Abstract:
:Peripheral arterial disease (PAD) is an important manifestation of atherosclerosis, with an estimated age-adjusted prevalence of approximately 13% in people older than 50 years. Noninvasive vascular laboratory physiologic studies are indispensable tools in the initial evaluation and workup and postintervention follow-up. In this review, we describe a practical approach to the technique, interpretation, pitfalls, and limitations of these physiologic studies. We also provide an algorithmic approach for using these studies in the initial workup of patients with suspected PAD. Noninvasive techniques that primarily provide anatomic information have not been included in this review.
journal_name
Radiol Clin North Amjournal_title
Radiologic clinics of North Americaauthors
McCann TE,Scoutt LM,Gunabushanam Gdoi
10.1016/j.rcl.2014.07.006subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1343-57issue
6eissn
0033-8389issn
1557-8275pii
S0033-8389(14)00117-1journal_volume
52pub_type
杂志文章,评审abstract::This article addresses the dependence of the image characteristics in MR imaging of the orbit. Among the variables discussed are signal-to-noise (SNR), field of view (FOV), spatial resolution, and their interdependence. It is further shown how image contrast can be controlled by judicious choice of pulse timing parame...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1987-05-01 00:00:00
abstract::Accurate recognition and reporting of spine abnormalities on MRI requires knowledge of normal anatomy and its variants. This article deals with common normal variants, points out pitfalls which may be sources of errors in interpretation and describes imaging artifacts which are essential to be recognized and not mista...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(08)70004-6
更新日期:2000-11-01 00:00:00
abstract::Pediatric head and neck neuroradiology is a broad and complex topic. This article focuses on several of the common and sometimes challenging pediatric head and neck congenital/developmental anomalies physicians may encounter in clinical practice. Although some diagnoses may be evident on physical examination, others m...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2014.09.006
更新日期:2015-01-01 00:00:00
abstract::Diagnostic confirmation through tissue sampling plays a central role in managing patients with suspected lung malignancy. Tissue samples may be obtained in various ways using bronchoscopy, computed tomography guidance, or surgery. Multidisciplinary discussion between members of the lung cancer care team is helpful in ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2012.05.001
更新日期:2012-09-01 00:00:00
abstract::Multidetector computed tomography (MDCT) offers an important noninvasive imaging modality for confirmation and further characterization of primary lung and large airway neoplasms encountered in pediatric patients. Children represent a unique challenge in imaging, not only because of unique patient factors (eg, inabili...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2013.04.005
更新日期:2013-07-01 00:00:00
abstract::Although there currently is no evidence of reduced breast cancer mortality for screening women at high risk with mammography, magnetic resonance (MR) imaging, or ultrasonography (US), the presumptive evidence of early cancer detection provided by numerous observational studies has led to the publication of guidelines ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2010.06.012
更新日期:2010-09-01 00:00:00
abstract::Multidetector row CT is the most recent advance in CT technology. An increased number of detector rows and more powerful x-ray tubes result in faster scanning time, increased volume coverage, and improved spatial and temporal resolution. MDCT technology allows superior image quality, decreased examination time, and th...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2005.07.004
更新日期:2005-11-01 00:00:00
abstract::Pelvic pain during the first trimester of pregnancy can pose a challenge to the clinician. The noninvasive nature, safety, and reliability of ultrasonography make it the diagnostic method of choice for pregnant patients who have pelvic pain. Sonography provides information that allows for diagnosis of both pregnancy-r...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2006.10.015
更新日期:2006-11-01 00:00:00
abstract::Multimodality, noninvasive imaging is increasingly used in the identification and management of pulmonary hypertension (PH). Chest radiography, ventilation-perfusion scintigraphy, and Doppler echocardiography are frequently the initial studies used to evaluate patients suspected of having PH. However, their ability to...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2016.05.011
更新日期:2016-11-01 00:00:00
abstract::Supply-line deprivation is a major source of developmental fetal pathology. Clinical surveys have tended to emphasize the role of placental failure, although the umbilical cord may also be a site of injury. Supply-line limitations are met by a series of active fetal compensatory maneuvers. These include growth retarda...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::Fracture classification systems are used on a daily basis in any busy orthopedic clinic. They are an essential means by which physicians communicate, make treatment decisions, estimate prognosis, and report and compare results. Until recently, these classifications have been designed, accepted, and utilized without fo...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-05-01 00:00:00
abstract::Stroke is the third most common cause of death in the United States, and 50 per cent of sources arise in the extracranial carotid arteries. Well-performed vascular surgery provides a low-risk approach in preventing this devastating event if these sources can be identified before the stroke occurs. An awareness of the ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1986-09-01 00:00:00
abstract::SPECT systems should affect nuclear medicine because of their ability to eliminate overlying and underlying radionuclide activity, their capacity for total volume imaging, and the increased contrast for lesions, compared with conventional planar imaging and their quantitative potential. The authors offer a preview of ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1983-12-01 00:00:00
abstract::The interface between tumor and bone that is displayed radiographically is a zone of cellular activity. Its radiographic appearance represents the summation of bone lysis and production. This activity and the radiographic details of the resultant margin are an index of the biologic activity of a lesion. The anatomic s...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1981-12-01 00:00:00
abstract::Care must be taken to optimally select settings for collimation, table feed, and reconstruction interval for successful helical CT and associated special application such as CT angiography. Thus, prospective planning is critical for optimal 3-D imaging. Generally, one wishes to minimize all of these parameters to maxi...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-09-01 00:00:00
abstract::The biliary complications of pancreatitis include cholestasis, secondary biliary cirrhosis, cholangitis, and pseudocyst or fistula affecting the hepatobiliary system. Of these, the most relevant for radiologists is cholestasis caused by biliary duct stenosis in an inflamed pancreatic head. Radiologic assessment of the...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::Neuroimaging is an invaluable diagnostic tool for sorting through the vast array of etiologies that underlie altered mental status (AMS). Head computed tomography (CT) without contrast is the primary modality for evaluation of AMS and should be complemented by MR imaging in cases of negative CT but high clinical conce...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2019.08.002
更新日期:2020-01-01 00:00:00
abstract::Although a specific diagnosis of the calcified liver mass may not always be possible, there are some morphologic imaging features that help to indicate the diagnosis (Table 1). The radiologist needs to be aware of the wide spectrum of diseases of the liver that can calcify, and the most common causes. Pathologic corre...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(05)70030-0
更新日期:1998-03-01 00:00:00
abstract::Osteoarthritis is a disease affecting all joint structures, not just hyaline articular cartilage. It develops as a consequence of injurious activities acting on a vulnerable joint. The correlation between structural changes of the disease and joint symptoms is poor. Risk factors include age, obesity, and joint injury....
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/S0033-8389(03)00161-1
更新日期:2004-01-01 00:00:00
abstract::It should be clear that there is no prescription for an ideal picture terminal or for an ideal image work station. Image informativeness, the ability to transmit the relevant diagnostic information to the viewer, is the most important medical consideration that has an impact on the individual patient, but short of doi...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract::The neck visceral space is a complex region housing several vital structures. Diagnostic imaging plays an important role in the evaluation of neck visceral injuries. Many injuries are initially missed by both clinicians and radiologists because of their infrequency and the high likelihood of other more obvious injurie...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2019.02.005
更新日期:2019-07-01 00:00:00
abstract::Since its inception, CT scan has had a dominant role in hepatic imaging. Recent advances including helical CT scan and bolus-triggered scan initiation software packages have had a significant impact. Issues regarding volume, rate of administration, and type of intravenous contrast are being distilled. Workstations for...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(05)70020-8
更新日期:1998-03-01 00:00:00
abstract::Detection of muscle invasion is a critical aspect in management of urinary bladder cancer. MR imaging has the potential and promise of delivering this premise noninvasively. This article reviews the current status of MR imaging in evaluation of bladder cancer. Also discussed are other important neoplastic and nonneopl...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2012.08.011
更新日期:2012-11-01 00:00:00
abstract::Fibrous lesions of bone include entities with a wide range of radiographic appearance and clinical behavior. Many benign fibrous lesions, such as medial supracondylar defects, fibrous cortical defects, and nonossifying fibromas have typical radiographic appearances and usually are self-limited. Desmoplastic fibromas a...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1993-03-01 00:00:00
abstract::The small bowel is subject to a variety of surgical interventions for the treatment of a broad spectrum of disease processes. Most operative procedures applied to the small bowel are straightforward techniques encumbered by few complications, whereas other procedures are considerably more complex and can be associated...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(02)00119-7
更新日期:2003-03-01 00:00:00
abstract::Magnetic resonance (MR) imaging of the pancreas is useful as both a problem-solving tool and an initial imaging examination of choice. With newer imaging sequences such as diffusion-weighted imaging, MR offers improved ability to detect and characterize lesions and identify and stage tumors and inflammation. MR cholan...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2014.02.006
更新日期:2014-07-01 00:00:00
abstract::Osteonecrosis is the devitalization of bone and consequent lytic changes. In the jaws, osteonecrosis is a pathologic consequence of prior radiation therapy (osteoradionecrosis) or certain antiresorptive medications. Herein, we review the pathogenesis and clinical manifestations of these lesions, and describe the spect...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2017.08.006
更新日期:2018-01-01 00:00:00
abstract::von Hippel-Lindau (VHL) disease is an autosomal-dominant, hereditary, multisystem neoplasia syndrome with increased susceptibility to several benign and malignant tumors. VHL occurs in about 1 in 36,000 live births and is associated with germline mutation of the VHL tumor suppressor gene on the short arm of chromosome...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2015.12.004
更新日期:2016-05-01 00:00:00
abstract::Evolution in computed tomography technology and image reconstruction have significantly changed practice. Dual energy computed tomography is being increasingly adopted owing to benefits of material separation, quantification, and improved contrast-to-noise ratio. The radiation dose can match that from single energy co...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2018.03.002
更新日期:2018-07-01 00:00:00
abstract::High-quality aortic imaging plays a central role in the management of patients with thoracic aortic aneurysm. Computed tomography angiography and magnetic resonance angiography are the most commonly used techniques for thoracic aortic aneurysm diagnosis and imaging surveillance, with each having unique strengths and l...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2020.02.009
更新日期:2020-07-01 00:00:00