earlier age than those who retained their mucos...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80177-4
更新日期:1979-09-01 00:00:00
abstract:AIM:To evaluate a diagnostic protocol incorporating helical computed tomographic pulmonary angiography (CTPA) and lung perfusion scintigraphy in the detection or exclusion of pulmonary embolism (PE) in routine clinical practice. MATERIALS AND METHODS:A prospective observational study of 808 consecutive patients with s...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2001.0838
更新日期:2002-01-01 00:00:00
abstract:AIM:To evaluate whether shear-wave velocity (SWV) can be used for predicting the prognoses of patients with colorectal cancer liver metastases (CRLMs) after chemotherapy. MATERIALS AND METHODS:Our institutional review board approved this prospective study, and written informed consent was obtained. SWV of CRLMs were o...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2020.09.027
更新日期:2021-01-02 00:00:00
abstract::We studied the reproducibility of measurement of carotid stenosis and assessment of plaque surface morphology on 1001 angiograms from a consecutive series of patients entered into the European Carotid Surgery Trial. Inter-observer agreement (Kappa statistic, 95% confidence interval (CI)) for categorization of carotid ...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/s0009-9260(98)80273-0
更新日期:1998-06-01 00:00:00
abstract:AIM:To investigate the value of hepatic extracellular volume fractions (fECVs) measured using routine liver computed tomography (CT) evaluating liver fibrosis (LF). MATERIALS AND METHODS:A total of 60 patients (male:female ratio, 39:21; mean age, 42.4 years) histologically diagnosed with LF underwent routine liver CT....
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.10.003
更新日期:2017-03-01 00:00:00
abstract::In presenting five new cases of renal adenomas the authors describe the general nature of these rare tumours. If the small adenoma corresponding to microscopic forms is frequent, the large adenoma is rare and always solitary. Haematuria and pain are the most common signs. The classic criterion of non-malignancy in a s...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80100-2
更新日期:1979-05-01 00:00:00
abstract:AIMS:To test the hypothesis that the improved resolution afforded by 16-detector computed tomography (CT) would translate to better stress fracture detection when compared with skeletal scintigraphy. MATERIALS AND METHODS:Thirty-three cases of suspected stress fractures in 26 patients were investigated using skeletal ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2005.05.014
更新日期:2005-10-01 00:00:00
abstract::Iocetamic acid (Cholebrin) and calcium ipodate (Solubiloptin) were randomly allocated to two groups of 50 patients. Each patient completed a detailed questionnaire for side effects. There was no significant difference between the contrast media in their ability to opacify the gallbladder. Cholebrin was superior to Sol...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0009-9260(78)80046-4
更新日期:1978-09-01 00:00:00
abstract::T1-weighted Magnetic Resonance Imaging (MRI) of 72 temporomandibular joints (TMJs) of symptomatic patients and normal subjects was performed after they had been clinically classified. The images were then interpreted by two radiologists, blinded to the clinical classification. The technique of imaging used a head coil...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81189-4
更新日期:1993-02-01 00:00:00
abstract::Thirty patients with testicular teratomas were examined by computed tomography (CT), lymphangiography and chest X-rays/tomography and the role of each investigation in the staging and management of these tumours is examined. It is suggested that CT should be the primary investigation of the abdomen in patients with te...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(81)80338-8
更新日期:1981-11-01 00:00:00
abstract:AIM:To evaluate the feasibility of using air as intraluminal contrast medium in magnetic resonance (MR) colonography. MATERIALS AND METHODS:Twenty-two patients underwent MR colonography (MRC) using air before colonoscopy. All patients were imaged in prone and supine positions. Each colon was divided into five segments...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(03)00126-0
更新日期:2003-07-01 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