Abstract:
PURPOSE:To evaluate the relationship among chest radiographs, oxygen supplementation requirement, and treatment response in severe acute respiratory syndrome (SARS). MATERIALS AND METHODS:Forty patients (20 women, 20 men; mean age, 42.90 years +/- 14.01 [SD]; median age, 41.5 years; age range, 25-82 years) with SARS were evaluated. Daily chest radiographs were graded according to percentage of lung involvement during 20.15 days +/- 5.56 (median, 20 days; range, 14-38 days). Times between symptoms and treatment and time to reach maximal radiographic score from admission and treatment day were determined. Daily oxygen saturation (Sao2) and oxygen supplementation including mechanically assisted ventilation were recorded. Treatment response was defined as good, fair, and poor. Patterns of radiographic opacity at admission and at maximal radiographic score were noted. Differences in radiographic and clinical parameters with respect to oxygen supplementation and treatment response were respectively evaluated with Mann-Whitney and Kruskal-Wallis tests. RESULTS:Larger maximal radiographic scores, lower Sao2 at maximal radiographic change, longer time from treatment to maximal radiographic score (P <.01), and diffuse consolidation at maximal radiographic score were associated with oxygen supplementation. Parameters that influenced treatment response were time from symptom onset to treatment day (P =.003), time from admission to treatment day (P <.001), time to maximal radiographic score from treatment day (P =.001), maximal radiographic score (P =.009), Sao2 at maximal radiographic score (P =.13), and treatment radiographic score (P =.03). Fair responders had shorter time between admission and treatment than did either good (P <.001) or poor responders (P =.002) and shorter time between symptoms and treatment (P <.001) and lower treatment radiographic score (P =.012) than did good responders. Good (82%), poor (36%), and fair (33%) responders developed maximal chest radiographic scores within 4 days of treatment (P =.008). Radiographic patterns at both admission and maximal radiographic score did not influence treatment response. CONCLUSION:There are significant relationships among radiographic parameters, oxygen supplementation, and treatment response, and these relationships appear to be clinically useful in the treatment of SARS.
journal_name
Radiologyjournal_title
Radiologyauthors
Ooi CG,Khong PL,Ho JC,Lam B,Wong WM,Yiu WC,Wong PC,Wong CF,Lai KN,Tsang KWdoi
10.1148/radiol.2292030737subject
Has Abstractpub_date
2003-11-01 00:00:00pages
500-6issue
2eissn
0033-8419issn
1527-1315pii
229/2/500journal_volume
229pub_type
杂志文章相关文献
RADIOLOGY文献大全abstract:PURPOSE:To correlate the histologic structure and echotexture of peripheral nerves and verify if ultrasound (US) findings can be used to differentiate nerve from tendon. MATERIALS AND METHODS:In an in vitro study, the echotexture of normal peripheral nerves was correlated with the histologic findings. In an in vivo st...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.197.1.7568840
更新日期:1995-10-01 00:00:00
abstract::Xeroradiographic evaluation of the axillary lymph nodes permits differentiation of characteristic patterns, including normal nodes and those enlarged as the result of fatty infiltration, inflammation, metastases from a breast primary, or primary nodal disease such as lymphoma or hyperplasia. The author describes his e...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/115.1.67
更新日期:1975-04-01 00:00:00
abstract::Purpose To retrospectively evaluate whether thermal injury-induced hepatic parenchymal hypoperfusion can be a significant risk factor for tumor recurrence after radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC). Materials and Methods The institutional review board approved this retrospective study, and t...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2016152322
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:To quantify dynamic enhancement of breast lesions with echo-planar and conventional magnetic resonance (MR) imaging, to correlate these data with histologic findings and vessel density, and to evaluate MATERIALS AND METHODS:Twenty female patients with 22 breast lesions underwent conventional and MR echo-planar...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.197.1.7568850
更新日期:1995-10-01 00:00:00
abstract:PURPOSE:To determine the association of early changes in posttreatment apparent diffusion coefficient (ADC) and venous enhancement (VE) with tumor size change after transarterial chemoembolization (TACE) by using an investigational semiautomated software. MATERIALS AND METHODS:This retrospective HIPAA-compliant study ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.11102330
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:To evaluate the effect of a reduction in iodine dose by altering volume and/or concentration of contrast material on hepatic contrast enhancement (HCE) values during hepatic helical computed tomography (CT). MATERIALS AND METHODS:One hundred eleven patients were randomized into four contrast material protocols...
journal_title:Radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1148/radiology.197.1.7568860
更新日期:1995-10-01 00:00:00
abstract:PURPOSE:To compare the use of dynamic oxygen-enhanced magnetic resonance (MR) imaging with the use of quantitatively assessed computed tomography (CT) for assessment of clinical stage and evaluation of pulmonary functional change due to treatment in patients with asthma. MATERIALS AND METHODS:The institutional review ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.14132660
更新日期:2014-12-01 00:00:00
abstract::HistoryA 55-year-old man with a history of chronic pancreatitis secondary to chronic alcohol abuse presented to the hospital with acute abdominal pain, generalized weakness, weight loss, and pyrexia. A clinical examination revealed he was tender to touch in the upper abdomen. Laboratory tests revealed a serum alkaline...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2019171373
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:To evaluate the ability to depict anatomy and complications of renal vascular transplant with unenhanced magnetic resonance (MR) angiography with spatial labeling with multiple inversion pulses (SLEEK) and to compare the results with color Doppler (CD) ultrasonography (US), digital subtraction angiography (DSA)...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.14131800
更新日期:2014-06-01 00:00:00
abstract::A retrospective study of 118 lymphoma patients revealed the computed tomographic brain scan to be sensitive to involvement of the orbit and the brain parenchyma by lymphoma. Brain parenchymal lymphoma was seen only in diffuse histiocytic lymphoma; dural infiltration was less readily detected. Leptomeningeal lymphoma c...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/129.1.67
更新日期:1978-10-01 00:00:00
abstract::Current management of osteoarthritis (OA) is primarily focused on symptom control. Intra-articular corticosteroid (IACS) injections are often used for pain management of hip and knee OA in patients who have not responded to oral or topical analgesics. Recent case series suggested that negative structural outcomes incl...
journal_title:Radiology
pub_type: 杂志文章,评审
doi:10.1148/radiol.2020200771
更新日期:2020-12-01 00:00:00
abstract::From 1981 to 1986, 23 patients (24 hips) were treated with single-dose irradiation after hip surgery in an attempt to prevent heterotopic bone formation. All patients were at high risk for the development of heterotopic ossification because of the presence of heterotopic bone in either hip secondary to trauma or previ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.168.3.3136510
更新日期:1988-09-01 00:00:00
abstract:PURPOSE:To measure both volume and signal intensity of the fetal lung at magnetic resonance (MR) imaging and to evaluate the clinical use of this method to predict fetal pulmonary hypoplasia. MATERIALS AND METHODS:A total of 87 fetuses evaluated with MR imaging at 24-39 weeks of gestation were classified into a contro...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2313021689
更新日期:2004-06-01 00:00:00
abstract::Of 210 pathologically confirmed palpable breast masses examined by continuous ultrasound B-scanning using a 2.5- or 7-MHz transducer and mammography, fluid filled cysts more than 1 cm in diameter were diagnosed accurately in 75 cases. Of the 103 solid masses studied by echography, 31 were circumscribed (29 benign fibr...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/117.1.123
更新日期:1975-10-01 00:00:00
abstract::The ability to resolve the fine linear structures of interstitial lung disease is one measure of the limiting performance characteristics of an imaging system. Conventional screen-film radiography was compared with six algorithms of isodose storage phosphor digital radiography (0.2-mm x 10-bit pixel matrix) in the det...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.178.3.1994410
更新日期:1991-03-01 00:00:00
abstract::To enhance the versatility of the short-tau inversion-recovery (STIR) sequences, the authors determined a range of repetition time (TR) and inversion time (TI) combinations that suppress signal intensity from fat by study of both patient and phantom images. To make fast STIR images, variations in the following pulsing...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.179.2.2014300
更新日期:1991-05-01 00:00:00
abstract:PURPOSE:To evaluate the positive predictive values (PPVs) of Breast Imaging and Reporting Data Systems (BI-RADS) assessment categories for breast magnetic resonance (MR) imaging and to identify the BI-RADS MR imaging lesion features most predictive of cancer. MATERIALS AND METHODS:This institutional review board-appro...
journal_title:Radiology
pub_type: 杂志文章,多中心研究
doi:10.1148/radiol.12110619
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:To evaluate positron emission tomography (PET) with fluorine-18-labeled fluorodeoxyglucose (FDG) for detection of pancreatic cancer compared with computed tomography (CT) and ultrasonography (US). MATERIALS AND METHODS:Forty patients with suspected pancreatic cancer underwent static PET after intravenous injec...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.192.1.8208970
更新日期:1994-07-01 00:00:00
abstract::Tisseel, a fibrin sealant not approved for use in the United States, was tested in abdominal fistulas and sinuses (13 patients) and interventional biliary procedures (11 patients). The two components of Tisseel were introduced via a double-lumen catheter and formed a fibrin gel at the point of contact. Tracts were sea...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.196.2.7617880
更新日期:1995-08-01 00:00:00
abstract::Calcifications located in the dermis of the breast may appear indistinguishable from intramammary calcifications. The authors present a sign, called the tattoo sign, that can help radiologists identify dermal calcifications. When mammograms are compared, calcifications that maintain a fixed relationship to each other ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.192.1.8208930
更新日期:1994-07-01 00:00:00
abstract::Percutaneous transaxillary selective coronary arteriography using preshaped catheters is useful in patients who have had aorto-iliac surgery or have clinical evidence of occlusive arterial disease of the lower extremities. For safety and ease of performance it compares favorably with the percutaneous transfemoral meth...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/114.3.732
更新日期:1975-03-01 00:00:00
abstract::Percutaneous transperitoneal fine-needle lymph-node biopsy was performed in 52 patients to establish a diagnosis of metastatic disease in nodal defects detected during lymphography. The procedure was found to be highly accurate, with few false-negatives and no false-positives. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/131.3.647
更新日期:1979-06-01 00:00:00
abstract::Most patients with hepatic portal venous gas are seriously ill with some combination of bowel ischemia, distension, and/or necrosis. The authors report a case in which a necrotic splenic flexure carcinoma seeded gas and septic thrombi to the liver. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/122.2.329
更新日期:1977-02-01 00:00:00
abstract:PURPOSE:To evaluate the diagnostic accuracy of percutaneous image-guided cutting-needle biopsy of pleural thickening in the presence of a suspected malignant pleural effusion. MATERIALS AND METHODS:Thirty-three adult patients with diffuse or focal pleural thickening (median, 1.0 cm; range, 0.2-6.0 cm), pleural effusio...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.219.2.r01ma07510
更新日期:2001-05-01 00:00:00
abstract::Background Identification of large vessel occlusion (LVO) is critical to the management of acute ischemic stroke and prerequisite to endovascular therapy in recent trials. Increasing volumes and data complexity compel the development of fast, reliable, and automated tools for LVO detection to facilitate acute imaging ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2021202734
更新日期:2021-01-12 00:00:00
abstract::To improve reproducibility in proton magnetic resonance (MR) spectroscopic imaging in human brain, simultaneous acquisition of the internal water reference and metabolite signals was evaluated. Measurements in healthy volunteers showed that the increase in dynamic range from signal oversampling was sufficient to avoid...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.217.1.r00oc36296
更新日期:2000-10-01 00:00:00
abstract:PURPOSE:To correlate magnetic resonance (MR) imaging and pathologic findings in premature infants with periventricular leukomalacia (PVL). MATERIALS AND METHODS:Eight premature infants with PVL who died after 3-7 weeks of life were studied with in vivo T1-weighted MR imaging, and imaging patterns were compared with hy...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.189.1.8372220
更新日期:1993-10-01 00:00:00
abstract::Bronchial webs are rare lesions which often go unrecognized. The authors describe a patient who presented with right-lower-lobe bronchiectasis and at-electasis secondary to a web in the right-lower-lobe bronchus. This is the first known instance where such a lesion has been demonstrated by bronchography. The etiology ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/121.3.526
更新日期:1976-12-01 00:00:00
abstract::Three cases of talocalcaneal coalition were evaluated with routine radiography, conventional tomography, 99mTc-MDP bone scintigraphy, and computed tomography (CT). Routine radiography was normal in 1 case and demonstrated secondary findings suggesting coalition in 2. Conventional tomography confirmed the coalition in ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.144.1.6211690
更新日期:1982-07-01 00:00:00
abstract::A patent umbilical vein was demonstrated via ultrasound in a patient with portal hypertension. Ultrasonographic differential diagnosis of intra- and juxta-hepatic veins is given, with emphasis on real time ultrasonography. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/120.1.159
更新日期:1976-07-01 00:00:00