Abstract:
AIM:To determine the clinical value of scaphoid and pronator fat stripes in identifying occult underlying scaphoid and distal radius fractures, respectively. MATERIALS AND METHODS:In our department, all patients with clinically suspected scaphoid fractures and normal scaphoid series of radiographs undergo magnetic resonance imaging (MRI) of the wrist. We selected 50 cases with unequivocal MRI evidence of scaphoid fracture, 50 cases with distal radius fracture and 50 cases with no MRI evidence of bony injury. All 150 initial plain radiographs were examined retrospectively in random order without knowledge of the MRI findings and the scaphoid and pronator fat stripes scrutinized. RESULTS:The scaphoid fat stripe was abnormal in only 25 cases (50%) with confirmed scaphoid fracture on MRI. The pronator fat stripe was abnormal in 13 cases (26%) with confirmed distal radius fracture. In the 50 cases with no MRI evidence of bony injury, the scaphoid fat stripe and pronator fat stripe were abnormal in 25 (50%) and 15 (30%) cases, respectively. The sensitivity and specificity for an abnormal scaphoid fat stripe was 50%. The sensitivity and specificity for an abnormal pronator fat stripe was 26 and 70%, respectively. CONCLUSION:Scaphoid and pronator fat stripes are poor predictors of the presence or absence of underlying occult fractures.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Annamalai G,Raby Ndoi
10.1016/s0009-9260(03)00230-7subject
Has Abstractpub_date
2003-10-01 00:00:00pages
798-800issue
10eissn
0009-9260issn
1365-229Xpii
S0009926003002307journal_volume
58pub_type
杂志文章abstract::The reduced lung cancer mortality observed with low-dose computed tomography (LDCT) screening in the National Lung Screening Trial (NLST) has led to annual screening in the United States as a covered benefit by both private insurers and the federal health insurance programme, the Centers for Medicare and Medicaid Serv...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2016.12.003
更新日期:2017-05-01 00:00:00
abstract:AIM:To explore the value of CT spectral imaging in the differential diagnosis of necrotic hepatocellular carcinoma (nHCC) and hepatic abscess (HA) during the arterial phase (AP) and portal venous phase (PP). MATERIALS AND METHODS:Sixty patients with 36 nHCCs and 24 HAs underwent spectral CT during AP and PP. Iodine or...
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pub_type: 杂志文章
doi:10.1016/j.crad.2014.08.018
更新日期:2014-12-01 00:00:00
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pub_type: 杂志文章,实务指引
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更新日期:2018-08-01 00:00:00
abstract::The role of computed tomography (CT) in radiotherapy treatment planning was assessed in a series of 231 patients in whom treatment was planned with radical intent. For each patient, a treatment plan was produced by the best conventional techniques in use at the Middlesex Hospital. Each patient then underwent a CT scan...
journal_title:Clinical radiology
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doi:10.1016/s0009-9260(84)80021-5
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abstract::Intrascrotal masses in the adult are worrisome due to their possible malignancy. Most intratesticular masses are malignant whereas most extratesticular masses are benign. The differential diagnosis of intrascrotal cysts usually includes simple testicular cysts, intratesticular epidermoid and dermoid cysts, tunica albu...
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doi:10.1016/s0009-9260(05)83198-8
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80217-7
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2000-01-01 00:00:00
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章
doi:10.1053/crad.2000.0518
更新日期:2000-12-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.01.007
更新日期:2015-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
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更新日期:2016-10-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(98)80004-4
更新日期:1998-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2012.05.019
更新日期:2013-02-01 00:00:00
abstract::Clinical guidelines for the selection of patients with head injuries for skull radiography, based on those formulated by the Royal College of Radiologists, were introduced into the Accident and Emergency department at the Manchester Royal Infirmary. Before the guidelines were implemented 94 skull X-rays were obtained ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80957-2
更新日期:1990-03-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)83188-5
更新日期:1995-08-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(77)80183-9
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(85)80328-7
更新日期:1985-07-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(77)80134-7
更新日期:1977-01-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.12.018
更新日期:2017-06-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.08.003
更新日期:2011-12-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.02.013
更新日期:2005-02-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80325-3
更新日期:1989-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2001.0767
更新日期:2002-04-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.05.002
更新日期:2015-09-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)83160-5
更新日期:1995-07-01 00:00:00
abstract::Patients with leukaemia, on anticoagulant therapy, or with disseminated intravascular coagulation may develop occult pulmonary haemorrhage; it will mimic pulmonary oedema, pulmonary hemosiderosis or opportunistic infections. It can be diagnosed by bronchopulmonary lavage. The radiographic changes are described and the...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(78)80217-7
更新日期:1978-03-01 00:00:00