An assessment of Ultrasound screening for soft tissue lumps referred from primary care.

Abstract:

AIMS:To assess the efficacy of ultrasound as a screening tool in the assessment of soft-tissue masses referred from primary care and to investigate the incidence of malignancy in this population. MATERIALS AND METHODS:Retrospective analysis was performed on patients who underwent ultrasound for a suspected soft-tissue mass at our centre between January 2011 and December 2012. Patient demographics, ultrasound findings, further imaging investigations and histopathology were recorded. Patient records were followed up for a minimum period of 4 years. RESULTS:A benign sonographic diagnosis was found in 95% (2271/2399) patients and 91% (2069/2399) required no further imaging or histopathology assessment. Ninety-six patients with a benign sonographic diagnosis had a benign histological diagnosis and one patient was found to have a histologically proven malignancy. Five percent (122/2,399) had an indeterminate scan. Of these, 40 had a histologically proven benign lesion and 10 had a histologically proven malignancy. Six of the 2,399 (0.2%) patients had scans suggestive of malignancy with histological confirmation. In total, 0.7% (17/2399) had proven malignant lesions. Eight were sarcomas. CONCLUSION:The present study, which to the authors' knowledge is the first to focus on ultrasound assessment of musculoskeletal masses referred solely from primary care, confirms ultrasound as a highly effective screening tool. It often avoids the need for further investigation and inappropriate clinical referrals. Malignant lesions are very rare in this patient cohort.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Charnock M,Kotnis N,Fernando M,Wilkinson V

doi

10.1016/j.crad.2018.07.102

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

1025-1032

issue

12

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(18)30385-4

journal_volume

73

pub_type

杂志文章
  • An evaluation of the role of nuclear medicine imaging in the diagnosis of periprosthetic infections of the hip.

    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-...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.10.026

    authors: Trevail C,Ravindranath-Reddy P,Sulkin T,Bartlett G

    更新日期:2016-03-01 00:00:00

  • Percutaneous supra-aortic angioplasty in a high risk coronary patient.

    abstract::We have performed percutaneous angioplasty of the innominate and carotid arterial stenoses in a high risk patient with proximal disease involving the vessels arising from the aortic arch and seriously limiting blood flow to all four cerebral vessels. The patient also had severe left main and triple vessel coronary art...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81626-5

    authors: Sharma S,Kaul U,Misra N,Rajani M

    更新日期:1990-07-01 00:00:00

  • The radiology of the hip joints and pelvis in cerebral palsy.

    abstract::Thw radiological appearances found in the pelvis and hip joints in 79 patients with cerebral palsy, aged 5--16 years, have been studied. These findings have been recorded and correlated with the clinical severity and distribution of the disease. Subluxation of the hip joints was found in 14% and dislocation in a furth...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(77)80099-8

    authors: Griffiths GJ,Evans KT,Roberts GM,Lloyd KN

    更新日期:1977-03-01 00:00:00

  • Efficacy and safety of embolization in iatrogenic traumatic uterine vascular malformations.

    abstract:AIM:To retrospectively evaluate the efficacy of embolotherapy in patients with iatrogenic traumatic uterine arteriovenous malformations (AVMs). MATERIALS AND METHODS:A retrospective review of all patients who underwent uterine arterial embolization in Peking Union Medical College Hospital between January 2000 and Dece...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2011.11.002

    authors: Wang Z,Chen J,Shi H,Zhou K,Sun H,Li X,Pan J,Zhang X,Liu W,Yang N,Jin Z

    更新日期:2012-06-01 00:00:00

  • Refined computed tomography of the thoracic aorta: the impact of electrocardiographic assistance.

    abstract::There have been a number of advances in helical computed tomography (CT) in recent years, which have had a beneficial impact on the quality of imaging of the thoracic aorta. These advances include sub-second gantry rotation, multislice acquisition, and the use of electrocardiographic (ECG) assistance. We examine these...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/s0009-9260(03)00188-0

    authors: Morgan-Hughes GJ,Marshall AJ,Roobottom CA

    更新日期:2003-08-01 00:00:00

  • Case report: in utero diagnosis of a vein of Galen aneurysm using colour flow Doppler.

    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

    authors: Evans AJ,Twining P

    更新日期:1991-10-01 00:00:00

  • Differentiation of hepatocellular carcinoma from non-hepatocellular malignant tumours of liver by chemical-shift MRI at 3 T.

    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

    authors: Ozturk K,Soylu E,Yazici Z,Ozkaya G,Savci G

    更新日期:2019-10-01 00:00:00

  • Recurrent endometrial cancer: patterns of recurrent disease and assessment of prognosis.

    abstract:AIM:To evaluate patterns of disease and identify factors predicting outcome in patients presenting with recurrent endometrial adenocarcinoma following primary surgery. MATERIALS AND METHODS:A retrospective review was performed of the imaging and clinical data in 86 patients (median age 66 years, range 42-88 years) pre...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2006.06.015

    authors: Sohaib SA,Houghton SL,Meroni R,Rockall AG,Blake P,Reznek RH

    更新日期:2007-01-01 00:00:00

  • Solid pseudopapillary carcinoma of the pancreas: differentiation from benign solid pseudopapillary tumour using CT and MRI.

    abstract:AIM:To describe the computed tomography (CT) and magnetic resonance imaging (MRI) findings that differentiate solid pseudopapillary carcinomas (SPC) from benign solid pseudopapillary tumours (SPT) of the pancreas. MATERIALS AND METHODS:Preoperative CT or MRI images for 26 patients (eight patients with SPC and 18 patie...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2008.04.007

    authors: Lee JH,Yu JS,Kim H,Kim JK,Kim TH,Kim KW,Park MS,Kim JH,Kim YB,Park C

    更新日期:2008-09-01 00:00:00

  • Imaging of pericardial diseases.

    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

    authors: Kim JS,Kim HH,Yoon Y

    更新日期:2007-07-01 00:00:00

  • Obesity and extent of emphysema depicted at CT.

    abstract:AIM:To investigate the underlying relationship between obesity and the extent of emphysema depicted at CT. METHODS AND MATERIALS:A dataset of 477 CT examinations was retrospectively collected from a study of chronic obstructive pulmonary disease (COPD). The low attenuation areas (LAAs; ≤950 HU) of the lungs were ident...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.01.007

    authors: Gu S,Li R,Leader JK,Zheng B,Bon J,Gur D,Sciurba F,Jin C,Pu J

    更新日期:2015-05-01 00:00:00

  • Value of cardiac MRI for evaluation of chronic Chagas disease cardiomyopathy.

    abstract:AIM:To determine whether cardiac magnetic resonance imaging (cMRI) is more sensitive than electrocardiogram (ECG) and echocardiogram (ECHO) for detecting myocardial involvement in a Latin American migrant population with untreated Chagas disease (CD) in the United States. MATERIALS AND METHODS:All untreated CD patient...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2016.02.015

    authors: Lee-Felker SA,Thomas M,Felker ER,Traina M,Salih M,Hernandez S,Bradfield J,Lee M,Meymandi S

    更新日期:2016-06-01 00:00:00

  • Radiological features and metastatic patterns of thymic neuroendocrine tumours.

    abstract:AIM:To investigate the clinical and image features of thymic neuroendocrine tumours (NETs), and characterise the radiological patterns of recurrence and metastasis on serial imaging studies. MATERIALS AND METHODS:The study included 14 patients (11 males) with a histopathological diagnosis of thymic NETs (one typical c...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2017.11.025

    authors: Araki T,Sholl LM,Hatabu H,Nishino M

    更新日期:2018-05-01 00:00:00

  • CT-guided percutaneous core-needle biopsy of pancreatic masses: comparison of the standard mesenteric/retroperitoneal versus the trans-organ approaches.

    abstract:AIM:To compare the safety and efficacy of percutaneous computed tomography (CT)-guided core-needle biopsy (CNB) of pancreatic masses traversing the gastrointestinal tract or solid viscera versus trans-mesenteric and retroperitoneal approaches. MATERIALS AND METHODS:CT-guided CNB of pancreatic lesions performed between...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2016.02.021

    authors: Hsu MY,Pan KT,Chen CM,Lui KW,Chu SY,Lin YY,Hung CF,Huang YT,Tseng JH

    更新日期:2016-06-01 00:00:00

  • The role of three-dimensional pseudo-continuous arterial spin labelling in grading and differentiating histological subgroups of meningiomas.

    abstract:AIM:To evaluate the usefulness of pseudo-continuous arterial spin labelling (pCASL) imaging in grading and differentiating histological subtypes of meningiomas. MATERIALS AND METHODS:In this prospective study, conventional magnetic resonance imaging (MRI) with contrast-enhanced T1-weighted images and pCASL were acquir...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2017.08.005

    authors: Lu Y,Xiong J,Yin B,Wen J,Liu L,Geng D

    更新日期:2018-02-01 00:00:00

  • Inflammatory pseudotumours in children: CT and ultrasound appearances with histopathological correlation.

    abstract::Inflammatory pseudotumour is an uncommon benign lesion that presents in children and young adults. The rarity of these lesions, particularly at extrapulmonary sites, has resulted in poor documentation of its radiological manifestations. The casenotes, radiology and histology of five patients with inflammatory pseudotu...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/s0009-9260(05)83220-9

    authors: Brown G,Shaw DG

    更新日期:1995-11-01 00:00:00

  • Inflammatory myofibroblastic tumour of the maxillary sinus: CT and MRI findings.

    abstract:AIM:To characterize the computed tomography (CT) and magnetic resonance imaging (MRI) findings of inflammatory myofibroblastic tumours (IMTs) of the maxillary sinus. MATERIALS AND METHODS:The imaging findings of eight patients with IMTs of the maxillary sinus were reviewed retrospectively. Of the eight patients, four ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2012.08.002

    authors: Yuan XP,Li CX,Cao Y,Singh S,Zhong R

    更新日期:2012-12-01 00:00:00

  • Computed tomography in the radiology of testicular teratomas.

    abstract::Thirty patients with testicular teratomas were examined by computed tomography (CT), lymphangiography and chest X-rays/tomography and the role of each investigation in the staging and management of these tumours is examined. It is suggested that CT should be the primary investigation of the abdomen in patients with te...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(81)80338-8

    authors: Katz D,Fasianos S

    更新日期:1981-11-01 00:00:00

  • Hickmans in unusual places.

    abstract::Radiologists now commonly insert long-term indwelling right atrial catheters. The insertion of these catheters in patients with limited venous access is a challenging clinical problem. Our experience in dealing with patients with limited venous access from a series of 500 Hickman catheter insertions is presented, as a...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(99)91071-1

    authors: Murphy JM,Wallis F,Molloy MP

    更新日期:1999-02-01 00:00:00

  • Local complications of ascending phlebography.

    abstract::In order to estimate the rate of local complications of phlebography we studied a one-year series of 477 patients. Half of the patients were examined with a comparatively highly concentrated contrast medium and half with a more diluted one. Eight patients had local complications, verified by biopsy and/or thermography...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(78)80207-4

    authors: Berge T,Bergqvist D,Efsing HO,Hallböök T

    更新日期:1978-11-01 00:00:00

  • MRI in the investigation of Morton's neuroma: which sequences?

    abstract::Morton's 'neuroma' is a painful focus of peri-neural fibrosis, which may affect the interdigital nerves of the feet. Clinical diagnosis and localization may be inaccurate. Computed tomography (CT), ultrasound and magnetic resonance imaging (MRI) have been used to confirm the diagnosis pre-operatively. Recently, MRI us...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0009-9260(97)80305-4

    authors: Williams JW,Meaney J,Whitehouse GH,Klenerman L,Hussein Z

    更新日期:1997-01-01 00:00:00

  • The value of sonography in determining cystic duct patency.

    abstract::A prospective blinded comparison of ultrasonography (US) and oral cholecystography (OCG) was performed in 100 patients with symptomatic gall-stones to determine whether US would enable an accurate assessment of cystic duct patency to be made. Patency of the cystic duct was defined as gall-bladder opacification on OCG ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80031-5

    authors: McGrath FP,Gibney RG,Burhenne HJ

    更新日期:1992-07-01 00:00:00

  • Mycobacterial infections: still a millennium bug--the imaging features of mycobacterial infections.

    abstract::Mycobacterial infection is re-emerging as a major health care concern. Although Mycobacterium tuberculosis(MTB) is still the most important pathogen, atypical mycobacterium (AMB) infections are becoming increasingly common. We present a pictorial review of the imaging features of these infections in the chest, abdomen...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1053/crad.2001.0755

    authors: Koh DM,Bell JR,Burkill GJ,Padley SP,Healy JC

    更新日期:2001-07-01 00:00:00

  • The clinical value of PERCIST to predict tumour response and prognosis of patients with oesophageal cancer treated by neoadjuvant chemoradiotherapy.

    abstract:AIM:To examine whether Positron Emission Tomography Response Criteria in Solid Tumours (PERCIST) is useful to predict tumour response and prognosis of patients with oesophageal cancer who received neoadjuvant chemoradiotherapy (NACRT) followed by surgery. MATERIALS AND METHODS:This multicentre retrospective study incl...

    journal_title:Clinical radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.crad.2019.09.132

    authors: Nakajo M,Kitajima K,Kaida H,Morita T,Minamimoto R,Ishibashi M,Yoshiura T

    更新日期:2020-01-01 00:00:00

  • The effect on apparent size of simulated pulmonary nodules of using three standard CT window settings.

    abstract::This study was undertaken to determine whether three commonly used combinations of CT display window settings permit accurate measurement of pulmonary nodule size during thoracic CT examination. Forty-five rounded nodules of synthetic material of approximate soft tissue density (+70 Hounsfield units; HU), varying in s...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81130-4

    authors: Harris KM,Adams H,Lloyd DC,Harvey DJ

    更新日期:1993-04-01 00:00:00

  • Necrotising entero-colitis following umbilical vein catheterisation.

    abstract::Fifteen cases of neonatal necrotising entero-colitis (NEC) following umbilical vein catheterisation are reported. Their clinical and radiological features are briefly described and the proper course of a catheter through the umbilical vein--ductus venosus--inferior vena cava segment is demonstrated. The significance o...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(78)80069-5

    authors: Shah KJ,Corkery JJ

    更新日期:1978-05-01 00:00:00

  • The radiology of sarcomas and sarcomatoid carcinomas of the kidney.

    abstract::Tumours of the kidney with sarcomatoid elements are uncommon. The radiological findings in 11 patients with such lesions are presented. It is important to separate pure sarcomas from lesions with sarcomatous and carcinomatous elements since they have different radiological appearances and prognosis. These tumours ofte...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(87)80058-2

    authors: Mucci B,Lewi HJ,Fleming S

    更新日期:1987-05-01 00:00:00

  • Mammography test sets: reading location and prior images do not affect group performance.

    abstract:AIM:To examine how the location where reading takes place and the availability of prior images can affect performance in breast test-set reading. MATERIALS AND METHODS:Under optimized viewing conditions, 10 expert screen readers each interpreted a reader-specific set of images containing 200 mammographic cases. Reader...

    journal_title:Clinical radiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.crad.2013.11.010

    authors: Soh BP,Lee WB,McEntee MF,Kench PL,Reed WM,Heard R,Chakraborty DP,Brennan PC

    更新日期:2014-04-01 00:00:00

  • Shear-wave velocity for colorectal cancer liver metastases as a potential prognostic factor after chemotherapy: a preliminary study.

    abstract:AIM:To evaluate whether shear-wave velocity (SWV) can be used for predicting the prognoses of patients with colorectal cancer liver metastases (CRLMs) after chemotherapy. MATERIALS AND METHODS:Our institutional review board approved this prospective study, and written informed consent was obtained. SWV of CRLMs were o...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2020.09.027

    authors: Lee DH,Lee JY,Joo I,Kim TY,Han SW,Lee KH

    更新日期:2021-01-02 00:00:00

  • Histogram analysis of apparent diffusion coefficient from whole-body diffusion-weighted MRI to predict early response to chemotherapy in patients with metastatic colorectal cancer: preliminary results.

    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

    authors: Lavdas I,Rockall AG,Daulton E,Kozlowski K,Honeyfield L,Aboagye EO,Sharma R

    更新日期:2018-09-01 00:00:00