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 questions were asked regarding the provision of magnetic resonance imaging (MRI) for radiographically occult scaphoid fractures, time to MRI, number of departmental MRI scanners, and alternative imaging offered. RESULTS:Responses were received from 74 trusts (53%). Thirty-eight offered MRI as a first-line test in plain-film occult scaphoid injury, 25 preferred computed tomography (CT), and 11 opted for repeat plain radiographs. Of the 38 trusts who offered MRI, 26 provided this within 1 week; the rest within 2 weeks. No trends were identified based on the size of the hospital or its geographical location. Statistical analysis of the data revealed no significant relationship between the number of MRI scanners and the provision of MRI, nor between the numbers of MRI scanners and the time to MRI. CONCLUSIONS:MRI has been recognised in the literature as a highly specific, highly sensitive, and cost-effective tool, yet only 51% of trusts provide this service in the UK. For those who cannot offer MRI first-line, CT remains a very accurate and reliable alternative.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Chunara MH,McLeavy CM,Kesavanarayanan V,Paton D,Ganguly Adoi
10.1016/j.crad.2019.02.016subject
Has Abstractpub_date
2019-06-01 00:00:00pages
450-455issue
6eissn
0009-9260issn
1365-229Xpii
S0009-9260(19)30132-1journal_volume
74pub_type
杂志文章abstract::Biochemical, radiological and histological indicators of dialysis bone disease were studied before, 6 months (58 patients) and 12 months (48 patients) after starting treatment with 1 alpha-OH D3. Radiographic healing of subperiosteal erosions was seen after 6 months in 60% and after 12 months in 77% of affected patien...
journal_title:Clinical radiology
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journal_title:Clinical radiology
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journal_title:Clinical radiology
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journal_title:Clinical radiology
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journal_title:Clinical radiology
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journal_title:Clinical radiology
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doi:10.1016/j.crad.2007.01.022
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(80)80154-1
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Clinical radiology
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更新日期:2007-11-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1016/j.crad.2011.10.032
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doi:10.1016/s0009-9260(97)80279-6
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journal_title:Clinical radiology
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doi:10.1053/crad.2001.0865
更新日期:2002-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80336-2
更新日期:1988-01-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(85)80058-1
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(05)80660-9
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更新日期:1989-11-01 00:00:00
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journal_title:Clinical radiology
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更新日期:2018-01-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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更新日期:2005-02-01 00:00:00
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journal_title:Clinical radiology
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2007.06.001
更新日期:2007-12-01 00:00:00
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journal_title:Clinical radiology
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更新日期:1990-07-01 00:00:00