Abstract:
:Healthcare expenditure is continually increasing and projected to accelerate in the future, with an increasing proportion being spent on interventional radiology. The role of cost effectiveness studies in ensuring the best allocation of resources is discussed, and the role of National Institute of Health and Care Excellence (NICE) in determining this. Issues with demonstrating cost effectiveness have been discussed, and it has been found that there is significant scope for improving cost effectiveness, with suggestions made for how this can be achieved. In this way, more patients can benefit from better treatment given limited healthcare budgets.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Maudgil DDdoi
10.1016/j.crad.2020.09.017subject
Has Abstractpub_date
2020-10-17 00:00:00eissn
0009-9260issn
1365-229Xpii
S0009-9260(20)30427-Xpub_type
杂志文章,评审abstract::Three-dimensional (3D) computed tomography (CT) reformations were obtained in 15 patients presenting with facial injuries of differing severity. The 3D images were compared with standard radiographs and high resolution CT, including multiplanar reformations, and assessed under the headings of fracture detection, exten...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(87)80144-7
更新日期:1987-09-01 00:00:00
abstract:AIM:To retrospectively evaluate the efficacy of embolotherapy in patients with iatrogenic traumatic uterine arteriovenous malformations (AVMs). MATERIALS AND METHODS:A retrospective review of all patients who underwent uterine arterial embolization in Peking Union Medical College Hospital between January 2000 and Dece...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.11.002
更新日期:2012-06-01 00:00:00
abstract::Hip arthroplasty is an extremely common orthopaedic procedure and there is a wide array of implants that are in current use in the UK. The follow-up of patients who have undergone insertion of a hip prosthesis is shifting from a consultant-lead hospital service towards primary care. As this change in patient care cont...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2009.03.011
更新日期:2009-10-01 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
abstract::The first European trial of iodixanol (Nycomed Imaging AS) in adult intravenous urography is reported. Iodixanol is a new non-ionic, dimeric contrast medium of low osmolality. A double-blind, randomized, three group parallel study comparing iodixanol 270 mgI/ml, iodixanol 320 mgI/ml and iopamidol 300 mgI/ml (Niopam) w...
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)81801-x
更新日期:1994-05-01 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::This study was performed to compare the patient acceptability and the efficacy of two different agents for bowel preparation prior to double contrast barium enema. One-hundred and ninety-four outpatients were randomized to have either two sachets of Picolax or two bottles of Fleet Phospho-soda and restricted to clear ...
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(98)80156-6
更新日期:1998-08-01 00:00:00
abstract::The case of a 64-year-old man who presented with unilateral pulsatile exophthalmos is described. A defect in the supero-medial wall of the orbit and an extraconal low density mass were demonstrated by orbital radiographs and CT. Positive contrast CT cisternography confirmed the diagnosis of a leptomeningeal cyst. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80278-8
更新日期:1989-09-01 00:00:00
abstract::We present two cases of proven idiopathic retroperitoneal fibrosis in which displacement of the aorta from the spine (caused by the presence of tissue posterior to the aorta) was demonstrated on computed tomography, an appearance which has not been reported previously. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80023-6
更新日期:1989-01-01 00:00:00
abstract:AIM:To assess the recanalisation rates and long-term functional outcomes of the Solitaire and Trevo devices; to compare these results to those from the Solitaire With the Intention For Thrombectomy (SWIFT) trial and TREVO 2 studies; and to assess for statistical differences in the outcomes between the two devices. MAT...
journal_title:Clinical radiology
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.crad.2015.09.011
更新日期:2016-01-01 00:00:00
abstract::A postal survey of 150 radiologists within the West Midlands Regional Health Authority was undertaken to obtain information about hepatitis B vaccination uptake and its relationship, if any, to their involvement in interventional radiology. Overall, 64% were vaccinated, the rate being higher amongst trainees (81%). No...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80087-x
更新日期:1992-05-01 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::The contribution of intravenous contrast medium to the final diagnosis was assessed in 300 patients undergoing routine axial computed tomography (CT) of the brain. Two-hundred-and-twelve patients presented with symptoms or signs suggesting focal intracranial pathology and 88 with non-focal features. A total of 110 pos...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80860-8
更新日期:1991-09-01 00:00:00
abstract::A wide spectrum of congenital and acquired abnormalities can affect the superior vena cava (SVC). Congenital anomalies can present either as incidental findings or be associated with underlying cardiac abnormalities; these include left-sided or double SVCs and anomalous venous drainages. Acquired conditions involving ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2007.04.001
更新日期:2007-09-01 00:00:00
abstract::There are several anxiety-related reactions associated with magnetic resonance imaging (MRI). Patients who experience such reactions may disrupt the examination or move so much that images are degraded. These experiences may also influence patients' perceptions of the quality of their care. The objective of this study...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)83042-9
更新日期:1995-03-01 00:00:00
abstract::Although extramedullary haemopoiesis (EMH) is relatively common in myelofibrosis, it is seldom symptomatic and rarely involves the intestinal tract. We report a case in which perirectal infiltrate resulted in clinically symptomatic constipation. The barium enema showed tubular rectal narrowing with mucosal pleating. O...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82672-8
更新日期:1994-10-01 00:00:00
abstract:AIM:To compare the diagnostic performance of multiparametric MRI (mpMRI) parameters for Gleason score (GS) and cellularity metrics of prostate cancer (PCa) in the peripheral zone (PZ) and transition zone (TZ) separately. MATERIALS AND METHODS:In total, 225 PCa patients with preoperative mpMRI and whole-mount pathologi...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.06.012
更新日期:2019-11-01 00:00:00
abstract:AIM:To compare combined 2-[18F]-fluoro-2-deoxy-d-glucose (FDG)-positron-emission tomography (PET) and cardiac magnetic resonance imaging (CMR) for the diagnosis and therapy monitoring of cardiac sarcoidosis (CS). MATERIALS AND METHODS:Eighty patients with sarcoidosis and a suspicion of CS who underwent PET and CMR wer...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.09.015
更新日期:2019-01-01 00:00:00
abstract::The retropharyngeal space is a potential route for the spread of infection and malignancy. We present patients with squamous cell carcinoma of the larynx and tongue with superior contiguous spread along the retropharyngeal space resulting in skull base erosion. The fascia defining the retropharyngeal space is attached...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(98)80038-x
更新日期:1998-01-01 00:00:00
abstract::This study evaluated an open access general practitioner radiological service. Questionnaires were completed in 216 out of 250 cases both before and after radiological examination. Chests and specials (bariums, intravenous urography, ultrasound) were most often of diagnostic value when confirming normality, while othe...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80088-1
更新日期:1989-03-01 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: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: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:AIM:To explore possible correlations between tumour apparent diffusion coefficient (ADC), morphological tumour volume, and clinical and histological characteristics in endometrial carcinomas and to evaluate interobserver agreement for preoperative staging by MRI and for ADC measurements. MATERIALS AND METHODS:Preopera...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2014.12.016
更新日期:2015-05-01 00:00:00
abstract:AIM:To assess the effect of changing from an "appointment" to a "same-day" ultrasound (US) service on referral pattern, departmental workload, and patient satisfaction. MATERIALS AND METHODS:To reduce US waiting time of 3 weeks for routine examinations, a "same-day" service was started for outpatients and general prac...
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::Antenatal diagnosis of lung abnormalities by ultrasound has been a much more frequent occurrence in recent years. There is a range of appearances from uniform increased echogenicity through to lesions containing large echo-free areas. Bilateral uniformly increased echogenicity has a poor outlook but in all other situa...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(98)80188-8
更新日期:1998-11-01 00:00:00
abstract::Duplication of the superficial femoral vein (SFV) is a normal variant seen in 20% of contrast phlebograms. Failure to identify thrombus in one limb of a SFV may lead to inappropriate management and subsequent complications. Colour Doppler imaging (CDI) is now the imaging technique of choice in the diagnosis of a deep ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(96)80055-9
更新日期:1996-09-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2020.09.025
更新日期:2021-01-01 00:00:00
abstract::We present nine cases of this relatively unreported condition affecting the patellar ligament in athletes. A comparison between ultrasound and computed tomography of this lesion, shows that whilst neither modality gives false positives, ultrasound is capable of greater distinction between the histological abnormalitie...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80017-5
更新日期:1988-03-01 00:00:00
abstract:AIMS:Magnetic resonance colonography (MRC) is emerging as a potential complementary investigation for the diagnosis of colorectal cancer (CRC) and also for benign pathology such as diverticular disease. A meta-analysis reporting the use of MRC is yet to be performed. The aim of this study was to evaluate the diagnostic...
journal_title:Clinical radiology
pub_type: 杂志文章,meta分析
doi:10.1016/j.crad.2005.04.015
更新日期:2005-09-01 00:00:00