Abstract：
AIM:To assess the predictive value of the U classification and the significance of follow-up ultrasound in those managed conservatively. MATERIALS AND METHODS:A retrospective observational study was carried out among 1,465 patients who underwent thyroid ultrasound in 2016 at a teaching hospital in UK. Details regarding U classification of nodules, cytology, histology in patients who underwent surgery, and follow-up ultrasound in those managed conservatively were obtained. RESULTS:Thyroid surgery was performed in 129 patients of which malignancy was seen in 35 (27.1%). The proportion of patients with cancer in U1-U5 categories were 0%, 13.6%, 30.4%, 40%, and 100%, respectively (Fisher's exact test p=0.001). There was no significant difference in U stage, cytology, or histology between incidental and symptomatic nodules. Among patients who did not undergo surgery 5% of U1, 14.6% of U2, 75% of U3, and 71.4% of U4 underwent repeat ultrasound. Radiological progression in nodule size was seen in 4.2% of U1, 1.9% of U2, 0% of U3, and 40% of U4 nodules at median duration of 306, 439, 274, and 748 days, respectively. CONCLUSIONS:U classification is reliable in risk-stratifying thyroid nodules. Patients with benign nodules without high-risk features do not require follow-up. The interval between scans in patients with indeterminate nodules can be extended to a period of 6-12 months.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Arambewela MH,Wijesinghe AM,Randhawa K,Bull M,Wadsley J,Balasubramanian SPdoi
10.1016/j.crad.2020.02.012subject
Has Abstractpub_date
2020-06-01 00:00:00pages
466-473issue
6eissn
0009-9260issn
1365-229Xpii
S0009-9260(20)30081-7journal_volume
75pub_type
杂志文章abstract：:Primary congenital coronary artery fistula is diagnosed in two of every thousand patients investigated by angiocardiography. Males and females are equally affected and most frequently present under the age of 10 years. Fistulae originate from right and left coronary arteries in almost equal proportion but over 90% dra...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(80)80223-6
更新日期：1980-05-01 00:00:00
abstract：:Percutaneous transluminal angioplasty (PTA) has been shown to be an effective method of treatment of subclavian artery stenoses. We report a case in which a subclavian artery occlusion was successfully treated by this method. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80872-4
更新日期：1991-09-01 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 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：:The results are presented of a five-year prospective trial of 411 patients with breast carcinoma treated by mastectomy and post-operative radiotherapy. Twice or thrice weekly dose-fractionation techniques were used, i.e. 12 fractions in 28 days and six fractions in 18 days. The results show that, in terms of survival ...
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(75)80064-x
更新日期：1975-07-01 00:00:00
abstract：:A retrospective study of chest radiographs in patients with brucellosis was undertaken at King Khalid University Hospital, Riyadh. The commonest presenting symptoms were fever, back and joint pains, excessive sweating, headache, and cough. Different chest radiographic abnormalities were detected, including soft miliar...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(88)80336-2
更新日期：1988-01-01 00:00:00
abstract：AIM:To compare the diagnostic performance of total counts of metastatic lymph nodes (LN-sum) and conventional multidetector (MD) computed tomography (CT) staging in the nodal evaluation of advanced gastric cancer (AGC) patients. MATERIALS AND METHODS:In total, 127 consecutive patients who underwent preoperative MDCT a...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.06.030
更新日期：2019-10-01 00:00:00
abstract：:A murine monoclonal antibody, H317, specific for placental-type alkaline phosphatase was labelled with 123I and assessed as an imaging agent using a gamma camera computer system in 18 patients suspected of possible recurrent or metastatic ovarian cancer 1-4 years after removal of the primary tumour. Four patterns of d...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(86)80373-7
更新日期：1986-03-01 00:00:00
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
pub_type： 杂志文章
doi：10.1016/s0009-9260(82)80330-9
更新日期：1982-01-01 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：AIM:To determine the preoperative computed tomography (CT) parameters that predict portal vein/superior mesenteric vein (PV-SMV) invasion in patients with pancreatic head cancer, and to assess whether PV-SMV invasion affects patient survival. MATERIALS AND METHODS:Sixty patients with PV-SMV invasion, and 60 randomly s...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2018.01.016
更新日期：2018-06-01 00:00:00
abstract：:PURPOSE: To determine whether it is possible to select patients with obstructive hydrocephalus, in the under 1 age group for endoscopic third ventriculocisternostomy (ETV) using pre-operative T2 weighted turbo spin echo (T2W-TSE) sagittal sequence Magnetic Resonance (MR) imaging; and to assess ventriculocisternostomy ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2000.0645
更新日期：2000-12-01 00:00:00
abstract：:Sodium picosulphate (Picolax) is widely used for bowel preparation prior to colonic investigation or surgery. The most troublesome side effect reported is headache, which has been thought to be due to dehydration. In a prospective randomized study we investigated the incidence of adverse effects in patients given Pico...
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(05)82911-3
更新日期：1994-01-01 00:00:00
abstract：:Low-voltage neck radiography and indirect laryngoscopy was performed in 22 randomly selected rheumatoid patients with the purpose of detecting intralaryngeal arthritis. Radiographic evidence of erosive arthritis of the crico-arytenoid (CA) joints was found in 45% of the patients. Clinical acute CA arthritis without er...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(84)80146-4
更新日期：1984-05-01 00:00:00
abstract：:Thromboembolism is a well described complication of transfemoral arteriography. Its origin and course is rarely demonstrated. We describe a case of thromboembolism with histopathological correlation demonstrating the origin and course during contrast injection. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81020-7
更新日期：1993-10-01 00:00:00
abstract：:Ongoing research on malignant and normal cell biology has substantially enhanced the understanding of the biology of cancer and carcinogenesis. This has led to the development of methods to image the evolution of cancer, target specific biological molecules, and study the anti-tumour effects of novel therapeutic agent...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2015.06.082
更新日期：2015-10-01 00:00:00
abstract：:Magnetic resonance imaging (MRI) depicts in exquisite detail the supporting structures of the posteromedial corner of the knee. This musculoligamentous unit plays a central role as a dynamic stabilizer of the knee joint and the recognition of injury to the posteromedial corner carries important implications in terms o...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2006.11.024
更新日期：2007-06-01 00:00:00
abstract：:Progeria or 'prematurely old' is an autosomal recessive trait that appears insidiously at or after the age of 6 months. Two affected siblings are reported showing radiologically progressive attenuation of the clavicles and terminal phalanges, widening of cranial sutures and mandibular hypoplasia. Scleroderma was also ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(76)80082-7
更新日期：1976-07-01 00:00:00
abstract：:In 20 years we have seen only 78 cases of primary vaginal cancer. 61 patients had squamous carcinoma, three had adenocarcinoma, 10 had clear-cell carcinoma, four of which may have been metastatic from carcinoma of the kidney, and four had malignant melanoma. The actuarial 5-year survival of patients with squamous canc...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(86)80160-x
更新日期：1986-01-01 00:00:00
abstract：AIM:To assess the diagnostic value of spinal ultrasound in cloacal exstrophy, a caudal malformation which is associated with spinal dysraphism, and to assess the prevalence of spinal dysraphism in cloacal exstrophy. MATERIALS AND METHODS:Ten infants under 1 year old with cloacal exstrophy underwent spinal ultrasound a...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1053/crad.2000.0648
更新日期：2001-04-01 00:00:00
abstract：AIM:To evaluate the mixed-reality (MR) hologram, a novel technology based on two-dimensional images, which simulates three-dimensional (3D) images and provides a dynamic and interactive alternative, for its usefulness in the diagnosis and surgical planning of double outlet of the right ventricle (DORV). MATERIALS AND ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2020.10.017
更新日期：2020-12-09 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：:Regional migratory osteoporosis is an uncommon self-limiting disease characterized by an arthralgia which migrates between the weight-bearing joints of the lower limb. The radiological features of the disease obtained by conventional radiography, CT, MRI and radionuclide scintigraphy are illustrated by means of five c...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2004.07.002
更新日期：2005-04-01 00:00:00
abstract：:Technical developments have resulted in a great improvement in the quality of magnetic resonance imaging (MRI) of the orbit. With surface coil data acquisition spatial resolution of less than a millimetre can now be achieved, and contrast discrimination is such that the cortex and nucleus of the lens can be distinguis...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(86)80321-x
更新日期：1986-05-01 00:00:00
abstract：:The radiographs in 10 surgically proven cases of caecal volvulus have been analysed. In the majority of cases of caecal volvulus a plain film diagnosis is suggested by the observation of the haustrated and disproportionately dilated viscus located anywhere in the abdomen. There is often evidence of small intestinal ai...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(80)80200-5
更新日期：1980-07-01 00:00:00
abstract：:A prospective blinded comparison of ultrasonography (US) and oral cholecystography (OCG) was performed in 100 patients with symptomatic gall-stones to determine whether US would enable an accurate assessment of cystic duct patency to be made. Patency of the cystic duct was defined as gall-bladder opacification on OCG ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80031-5
更新日期：1992-07-01 00:00:00
abstract：AIM:To assess the accuracy of low-dose contrast-enhanced time-resolved 3T magnetic resonance angiography (MRA) for the morphological and functional assessment of vascular malformations (VM), and to evaluate its diagnostic potential for the depiction of treatment-induced changes. MATERIALS AND METHODS:Twenty-five patie...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2011.08.003
更新日期：2011-12-01 00:00:00
abstract：AIM:To investigate the feasibility and reproducibility of real-time freehand ultrasound elastography (RTE) of the normal Achilles tendon and to describe its elastographic appearances. MATERIALS AND METHODS:Fifty normal Achilles tendons were prospectively examined using RTE performed by tissue compression using the han...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2009.08.006
更新日期：2009-12-01 00:00:00
abstract：:Conjugated phenobutiodil (Biliodyl) in the small and large bowel can be recognised by its fine, homogeneous appearance. The findings in 41 patients undergoing oral cholecystography with subsequent clinical follow-up are reported. When the gallbladder fails to opacify on oral cholecystography, the presence of conjugate...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(77)80183-9
更新日期：1977-05-01 00:00:00
abstract：AIM:To review the outcome of further assessment of breast abnormalities detected incidentally by multidetector computed tomography (MDCT) and to determine whether any MDCT imaging features were predictive of malignancy. MATERIAL AND METHODS:The outcome of 34 patients referred to the Primrose Breast Care Unit with brea...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2009.01.005
更新日期：2009-05-01 00:00:00
