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 per 1000 new casualty attenders. After implementation the rate of skull radiography initially fell by 40%, but thereafter slowly increased so that 12 months later it had returned to the pre-implementation level. During the first and second 6 months of the study reductions of 37% and 17%, respectively, were achieved. Although the overall annual reduction was only 27% an estimated saving of almost 10,000 pounds was made. Although clinical guidelines for skull radiography can reduce the number of skull radiographs without detriment to the care of the head-injured patient, their constant use is difficult to sustain. The application of clinical guidelines needs regular monitoring. Referring clinicians and radiologists need to be strongly motivated if such guidelines are to find a useful place in clinical management.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Clarke JA,Adams JEdoi
10.1016/s0009-9260(05)80957-2subject
Has Abstractpub_date
1990-03-01 00:00:00pages
152-5issue
3eissn
0009-9260issn
1365-229Xjournal_volume
41pub_type
杂志文章abstract：AIM:To evaluate the radiological and histopathological features of hepatic inflammatory myofibroblastic tumours (IMTs), and improve the understanding of this tumour. MATERIALS AND METHODS:A retrospective analysis of radiological and histopathological features of 10 cases of IMT was carried out from May 2003 to Septemb...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2013.05.097
更新日期：2013-11-01 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：:In order to determine whether abdominopelvic computed tomography (CT) offers an alternative to barium enema (BE) for the investigation of the large bowel in frail elderly patients, we have assessed and compared the results of both tests performed in each patient. Thirty-seven patients aged 71 to 88 (mean 80) with a hi...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80108-4
更新日期：1993-07-01 00:00:00
abstract：AIMS:To describe the optimum conditions for successful free-hand ultrasound guided intervention using an in-vitro experiment. MATERIALS AND METHODS:Optimal free-hand biopsy conditions were determined using targets buried in a purpose-built interventional phantom. The needle/probe distance and probe/phantom surface ang...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2000.0579
更新日期：2001-06-01 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：:We report the findings of computed tomography and magnetic resonance imaging in two cases of surgically proven benign cavernous haemangiomas of the mediastinum. Both techniques produced similar results, although both were non-diagnostic for haemangioma as was percutaneous needle biopsy, which was performed in one pati...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81585-5
更新日期：1991-02-01 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：AIM:To demonstrate that carbon dioxide (CO2) microbubble contrast enhancement depicts blood vessels when used for x-ray examinations. MATERIALS AND METHODS:Microbubbles were generated by cavitation of physiological saline to which CO2 gas had been added using an ejector-type microbubble generator. The input pressure v...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2012.08.011
更新日期：2013-04-01 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
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 demonstrate the magnetic resonance imaging (MRI) appearances of intact and ruptured Trilucent TM implants with imaging and surgical correlation. The appearances of the implant transponder artefact are also described MATERIALS AND METHODS:A retrospective review of the MRI findings in 34 patients with bilateral s...
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
abstract：:A case of multiple tuberculomas of the spleen, detected as hypoechoic masses on ultrasound and subsequently proved at operation and histopathology, is presented. This was the only manifestation of the disease. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81593-4
更新日期：1991-02-01 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 assess the effect of changing from an "appointment" to a "same-day" ultrasound (US) service on referral pattern, departmental workload, and patient satisfaction. MATERIALS AND METHODS:To reduce US waiting time of 3 weeks for routine examinations, a "same-day" service was started for outpatients and general prac...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2009.09.009
更新日期：2010-01-01 00:00:00
abstract：:Glioblastoma (GBM) is a common brain tumour in adults, which, despite multimodality treatment, has a poor median survival. Efficacy of therapy is assessed by clinical examination and magnetic resonance imaging (MRI) features. There is now a recognised subset of treated patients with imaging features that indicate "pro...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2015.06.096
更新日期：2015-11-01 00:00:00
abstract：:Three-dimensional (3D) computed tomography (CT) reformations were obtained in 15 patients presenting with facial injuries of differing severity. The 3D images were compared with standard radiographs and high resolution CT, including multiplanar reformations, and assessed under the headings of fracture detection, exten...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(87)80144-7
更新日期：1987-09-01 00:00:00
abstract：:Malpositioned central venous catheters need to be repositioned so as to avoid local toxicity from chemotherapeutic and other agents and to prevent venous thrombosis. We describe a simple, safe and effective technique for repositioning silicone central venous catheters, by using a hand injection of sterile saline. It w...
journal_title：Clinical radiology
pub_type：
doi：10.1016/s0009-9260(05)80871-2
更新日期：1991-09-01 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：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：AIM:To retrospectively evaluate the efficacy of embolotherapy in patients with iatrogenic traumatic uterine arteriovenous malformations (AVMs). MATERIALS AND METHODS:A retrospective review of all patients who underwent uterine arterial embolization in Peking Union Medical College Hospital between January 2000 and Dece...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2011.11.002
更新日期：2012-06-01 00:00:00
abstract：AIM:To compare the safety and efficacy of percutaneous computed tomography (CT)-guided core-needle biopsy (CNB) of pancreatic masses traversing the gastrointestinal tract or solid viscera versus trans-mesenteric and retroperitoneal approaches. MATERIALS AND METHODS:CT-guided CNB of pancreatic lesions performed between...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2016.02.021
更新日期：2016-06-01 00:00:00
abstract：AIM:To investigate the presence of fatty infiltrate in the cervical extensor musculature in patients with insidious-onset neck pain to better understand the possible pathophysiology underlying such changes in chronic whiplash-associated disorders (WAD). MATERIALS AND METHODS:A sample of convenience of 23 women with pe...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2007.11.011
更新日期：2008-06-01 00:00:00
abstract：AIM:To identify magnetic resonance imaging (MRI) features differentiating high-grade (>5% round-cell component) from low-grade myxoid liposarcomas (LPS) (≤5% round-cell component). MATERIALS AND METHODS:Informed consent was waived. Patients with myxoid LPS and MRI before biopsy, neoadjuvant therapy, and surgery were i...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2017.01.016
更新日期：2017-07-01 00:00:00
abstract：AIM:The purpose of this study was to describe the mammographic findings of localized foreign body granulomas in women who were injected with a foreign body in the cervicofacial area to flatten wrinkles. MATERIALS AND METHODS:The teaching files of our institutions were searched, and nine mammograms of migrated foreign ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2004.03.003
更新日期：2004-09-01 00:00:00
abstract：:Post-treatment imaging of the neck is complex. It is important to have an understanding of the expected treatment related appearances as well as the possible complications. Common findings after radiation therapy include generalised soft-tissue oedema and thickening of the skin and platysma muscle. There are a number ...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2020.06.011
更新日期：2020-10-01 00:00:00
abstract：AIM:To contribute to the evidence base evaluating the usefulness of preoperative imaging in management of atypical endometrial hyperplasia. MATERIALS AND METHODS:A single-centre retrospective observational study was conducted comparing preoperative, post-diagnostic radiological staging with surgicopathological staging...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2020.03.022
更新日期：2020-07-01 00:00:00
abstract：AIM:To describe the computed tomography (CT) and magnetic resonance imaging (MRI) findings that differentiate solid pseudopapillary carcinomas (SPC) from benign solid pseudopapillary tumours (SPT) of the pancreas. MATERIALS AND METHODS:Preoperative CT or MRI images for 26 patients (eight patients with SPC and 18 patie...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2008.04.007
更新日期：2008-09-01 00:00:00
abstract：:The use of computers is increasing in every field of medicine, especially radiology. Filmless radiology departments, speech recognition software, electronic request forms and teleradiology are some of the recent developments that have substantially increased the amount of time a radiologist spends in front of a comput...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2008.08.003
更新日期：2009-02-01 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
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
