Abstract：
AIM:To validate the role of nuclear medicine (NM) imaging in hip periprosthetic joint infection (PJI) of hip arthroplasties. MATERIALS AND METHODS:This was a retrospective study of 235 consecutive patients referred to NM for investigation of a symptomatic hip prosthesis. Imaging comprised Tc-99m bone scintigraphy, In-111 white cell scintigraphy, and bone marrow scintigraphy if required. Imaging findings were compared with intraoperative microbiology and histology, clinical findings and follow up for ≥ 24 months. RESULTS:There were 14 exclusions. Of the 221 remaining patients, there were 16 true positives, one false positive, 200 true negatives, and four false negatives. The algorithm used at this centre demonstrated an accuracy of 97.7% with high specificity of 99.5% and sensitivity of 80%. CONCLUSION:When modern NM techniques and accurate reporting criteria are used, scintigraphy is an effective tool for diagnosing PJI of the hip. NM is only given a marginal role in the recent American Association of Orthopedic Surgeons guidelines, and the orthopaedic community should reconsider their evaluation of this technique.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Trevail C,Ravindranath-Reddy P,Sulkin T,Bartlett Gdoi
10.1016/j.crad.2015.10.026subject
Has Abstractpub_date
2016-03-01 00:00:00pages
211-9issue
3eissn
0009-9260issn
1365-229Xpii
S0009-9260(15)00427-4journal_volume
71pub_type
杂志文章abstract：:The purpose of this paper is to define the normal and variable appearances of the sacroiliac joints and adjacent subchondral marrow on unenhanced and enhanced Magnetic Resonance Imaging (MRI). Twenty subjects were imaged with spin-echo T1-weighted (T1), fast spin-echo T2-weighted (T2), T1-weighted with fat suppression...
journal_title：Clinical radiology
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doi：10.1016/s0009-9260(05)83133-2
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(79)80056-2
更新日期：1979-01-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2003.09.020
更新日期：2004-04-01 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
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abstract：:Although extramedullary haemopoiesis (EMH) is relatively common in myelofibrosis, it is seldom symptomatic and rarely involves the intestinal tract. We report a case in which perirectal infiltrate resulted in clinically symptomatic constipation. The barium enema showed tubular rectal narrowing with mucosal pleating. O...
journal_title：Clinical radiology
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doi：10.1016/s0009-9260(05)82672-8
更新日期：1994-10-01 00:00:00
abstract：AIM:To assess whether patients taking aspirin were more likely to experience bleeding complications after transrectal ultrasound (TRUS)-guided prostate biopsy. MATERIALS AND METHODS:Three hundred and eighty-seven patients taking aspirin who underwent prostate biopsy over a 3.5 year period and 731 patients not taking a...
journal_title：Clinical radiology
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doi：10.1016/j.crad.2007.09.014
更新日期：2008-05-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(80)80223-6
更新日期：1980-05-01 00:00:00
abstract：:Twenty-nine United Kingdom deep sea divers were examined radiographically for skeletal abnormalities and also bone images were obtained using technetium-99m methylene diphosphonate. The results of the two forms of examination were compared and the use of radionuclide bone scanning was shown to be more sensitive than r...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(87)80332-x
更新日期：1987-11-01 00:00:00
abstract：:Digital imaging has shown rapid advances in recent years. Various different digital mammography systems are now available for clinical use. Digital mammography does have clear advantages over traditional screen film mammography, but this is yet to convincingly translate into improved cancer detection rates. This revie...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2003.08.011
更新日期：2004-01-01 00:00:00
abstract：:Fifty-eight patients presenting with axillary symptoms (pain, oedema, etc) following radiation therapy for breast carcinoma were randomized to be investigated by either computed tomography (CT: 29 patients) or magnetic resonance imaging (MRI: 28). The objectives of the study were to compare the efficacy of the two tes...
journal_title：Clinical radiology
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1993-12-01 00:00:00
abstract：AIM:To compare percutaneous endoscopic gastrostomy (PEG) with radiologically inserted gastrostomy (RIG) and assess a hybrid gastrostomy technique (per-oral image-guided gastrostomy, PIG). MATERIALS AND METHODS:Fifty PEGs and 50 RIGs performed in three centres were prospectively compared and the endoscopic findings of ...
journal_title：Clinical radiology
pub_type： 杂志文章,多中心研究
doi：10.1016/s0009-9260(03)00058-8
更新日期：2003-05-01 00:00:00
abstract：:The lymphatic system of the abdomen comprises of the cisterna chyli, its major and minor lymphatic tributaries, and lymph nodes. Disorders of the lymphatic system of the abdomen are rarely encountered and consist of primary and secondary types. Abdominal lymphangiomas constitute the majority and have characteristic im...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2016.06.116
更新日期：2016-10-01 00:00:00
abstract：:A comparison has been made of the MRI findings of 17 studies in 16 patients with osteomyelitis: eight studies were performed in patients with acute osteomyelitis, six in chronic and three in healed osteomyelitis. Soft tissues, cortex and marrow were assessed in all patients. The best predictors of acute osteomyelitis ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80934-1
更新日期：1990-01-01 00:00:00
abstract：AIM:To determine the effect of two different contrast agent volumes on quantitative and semi-quantitative vascular parameters as measured by perfusion computed tomography (CT) in colorectal cancer. MATERIALS AND METHODS:Following ethical approval and informed consent, eight prospectively recruited patients with proven...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2008.08.018
更新日期：2009-04-01 00:00:00
abstract：:Two cases of squamous-cell carcinoma arising in dental cysts are presented. A review of the literature reveals that this is a rare condition and experience of treatment by radiotherapy is limited. The cases reported were controlled locally by external beam megavoltage radiotherapy with no significant long-term morbidi...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(85)80309-3
更新日期：1985-07-01 00:00:00
abstract：AIM:To evaluate the utility of the portal venous phase on multiphasic computed tomography (CT) after treatment of hepatocellular carcinoma (HCC) with trans-arterial chemoembolisation (TACE). MATERIALS AND METHODS:This was a retrospective review of patients who underwent TACE for HCC between 1 April 2012 and 21 Decembe...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2017.07.003
更新日期：2017-11-01 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：:Four cases of laryngeal papillomatosis are presented to illustrate the clinical and radiological features associated with this condition. In children the papillomas are usually multiple and benign but they frequently recur after surgical treatment. In adults they are generally solitary and have a very low recurrence r...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(86)80013-7
更新日期：1986-11-01 00:00:00
abstract：AIM:To analyse lower limb angioplasty results using the defined anatomical classification of the Trans-Atlantic Inter-Society Consensus (TASC) in a training environment and to compare the results with published data. MATERIALS AND METHODS:Retrospective, consecutive data were collected for a period of 1 year for all pa...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2011.12.011
更新日期：2012-10-01 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
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2016.12.002
更新日期：2017-03-01 00:00:00
abstract：AIM:To assess the diagnostic value of spinal ultrasound in cloacal exstrophy, a caudal malformation which is associated with spinal dysraphism, and to assess the prevalence of spinal dysraphism in cloacal exstrophy. MATERIALS AND METHODS:Ten infants under 1 year old with cloacal exstrophy underwent spinal ultrasound a...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1053/crad.2000.0648
更新日期：2001-04-01 00:00:00
abstract：:Neuronal migration anomalies form a spectrum of congenital brain malformations with a variety of clinical manifestations. The widespread use of MRI in the investigation of neurological symptoms, and particularly in the imaging of epilepsy, has made the correct recognition and interpretation of these disorders importan...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/s0009-9260(96)80211-x
更新日期：1996-01-01 00:00:00
abstract：:Radiographs of the shoulder girdle were examined in 180 women who attended the breast follow-up clinic at the Department of Radiotherapy, Edinburgh. These comprised 52 controls who had been treated by radical mastectomy alone and 128 patients who had received post-operative X-ray therapy. The significance of osteoporo...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(77)80134-7
更新日期：1977-01-01 00:00:00
abstract：AIM:To examine the usage and value of computed tomography (CT) following simultaneous pancreas and kidney (SPK) transplantation. MATERIALS AND METHODS:Indications for postoperative CT, key findings, and their influence on management were determined by retrospective analysis. RESULTS:Ninety-eight patients underwent 31...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.06.086
更新日期：2015-11-01 00:00:00
abstract：:Between January 1994 and December 1996 72 patients were treated with 76 Gianturco oesophageal stents for oesophageal obstruction or perforation. The patients were followed prospectively in order to determine the effectiveness in improving dysphagia, to establish long term patency, survival times and complications. The...
journal_title：Clinical radiology
pub_type： 临床试验,杂志文章
doi：10.1016/s0009-9260(98)80293-6
更新日期：1998-09-01 00:00:00
abstract：AIM:To prospectively compare helical and traditional sequential acquisition of computed tomography (CT) images of the head with respect to lens dose, thyroid dose, and image quality. MATERIALS AND METHODS:Patients undergoing non-emergency unenhanced CT examinations of the head were prospectively randomized to sequenti...
journal_title：Clinical radiology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.crad.2010.02.016
更新日期：2010-11-01 00:00:00
abstract：:The appearances on computed tomography (CT) of the normal and abnormal superior sagittal sinuses are presented. The varied patterns of non-enhanced and enhanced normal superior sagittal sinuses are correlated with and reflect the findings of anatomical dissection. Cases of abnormal superior sagittal sinus include thro...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(82)80308-5
更新日期：1982-07-01 00:00:00
abstract：AIM:To evaluate the diagnostic performance of chemical shift magnetic resonance imaging (MRI) in distinguishing hepatocellular carcinomas (HCCs) from non-hepatocellular malignant tumours (non-HCCs) of the liver. MATERIALS AND METHODS:Patients with a diagnosis of malignant liver tumours examined at 3 T MRI were include...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.06.006
更新日期：2019-10-01 00:00:00
abstract：:Anterior knee pain is a common symptom, which may have a large variety of causes including patellofemoral pathologies. Patellofemoral maltracking refers to dynamic abnormality of patellofemoral alignment and has been measured using plain film, computed tomography (CT) and magnetic resonance imaging (MRI) using static ...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2004.01.004
更新日期：2004-07-01 00:00:00
