Abstract:
:The reduced lung cancer mortality observed with low-dose computed tomography (LDCT) screening in the National Lung Screening Trial (NLST) has led to annual screening in the United States as a covered benefit by both private insurers and the federal health insurance programme, the Centers for Medicare and Medicaid Services. Reimbursement for screening requires data submission to a federal registry on all individuals, whether privately or federally insured. Data must document individual patient eligibility as well as shared decision-making regarding the benefits and risks of LDCT screening, smoking cessation counselling, and the importance of annual screening. Beyond these requirements lie opportunities to maximise the benefits of screening in the radiology setting. Individuals eligible for screening account for a minority of those diagnosed with lung cancer in the US; the evidence needed to improve patient selection must be collected systematically for both screen-detected and incidentally detected lung nodules. Current nodule management and tracking guidelines reduce the false-positive rates observed in the NLST, but fall short in their ability to correctly classify nodules as benign or malignant. Smoking cessation is inadequately managed in most busy clinician practices. As a common nidus for tobacco-associated lung diseases, imagers are uniquely poised to collect the longitudinal data to better inform screening eligibility and to improve indeterminate nodule management, while maximising the setting of screening to motivate and provide smoking cessation. By re-engineering the notion of imaging practice, radiologists can be major contributors to lung cancer early detection and mortality reduction.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Aberle DRdoi
10.1016/j.crad.2016.12.003subject
Has Abstractpub_date
2017-05-01 00:00:00pages
401-406issue
5eissn
0009-9260issn
1365-229Xpii
S0009-9260(16)30506-2journal_volume
72pub_type
杂志文章,评审abstract:AIM:To investigate the utility of diffusion-weighted (DW) magnetic resonance imaging (MRI) in the diagnosis of abdominal wall endometrioma (AWE) and to compare the ADC (apparent diffusion coefficient) values of AWE with those of the uterine endometrium during two different phases of the menstrual cycle. MATERIALS AND ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2013.08.015
更新日期:2014-02-01 00:00:00
abstract::Imaging plays a significant role in the detection, characterization and treatment of hepatic infections. Infectious diseases of the liver include pyogenic and amoebic abscesses and parasitic, fungal, viral and granulomatous infections. With increases in worldwide travel, immunosuppression and changing population demog...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2006.03.010
更新日期:2006-09-01 00:00:00
abstract::Nine patients with bullous emphysema for which surgery was being considered have been investigated with computed tomography (CT). In six out of nine patients (67%) CT showed more extensive disease or bilateral disease where only unilateral was suspected from postero-anterior and lateral chest radiographs. Only one pat...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(84)80232-9
更新日期:1984-01-01 00:00:00
abstract:AIMS:Magnetic resonance colonography (MRC) is emerging as a potential complementary investigation for the diagnosis of colorectal cancer (CRC) and also for benign pathology such as diverticular disease. A meta-analysis reporting the use of MRC is yet to be performed. The aim of this study was to evaluate the diagnostic...
journal_title:Clinical radiology
pub_type: 杂志文章,meta分析
doi:10.1016/j.crad.2005.04.015
更新日期:2005-09-01 00:00:00
abstract::The ability to deliver cells in appropriate doses to their targeted site of action is a well-known obstacle to optimising stem cell therapy. Systemic administration of cells results in pulmonary "trapping," which significantly decreases the number of available circulating cells to impact underlying disorders. Directed...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2016.01.005
更新日期:2016-04-01 00:00:00
abstract:AIM:To develop and validate a test bolus (TB)-based quantitative model to create an individualised contrast medium injection protocol for use at coronary computed tomography angiography (CCTA) to improve patient-to-patient uniformity of intracoronary attenuation. MATERIALS AND METHODS:In the model-building phase, 175 ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.04.001
更新日期:2016-11-01 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::ERCP and angiography are essential for the accurate diagnosis of pancreatic carcinoma. ERCP is of value in detecting a pancreatic tumour and is the only examination which makes it possible to detect a small pancreatic carcinoma. Angiography is indispensable for the evaluation of the extent and size of the carcinoma, f...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(77)80160-8
更新日期:1977-07-01 00:00:00
abstract::Paraneoplastic syndromes are a heterogeneous group of disease presentations caused by underlying tumours. As they are non-metastatic in nature an intensive diagnostic evaluation is warranted to identify potentially curable lesions. The selection of the appropriate method of imaging is important in these cases, especia...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2007.06.005
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:To assess three-dimensional computed tomography 'bronchoscopic' (3-DCTB) reconstruction of routine CT data as a non-invasive method of airway visualization, and compare it with fibreoptic bronchoscopy (FOB). METHODS:Fourteen datasets were acquired from 13 patients undergoing both FOB and CT examination of th...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章
doi:10.1016/s0009-9260(97)80077-3
更新日期:1997-11-01 00:00:00
abstract::One hundred and seven patients admitted to a small general hospital with acute upper gastrointestinal bleeding have been examined by the double contrast barium meal technique. The presumed bleeding site was identified in 75 cases (70%). Twenty-eight patients showed radiological evidence of recent or active bleeding. T...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(78)80184-6
更新日期:1978-11-01 00:00:00
abstract::The heart and mediastinal structures can be overlooked at CT pulmonary angiogram (CTPA). This pictorial review will demonstrate the features of cardiac disease that may be evident on a CTPA. CTPA allows assessment of not only the pulmonary arteries for embolism, but also of the bronchi, lung parenchyma, mediastinum an...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2004.07.005
更新日期:2005-01-01 00:00:00
abstract::The use of duplex ultrasound for the diagnosis and assessment of abdominal aortic dissection and visceral arterial involvement is discussed. Ultrasound is simple and non-invasive and may be superior to aortography in diagnosis; it should be performed after ultrasound assessment of the aortic root. It also provides an ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82147-6
更新日期:1990-11-01 00:00:00
abstract:AIM:To compare the performance of a direct digital mammography system with normal-view and magnified-view conventional screen-film methods using quality control phantoms. MATERIALS AND METHODS:Using a Siemens Mammomat((R))3000 and an Opdima((R))digital spot imaging and biopsy attachment, film and direct digital images...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0521
更新日期:2000-10-01 00:00:00
abstract::The radiographs in 10 surgically proven cases of caecal volvulus have been analysed. In the majority of cases of caecal volvulus a plain film diagnosis is suggested by the observation of the haustrated and disproportionately dilated viscus located anywhere in the abdomen. There is often evidence of small intestinal ai...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(80)80200-5
更新日期:1980-07-01 00:00:00
abstract::Training in interventional radiology (IR) relies on a traditional apprenticeship; to protect patients, expert supervision is mandatory until knowledge, attitudes and practical skills have been certified as satisfactory. However, the current quality of IR training is threatened by reduced time for trainees to learn, as...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2006.01.013
更新日期:2006-07-01 00:00:00
abstract:AIM:To determine whether reporting plain films at faster rates lead to a deterioration in accuracy. METHODS:Fourteen consultant radiologists were asked to report a total of 90 radiographs in three sets of 30. They reported the first set at the rate they would report normally and the subsequent two sets in two thirds a...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(03)00289-7
更新日期:2003-12-01 00:00:00
abstract::Magnetic resonance imaging (MRI), with its superior soft-tissue delineation, plays a pivotal role in the staging and surveillance of cancers affecting adult males, in particular, rectal, urinary bladder, and prostate cancers. There has been much recent interest in the complementary roles of diffusion-weighted imaging ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2012.01.016
更新日期:2012-09-01 00:00:00
abstract::We describe 27 cases of bone tumours or tumour-like lesions where there was spontaneous regression. The follow-up period was 2.8-16.7 years (average, 7.0 years). Fourteen of these cases were no longer visible on plain radiographs. Histological diagnosis included exostosis, eosinophilic granuloma, fibrous dysplasia, fi...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2001.0795
更新日期:2001-11-01 00:00:00
abstract:AIM:To investigate whether it is possible to reduce the radiation dose during video fluoroscopic feeding studies below the current 30 frames/s (continuous fluoroscopy). METHODS:Ten consecutive children who had supraglottic penetration while swallowing barium were evaluated as part of a video fluoroscopic feeding study...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2008.07.011
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:C-erbB-2 oncogene expression is found in 60% of DCIS cases. C-erbB-2 expression in DCIS has been shown to correlate with comedo subtype, large cell size, lymphoid infiltrate, nuclear pleomorphism, multinucleation and high mitotic rate. These findings have led to the suggestion that the subgroup of DCIS that exp...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82937-x
更新日期:1994-08-01 00:00:00
abstract::Twenty-eight patients with non-Hodgkin's lymphoma of the thyroid were treated between 1954 and 1981. The duration of follow-up ranged from 39 to 176 months. The overall 5 year survival was 51%. Twenty deaths have been recorded of which 12 were attributed to non-Hodgkin's lymphoma. Eight patients relapsed following ini...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(87)80067-3
更新日期:1987-05-01 00:00:00
abstract:AIM:To compare hip joint space on supine and weight-bearing anteroposterior digital radiographs. MATERIALS AND METHODS:Fifty anteroposterior views of the hip in 25 patients were taken in supine and weight-bearing positions on a fluoroscopic unit. Two observers in a double-blind study assessed the width of the joint sp...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章
doi:10.1016/s0009-9260(99)90850-4
更新日期:1999-08-01 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 investigate how spectral computed tomography (SCT) values impact the staging of non-small cell lung cancer (NSCLC) patients. MATERIALS AND METHODS:One hundred and thirteen patients with confirmed NSCLC were included in a prospective cohort study. All patients underwent single-phase contrast-enhanced SCT (using ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.02.010
更新日期:2019-06-01 00:00:00
abstract::We reviewed the initial imaging studies of 283 children with urinary tract infection in order to decide on the most effective approach. A voiding cystogram was performed in all, complemented by either urography (147 patients), ultrasonography (65), or both (71 patients). In the latter group there was good correlation ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80031-5
更新日期:1989-01-01 00:00:00
abstract:AIM:To evaluate the contribution which addition of pelvic computed tomography venography (CTV) to a standard CT pulmonary angiography (CTPA) imaging protocol makes to a definitive diagnosis of thromboembolic disease. MATERIALS AND METHODS:One hundred and six consecutive patients over the age of 55 years referred for (...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2001.0796
更新日期:2002-06-01 00:00:00
abstract:AIM:To determine the preoperative computed tomography (CT) parameters that predict portal vein/superior mesenteric vein (PV-SMV) invasion in patients with pancreatic head cancer, and to assess whether PV-SMV invasion affects patient survival. MATERIALS AND METHODS:Sixty patients with PV-SMV invasion, and 60 randomly s...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.01.016
更新日期:2018-06-01 00:00:00
abstract:AIM:To determine if imaging features of lesions with a core biopsy suggestive of a phyllodes tumour can be used to identify which lesions require surgical excision with margins. MATERIALS AND METHODS:Thirty-one lesions were identified from a prospective database of ultrasound visible masses. Demographic, mammographic,...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.11.006
更新日期:2020-04-01 00:00:00
abstract::Seronegative spondyloarthritis (SpA) represents a group of diseases that share certain genetic, clinical, and radiographic features. Enthesitis, inflammation at the site of tendon insertion into the bone, involving both the axial and the peripheral joints, is an important sign of SpA. Clinical diagnosis of enthesitis,...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2012.07.018
更新日期:2013-03-01 00:00:00