Abstract：
AIM:To determine whether acoustic radiation force imaging (ARFI) of the liver/spleen could be used in patients with cirrhosis to predict the presence of gastroesophageal varices (GOVs). MATERIALS AND METHODS:Fifty-eight patients with cirrhosis who were undergoing 6-monthly ultrasound examinations for hepatoma surveillance and who were due to have oesophagogastroduodenoscopy (OGD) within 6 months of their ultrasound were recruited. During routine ultrasound, the patient's liver and spleen were also assessed using ARFI. Other clinical parameters (platelet count, spleen size, and transient elastography measurements) were also collected. Logistic regression was used to determine which variables were significantly associated with presence or absence of varices univariably and multivariably RESULTS: Fourteen patients (24%) had GOVs. Patients with GOVs had higher ARFI measurements in the liver and spleen than patients without GOVs (liver: 2.39 versus 2.13, spleen: 2.89 versus 2.82), but these results were not statistically significant (odds ratio=1.75, 95% confidence interval [CI]=0.82, 3.91 and odds ratio=1.12, 95% CI=0.33, 3.97, respectively). The platelet/splenic ratio, in comparison, was associated with the presence or absence of GOVs in multivariate analysis (odds ratio=0.32, 95% CI=0.008, 0.91). CONCLUSION:Although patients with GOVs had overall higher ARFI liver and spleen results, this was not statistically significant. As such, ARFI cannot yet replace OGD in predicting GOVs in this patient group.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Wiles R,Patanwala I,Hankinson B,Healey P,Farrell C,Griffin C,Bonnett L,Richardson Pdoi
10.1016/j.crad.2018.07.199subject
Has Abstractpub_date
2018-12-01 00:00:00pages
1046-1051issue
12eissn
0009-9260issn
1365-229Xpii
S0009-9260(18)30509-9journal_volume
73pub_type
杂志文章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：AIM:To test whether a high coronary artery score predicts that the subsequent post-mortem computed tomography (PMCT) with angiography (PMCTA) will diagnose significant coronary artery disease (CAD); to test the diagnostic impact of assuming there is significant CAD based on a high coronary artery calcium (CAC) score al...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.06.034
更新日期：2019-12-01 00:00:00
abstract：AIM:To identify magnetic resonance imaging (MRI) features differentiating high-grade (>5% round-cell component) from low-grade myxoid liposarcomas (LPS) (≤5% round-cell component). MATERIALS AND METHODS:Informed consent was waived. Patients with myxoid LPS and MRI before biopsy, neoadjuvant therapy, and surgery were i...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2017.01.016
更新日期：2017-07-01 00:00:00
abstract：AIM:To investigate the use of Tc-99m tetrofosmin as a breast imaging agent and to compare results of Tc-99m tetrofosmin scintimammography with plain-film mammography and pathological outcome. PATIENTS AND METHODS:Forty-four patients (mean age, 51 years; range 26-79 years) with a palpable breast mass requiring fine nee...
journal_title：Clinical radiology
pub_type： 临床试验,杂志文章
doi：10.1016/s0009-9260(98)80028-7
更新日期：1998-01-01 00:00:00
abstract：:The Askin tumour is a highly malignant primitive neuroectodermal tumour (PNET) of the chest wall occurring in children and young adults. We describe three cases to illustrate the clinical and radiological aspects of this tumour, which are not well documented. Patients present with a chest wall mass, pain and constitut...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/s0009-9260(05)80348-4
更新日期：1991-01-01 00:00:00
abstract：:A wide range of pathologies may arise from the submandibular space (SMS) or submandibular gland (SMG) in children. We review herein the normal anatomy of the SMS and describe the role of imaging in the evaluation of SMS lesions. A schematic approach for the categorisation of SMS pathology based on imaging characterist...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2015.03.003
更新日期：2015-07-01 00:00:00
abstract：AIM:To investigate how commonly valuable diagnostic information regarding the frontotemporal dementias (FTDs) may be missed on routine radiological reporting. MATERIALS AND METHODS:The magnetic resonance imaging (MRI) examination results of a series of 39 consecutive patients in whom the diagnosis was initially though...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.09.008
更新日期：2016-01-01 00:00:00
abstract：:The thigh regions of 10 patients suffering from polymyositis were examined by magnetic resonance imaging (MRI) at 1.5 T; follow-up examinations were performed in all patients. MRI findings were correlated with findings at physical examination and serological parameters. In four patients focal areas of hyperintensity o...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80305-8
更新日期：1993-10-01 00:00:00
abstract：:The Lesch-Nyhan syndrome is an x-linked defect of purine metabolism resulting in its classical form in major neurodevelopmental abnormality, hyperuricaemia, and hyperuricosuria. Uric acid calculi and crystalluria are common. Allopurinol is the main method of reducing serum and urinary uric acid levels, but results in ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80352-6
更新日期：1991-01-01 00:00:00
abstract：:Three patients with tuberous sclerosis (TS) and hepatic hamartomas are presented. Liver lesions are uncommonly documented in TS, compared to renal angiomyolipomas. The imaging characteristics of liver hamartoma in TS may resemble those of renal angiomyolipoma, hepatic cavernous haemangiomas, metastasis or abscess. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81064-5
更新日期：1993-06-01 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：: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：:Three cases of carbon granuloma are described following the instillation of carbon solution at the time of stereotactic fine needle aspiration for pre-operative localization of impalpable mammographic abnormalities. If the carbon track is not excised following carbon instillation the retained carbon may result in a gr...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(98)80198-0
更新日期：1998-11-01 00:00:00
abstract：:Radiologically demonstrable abnormalities of the duodenum are common in cystic fibrosis and are most prevalent in the second part of the duodenum. Out of 14 upper gastrointestinal barium studies performed on patients with cystic fibrosis over a period of 10 years, radiographic abnormalities of the duodenum were found ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(83)80168-8
更新日期：1983-09-01 00:00:00
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：: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
更新日期：1991-05-01 00:00:00
abstract：AIMS:The need for intravenous urography (IVU) in upper tract surveillance for primary transitional cell carcinoma (TCC) of the bladder is contentious. We reviewed our intensive screening policy in the follow-up of these patients to ascertain if such a policy is required and if specific groups could be identified to rat...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(99)90834-6
更新日期：1999-07-01 00:00:00
abstract：AIM:To compare the diagnostic performance of the 2017 (v2017) and 2018 versions (v2018) of the Liver Imaging-Reporting and Data System (LI-RADS) for hepatocellular carcinoma (HCC) using gadoxetic acid-enhanced magnetic resonance imaging (Gd-EOB-MRI) and to evaluate the effect in v2018. MATERIALS AND METHODS:Treatment-...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.11.004
更新日期：2020-04-01 00:00:00
abstract：AIM:To evaluate splenic phenotype in autosomal dominant polycystic kidney disease (ADPKD) including presence of cysts and splenomegaly to determine if these are ADPKD related or represent unrelated incidental findings. MATERIALS AND METHODS:The axial/coronal T2-weighted images of ADPKD patients (n=215) and age/gender-...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.08.015
更新日期：2019-12-01 00:00:00
abstract：:In a review of the cases of testicular tumours treated at the Christie Hospital between 1961 and 1974 there are six cases with spontaneous regression of metastases, which are now reported. In this period, 827 cases of testicular tumour have been treated giving an incidence of spontaneous regression of 0.72%, which is ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(77)80062-7
更新日期：1977-09-01 00:00:00
abstract：:Abdominal spiral computed tomography (CT) pneumocolon is performed after cleansing the colon, using a smooth muscle relaxant and rectal air insufflation. Rapid dynamic scanning is undertaken with intravenous contrast to give optimal hepatic and vascular enhancement, and 5-10 mm contiguous slices. The area of interest ...
journal_title：Clinical radiology
pub_type：
doi：10.1016/s0009-9260(96)80221-2
更新日期：1996-01-01 00:00:00
abstract：:Myasthenia gravis (MG) is an autoimmune disorder often associated with thymic abnormalities. At onset, thymic lymphoid hyperplasia (TLH) and thymoma can be found in up to 65% and 15% of patients, respectively. Diagnostic imaging is crucial in this setting in order to detect the presence and type of the thymic abnormal...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2014.01.005
更新日期：2014-05-01 00:00:00
abstract：:Two patients with benign chondrolipomatous tumours of the breast were subjected to mammography. In one case this was as part of the investigation of a breast lump detected clinically, while in the other the lesion was detected during routine follow-up of a woman with long-standing cystic hyperplasia. The mammographic ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(88)80560-9
更新日期：1988-05-01 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：:Osteonecrosis or aseptic necrosis is well-recognised in certain sites. We report two patients, both with predisposing factors, who developed avascular necrosis of the hemipelvis which was bilateral in one case. In each patient the diagnosis was not suspected clinically. In the initial phase, bone scintigraphy showed d...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(89)80259-4
更新日期：1989-09-01 00:00:00
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
更新日期：2015-05-01 00:00:00
abstract：:Patients with leukaemia, on anticoagulant therapy, or with disseminated intravascular coagulation may develop occult pulmonary haemorrhage; it will mimic pulmonary oedema, pulmonary hemosiderosis or opportunistic infections. It can be diagnosed by bronchopulmonary lavage. The radiographic changes are described and the...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(78)80217-7
更新日期：1978-03-01 00:00:00
abstract：:The presence and extent of axillary nodal metastases at the time of breast cancer diagnosis is a critical factor in disease prognosis and plays a central role in deciding the best treatment for patients. Accurate assessment of the axilla is therefore an essential component in staging breast cancer. Over the years, axi...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2018.01.003
更新日期：2018-04-01 00:00:00
abstract：:Radiology has a significant role in the evaluation of surgery for rectal cancer. With recent developments in surgical techniques, the number of neorectal reservoir configurations has increased. It is important to recognize the normal and abnormal appearances, both early and late, following pelvic surgery. The aim of t...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2005.02.007
更新日期：2005-08-01 00:00:00
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...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2018.07.102
更新日期：2018-12-01 00:00:00
