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
Radiologyjournal_title
Radiologyauthors
Peterman SBdoi
10.1148/radiology.200.3.8756930subject
Has Abstractpub_date
1996-09-01 00:00:00pages
771-8issue
3eissn
0033-8419issn
1527-1315journal_volume
200pub_type
临床试验,杂志文章,随机对照试验相关文献
RADIOLOGY文献大全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
更新日期:2000-07-01 00:00:00
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
更新日期:1977-03-01 00:00:00
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
更新日期:1978-04-01 00:00:00
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
更新日期:1985-05-01 00:00:00
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
更新日期:1982-10-01 00:00:00
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
更新日期:2005-05-01 00:00:00
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
更新日期:1977-12-01 00:00:00
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
更新日期:2004-12-01 00:00:00
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
更新日期:2000-06-01 00:00:00
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
更新日期:2018-10-01 00:00:00
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
更新日期:1976-12-01 00:00:00
abstract::Online supplemental material is available for this article. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2015151030
更新日期:2015-10-01 00:00:00
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
更新日期:1989-09-01 00:00:00
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
更新日期:1987-10-01 00:00:00
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
更新日期:1990-03-01 00:00:00
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
更新日期:1982-06-01 00:00:00
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
更新日期:2017-09-01 00:00:00
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
更新日期:1989-09-01 00:00:00
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
更新日期:2011-02-01 00:00:00
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
更新日期:2006-04-01 00:00:00
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
更新日期:2019-02-01 00:00:00
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
更新日期:2010-08-01 00:00:00
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
更新日期:1990-05-01 00:00:00
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
更新日期:1989-06-01 00:00:00
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
更新日期:1997-03-01 00:00:00
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
更新日期:1985-10-01 00:00:00
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
更新日期:2018-03-01 00:00:00
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
更新日期:2012-07-01 00:00:00
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
更新日期:1976-12-01 00:00:00
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
更新日期:1995-08-01 00:00:00