Abstract:
AIM:To audit the feasibility and use of diffusion-weighted (DW) magnetic resonance imaging (MRI) as initial neuroimaging for in-patients with clinically suspected acute stroke. MATERIALS AND METHODS:In April 2000, MRI with DW and T2-weighted sequence was locally instituted as initial neuroimaging for patients with clinically suspected acute stroke. This retrospective study reviewed imaging performed for in-patients with suspected acute stroke over a 9-month period. Data were collected on image type, result and need for repeat imaging. RESULTS:During the study period, 124 patients had neuroimaging for suspected cerebrovascular accident, and 119 were MRI safe. Eighty-eight (73.9%) patients underwent DW MRI as first-line investigation. Five patients were not MRI safe and 31 had computed tomography (CT) as first-line imaging due to lack of available MRI capacity. Repeat neuroimaging was performed in 16 (12.9%) patients. Study times were comparable for both types of neuroimaging: a mean of 13 min for MRI and 11 min for CT. CONCLUSION:The audit standard was achieved in 88 (73.9%) patients. The use of DW MRI as a first-line investigation for patients with a clinical diagnosis of acute stroke is achievable in a district general hospital setting.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Buckley BT,Wainwright A,Meagher T,Briley Ddoi
10.1016/s0009-9260(02)00463-4subject
Has Abstractpub_date
2003-03-01 00:00:00pages
234-7issue
3eissn
0009-9260issn
1365-229Xpii
S0009926002004634journal_volume
58pub_type
杂志文章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::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::Of 167 patients with Hodgkin's disease seen in a single centre between December 1972 and December 1982, only one has developed a myelodysplastic state. Between 1972 and 1977, therapy consisted of radiotherapy alone for early-stage disease, combined-modality treatment for intermediate-stage disease and chemotherapy alo...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(85)80186-0
更新日期:1985-09-01 00:00:00
abstract::Cytomegalovirus (CMV) is the most commonly transmitted virus in utero with a prevalence of up to 1.5%. The infection has potentially debilitating and devastating consequences for the infected fetus, being a leading cause for neurological disability worldwide. Once acquired, it often goes undetected with only an assume...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2020.02.009
更新日期:2020-08-01 00:00:00
abstract::In order to assess the validity of quantitative duplex Doppler measurements of portal vein flow, 10 patients with proven diffuse liver disease and portal hypertension were examined serially by two independent observers over a 3 month period. Multiple measurements of the portal vein were made using a consistent techniq...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81237-1
更新日期:1993-11-01 00:00:00
abstract::Ultrasound examination was conducted in 151 proven cases of amoebic liver abscess. In the majority of patients the lesion was solitary but 25% of patients had multiple lesions; 17% of all the abscesses were in the left lobe of the liver. Most abscesses had no, or very few internal echoes and these were either of the s...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80020-3
更新日期:1979-11-01 00:00:00
abstract:AIM:To differentiate uric acid from non-uric acid renal stones based on their spectral attenuation values. MATERIALS AND METHODS:The present study was approved by the institutional review board and the need for informed consent was waived. Thirty-three consecutive patients (21 men, 12 women; mean age 55 years) with sy...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2017.01.018
更新日期:2017-06-01 00:00:00
abstract::Myeloproliferative neoplasms (MPNs) are a heterogeneous group of haematological disorders including polycythaemia vera (PV), essential thrombocythaemia (ET), primary myelofibrosis (PMF), and chronic myeloid leukaemia (CML). These disorders show large overlap in genetic and clinical presentations, and can have many dif...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2017.05.014
更新日期:2017-10-01 00:00:00
abstract::Visceral situs, as evidenced by the position of the stomach and liver on the plain film, does not predict atrial situs as accurately as does bronchial situs. In particular situs ambiguus of the atria is not reliably indicated by visceral situs, and its subdivision into either right and left isomerism, where both atria...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80056-2
更新日期:1979-01-01 00:00:00
abstract:AIM:To examine the sonographic features of shunt vessels derived from the splenic vein at splenic hilum (SS), and explore the relationship between the SS pattern and clinical presentations. MATERIALS AND METHODS:This prospective study in cirrhotic patients consisted of study I (n = 15), which compared the anatomical f...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2013.11.001
更新日期:2014-03-01 00:00:00
abstract::The first European trial of iodixanol (Nycomed Imaging AS) in adult intravenous urography is reported. Iodixanol is a new non-ionic, dimeric contrast medium of low osmolality. A double-blind, randomized, three group parallel study comparing iodixanol 270 mgI/ml, iodixanol 320 mgI/ml and iopamidol 300 mgI/ml (Niopam) w...
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(05)81801-x
更新日期:1994-05-01 00:00:00
abstract::We reviewed the initial imaging studies of 283 children with urinary tract infection in order to decide on the most effective approach. A voiding cystogram was performed in all, complemented by either urography (147 patients), ultrasonography (65), or both (71 patients). In the latter group there was good correlation ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80031-5
更新日期:1989-01-01 00:00:00
abstract:AIM:To evaluate the mixed-reality (MR) hologram, a novel technology based on two-dimensional images, which simulates three-dimensional (3D) images and provides a dynamic and interactive alternative, for its usefulness in the diagnosis and surgical planning of double outlet of the right ventricle (DORV). MATERIALS AND ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2020.10.017
更新日期:2020-12-09 00:00:00
abstract:AIM:To determine the added value of dynamic contrast-enhanced imaging (DCE) over T2-weighted imaging (T2-WI) and diffusion-weighted imaging (DWI) for detection of clinically significant prostate cancer (csPC) in patients with elevated prostate-specific antigen (PSA). METHODS AND MATERIALS:Two hundred and forty-five pa...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.09.011
更新日期:2017-01-01 00:00:00
abstract::Increasing histological and radiological understanding of the processes involved in soft-tissue injury is leading to novel targeted treatments. A number of reviews have recommended that these treatments should be performed with image guidance. This review describes current ultrasound-guided interventions and injection...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2010.09.006
更新日期:2011-02-01 00:00:00
abstract::Training in interventional radiology (IR) relies on a traditional apprenticeship; to protect patients, expert supervision is mandatory until knowledge, attitudes and practical skills have been certified as satisfactory. However, the current quality of IR training is threatened by reduced time for trainees to learn, as...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2006.01.013
更新日期:2006-07-01 00:00:00
abstract:AIM:To determine the frequency of and reasons for false-negative breast magnetic resonance imaging (MRI) examinations in high-risk women undergoing annual screening. MATERIALS AND METHODS:The family history clinic database was interrogated and women at high risk of breast cancer who had undergone screening MRI and bee...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.10.020
更新日期:2017-03-01 00:00:00
abstract::The accuracy of computed tomography (CT) in the assessment of nodal metastases was correlated retrospectively with the pathological examination in 28 patients with known head and neck squamous cell carcinoma, who underwent neck dissections. Three patients had bilateral neck dissections resulting in a total of 31 disse...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80500-8
更新日期:1991-08-01 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:AIM:To evaluate the use of a phantom system to help teach the basic techniques of accurate CT-guided needle placement, thereby avoiding the risks associated with teaching on patients. MATERIALS AND METHODS:Gelatine phantoms with five, 1.9 cm embedded spherical wooden targets were constructed. Four trainee operators pe...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2006.09.010
更新日期:2007-02-01 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: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::Neuronal migration anomalies form a spectrum of congenital brain malformations with a variety of clinical manifestations. The widespread use of MRI in the investigation of neurological symptoms, and particularly in the imaging of epilepsy, has made the correct recognition and interpretation of these disorders importan...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(96)80211-x
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:To report the computed tomography (CT) features of afferent loop syndrome which is often clinically unsuspected. MATERIALS AND METHODS:The CT studies of five patients with afferent loop syndrome were reviewed. These patients had undergone gastroenterostomy and other surgical procedures, for malignant neoplas...
journal_title:Clinical radiology
pub_type: 杂志文章,多中心研究
doi:
更新日期:2002-09-01 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:AIM:To examine the functional brain alterations in Parkinson's disease (PD) by measuring blood oxygenation level dependent (BOLD) functional MRI (fMRI) signals at rest while controlling for the structural atrophy. MATERIALS AND METHODS:Twenty-three PD patients and 20 age, gender, and education level matched normal con...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.10.006
更新日期:2016-01-01 00:00:00
abstract::The case of a 64-year-old man who presented with unilateral pulsatile exophthalmos is described. A defect in the supero-medial wall of the orbit and an extraconal low density mass were demonstrated by orbital radiographs and CT. Positive contrast CT cisternography confirmed the diagnosis of a leptomeningeal cyst. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80278-8
更新日期:1989-09-01 00:00:00
abstract::Ongoing research on malignant and normal cell biology has substantially enhanced the understanding of the biology of cancer and carcinogenesis. This has led to the development of methods to image the evolution of cancer, target specific biological molecules, and study the anti-tumour effects of novel therapeutic agent...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2015.06.082
更新日期:2015-10-01 00:00:00
abstract::Myasthenia gravis (MG) is an autoimmune disorder often associated with thymic abnormalities. At onset, thymic lymphoid hyperplasia (TLH) and thymoma can be found in up to 65% and 15% of patients, respectively. Diagnostic imaging is crucial in this setting in order to detect the presence and type of the thymic abnormal...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2014.01.005
更新日期:2014-05-01 00:00:00
abstract::A histological review of 271 cases of nodular sclerosing Hodgkin's disease, patients presenting with clinical Stage I, II and III disease but not subjected to a staging laparotomy, has been undertaken. Cases were categorised according to the cytological appearances of the cellular nodules and the degree of sclerosis w...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80148-2
更新日期:1983-09-01 00:00:00