Abstract:
:The commonest causes of nasal obstruction are rhinitis and chronic rhinosinusitis, which affect up to 30% and 14% of the adult population, respectively. The global financial burden is huge, estimated at $5 billion for rhinitis and $8.6 billion for chronic rhinosinusitis per annum in the USA. On referral for imaging, computed tomography (CT) is indicated initially when there is a suboptimal response to medical treatment of these mucosal diseases or there are "red flags," such as persistent unilateral obstruction, epistaxis, pain, and orbital or neurological symptoms. A mass visible at rhinoscopy or endoscopy in the nose or nasopharynx and lymphadenopathy are further indications. The anterior (cartilaginous) nose plays a key role in the aetiology of nasal obstruction as it accounts for 50-75% of the total resistance to airflow in the upper airway. It has been ignored in the imaging literature, but extensively evaluated by clinicians using a range of methods, including CT. Oblique reconstructions perpendicular to the parabolic curve of lamellar airflow provide accurate assessment of the anterior nose. A thorough and systematic approach to assessing the nose addresses the discrepancy between imaging and clinical evaluation of structural causes of nasal obstruction, especially septal deviation, reported in the surgical literature. Nasal tumours are a very uncommon cause of nasal obstruction; magnetic resonance imaging is commonly performed to assess their full extent and improve the specificity of diagnosis.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Whyte A,Boeddinghaus Rdoi
10.1016/j.crad.2019.07.027subject
Has Abstractpub_date
2020-09-01 00:00:00pages
688-704issue
9eissn
0009-9260issn
1365-229Xpii
S0009-9260(19)30372-1journal_volume
75pub_type
杂志文章,评审abstract::Twenty-seven patients with carcinoma of the bladder were treated at the Glasgow Institute of Radiotherapeutics as part of a national hyperbaric oxygen trial. These patients were treated on a 4 MeV linear accelerator either in air or in 3 atm, absolute, of oxygen, by random selection. Of these patients, one-third were ...
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(76)80134-1
更新日期:1976-04-01 00:00:00
abstract:AIM:To determine whether reporting plain films at faster rates lead to a deterioration in accuracy. METHODS:Fourteen consultant radiologists were asked to report a total of 90 radiographs in three sets of 30. They reported the first set at the rate they would report normally and the subsequent two sets in two thirds a...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(03)00289-7
更新日期:2003-12-01 00:00:00
abstract:AIM:To examine the sonographic features of shunt vessels derived from the splenic vein at splenic hilum (SS), and explore the relationship between the SS pattern and clinical presentations. MATERIALS AND METHODS:This prospective study in cirrhotic patients consisted of study I (n = 15), which compared the anatomical f...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2013.11.001
更新日期:2014-03-01 00:00:00
abstract:AIMS:To evaluate patients undergoing uterine artery embolization for symptomatic fibroids who, for technical reasons, underwent unilateral rather than bilateral embolization. PATIENTS:Prospective data were collected on 109 patients undergoing uterine artery embolization for symptomatic fibroids. Of these, six underwen...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2003.08.005
更新日期:2004-02-01 00:00:00
abstract::A case of multifocal xanthogranulomatous pyelonephritis (XPN) in childhood diagnosed by ultrasound, computed tomography and needle biopsy is described. Following antibiotic therapy, ultrasound and a DMSA renal scintiscan showed no discernible scarring and restoration of function. This has not been previously described...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81705-2
更新日期:1990-05-01 00:00:00
abstract::The clinical and radiological findings of 12 patients with early carcinoma of the ampulla or papilla of Vater are described. Endoscopic retrograde cholangio-pancreatography, percutaneous transhepatic cholangiography and hypotonic duodenography are the radiological techniques most suited to making the diagnosis. An irr...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(80)80090-0
更新日期:1980-01-01 00:00:00
abstract:AIM:To describe the radiological appearances of immune reconstitution inflammatory syndrome (IRIS) in human immunodeficiency virus (HIV)-infected patients with mycobacterial infections starting highly active anti-retroviral therapy (HAART). MATERIALS AND METHODS:Five consecutive HIV infected patients with IRIS due to ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2003.12.002
更新日期:2004-06-01 00:00:00
abstract::A prospective study, followed by a retrospective audit, was made of the radiographs and clinical features of 225 consecutive neonates with abdominal distension presenting during a period of 4 years. More than one major cause for the distension was found in a third of cases. Excluding cases of ano-rectal atresia, diagn...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80217-7
更新日期:1983-07-01 00:00:00
abstract:AIM:To determine whether radiographers are able to perform and interpret barium swallows and meals (BSM) to an acceptable standard. MATERIALS AND METHODS:A retrospective audit was performed of all radiographer-managed BSMs over a 4-year period in an acute hospital. Descriptive statistics were used to analyse patient d...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2009.04.008
更新日期:2009-08-01 00:00:00
abstract::The use of duplex ultrasound for the diagnosis and assessment of abdominal aortic dissection and visceral arterial involvement is discussed. Ultrasound is simple and non-invasive and may be superior to aortography in diagnosis; it should be performed after ultrasound assessment of the aortic root. It also provides an ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82147-6
更新日期:1990-11-01 00:00:00
abstract:AIM:To establish a "one-stop" dysphagia service in which a consultation, barium swallow and endoscopy can all be performed in the same hospital visit. MATERIALS AND METHODS:In order to allow both barium swallow examination and endoscopy to be performed on the same day, a novel technique for clearing barium from the up...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0637
更新日期:2001-01-01 00:00:00
abstract:AIM:To evaluate the risk of cancer of an enhancing focus identified at breast magnetic resonance imaging (MRI) by determining the positive predictive value (PPV) associated with specific characteristics of an enhancing focus. MATERIALS AND METHODS:Retrospective, institutional review board-approved review of the databa...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2014.02.007
更新日期:2014-07-01 00:00:00
abstract::Left ventriculography with selective coronary angiography was performed on 13 patients with acute myocardial infarcts complicated by cardiogenic shock of left ventricular failure and hypotension. Twelve patients (92-3%) tolerated the procedure well. Irreversible ventricular fibrillation resulting in death occurred in ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(77)80105-0
更新日期:1977-03-01 00:00:00
abstract::Coronary angiography is in general regarded as a safe investigation with a low risk of serious complications. Unfortunately, a risk of serious complications exists, especially in patients with left main coronary artery disease or 3-vessel disease. The mortality rate ranges in different studies between 0.10% to 0.25%. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(96)80082-1
更新日期:1996-12-01 00:00:00
abstract:AIM:To assess the rate of upgrade in our screening population to determine whether open excision biopsy of mucocoele-like lesions (MLL) is still required. MATERIALS AND METHODS:A retrospective review of the breast screening database from 1999-2014 was performed. RESULTS:MLL were identified on core biopsy in 113 women...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2017.06.012
更新日期:2017-11-01 00:00:00
abstract::Since 1971, 82 patients with advanced carcinoma of the cervix have been included in a randomised clinical trial in association with the Working Party on Radiotherapy and Hyperbaric Oxygen of the Medical Research Council. External irradiation was given in 10 fractions by an unconventional schedule, either in air or HBO...
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(79)80213-5
更新日期:1979-07-01 00:00:00
abstract::Axial T2-weighted fat-saturated imaging provides information not readily available from routine lumbar spine magnetic resonance imaging (MRI) protocols and routine inclusion of this sequence in place of axial T1-weighted imaging provides additional diagnostic information that can be obtained without increasing examina...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2014.05.006
更新日期:2014-09-01 00:00:00
abstract::Renal excretion of water soluble iodinated contrast media following oral administration has often been described but no reports describing renal excretion following rectal administration of such contrast have previously been described. We describe a case of renal excretion of diatrizoate methylglucamine (Gastrografin,...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80383-6
更新日期:1992-11-01 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: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
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.05.012
更新日期:2019-09-01 00:00:00
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
更新日期:2003-08-01 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::Non-tuberculous psoas abscess is associated with a wide variety of conditions in addition to its well known association with infection in the lumbar spine. Computed tomography (CT) enables the diagnosis to be made at a relatively early stage when classical physical signs may be absent. Percutaneous drainage under CT c...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(86)80330-0
更新日期:1986-05-01 00:00:00
abstract::We present a case of a woman with pulmonary metastatic disease from breast carcinoma who presented with features of pulmonary osteoarthropathy (HPOA). We document the unusual presentation with classical features of HPOA in the absence of finger clubbing and the response of the scintigraphic appearances to antitumor ch...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(05)80254-5
更新日期:1991-04-01 00:00:00
abstract::Patients with end-stage renal disease on long term dialysis may develop de novo renal cystic disease. We used ultrasound as a primary screening procedure for renal cysts in 71 patients. In seven patients (10%) the native kidneys could not be identified. In 35 patients renal cysts were identified indicating a prevalenc...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81658-7
更新日期:1990-04-01 00:00:00
abstract:AIM:To investigate knowledge of the use of ionizing radiation in 2010 and whether there has been any change in this knowledge since the study was first undertaken over 7 years ago. MATERIALS AND METHODS:In both studies a single chest x-ray was classed as one unit of radiation. Doctors from all grades were asked to eva...
journal_title:Clinical radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.crad.2011.03.009
更新日期:2011-08-01 00:00:00
abstract:AIM:To evaluate the early treatment response to chemotherapy in patients with lung cancer using dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI). MATERIALS AND METHODS:Twenty-two patients with lung cancer underwent DCE-MRI before chemotherapy and 1 week after the start of the first course of chemothera...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.02.013
更新日期:2018-07-01 00:00:00
abstract:PURPOSE:To determine pre-operative MRI accuracy in assessing local disease extent in recurrent/residual pelvic bowel cancer by comparing MRI assessment and staging examination under anaesthesia (EUA), with laparotomy/histopathological findings. MATERIALS AND METHODS:Twenty-seven consecutive patients with recurrent (n ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2002.0933
更新日期:2002-06-01 00:00:00
abstract::In order to assess the validity of quantitative duplex Doppler measurements of portal vein flow, 10 patients with proven diffuse liver disease and portal hypertension were examined serially by two independent observers over a 3 month period. Multiple measurements of the portal vein were made using a consistent techniq...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81237-1
更新日期:1993-11-01 00:00:00