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 alone; and (3) to test whether the clinical CAC score threshold (400) is the most accurate to make this prediction. MATERIALS AND METHODS:CAC scoring and PMCTA were performed in cases of adult sudden natural death. Angiography was reviewed to determine if there was sufficient CAD to give as the cause of death. Data were analysed to test whether high calcium score predicts significant CAD. RESULTS:PMCTA with CAC score was successful in 100/104 PMCT examinations and in 87/100 angiography examinations (87%). Forty-six cases (46%) had a CAC score of >400, the clinical level of severe disease. CAD was given as the cause of death in 31 (67%) of these cases. Angiography was successful in 39 of these cases (84.7%) and showed severe CAD in all but one (97%). Twenty-five (25%) cases were diagnosed with a CAD death without a high CAC score. CONCLUSION:Although CAC score can neither diagnose nor exclude death due to CAD, the addition of angiography adds little diagnostic information to a high CAC score. If PMCT investigation is to exclude trauma and provide a medical cause of death on the "balance of probabilities", angiography is not required when the calcium score >400. This could reduce the number of patients requiring angiography by almost 50%.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Robinson C,Deshpande A,Rutty G,Morgan Bdoi
10.1016/j.crad.2019.06.034subject
Has Abstractpub_date
2019-12-01 00:00:00pages
926-932issue
12eissn
0009-9260issn
1365-229Xpii
S0009-9260(19)30374-5journal_volume
74pub_type
杂志文章abstract：:A prospective double blind randomised trial using 25 ml of Hexabrix 320 (ioxaglate, May and Baker), Niopam 370 (iopamidol, Merck) or Omnipaque 350 (iohexol, Nycomed) intravenous urography was carried out. The results showed no perceptible difference in the diagnostic quality of urograms with each of the media. An addi...
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(87)80239-8
更新日期：1987-07-01 00:00:00
abstract：:Sporadic cases or radiation hepatitis have been reported following doses above 3500 rad delivered in 3-4 weeks to the liver. The authors report their experience of radiation hepatitis in two out of 117 consecutive lymphoma cases treated with total abdominal irradiation. These two patients developed clinically overt ma...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(76)80107-9
更新日期：1976-10-01 00:00:00
abstract：:The ultrasound appearances of primary liver tumour in three patients are described. Changes in these appearances following devascularisation of the tumour by transcatheter embolisation are demonstrated. A possible mechanism for the change in appearances is suggested and is discussed in the light of plain radiographic ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(80)80028-6
更新日期：1980-11-01 00:00:00
abstract：AIM:To investigate the technical success rate and procedure-related complications of computed tomography (CT)-guided needle biopsy of lung lesions and to identify the factors that are correlated with the occurrence of procedure-related complications. MATERIALS AND METHODS:This was a single- institution retrospective s...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2017.07.023
更新日期：2017-12-01 00:00:00
abstract：:A patient presenting with upper gastrointestinal bleeding had two visceral angiograms, the second of which demonstrated the hepatic veins in the late phase of the hepatic arterial injection. This observation led to the correct diagnosis of hepatic telangiectasia with arteriovenous shunting and the suspicion, subsequen...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80607-5
更新日期：1990-06-01 00:00:00
abstract：AIM:To assess whether there are differences in the pathological features or survival between the new National Health Service Breast Screening Programme (NHSBSP) interval cancer classification system category of type 1 interval cancers, and the previously used, separate categories of occult, unclassified, and true inter...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2006.10.002
更新日期：2007-03-01 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
abstract：:In a prospective study, A mode ultrasound scanning contributed to the diagnosis and management of 24 of 50 consecutive patients with pleural disease. In 30% of patients it was superior to radiology in clarifying the solid or fluid nature of a pleural opacity, and in 42% of patients it allowed selection of the most app...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(81)80042-6
更新日期：1981-05-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2007.07.002
更新日期：2008-02-01 00:00:00
abstract：:It is well recognized that a negative mammogram report does not exclude the presence of breast carcinoma. This study examines the accuracy of mammography in patients with palpable breast cancer. In particular, the study evaluates the reasons underlying negative mammography in breast cancer. All patients with Paget's d...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)83454-3
更新日期：1994-02-01 00:00:00
abstract：:Sepsis with gas-forming organisms, e.g. Clostridium perfringens and anaerobic streptococci occurred in three of 120 liver-transplant recipients (2.5%). The diagnosis was made in all three patients by bedside ultrasound, before blood cultures revealed bacterial growth. Floating high amplitude echoes within the extra- a...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80568-9
更新日期：1991-06-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2020.01.012
更新日期：2020-06-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(97)80008-6
更新日期：1997-06-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(85)80010-6
更新日期：1985-01-01 00:00:00
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journal_title：Clinical radiology
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/s0009-9260(98)80273-0
更新日期：1998-06-01 00:00:00
abstract：:The aortic valve may be affected by a wide range of congenital and acquired diseases. Echocardiography is the main non-invasive imaging technique for assessing patho-anatomical alterations of the aortic valve and adjacent structures and in many cases is sufficient to establish a diagnosis and/or guide treatment decisi...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2013.07.014
更新日期：2013-12-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.crad.2012.12.009
更新日期：2013-05-01 00:00:00
abstract：:In this review the imaging features of a range of parotid lesions are presented and the roles of ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) in the assessment of parotid disease are discussed. ...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1053/crad.2001.0865
更新日期：2002-08-01 00:00:00
abstract：:The symphysis pubis is demonstrated on many conventional radiographic and cross-sectional examinations and abnormality of the symphysis pubis is a common imaging finding with numerous possible causes. Many significant disorders that affect the symphysis pubis cause it to appear widened, eroded, or destroyed on imaging...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2012.03.021
更新日期：2013-02-01 00:00:00
abstract：AIM:To determine the prevalence and association of mesenteric panniculitis (MP) in a group of patients with non-Hodgkin's lymphoma (NHL) compared to control group. MATERIALS AND METHODS:We retrospectively evaluated computed tomography (CT) and combined positron-emission tomography (PET) with CT examinations of a total...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2017.05.008
更新日期：2017-10-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.06.086
更新日期：2015-11-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2014.07.015
更新日期：2014-12-01 00:00:00
abstract：:Small intestinal tumours are rare, forming 1% of all gastrointestinal tumours; most occur in the duodenum. Villous adenomas form only a very small proportion of the duodenal tumours. They usually occur in the periampullary region and show a marked propensity for malignant change. The usual mode of presentation is with...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80040-6
更新日期：1992-07-01 00:00:00
abstract：:Extramedullary haematopoiesis (EMH) refers to the formation of non-neoplastic blood cell lines outside the bone marrow and is a common incidental finding when patients with haematological disorders are imaged. EMH presenting as mass (tumefactive EMH) has long been a radiological conundrum as it resembles neoplasms. Se...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2019.12.016
更新日期：2020-08-01 00:00:00
abstract：AIM:To describe a cerebral computed tomography angiography (CTA) technique using a 320-detector CT machine and a small contrast medium volume (35 ml, 15 ml for test bolus). Also, to compare the quality of these images with that of the images acquired using a larger contrast medium volume (90 or 120 ml) and a fixed time...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2013.10.021
更新日期：2014-03-01 00:00:00
abstract：PURPOSE:C-erbB-2 oncogene expression is found in 60% of DCIS cases. C-erbB-2 expression in DCIS has been shown to correlate with comedo subtype, large cell size, lymphoid infiltrate, nuclear pleomorphism, multinucleation and high mitotic rate. These findings have led to the suggestion that the subgroup of DCIS that exp...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)82937-x
更新日期：1994-08-01 00:00:00
abstract：:Glioblastoma (GBM) is a common brain tumour in adults, which, despite multimodality treatment, has a poor median survival. Efficacy of therapy is assessed by clinical examination and magnetic resonance imaging (MRI) features. There is now a recognised subset of treated patients with imaging features that indicate "pro...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2015.06.096
更新日期：2015-11-01 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：OBJECTIVE:To access concordance between radiological severity of aphthae and the more advanced features of Crohn's disease. PATIENTS AND METHODS:In 75 patients with an established diagnosis of Crohn's disease, we evaluated the radiological severity of colonic aphthae by meticulous double-contrast radiography. The degr...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(96)80243-1
更新日期：1996-10-01 00:00:00
abstract：:In presenting five new cases of renal adenomas the authors describe the general nature of these rare tumours. If the small adenoma corresponding to microscopic forms is frequent, the large adenoma is rare and always solitary. Haematuria and pain are the most common signs. The classic criterion of non-malignancy in a s...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(79)80100-2
更新日期：1979-05-01 00:00:00
