Abstract：
AIM:To record and analyse data from all facets of practice in the first year as a newly set-up major trauma centre radiology department. MATERIALS & METHODS:Retrospective analysis of all patients who underwent whole-body computed tomography (WBCT) for suspected polytrauma over a 1 year period was performed. The mechanism, the time of day, the number of body parts injured, the type of injuries, and resulting surgical or radiological interventions were recorded. Also recorded was the time from the CT examination to the formal report. Where applicable, the consultant-verified reports were cross-referenced with the out-of-hours registrar reports to assess for discrepancies. RESULTS:Two hundred and one patients underwent WBCT for suspected polytrauma. Sixty-four percent (128/201) of WBCT examinations were performed "out-of-hours". Fifty-seven percent (115/201) were road traffic accidents (RTAs), 33% (66/201) were falls, and 6% (12/201) were assaults. At WBCT, 31% (63/201) had no injuries; 27% (54/201) had injury to one body area; 21% (43/201) had injury to two areas; and 20% (41/201) had injury to three or more areas. Nineteen percent (39/201) required urgent radiological or surgical intervention. The mean time from end-of-CT to a formal report was 27 min. There were discrepancies between consultant reports and registrar reports in 22% (31/142) of cases; 1% (2/142) led to a change in acute management. CONCLUSION:Based on our early experiences, nearly one-third of patients who undergo a WBCT scan for suspected polytrauma, will have no acute injury at WBCT. One-fifth of patients in our study required emergency surgical or radiological intervention for acute injuries found on WBCT. A low discrepancy rate was found between on-call registrar reports and the consultant-verified reports.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Adiotomre A,Chopra A,Kirwadi A,Kotnis Ndoi
10.1016/j.crad.2014.03.015subject
Has Abstractpub_date
2014-08-01 00:00:00pages
812-21issue
8eissn
0009-9260issn
1365-229Xpii
S0009-9260(14)00118-4journal_volume
69pub_type
杂志文章abstract：:Ultrasound and computed tomography (CT) have become primary methods of evaluating patients with abdominal aortic aneurysms. Arteriography may be necessary for further assessment. We have recently investigated two patients with complicated abdominal aortic aneurysms, one patient with Marfan's syndrome and the other wit...
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
abstract：:Since 1971, 82 patients with advanced carcinoma of the cervix have been included in a randomised clinical trial in association with the Working Party on Radiotherapy and Hyperbaric Oxygen of the Medical Research Council. External irradiation was given in 10 fractions by an unconventional schedule, either in air or HBO...
journal_title：Clinical radiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0009-9260(79)80213-5
更新日期：1979-07-01 00:00:00
abstract：:We have assessed the diagnostic accuracy of a flat or concave left mid-cardiac border (the region of the left atrial appendage) on conventional postero-anterior chest radiographs as a predictor of the presence of thrombi in the left atrium or its appendage in 80 patients with rheumatic mitral stenosis who subsequently...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80543-4
更新日期：1991-05-01 00:00:00
abstract：:This article presents an updated review of cystic renal mass imaging. Most cystic renal masses encountered incidentally are benign and can be diagnosed confidently on imaging and require no follow-up. Hyperattenuating masses discovered at unenhanced or single-phase enhanced computed tomography (CT) measuring between 2...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2018.09.003
更新日期：2019-02-01 00:00:00
abstract：:This article will specifically deal with preparing for consultant interviews in clinical radiology by providing a list of carefully selected resources comprising of training courses and internet sites available for trainee radiologists nearing the end of their training. It will also be of use to established consultant...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2008.09.006
更新日期：2009-05-01 00:00:00
abstract：:Labelling leucocytes with 99Tcm using hexamethylpropyleneamine oxime (HMPAO) utilizes the advantages of technetium over indium in imaging inflammation. A retrospective study has been performed on 43 consecutive patients imaged with 99Tcm HMPAO labelled leucocytes in order to assess the reliability of the technique. Pa...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81933-6
更新日期：1990-09-01 00:00:00
abstract：:In this prospective study computed tomography (CT) was used to monitor the response of compression therapy in 27 patients with chronic unilateral lymphoedema over a 12 week period. Computed tomography examination of abnormal and normal limbs (proximal and distal portions) was performed in the first, third and 12th wee...
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
abstract：:Duplication of the superficial femoral vein (SFV) is a normal variant seen in 20% of contrast phlebograms. Failure to identify thrombus in one limb of a SFV may lead to inappropriate management and subsequent complications. Colour Doppler imaging (CDI) is now the imaging technique of choice in the diagnosis of a deep ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(96)80055-9
更新日期：1996-09-01 00:00:00
abstract：AIMS:PET-CT scans are routinely performed in patients with lung cancer after investigation by chest x-ray (CXR) and CT scan, when these have demonstrated potentially curable disease. If the majority of patients with lung cancer potentially suitable for curative treatment could be identified earlier in the diagnostic pa...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2011.10.032
更新日期：2012-06-01 00:00:00
abstract：AIM:To investigate the imaging features of chondrosarcoma of the temporomandibular joint (TMJ) and review the literature. MATERIALS AND METHODS:Computed tomography (CT), magnetic resonance imaging (MRI), and integrated positron-emission tomography (PET)/CT images of nine patients with histopathologically confirmed cho...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2020.07.016
更新日期：2020-11-01 00:00:00
abstract：:The absorption of vitamin B12 and of a synthetic bile acid analogue 75SeHCAT was measured simultaneously in 26 patients presenting with persistent diarrhoea following pelvic irradiation for treatment of carcinoma of the cervix. Four groups were identified, namely patients with isolated bile acid malabsorption, patient...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(85)80059-3
更新日期：1985-05-01 00:00:00
abstract：:The safety and diagnostic efficacy of iopentol 300 mg I/ml were compared with iohexol 300 mg I/ml in 300 patients submitted for urography. The study was carried out as a double-blind, randomised parallel study where 149 patients received iopentol and 150 patients iohexol. There were no significant differences between ...
journal_title：Clinical radiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0009-9260(05)80930-4
更新日期：1990-01-01 00:00:00
abstract：AIM:To determine whether the active involvement of radiographers in nasogastric tube (NGT) management at a large multisite healthcare institution can contribute to risk reduction regarding feeding through misplaced NGTs. MATERIALS AND METHODS:Despite national guidance in the National Health Service advising on safe pr...
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
abstract：AIM:To evaluate splenic phenotype in autosomal dominant polycystic kidney disease (ADPKD) including presence of cysts and splenomegaly to determine if these are ADPKD related or represent unrelated incidental findings. MATERIALS AND METHODS:The axial/coronal T2-weighted images of ADPKD patients (n=215) and age/gender-...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.08.015
更新日期：2019-12-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/s0009-9260(03)00188-0
更新日期：2003-08-01 00:00:00
abstract：:Three patients with pancreatic clonorchiasis were examined with endoscopic retrograde pancreatography. On each of the three cases there was diffuse irregular dilatation of tributaries of the pancreatic duct in the pancreatic tail. The main pancreatic duct and tributaries draining into the body and head portion were no...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80967-5
更新日期：1990-03-01 00:00:00
abstract：AIM:To evaluate the impact of bone subtraction computed tomography angiography (BS-CTA) for the assessment of transcranial arteries in comparison with standard CTA (S-CTA) without bone removal and time-of-flight magnetic resonance angiography (TOF-MRA). MATERIALS AND METHODS:Cranial unenhanced CT and S-CTA were perfor...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2010.03.002
更新日期：2010-06-01 00:00:00
abstract：:The double contrast barium enema, in most cases performed by the 'instant' technique without bowel preparation, has been compared with the pathological examination of the colon following resection in 37 patients with ulcerative colitis. Radiology has been found to underestimate the histological extent of disease. This...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(78)80079-8
更新日期：1978-05-01 00:00:00
abstract：AIM:To evaluate apparent diffusion coefficient (ADC) histogram analysis parameters, acquired from whole-body diffusion-weighted magnetic resonance imaging (DW-MRI), as very early predictors of response to chemotherapy in patients with metastatic colorectal cancer (mCRC). MATERIALS AND METHODS:This was a single-institu...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2018.04.011
更新日期：2018-09-01 00:00:00
abstract：:Hepatic arterial embolisation was performed in six patients with malignant carcinoid tumours; five with the carcinoid syndrome and the other with intractable pain due to pleural and hepatic metastases. A total of 11 embolisations was performed, each time producing noticeable symptomatic relief, especially of facial fl...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(85)80241-5
更新日期：1985-11-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80383-6
更新日期：1992-11-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2020.09.027
更新日期：2021-01-02 00:00:00
abstract：:We present a case of a large saccular aneurysm arising from the azygos arch in an asymptomatic 62-year-old man. Chest radiography showed a well-defined right paratracheal mass. Dynamic computed tomography revealed marked enhancement of the mass suggesting a vascular structure, but no flow void was demonstrated on magn...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81114-6
更新日期：1993-12-01 00:00:00
abstract：:Serial changes in carbon monoxide uptake (KCO or DLCO/VA) were used to monitor episodes of pulmonary capillary haemorrhage in Goodpasture's syndrome (13 cases), immune complex nephritis (three cases) and idiopathic haemosiderosis (one case). Air-space shadowing on the chest X-ray (on a scoring system 0 to 12) was asse...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(79)80221-4
更新日期：1979-07-01 00:00:00
abstract：:A case of granular cell tumour (GCT) of the biliary tree is reported with the first published sonographic images of this tumour. The difficulty in distinguishing this tumour from cholelithiasis is illustrated. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81753-2
更新日期：1994-07-01 00:00:00
abstract：:A prospective study of 333 out-patients assessed the accuracy of determining colonic cleansing from the plain abdominal radiograph. The results indicate that the amount of colon contaminated with faeces was significantly underestimated and the difference in efficacy between the best and worst preparation regimens coul...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(83)80386-9
更新日期：1983-01-01 00:00:00
abstract：AIM:To determine the willingness of women with extremely dense breasts to undergo breast cancer screening with magnetic resonance imaging (MRI) in a research setting, and to examine reasons for women to participate or not. MATERIALS AND METHODS:Between 2011 and 2015, 8,061 women (50-75 years) were invited for suppleme...
journal_title：Clinical radiology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.crad.2018.04.002
更新日期：2018-08-01 00:00:00
abstract：:Over a 12 month period all patients but one presenting to our hospital with occluded prosthetic grafts were treated by thrombolysis using local pulsed administration of tissue-type plasminogen activator (t-PA). There were 30 interventions in 23 patients but in one patient no thrombolytic was given after aspiration of ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80683-x
更新日期：1992-12-01 00:00:00
abstract：:The findings in 50 patients examined by computed tomography (CT) of the pituitary fossa are described. The appearances in 43 were judged to be abnormal, four were normal and three were 'doubtful'. Abnormal features included deviation of the pituitary stalk (seven), localised increased enhancement after intravenous inj...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(84)80094-x
更新日期：1984-07-01 00:00:00
abstract：:This is the fifth in the series of short reviews of internet-based radiological learning resources and will focus on gastrointestinal (GI) and hepatobiliary radiology. Below are details of a few of the higher quality resources currently available. Most of the sites cater for medical students and trainee or non-special...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2006.01.005
更新日期：2006-05-01 00:00:00
