Abstract：
:This study evaluated an open access general practitioner radiological service. Questionnaires were completed in 216 out of 250 cases both before and after radiological examination. Chests and specials (bariums, intravenous urography, ultrasound) were most often of diagnostic value when confirming normality, while other radiographs were more likely to be of value in assessing the severity of known disease (P less than 0.001). Patient therapy was altered in 31% of cases following receipt of the radiological report, and management was changed in 40%. In 25% of cases the patient was discharged on receipt of the report. In 28% of cases the report avoided a hospital referral. Special examinations were most likely (P less than 0.05) to avoid a referral. It is concluded that open access radiology is a considerable help with diagnosis and management, and substantially reduces out-patient referrals. The possible consequences for the acute services of providing a full general practitioner diagnostic service are discussed.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Stoddart PG,Holl SGdoi
10.1016/s0009-9260(89)80088-1subject
Has Abstractpub_date
1989-03-01 00:00:00pages
183-5issue
2eissn
0009-9260issn
1365-229Xpii
S0009-9260(89)80088-1journal_volume
40pub_type
杂志文章abstract：:We report the ante-natal diagnosis of a vein of Galen aneurysm using colour flow Doppler at 33 weeks gestation. Ultrasound demonstrated a midline, tubular, echo-free structure superior to the thalamus extending posteriorly. Venous flow was demonstrated within the structure using colour flow Doppler. The diagnosis was ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80200-4
更新日期：1991-10-01 00:00:00
abstract：:To date television has not been used very much in teaching diagnostic radiology. The authors describe their method of producing educational videotape recordings suitable for teaching purposes. The adults point out that the procedure is relatively cheap in a department that possesses a videotape recorder and emphasise ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(75)80063-8
更新日期：1975-04-01 00:00:00
abstract：AIM:To evaluate spreading patterns of necrotizing external otitis (NEO) by magnetic resonance imaging (MRI) and to identify spreading patterns related to a poor outcome. MATERIALS AND METHODS:Fourteen patients with NEO were divided into good and poor outcome groups according to their final clinical outcomes. Initial M...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2006.01.010
更新日期：2006-06-01 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：:Clinical diagnosis of abdominal wall hernias can be challenging. These common entities can be symptomatic and prone to complications. Pre-surgical planning and investigation of acute presentations can be achieved by multidetector computed tomography (MDCT) with its added multiplanar reformatting capability. Here we de...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2012.07.016
更新日期：2013-04-01 00:00:00
abstract：:Solid-state, digital radiography (DR) detectors, designed specifically for standard projection radiography, emerged just before the turn of the millennium. This new generation of digital image detector comprises a thin layer of x-ray absorptive material combined with an electronic active matrix array fabricated in a t...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2007.10.014
更新日期：2008-05-01 00:00:00
abstract：:Primary cardiac neoplasms are extremely rare and are far outnumbered by metastases. These are difficult to diagnose and differentiate clinically due to lack of specific clinical manifestations. Technological advances have revolutionised cardiac imaging, with the cardiac magnetic resonance imaging (CMRI) showing promis...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2019.11.014
更新日期：2020-04-01 00:00:00
abstract：:It has previously been suggested that a single dose of magnesium citrate produces adequate cleansing of the bowel for barium enema examination. To determine whether such a regimen has any advantage over the widely used two doses of Picolax, a prospective randomized blinded trial was performed with over 100 patients al...
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)81821-5
更新日期：1994-06-01 00:00:00
abstract：AIM:To assess the current practice of scaphoid fracture imaging (where initial scaphoid radiographs are normal) in the UK. MATERIALS AND METHODS:A survey monkey questionnaire was sent to 140 eligible NHS trusts derived from the NHS England database following exclusion of all non-acute and specialist centres. Four ques...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.02.016
更新日期：2019-06-01 00:00:00
abstract：:Choroidal malignant melanomas are relatively rare tumours and can have a very long natural history. The management of these tumours is controversial. The results of a study of a small group of patients treated by radiotherapy, either as primary treatment or following local excision or enucleation, are presented here. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(87)80388-4
更新日期：1987-01-01 00:00:00
abstract：:Massive haemoptysis is a respiratory emergency. Computed tomography angiography (CTA) can play a crucial role in assessing the cause and origin of the haemoptysis and directing the interventional radiologist prior to treatment. The bronchial arterial supply and to a lesser extent the non-bronchial systemic arterial su...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2011.03.001
更新日期：2011-09-01 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：AIM:To compare T1-weighted magnetization transfer (MT) with fluid attenuated inversion recovery (FLAIR) imaging for evaluating conspicuity and number of lesions in individuals with brain tuberculoma. MATERIALS AND METHODS:In all 28 patients with brain tuberculoma underwent MR examination using fast spin-echo (FSE) T2,...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2004.09.016
更新日期：2005-07-01 00:00:00
abstract：:This comprehensive review will discuss the classical and unusual radiological features of melorheostosis, which is an uncommon, non-hereditary, benign, sclerosing mesodermal disease with an incidence of 0.9 cases per million. The presentation of melorheostosis in the appendicular skeleton (more commonly involved) and ...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2010.02.004
更新日期：2010-08-01 00:00:00
abstract：:In presenting five new cases of renal adenomas the authors describe the general nature of these rare tumours. If the small adenoma corresponding to microscopic forms is frequent, the large adenoma is rare and always solitary. Haematuria and pain are the most common signs. The classic criterion of non-malignancy in a s...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(79)80100-2
更新日期：1979-05-01 00:00:00
abstract：:Lumbar spondylolisthesis is a common finding on plain radiographs. The condition has a variety of causes which can be differentiated on the basis of imaging findings. As the treatment is dependent upon the type of spondylolisthesis, it is important for the radiologist to be aware of these features. We present a pictor...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2004.07.013
更新日期：2005-05-01 00:00:00
abstract：:Seventy-one patients with allograft dysfunction had concomitant Doppler sonography and percutaneous biopsy. Forty-one had biopsy proven acute cellular rejection and eight had acute cellular rejection in combination with acute tubular necrosis. Real time ultrasonic appearance and various parameters of Doppler waveform ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80168-0
更新日期：1992-10-01 00:00:00
abstract：:The results are presented of a five-year prospective trial of 411 patients with breast carcinoma treated by mastectomy and post-operative radiotherapy. Twice or thrice weekly dose-fractionation techniques were used, i.e. 12 fractions in 28 days and six fractions in 18 days. The results show that, in terms of survival ...
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(75)80064-x
更新日期：1975-07-01 00:00:00
abstract：AIM:Magnetic Resonance Imaging (MRI) has the potential to assess inguinal lymph nodes more accurately than palpation and less invasively than surgical exploration. The objective of this study was to measure the accuracy of MRI in identifying inguinal metastases by demonstrating abnormal lymph node morphology. MATERIAL...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2002.1057
更新日期：2002-11-01 00:00:00
abstract：AIM:To determine the diagnostic accuracy of MR imaging in differentiating phaeochromocytoma from other adrenal lesions. MATERIALS AND METHODS:Sixty-seven adrenal masses (65 patients) including 17 phaeochromocytomas were imaged using T2-weighted pulse sequences on 0.6 T and 1.5 T GE MR units. The adrenal lesions were q...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(97)80252-8
更新日期：1997-08-01 00:00:00
abstract：:We report a case of a solitary, painless, lytic lesion in the frontal bone in an otherwise asymptomatic patient. This was investigated with plain radiographs, computed tomography (CT), angiography and finally biopsy. Histology showed it to be a plasmacytoma. The radiological features of this lesion are discussed. Soli...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)82123-3
更新日期：1990-10-01 00:00:00
abstract：AIM:To establish whether non-contrast enhanced computed tomography (NCCT) renders the kidneys-ureters-bladder (KUB) radiograph redundant as the initial imaging investigation for suspected acute ureteric colic. MATERIALS AND METHODS:The imaging investigations for 120 patients consecutively admitted to an emergency depa...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2008.04.012
更新日期：2008-10-01 00:00:00
abstract：:Chondromyxoid fibroma is a rare benign neoplasm of bone with a predominant incidence in the second and third decades of life. The commonest site is on either side of the knee joint. There is often endosteal sclerosis, well-defined scalloping and other benign features, although the cortex may be destroyed. It is common...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(82)80400-5
更新日期：1982-11-01 00:00:00
abstract：AIM:To provide a diagnostic approach to pulmonary nodules in patients with chondrosarcoma. MATERIALS AND METHODS:A search of the oncology database at a specialist orthopaedic oncology referral centre was performed to identify all patients who were treated surgically for chondrosarcoma between January 2007 and December...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.11.017
更新日期：2020-05-01 00:00:00
abstract：:Traditionally echocardiography has been the method of choice for the evaluation of pericardial and cardiac lesions. However, computed tomography (CT) and magnetic resonance imaging (MRI) provide a large field of view and excellent images of anatomy not available with echocardiography. In addition, CT and MRI demonstra...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2007.01.009
更新日期：2007-07-01 00:00:00
abstract：:During the last 4 years we have treated four patients with extensive mediastinal non-Hodgkin's lymphoma (NHL). None had extrathoracic disease and they were clinically stage I-II. All received intensive combination chemotherapy and radiotherapy resulting in good response. Nevertheless, when treatment was completed, com...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(89)80183-7
更新日期：1989-05-01 00:00:00
abstract：:The ultrasound features in eight cases of metastases to the thyroid are reported. The primary tumours were bronchogenic carcinoma (4 cases), breast carcinoma (2 cases), oesophageal carcinoma (1 case) and carcinoma of the stomach (1 case). In this series, none of the metastases were from malignant melanoma or a renal n...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81880-x
更新日期：1994-09-01 00:00:00
abstract：AIM:To evaluate the mixed-reality (MR) hologram, a novel technology based on two-dimensional images, which simulates three-dimensional (3D) images and provides a dynamic and interactive alternative, for its usefulness in the diagnosis and surgical planning of double outlet of the right ventricle (DORV). MATERIALS AND ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2020.10.017
更新日期：2020-12-09 00:00:00
abstract：AIM:To describe the computed tomography (CT) findings in pseudomyxoma peritonei. MATERIALS AND METHOD:Two observers independently and retrospectively reviewed the CT images of 17 consecutive patients (nine women, eight men, mean age 53 years) with histologically proven pseudomyxoma peritonei. RESULTS:Six patients had...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2002.0942
更新日期：2002-07-01 00:00:00
abstract：AIMS:To report the magnetic resonance imaging (MRI) findings of osteomalacic insufficiency fractures of the pelvis. MATERIALS AND METHODS:In all, 12 persons presenting with chronic pelvic pain and with a definitive diagnosis of osteomalacia (OM) were enrolled in this study. Radiological work-up included direct radiogr...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2004.04.021
更新日期：2005-01-01 00:00:00
