Postmyelography headache rates with Whitacre versus Quincke 22-gauge spinal needles.

Abstract:

PURPOSE:To compare the postdural puncture headache (PDPH) rates after myelography with use of 22-gauge Whitacre (blunt tip) versus standard 22-gauge Quincke (bevel-tip) spinal needles. MATERIALS AND METHODS:At myelography, 340 patients were randomly assigned to one of two groups in which either the Whitacre (167 patients) or the Quincke (173 patients) needle was used. Follow-up was at 48 hours and at 4 days after the procedure. Crude and adjusted Whitacre/PDPH odds ratios and risk ratios were calculated. RESULTS:The crude Whitacre needle PDPH risk was 9.6%, and the crude Quincke needle PDPH risk was 15.6%. The absolute risk difference was 6.0% with a 95% confidence interval of -0.98% and 13.04%. The adjusted Whitacre/PDPH odds ratio was 0.492 with a 95% confidence interval of 0.241 and 1.003. The Whitacre needle group had a statistically significantly lower PDPH severity grade (P = .0151), similar PDPH duration, and more technical difficulty with the needle. CONCLUSION:The Whitacre needle is associated with an equal or lower PDPH risk; the lack of statistical significance is most likely related to sample size. Further study is necessary to determine whether the decreased PDPH rate justifies the added difficulty associated with use of the Whitacre needle.

journal_name

Radiology

journal_title

Radiology

authors

Peterman SB

doi

10.1148/radiology.200.3.8756930

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

771-8

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

200

pub_type

临床试验,杂志文章,随机对照试验
  • Calcium pyrophosphate dihydrate crystal deposition in and around the atlantoaxial joint: association with type 2 odontoid fractures in nine patients.

    abstract:PURPOSE:To investigate the histopathologic anatomy of calcium pyrophosphate dihydrate (CPPD) crystal deposition in and around the atlantoaxial joint and the association between CPPD crystal deposition and subchondral cysts, erosions, and fracture involving the odontoid process of the axis. MATERIALS AND METHODS:One ad...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.216.1.r00jl36213

    authors: Kakitsubata Y,Boutin RD,Theodorou DJ,Kerr RM,Steinbach LS,Chan KK,Pathria MN,Haghighi P,Resnick D

    更新日期:2000-07-01 00:00:00

  • The angiographic diagnosis of leiomyosarcoma of the inferior vena cava.

    abstract::Two cases of leiomyosarcoma of the inferior vena cava showed a high degree of obstruction of the inferior cava, enlarged local arteries supplying the lesion, neovascularity, and a marked parenchymal blush. Collateral veins bridge the obstruction. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/122.3.683

    authors: Tegtmeyer CJ,Buschi A

    更新日期:1977-03-01 00:00:00

  • The evolution of the basic concepts underlying the practice of radiotherapy from 1949 to 1977.

    abstract::In his overview of the history and theoretical developments of radiotherapy, the author stresses the following concepts: (a) sensitivity is not linked to histology but to the volume of cancer; (b) the dose must not necessarily be homogeneous in the target volume but related to varying volumes of cancer; (c) the fact t...

    journal_title:Radiology

    pub_type: 历史文章,杂志文章,评审

    doi:10.1148/127.1.3

    authors: Fletcher GH

    更新日期:1978-04-01 00:00:00

  • Focal and diffuse liver disease studied by quantitative microstructural sonography.

    abstract::Quantitative microstructural sonography differs from conventional sonography in several ways. The frequency as well as the amplitude of echoes is recorded and assessed using spectral analysis techniques. The effects of diffraction of the ultrasound beam are calibrated, as are the transfer characteristics of the system...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.155.2.2984720

    authors: King DL,Lizzi FL,Feleppa EJ,Wai PM,Yaremko MM,Rorke MC,Herbst J

    更新日期:1985-05-01 00:00:00

  • Echogenic clot: a useful sign of pelvic hemoperitoneum.

    abstract::The sonograms of 34 patients with surgically proved pelvic hemoperitoneum were reviewed. In 15 of these patients clotted blood was found at surgery in the pelvis or cul-de-sac. In nine of these patients (60%), ultrasound demonstrated echogenic fluid collections or "masses" with an echogenicity equal to or greater than...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.145.1.7122870

    authors: Jeffrey RB,Laing FC

    更新日期:1982-10-01 00:00:00

  • Acute liver rejection: accuracy and predictive values of doppler US measurements--initial experience.

    abstract:PURPOSE:To prospectively evaluate accuracy and predictive values of Doppler ultrasonographic (US) measurement of portal blood velocity (PBV) and splenic pulsatility index (SPI) in diagnosis of clinically relevant acute rejection in patients with clinicobiochemical hepatic dysfunction after orthotopic liver transplantat...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2352040506

    authors: Bolognesi M,Sacerdoti D,Mescoli C,Nava V,Bombonato G,Merkel C,Merenda R,Angeli P,Rugge M,Gatta A

    更新日期:2005-05-01 00:00:00

  • Ultrasonographic evaluation of juxtadiaphragmatic masses in children.

    abstract::The authors suggest that ultrasound be used in the evaluation of juxtadiaphragmatic lesions before resorting to other radiographic methods. This technique gives accurate diagnoses, serves as a guide for further studies, and might obviate more extensive procedures. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/125.3.785

    authors: Kangarloo H,Sukov R,Sample WF,Lipson M,Smith L

    更新日期:1977-12-01 00:00:00

  • Catheter visualization with resonant markers at MR imaging-guided deployment of endovascular stents in swine.

    abstract:PURPOSE:To evaluate resonant circuits as markers for magnetic resonance (MR) imaging-guided placement of nitinol stents. MATERIALS AND METHODS:The study was approved by the institutional animal research committee and complied with National Institutes of Health guidelines for care and use of laboratory animals. Resonan...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2333031710

    authors: Kuehne T,Weiss S,Brinkert F,Weil J,Yilmaz S,Schmitt B,Ewert P,Lange P,Gutberlet M

    更新日期:2004-12-01 00:00:00

  • Hemodialysis catheter placement and management.

    abstract::Hemodialysis catheters are an integral part of the delivery of hemodialysis. While catheters play an important role in the patient undergoing hemodialysis, catheters should be considered a bridge to more permanent forms of dialysis access in most patients. Recent advances in catheter technology, access techniques, and...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiology.215.3.r00jn23651

    authors: Trerotola SO

    更新日期:2000-06-01 00:00:00

  • Circumferential Thick Enhancement at Vessel Wall MRI Has High Specificity for Intracranial Aneurysm Instability.

    abstract::Purpose To identify wall enhancement patterns on vessel wall MRI that discriminate between stable and unstable unruptured intracranial aneurysm (UIA). Materials and Methods Patients were included from November 2012 through January 2016. Vessel wall MR images were acquired at 3 T in patients with stable (incidental and...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2018172879

    authors: Edjlali M,Guédon A,Ben Hassen W,Boulouis G,Benzakoun J,Rodriguez-Régent C,Trystram D,Nataf F,Meder JF,Turski P,Oppenheim C,Naggara O

    更新日期:2018-10-01 00:00:00

  • Bronchial web diagnosed by bronchography.

    abstract::Bronchial webs are rare lesions which often go unrecognized. The authors describe a patient who presented with right-lower-lobe bronchiectasis and at-electasis secondary to a web in the right-lower-lobe bronchus. This is the first known instance where such a lesion has been demonstrated by bronchography. The etiology ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/121.3.526

    authors: Patronas NJ,MacMahon H,Variakojis D

    更新日期:1976-12-01 00:00:00

  • Imaging Paradigms in Acute Ischemic Stroke: A Pragmatic Evidence-based Approach.

    abstract::Online supplemental material is available for this article. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2015151030

    authors: Menon BK,Goyal M

    更新日期:2015-10-01 00:00:00

  • Arteriography with portable DSA equipment.

    abstract::Fifty-one arteriograms were obtained outside of the radiology department with portable digital subtraction angiographic equipment. Thirty-five studies were performed in the emergency room, 12 in the operating room, and four in the intensive care unit. There was a significant decrease in the time interval from arrival ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/172.3.1023

    authors: King JN,Orrison WW,Keck GM,Demarest GB,Hinson JE,Sell JJ

    更新日期:1989-09-01 00:00:00

  • Radiologically guided balloon dilation of gastrointestinal strictures. Part I. Technique and factors influencing procedural success.

    abstract::Radiologically guided balloon catheters were used to dilate 94 gastrointestinal strictures in 92 patients over a 6-year period. Fifty strictures were esophageal and 44 nonesophageal (22 gastroenterostomies, 11 antral-pyloric strictures, four colorectal strictures, four enteroenterostomies, and three miscellaneous stri...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.165.1.3628790

    authors: McLean GK,Cooper GS,Hartz WH,Burke DR,Meranze SG

    更新日期:1987-10-01 00:00:00

  • Endovascular treatment of intracranial aneurysms with a new silicone microballoon device: technical considerations and indications for therapy.

    abstract::Treatment of complex intracranial aneurysms by means of interventional neurovascular techniques is now being performed with a newly developed silicone detachable-microballoon device. The balloon is composed of unique silicone elastomers that are extremely soft and malleable. It therefore conforms to the blood vessel l...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.174.3.2305050

    authors: Higashida RT,Halback VV,Dormandy B,Bell JD,Hieshima GB

    更新日期:1990-03-01 00:00:00

  • The pulmonary manifestations of lymphomatoid granulomatosis.

    abstract::The pulmonary manifestations of 5 biopsy-proved cases of lymphomatoid granulomatosis are discussed. Two patients had diffuse reticulonodular infiltration of the lungs, thought to represent infiltrates of lymphomatoid granulomatosis. Three had nodular densities of varying size and distribution, with radiologically norm...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.143.3.7079490

    authors: Dee PM,Arora NS,Innes DJ Jr

    更新日期:1982-06-01 00:00:00

  • Effect of Radiation Dose Reduction and Reconstruction Algorithm on Image Noise, Contrast, Resolution, and Detectability of Subtle Hypoattenuating Liver Lesions at Multidetector CT: Filtered Back Projection versus a Commercial Model-based Iterative Reconst

    abstract::Purpose To determine the effect of radiation dose and iterative reconstruction (IR) on noise, contrast, resolution, and observer-based detectability of subtle hypoattenuating liver lesions and to estimate the dose reduction potential of the IR algorithm in question. Materials and Methods This prospective, single-cente...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2017161736

    authors: Solomon J,Marin D,Roy Choudhury K,Patel B,Samei E

    更新日期:2017-09-01 00:00:00

  • Comparison of scanning equalization and conventional chest radiography.

    abstract::A clinical comparison study of scanning equalization radiography (SER) and conventional chest radiography was performed with the latest prototype SER system. Conventional chest radiography was performed at 120 kVp with Lanex regular screens (Eastman Kodak, Rochester, NY) and Kodak Ortho-G or Ortho-C film (Eastman Koda...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.172.3.2772170

    authors: Wandtke JC,Plewes DB

    更新日期:1989-09-01 00:00:00

  • Reduction in false-positive results after introduction of digital mammography: analysis from four population-based breast cancer screening programs in Spain.

    abstract:PURPOSE:To evaluate the effect of the introduction of digital mammography on the recall rate, detection rate, false-positive rate, and rates of invasive procedures in a cohort of women from four population-based breast cancer screening programs in Spain. MATERIALS AND METHODS:The study was approved by the ethics commi...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.10100874

    authors: Sala M,Salas D,Belvis F,Sánchez M,Ferrer J,Ibañez J,Román R,Ferrer F,Vega A,Laso MS,Castells X

    更新日期:2011-02-01 00:00:00

  • Acute massive gastrointestinal bleeding: detection and localization with arterial phase multi-detector row helical CT.

    abstract:PURPOSE:To prospectively evaluate accuracy of arterial phase multi-detector row helical computed tomography (CT) for detection and localization of acute massive gastrointestinal (GI) bleeding, with angiography as reference standard. MATERIALS AND METHODS:Institutional review board approved this study; written informed...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2383050175

    authors: Yoon W,Jeong YY,Shin SS,Lim HS,Song SG,Jang NG,Kim JK,Kang HK

    更新日期:2006-04-01 00:00:00

  • A Deep Learning Model to Predict a Diagnosis of Alzheimer Disease by Using 18F-FDG PET of the Brain.

    abstract::Purpose To develop and validate a deep learning algorithm that predicts the final diagnosis of Alzheimer disease (AD), mild cognitive impairment, or neither at fluorine 18 (18F) fluorodeoxyglucose (FDG) PET of the brain and compare its performance to that of radiologic readers. Materials and Methods Prospective 18F-FD...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2018180958

    authors: Ding Y,Sohn JH,Kawczynski MG,Trivedi H,Harnish R,Jenkins NW,Lituiev D,Copeland TP,Aboian MS,Mari Aparici C,Behr SC,Flavell RR,Huang SY,Zalocusky KA,Nardo L,Seo Y,Hawkins RA,Hernandez Pampaloni M,Hadley D,Franc BL

    更新日期:2019-02-01 00:00:00

  • Indeterminate orbital masses: restricted diffusion at MR imaging with echo-planar diffusion-weighted imaging predicts malignancy.

    abstract:PURPOSE:To determine whether magnetic resonance (MR) imaging with diffusion-weighted (DW) imaging can help discriminate between radiologically indeterminate benign and malignant orbital masses and to identify optimal apparent diffusion coefficient (ADC) thresholds for such discrimination. MATERIALS AND METHODS:Informe...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.10091956

    authors: Sepahdari AR,Aakalu VK,Setabutr P,Shiehmorteza M,Naheedy JH,Mafee MF

    更新日期:2010-08-01 00:00:00

  • Collaborative evaluations of diagnostic tests: experience of the Radiology Diagnostic Oncology Group.

    abstract::Multicenter, collaborative studies offer an effective way to meet the growing need for timely and generalizable clinical evaluations of imaging technologies. This article discusses issues of study design, statistical analysis, organization, and day-to-day group operation for collaborative prospective clinical evaluati...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1148/radiology.175.2.2183290

    authors: Gatsonis C,McNeil BJ

    更新日期:1990-05-01 00:00:00

  • Perivascular color artifact: pathologic significance and appearance on color Doppler US images.

    abstract::A distinctive type of artifactual extravascular assignment of color was identified in 49 color Doppler ultrasound (US) examinations in 43 patients. This artifact appeared as a random localized mixture of red and blue assigned to perivascular soft tissues; the artifact varied with the cardiac cycle, being most prominen...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.171.3.2655000

    authors: Middleton WD,Erickson S,Melson GL

    更新日期:1989-06-01 00:00:00

  • Adrenal and extra-adrenal retroperitoneal ganglioneuroma: imaging findings in 13 adults.

    abstract:PURPOSE:To determine the radiologic appearance of ganglioneuromas of the adrenal gland and extra-adrenal retroperitoneum. MATERIALS AND METHODS:A retrospective review was performed of imaging findings in nine patients with ganglioneuroma, two with ganglioneuroma-pheochromocytoma, and two with malignant peripheral nerv...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.202.3.9051020

    authors: Radin R,David CL,Goldfarb H,Francis IR

    更新日期:1997-03-01 00:00:00

  • Sellar and juxtasellar lesion detection with MR.

    abstract::We compared the effectiveness of magnetic resonance (MR) imaging and computed tomography (CT) in evaluating sellar and juxtasellar lesions. Fifty-five lesions were imaged with a Technicare 0.5-T superconducting MR imager and GE 9800 and 8800 CT scanners: 26 pituitary adenomas (including six microadenomas), six craniop...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.157.1.4034960

    authors: Lee BC,Deck MD

    更新日期:1985-10-01 00:00:00

  • Generalist versus Subspecialist Characteristics of the U.S. Radiologist Workforce.

    abstract::Purpose To assess subspecialty practice characteristics of the U.S. radiologist workforce. Materials and Methods This study used the Medicare Physician and Other Supplier Public Use File and did not constitute human subject research. The authors identified 33 090 radiologists who billed for professional services betwe...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2017171684

    authors: Rosenkrantz AB,Wang W,Hughes DR,Duszak R Jr

    更新日期:2018-03-01 00:00:00

  • MR imaging evaluation of cardiovascular risk in metabolic syndrome.

    abstract::Metabolic syndrome has become an important public health problem and has reached epidemic proportions globally. Metabolic syndrome is characterized by a cluster of metabolic abnormalities in an individual, with insulin resistance as the main characteristic. The major adverse consequence of metabolic syndrome is cardio...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.12110772

    authors: van der Meer RW,Lamb HJ,Smit JW,de Roos A

    更新日期:2012-07-01 00:00:00

  • Computed tomography in cerebral abscess.

    abstract::Computed tomography (CT) scans of 9 surgically proved cases of cerebral abscess were reviewed. The CT characteristics were studied, as were the postoperative scans. Also assessed were the contributions to the diagnosis of the clinical features, plain radiographic examinations, radionuclide imaging, and angiography. Th...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/121.3.641

    authors: New PF,Davis KR,Ballantine HT Jr

    更新日期:1976-12-01 00:00:00

  • Postoperative radiation therapy in clinical stage I endometrial cancer: corpus, cervical, and lower uterine segment involvement--patterns of failure.

    abstract:PURPOSE:To evaluate involvement of the lower uterine segment (LUS) in adenocarcinoma of the endometrium and to identify patterns of treatment failure. MATERIALS AND METHODS:Two hundred four patients, aged 29-92 years, with endometrial carcinoma underwent surgery. Postoperative radiation therapy was administered for ad...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.196.2.7617840

    authors: Mayr NA,Wen BC,Benda JA,Sorosky JI,Davis CS,Fuller RW,Hussey DH

    更新日期:1995-08-01 00:00:00