Abstract:
:Fracture classification systems are used on a daily basis in any busy orthopedic clinic. They are an essential means by which physicians communicate, make treatment decisions, estimate prognosis, and report and compare results. Until recently, these classifications have been designed, accepted, and utilized without formal critique. By studying and understanding the shortcomings of previous systems, we can use this knowledge to construct better ones. Ideally, a fracture classification, like any classification, should be reliable, reproducible, all inclusive, mutually exclusive, logical, and clinically useful. The AO/ASIF classification of long bone fractures provides a unified scheme of classification for fractures of the entire skeleton. Despite addressing many of the faults of previous classifications, the observer agreement for this system drops to unacceptable levels at the group and subgroup levels. Further study is warranted to determine how this agreement can be improved.
journal_name
Radiol Clin North Amjournal_title
Radiologic clinics of North Americaauthors
Martin JS,Marsh JLsubject
Has Abstractpub_date
1997-05-01 00:00:00pages
491-506issue
3eissn
0033-8389issn
1557-8275journal_volume
35pub_type
杂志文章,评审abstract::Pelvic pain during the first trimester of pregnancy can pose a challenge to the clinician. The noninvasive nature, safety, and reliability of ultrasonography make it the diagnostic method of choice for pregnant patients who have pelvic pain. Sonography provides information that allows for diagnosis of both pregnancy-r...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2006.10.015
更新日期:2006-11-01 00:00:00
abstract::Evolution in computed tomography technology and image reconstruction have significantly changed practice. Dual energy computed tomography is being increasingly adopted owing to benefits of material separation, quantification, and improved contrast-to-noise ratio. The radiation dose can match that from single energy co...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2018.03.002
更新日期:2018-07-01 00:00:00
abstract::There is a growing body of experience supporting the use of image-guided RFA for the treatment of primary RCC. Because surgical resection is a technique with low mortality, and a proved success rate that is high, this must remain standard therapy for patients with potentially curable RCC. Some patients with low-stage ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(03)00074-5
更新日期:2003-09-01 00:00:00
abstract::In patients who have lymphoma, the presence and distribution of thoracic involvement is important in both tumor staging and treatment. Thoracic involvement in Hodgkin lymphoma (HL) is more common than in non-Hodgkin lymphoma (NHL). In HL, mediastinal lymphadenopathy with contiguous spread is a hallmark, and lung paren...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2008.03.006
更新日期:2008-03-01 00:00:00
abstract::CT is the radiographic procedure of choice in evaluating laryngeal neoplasia. CT not only is easily tolerable and relatively noninvasive for the patient but also assesses deep and extralaryngeal pathology. It allows tumor staging and, therefore, treatment planning to be more intelligently performed. ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1984-03-01 00:00:00
abstract::Visualization of airways in chronic obstructive pulmonary disease (COPD) patients is important for understanding the disease and therapeutic management. Today a perpendicular visualization and measurement of airway diameter and wall thickness are possible. Postprocessing software allows for the automatic segmentation ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2008.11.012
更新日期:2009-03-01 00:00:00
abstract::In a pregnant woman who presents with acute pelvic pain and an adnexal mass, pregnancy-related etiologies, such as ectopic pregnancy or ovarian torsion, are typically the first diagnoses to be considered. Many other causes of pelvic pain associated with an adnexal mass can occur in pregnant patients, however. Some cau...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2003.12.006
更新日期:2004-03-01 00:00:00
abstract::It is important clinically to be able to differentiate ulcerative colitis from Crohn's colitis because they differ considerably in the nature of complications and prognoses. Radiographically, it is possible to render a specific diagnosis in the vast majority of cases using criteria described in this article. The probl...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1987-01-01 00:00:00
abstract::Interventional radiologic procedures in the gallbladder are influencing both the diagnosis and therapy of many gallbladder disorders. Current diagnostic and therapeutic percutaneous techniques offer important alternatives for their management. This article highlights the spectrum of interventional radiologic technique...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1990-11-01 00:00:00
abstract::Appendicitis is the most common cause of acute abdominal pain requiring surgery. Early diagnosis is crucial to the success of therapy. CT and ultrasound are widely recognized as very useful in the timely diagnosis of appendicitis. MR imaging is emerging as an alternative to CT in pregnant patients and in patients who ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2007.04.003
更新日期:2007-05-01 00:00:00
abstract::Nuclear medicine imaging of the breast is a US Food and Drug Administration-approved imaging modality that is being integrated into clinical practice to increase the armamentarium of tools available to diagnose breast cancer. The authors' practice, and others that have integrated nuclear medicine imaging of the breast...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2010.06.008
更新日期:2010-09-01 00:00:00
abstract::Multimodality, noninvasive imaging is increasingly used in the identification and management of pulmonary hypertension (PH). Chest radiography, ventilation-perfusion scintigraphy, and Doppler echocardiography are frequently the initial studies used to evaluate patients suspected of having PH. However, their ability to...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2016.05.011
更新日期:2016-11-01 00:00:00
abstract::Cystic lung diseases are caused by a number of abnormalities. Many of the cystic lung diseases and their mimics can be reliably diagnosed based on their HRCT findings. In the appropriate clinical setting this could obviate biopsy. ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(05)70340-7
更新日期:2001-11-01 00:00:00
abstract::This article outlines the benefits of imaging osteoarthritis with ultrasonography and some of the limitations. Pathologic structures able to be identified in osteoarthritis with ultrasonography are reviewed, with a focus on the validity of the technique. Common ultrasonographic abnormalities seen in osteoarthritis in ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2009.04.007
更新日期:2009-07-01 00:00:00
abstract::By performing a comprehensive MR imaging examination, it is not only possible accurately to characterize and stage cystic and solid lesions of the kidney, but also to provide important preoperative information to the surgeon. In addition, MR imaging can characterize many adrenal lesions and frequently can obviate the ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(02)00059-3
更新日期:2003-01-01 00:00:00
abstract::Magnetic resonance (MR) has noninvasively imaged the proximal coronary arteries, areas of infarction, and a variety of congenital heart lesions. Further technical improvement may extend cardiac MR from the realm of research to clinical utility. ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract::Breast MR imaging is the most sensitive modality for breast cancer detection. This high sensitivity has led to widespread adoption of this technique, particularly in screening women at elevated risk for breast cancer. Despite its high sensitivity, standard breast MR imaging protocols are limited by moderate specificit...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2016.12.009
更新日期:2017-05-01 00:00:00
abstract::Osteoporosis, a condition of decreased bone tissue that increases the likelihood of fracture, places a significant burden on our society in terms of health cost and morbidity. The most common type of osteoporosis is involutional, and two subtypes are recognized: type 1 and type 2. Type 1, or postmenopausal, osteoporos...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract::von Hippel-Lindau (VHL) disease is an autosomal-dominant, hereditary, multisystem neoplasia syndrome with increased susceptibility to several benign and malignant tumors. VHL occurs in about 1 in 36,000 live births and is associated with germline mutation of the VHL tumor suppressor gene on the short arm of chromosome...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2015.12.004
更新日期:2016-05-01 00:00:00
abstract::Mammography has had a major impact on the earlier detection, treatment options, and management decisions and survival and mortality rates of breast cancer. Consequences include overwhelming demand for mammography; problems with optimum response by radiology; limited availability of the examination, especially to the s...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Pulmonary infections are among the most common causes of morbidity and mortality worldwide, and contribute substantially to annual medical expenditures in the United States. Despite the availability of antimicrobial agents, pneumonia constitutes the sixth most common cause of death and the number one cause of death fr...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2005.10.009
更新日期:2006-03-01 00:00:00
abstract::Myelopathy refers to any pathologic process that involves the spinal cord, and can be caused by a variety of different diseases. MR imaging is the primary modality for evaluating the patient presenting with myelopathy. The first step must be the exclusion of spinal cord compression. Although the MR features of many ca...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2018.09.006
更新日期:2019-03-01 00:00:00
abstract::Ankle tenography is an easily learned technique for the treatment of tenosynovitis. This article describes the procedure in detail and discusses the indications and contraindications for tenography. The anatomy of the ankle tendons is briefly reviewed. This article familiarizes radiologists with this minimally-invasiv...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(05)70059-2
更新日期:1998-07-01 00:00:00
abstract::SPECT systems should affect nuclear medicine because of their ability to eliminate overlying and underlying radionuclide activity, their capacity for total volume imaging, and the increased contrast for lesions, compared with conventional planar imaging and their quantitative potential. The authors offer a preview of ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1983-12-01 00:00:00
abstract::CT and ultrasonography, alone or in combination, have partially replaced aortography for the detection of abnormalities of the native and grafted abdominal aorta. In our medical center, ultrasonography is used to detect or confirm the diagnosis of aortic aneurysm and to determine its size, extent, and relationship to ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1983-09-01 00:00:00
abstract::Multidetector row CT is the most recent advance in CT technology. An increased number of detector rows and more powerful x-ray tubes result in faster scanning time, increased volume coverage, and improved spatial and temporal resolution. MDCT technology allows superior image quality, decreased examination time, and th...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2005.07.004
更新日期:2005-11-01 00:00:00
abstract::A large variety of gastrointestinal and abdominal pathologic processes can be diagnosed or suspected by their direct effects on the chest. The chest radiograph, as often the first admission film, can aid the radiologist in recommending the appropriate follow-up examinations. ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1984-09-01 00:00:00
abstract::The neck visceral space is a complex region housing several vital structures. Diagnostic imaging plays an important role in the evaluation of neck visceral injuries. Many injuries are initially missed by both clinicians and radiologists because of their infrequency and the high likelihood of other more obvious injurie...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2019.02.005
更新日期:2019-07-01 00:00:00
abstract::Drug-induced pulmonary toxicity is increasing and early diagnosis is important because of the associated morbidity and mortality. Diagnosis is often difficult and is usually based on a history of drug therapy and exclusion of infection, radiation pneumonitis, and recurrence of the underlying disease. Although HRCT fin...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:10.1016/s0033-8389(03)00109-x
更新日期:2002-01-01 00:00:00
abstract::The prevalence of adult congenital heart disease (ACHD) is increasing due to advances in surgical techniques, anesthesia, and perioperative care. Imaging plays an important role, not only in the surveillance of ACHD, but also in the initial evaluation of cases that have escaped detection early in life and present with...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2018.08.013
更新日期:2019-01-01 00:00:00