Abstract：
AIM:To validate an imaging protocol for the management of solitary central cartilage tumours (CCTs) of the proximal humerus and around the knee. MATERIALS AND METHODS:Over a 10-year period, 387 patients were identified with a CCT in the proximal humerus, distal femur, and proximal tibia, who were referred to a single unit either from primary/secondary care or tertiary care directly to Royal Orthopaedic Hospital, a specialist orthopaedic oncology service. The initial magnetic resonance imaging (MRI) images and any follow-up images were evaluated for length of tumour, presence/absence of endosteal scalloping, or aggressive/malignant features. The cases were categorised into one of seven types according to the Birmingham Atypical Cartilage Tumour Imaging Protocol (BACTIP). The outcome in the cases was assessed to ascertain if application of the protocol would have led to any delay in the diagnosis of malignant transformation to a chondrosarcoma. RESULTS:The incidence of malignancy (chondrosarcoma) increased with ascending BACTIP. There was a 100% benign diagnosis (enchondroma) in types IA and IB, 96% in IIA, and 83% in IIB. Fifty-seven percent of type IIC and 97% type III were diagnosed as malignant. In only one case would the application of the protocol have led to a 5-month delay in the diagnosis of chondrosarcoma. CONCLUSIONS:This retrospective study confirms the BACTIP as a useful tool for the general radiologist in the initial assessment of CCT in the proximal humerus and around the knee with the exception of the proximal fibula. In particular, determining which cases need prompt referral to a specialist orthopaedic oncology service for further assessment.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Davies AM,Patel A,James SL,Botchu Rdoi
10.1016/j.crad.2019.08.017subject
Has Abstractpub_date
2019-12-01 00:00:00pages
962-971issue
12eissn
0009-9260issn
1365-229Xpii
S0009-9260(19)30532-Xjournal_volume
74pub_type
杂志文章abstract：AIM:The purpose of our study was to describe radiological manifestations of tuberculosis in patients with myelodysplastic syndromes. MATERIALS AND METHODS:Chest radiographs and CTs of 12 patients with tuberculosis among 195 consecutive patients with myelodysplastic syndrome, proved by bone marrow biopsy, were reviewed...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2001.0742
更新日期：2002-05-01 00:00:00
abstract：:111Indium (111In) WBC scintigraphy is an accurate method of assessing the extent of inflammatory bowel disease. A prospective study was performed to determine the correlation of ultrasound scanning with 111In WBC scintigraphy in the assessment of inflammatory bowel disease. Eighty-three indium and ultrasound scans wer...
journal_title：Clinical radiology
pub_type： 临床试验,杂志文章
doi：10.1016/s0009-9260(05)80896-7
更新日期：1990-12-01 00:00:00
abstract：AIM:To evaluate the utility of the portal venous phase on multiphasic computed tomography (CT) after treatment of hepatocellular carcinoma (HCC) with trans-arterial chemoembolisation (TACE). MATERIALS AND METHODS:This was a retrospective review of patients who underwent TACE for HCC between 1 April 2012 and 21 Decembe...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2017.07.003
更新日期：2017-11-01 00:00:00
abstract：AIM:To compare the performance of axial images of the ankle joint on three-dimensional (3D) volume isotropic turbo spin echo acquisition (VISTA) with that of two-dimensional (2D) fast spin echo (FSE) T2-weighted images for the diagnosis of anterior talofibular ligament (ATFL) injury. MATERIALS AND METHODS:This retrosp...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.12.007
更新日期：2016-04-01 00:00:00
abstract：:Eighty infants have been treated for neonatal necrotising enterocolitis within a period of five years. Twenty-five per cent developed strictures of the small or large intestine. Four cases of atresia including two with multiple cyst formation were seen. Four patients developed severe malabsorption requiring hyperalime...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(79)80036-7
更新日期：1979-01-01 00:00:00
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：:In this report, we illustrate the imaging findings of diseases in the subperitoneal space of the broad ligament and sigmoid mesocolon and discuss the pathways of subperitoneal spread of disease. The subperitoneal space of the broad ligament and sigmoid mesocolon is continuous with that of the parietal peritoneum overl...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/s0009-9260(98)80213-4
更新日期：1998-12-01 00:00:00
abstract：:Large trials have confirmed the benefit of carotid endarterectomy in the prevention of stroke in patients with transient ischaemic attacks and > or =70% stenosis of the ipsilateral internal carotid artery. Invasive confirmatory angiography carries some risk, but these patients can be identified by Doppler ultrasound. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(99)91086-3
更新日期：1999-10-01 00:00:00
abstract：:The radiological appearances of seven cases of rib tuberculosis are discussed. The combination of rib destruction and an extrapleural soft tissue opacity in an Asian immigrant makes tuberculosis a highly likely diagnosis. The presence of an associated fluctuant chest wall swelling, enables a diagnosis of tuberculosis ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(80)80022-5
更新日期：1980-11-01 00:00:00
abstract：:Heparin-induced thrombocytopenia is an infrequent complication of heparin which causes thrombocytopenia and thrombosis. The vascular radiologist can expect to come across several cases in his/her career. A high index of suspicion is required for early diagnosis. This may befall the radiologist who is asked to provide ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80072-8
更新日期：1992-02-01 00:00:00
abstract：OBJECTIVE:To determine the effect of breathing on the detection of small dense pulmonary nodules of threshold conspicuity by spiral computed tomography (SCT). MATERIALS AND METHODS:Forty pulmonary nodules of high density were created by endobronchial deployment of 2 and 4mm diameter beads in the peripheral airways of ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(98)80170-0
更新日期：1998-07-01 00:00:00
abstract：AIM:To compare excretory phase, helical computed tomography (CT) with intravenous (IV) urography for evaluation of the urinary tract in patients with painless haematuria. MATERIALS AND METHODS:Ninety-one out-patients had IV urography followed by helical CT limited to the urinary tract. Both IV urograms and CT images w...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(02)00464-6
更新日期：2003-04-01 00:00:00
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, c...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2019.07.027
更新日期：2020-09-01 00:00:00
abstract：:The complication rate following radiofrequency catheter ablation for atrial fibrillation is low (<5%). Complications include pericardial effusion, cardiac tamponade, pulmonary vein stenosis, oesophageal ulceration or perforation, atrio-oesophageal fistula formation, stroke/transient ischaemic attack, phrenic nerve inj...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2013.08.018
更新日期：2014-01-01 00:00:00
abstract：AIM:To describe the sequential appearance of healing rib fractures on initial and follow-up radiographs using published guidelines in approximating the age of rib fractures in infants with the aim of establishing a more objective method of dating rib fractures by measuring the thickness of the callous formation. MATER...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2013.03.017
更新日期：2013-08-01 00:00:00
abstract：AIM:To describe the computed tomography (CT) findings in pseudomyxoma peritonei. MATERIALS AND METHOD:Two observers independently and retrospectively reviewed the CT images of 17 consecutive patients (nine women, eight men, mean age 53 years) with histologically proven pseudomyxoma peritonei. RESULTS:Six patients had...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2002.0942
更新日期：2002-07-01 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：:A comparison has been undertaken between conventional radiographic imaging and computed tomography (CT) in 35 patients with testicular teratoma as part of an audit of our investigative approach to staging and follow-up. The CT examination included alternate cuts from the carina of the trachea to the lung bases as the ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(84)80038-0
更新日期：1984-11-01 00:00:00
abstract：AIM:Percutaneous 14-gauge core biopsy (CB) guided by digital stereotactic mammography is now an established technique in the investigation of women with non-palpable suspicious mammographic lesions. Diagnostic sensitivity of CB is affected both by the nature of the mammographic abnormality and by the number of core sam...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.1999.0199
更新日期：1999-06-01 00:00:00
abstract：:Solid-state, digital radiography (DR) detectors, designed specifically for standard projection radiography, emerged just before the turn of the millennium. This new generation of digital image detector comprises a thin layer of x-ray absorptive material combined with an electronic active matrix array fabricated in a t...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2007.10.014
更新日期：2008-05-01 00:00:00
abstract：AIM:To describe the magnetic resonance imaging (MRI) appearances in patients with a clinical history suggestive of vertebral osteomyelitis and discitis who underwent MRI very early in their clinical course. MATERIALS AND METHODS:A retrospective review of the database of spinal infections from a spinal microbiological ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2010.03.015
更新日期：2010-12-01 00:00:00
abstract：:Pulmonary cysts, cavities, and honeycombing are seen in a number of systemic disorders. The purpose of this review is to discuss the findings on thin-section computed tomography (CT) in both congenital and acquired multisystem conditions that give rise to multiple cystic spaces in the lungs. Conditions discussed inclu...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2008.09.015
更新日期：2009-04-01 00:00:00
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
更新日期：2007-01-01 00:00:00
abstract：AIM:To measure the normal distances (and range) from the tip of the odontoid peg to the different reference skull baselines (Chamberlain's, McGregor's, and McRae's line) using magnetic resonance imaging (MRI). MATERIALS AND METHODS:We retrospectively evaluated midline sagittal MRI brain images of 200 adults chosen ran...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2007.03.008
更新日期：2007-09-01 00:00:00
abstract：:Thirteen adult patients with biochemically proven congenital adrenal hyperplasia (CAH) were examined by computed tomography (CT). Six patients had never received glucocorticoid therapy. In three of those six patients, CT revealed a tumorous transformation in one of the hyperplastic adrenal glands. In the seven patient...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(86)80389-0
更新日期：1986-03-01 00:00:00
abstract：AIM:To investigate the diagnostic ability of maximum standardised uptake value (SUVmax) at combined single-photon-emission computed tomography/computed tomography (SPECT/CT) for the evaluation of osteonecrosis of the jaw. MATERIALS AND METHODS:Seven patients with mandibular osteonecrosis (three osteoradionecrosis, thr...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.05.025
更新日期：2020-01-01 00:00:00
abstract：PURPOSE:The primary aim of this prospective pilot study was to determine if the administration of intravenous secretin prior to contrast-enhanced computed tomography (CT) improves pancreatic enhancement and pancreatic tumor conspicuity. The second aim was to determine the optimal timing for secretin administration prio...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2007.10.002
更新日期：2008-04-01 00:00:00
abstract：AIM:To determine if imaging features of lesions with a core biopsy suggestive of a phyllodes tumour can be used to identify which lesions require surgical excision with margins. MATERIALS AND METHODS:Thirty-one lesions were identified from a prospective database of ultrasound visible masses. Demographic, mammographic,...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.11.006
更新日期：2020-04-01 00:00:00
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
更新日期：2008-09-01 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
