Abstract:
AIM:To undertake a meta-analysis of the diagnostic performance of abbreviated (ABB) magnetic resonance imaging (MRI) and full diagnostic protocol MRI (FDP-MRI) in breast cancer. MATERIALS AND METHODS:This meta-analysis was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Diagnostic Test Accuracy (PRISMA-DTA) guidelines. The PubMed and EMBASE databases were searched through August 2019 for studies comparing the diagnostic performance of ABB-MRI and FDP-MRI in the breast. Studies were reviewed by two authors independently according to eligibility and exclusion criteria and split into two subgroups (screening population studies and studies using cohorts enriched with known cancers) to avoid bias. Quality assessment and bias for diagnostic accuracy was determined with Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2). The diagnostic accuracy for each subgroup was pooled using a bivariate random effects model and summary receiver operating characteristic (sROC) curves produced. Sensitivities and specificities were compared using a paired t-test. RESULTS:Five screening (62/2,588 cancers/patients) and eight enriched cohort (540/1,432 cancers/patients) studies were included in the meta-analysis. QUADAS-2 assessment showed a low risk of bias in most studies. The pooled sensitivity/specificity/area under the receiver operating characteristic curve (AUC) for screening studies was 0.90/0.92/0.94 for ABB-MRI and 0.92/0.95/0.97 for FDP-MRI. The pooled sensitivity/specificity/AUC for enriched cohort studies was 0.93/0.83/0.94 for ABB-MRI and 0.93/0.84/0.95 for FDP-MRI. There was no significant difference in sensitivity or specificity using ABB-MRI or FDP-MRI (p=0.18 and 0.27, p=0.18 and 0.93, respectively). CONCLUSION:The diagnostic performances of the ABB-MRI and FDP-MRI protocols used in either screening or enriched cohorts were comparable. There was a large variation in patient population, study methodology, and abbreviated protocols reported.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Baxter GC,Selamoglu A,Mackay JW,Bond S,Gray E,Gilbert FJdoi
10.1016/j.crad.2020.08.036subject
Has Abstractpub_date
2021-02-01 00:00:00pages
154.e23-154.e32issue
2eissn
0009-9260issn
1365-229Xpii
S0009-9260(20)30397-4journal_volume
76pub_type
杂志文章abstract:AIM:To investigate the clinical value of diffusion tensor imaging (DTI) in assessing renal function changes in diabetic patients with early-stage chronic kidney disease (CKD), and the relationship of DTI parameters with estimated glomerular filtration rate (eGFR) and urinary biomarkers. MATERIALS AND METHODS:Thirty-si...
journal_title:Clinical radiology
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doi:10.1016/j.crad.2018.09.011
更新日期:2019-02-01 00:00:00
abstract:AIM:To review the computed tomography (CT), magnetic resonance imaging (MRI) and cholangiographic findings of chemotherapy-induced sclerosing cholangitis (CISC). METHODS:Between January 1995 and December 2004, 11 patients in the endoscopic retrograde cholangiography database were identified with CISC. Twelve CT, four ...
journal_title:Clinical radiology
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doi:10.1016/j.crad.2006.02.013
更新日期:2006-08-01 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
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doi:10.1016/j.crad.2019.02.016
更新日期:2019-06-01 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
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doi:10.1016/j.crad.2017.06.012
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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 ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.08.017
更新日期:2019-12-01 00:00:00
abstract::A case of granular cell tumour (GCT) of the biliary tree is reported with the first published sonographic images of this tumour. The difficulty in distinguishing this tumour from cholelithiasis is illustrated. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81753-2
更新日期:1994-07-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1016/j.crad.2007.07.009
更新日期:2007-12-01 00:00:00
abstract::As the coronavirus pandemic evolves, the focus of radiology departments has begun to change. The acute phase of imaging a new disease entity whilst rationalising radiology services in the face of lockdown has passed. Radiologists are now becoming familiar with the complications of COVID-19, particularly the lung paren...
journal_title:Clinical radiology
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doi:10.1016/j.crad.2020.09.025
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abstract:AIM:Peripherally inserted central catheters (PICC) are increasingly used as a route of chemotherapy administration. Our aims were to assess a collaborative approach to PICC placement, with radiological support for a nurse led line insertion service in a minority of cases, and to determine whether PICC provided a safe a...
journal_title:Clinical radiology
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doi:10.1053/crad.2001.0843
更新日期:2002-05-01 00:00:00
abstract::Computed tomographic (CT) findings in two cases of hepatic oil embolism following lymphangiography are described. Both patients had lymphatic obstruction and opacification of the liver due to collateral flow of lymphangiographic contrast. Computed tomography of the liver showed a distinctive branching pattern due to t...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80189-8
更新日期:1989-05-01 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::The visibility on ultrasound (US) of 79 screen-detected small breast cancers was studied retrospectively. Overall visibility on US was 61% (48/79). Cancers presenting as microcalcification alone on mammography were rarely demonstrated (1 of 26 tumours). However, the US visibility of cancers with other mammographic app...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81973-7
更新日期:1994-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80135-7
更新日期:1989-07-01 00:00:00
abstract::Two patients with rheumatoid arthritis are described, who developed very large bone cysts or geodes adjacent to the knee-joint. The existence of cysts adjacent to joints involved by rheumatoid arthritis is well recognised, but the occurrence of very large cysts is unusual and may present diagnostic difficulties. Possi...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(75)80118-8
更新日期:1975-10-01 00:00:00
abstract::Current research shows that sigmoidoscopy or endoscopy together with a superficial mucosal biopsy taken with a fibreoptic-type instrument should not delay the subsequent performance of a barium enema. Rigid biopsy instruments are less controllable and may take 'deep', full-thickness bites when superficial biopsies are...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(86)80183-0
更新日期:1986-01-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.12.002
更新日期:2017-03-01 00:00:00
abstract::This article will specifically deal with preparing for consultant interviews in clinical radiology by providing a list of carefully selected resources comprising of training courses and internet sites available for trainee radiologists nearing the end of their training. It will also be of use to established consultant...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2008.09.006
更新日期:2009-05-01 00:00:00
abstract:AIM:To survey the views of recent candidates of the Fellowship of the Royal College of Radiologists (FRCR) 2B examination with reference to assessment validity, reliability, and acceptability. MATERIALS AND METHODS:One thousand, two hundred and four UK radiology trainees and consultants were invited to complete an aut...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2010.12.005
更新日期:2011-05-01 00:00:00
abstract::During the last 4 years we have treated four patients with extensive mediastinal non-Hodgkin's lymphoma (NHL). None had extrathoracic disease and they were clinically stage I-II. All received intensive combination chemotherapy and radiotherapy resulting in good response. Nevertheless, when treatment was completed, com...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80183-7
更新日期:1989-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2009.09.009
更新日期:2010-01-01 00:00:00
abstract::Seronegative spondyloarthritis (SpA) represents a group of diseases that share certain genetic, clinical, and radiographic features. Enthesitis, inflammation at the site of tendon insertion into the bone, involving both the axial and the peripheral joints, is an important sign of SpA. Clinical diagnosis of enthesitis,...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2012.07.018
更新日期:2013-03-01 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::Thirty-five cases of 'Q' fever have been admitted and confirmed serologically over the past 20 years. Thirty-two of these cases had chest films on admission, and lung changes were present in 87%. The lung changes were: 1. Multiple round segmental consolidations, 5--10 cm in diameter, of ground glass density and usuall...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(78)80092-0
更新日期:1978-07-01 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
abstract:AIMS:The need for intravenous urography (IVU) in upper tract surveillance for primary transitional cell carcinoma (TCC) of the bladder is contentious. We reviewed our intensive screening policy in the follow-up of these patients to ascertain if such a policy is required and if specific groups could be identified to rat...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(99)90834-6
更新日期:1999-07-01 00:00:00
abstract::Twenty-seven patients with a T1 or T2 N0M0 breast carcinoma were treated by local excision of the lump followed by radical radiotherapy, using orthovoltage X-rays. The crude survival rate was 100% at three years, 92% at five years, 95% at 10 years. The local recurrence rate was 8% at three years, 12% at five years, 10...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(81)80246-2
更新日期:1981-01-01 00:00:00
abstract::Lesions of the tibial tuberosity are very rare but often present a diagnostic dilemma due to their unusual location and appearances. Although some pathologies affecting this region are commonly seen elsewhere in the skeleton, they may have atypical imaging appearances and morphological characteristics when present at ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2020.07.027
更新日期:2021-02-01 00:00:00
abstract::Needle core biopsy is considered the histological diagnostic method of choice for screen-detected breast lesions. Although the majority are definitively diagnosed as normal, benign, or malignant, approximately 7% are categorised as B3, of uncertain malignant potential. These include a wide range of lesions with differ...
journal_title:Clinical radiology
pub_type: 杂志文章,实务指引
doi:10.1016/j.crad.2018.04.004
更新日期:2018-08-01 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::We report a case of a solitary, painless, lytic lesion in the frontal bone in an otherwise asymptomatic patient. This was investigated with plain radiographs, computed tomography (CT), angiography and finally biopsy. Histology showed it to be a plasmacytoma. The radiological features of this lesion are discussed. Soli...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82123-3
更新日期:1990-10-01 00:00:00