Abstract：
OBJECTIVES:To quantify how magnetic resonance imaging (MRI) influences clinicians' diagnosis, diagnostic confidence and management plans in patients with shoulder problems. To investigate whether such changes are associated with an improvement in health. METHODS:A prospective observational study on all patients referred to a regional centre for MRI of the shoulder over a 6-month period. Data on diagnosis, diagnostic confidence and proposed management before MRI were compared with diagnoses and actual management after MRI. In addition, short form 36 item (SF-36) health survey data were collected at referral and again 6 months later. RESULTS:In 86 of 99 MRI referrals there was sufficient clinical data for the patient to enter the study. MRI led to previously unsuspected diagnoses in 20 of 59 patients where the clinicians had provided full diagnostic information before and after the examination. When MRI confirmed the clinical diagnosis, significant improvements in clinicians' diagnostic confidence were found (P < 0.001). MRI led to a change in management (P < 0.05) in 44 (62%) of the 71 patients where full management plans were available. Health survey results were available in 62 patients; although there were some improvements in SF-36 scores, these did not reach statistical significance. CONCLUSION:Magnetic resonance imaging of the shoulder significantly influences clinicians' diagnoses and management plans. However, patients do not record a statistically significant improvement in health-related quality of life over 6 months.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Blanchard TK,Mackenzie R,Bearcroft PW,Sinnatamby R,Gray A,Lomas DJ,Constant CR,Dixon AKdoi
10.1016/s0009-9260(97)80131-6subject
Has Abstractpub_date
1997-05-01 00:00:00pages
363-8issue
5eissn
0009-9260issn
1365-229Xjournal_volume
52pub_type
临床试验,杂志文章abstract：:Prostate cancer is the second most prevalent cancer in men worldwide and its incidence is expected to double by 2030. Multi-parametric magnetic resonance imaging (MRI) incorporating anatomical and functional imaging has now been validated as a means of detecting and characterising prostate tumours and can aid in risk ...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2015.06.093
更新日期：2015-11-01 00:00:00
abstract：AIMS:To test the hypothesis that the improved resolution afforded by 16-detector computed tomography (CT) would translate to better stress fracture detection when compared with skeletal scintigraphy. MATERIALS AND METHODS:Thirty-three cases of suspected stress fractures in 26 patients were investigated using skeletal ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2005.05.014
更新日期：2005-10-01 00:00:00
abstract：:In a review of the cases of testicular tumours treated at the Christie Hospital between 1961 and 1974 there are six cases with spontaneous regression of metastases, which are now reported. In this period, 827 cases of testicular tumour have been treated giving an incidence of spontaneous regression of 0.72%, which is ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(77)80062-7
更新日期：1977-09-01 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：:Magnetic resonance imaging (MRI) is the most accurate method of defining the morphology and haemodynamic features of thoracic aortic dissection. However, because of doubts about its safety in acute situations, its use has so far been confined to imaging chronic dissections. We present a prospective study of 50 patient...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)83160-5
更新日期：1995-07-01 00:00:00
abstract：AIM:To describe a new finding in fetuses with Chiari 2 malformations recognised at in utero (iu) magnetic resonance imaging (MRI), specifically T2 prolongation (high signal) in the cerebellar vermis. MATERIALS AND METHODS:This was a prospective observational study of iuMRI studies performed at two time points on 20 fe...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.01.001
更新日期：2019-05-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2013.05.103
更新日期：2013-11-01 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：AIM:To prospectively analyse the occurrence of right coronary artery (RCA) artefact and assess its relationship with patient heart rate (HR) and HR variability (HRV) in order to determine the most appropriate parameters for high-pitch cardiovascular computed tomography (CT) acquisition, minimize the likelihood of artef...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2014.01.013
更新日期：2014-07-01 00:00:00
abstract：AIM:To investigate the utility of diffusion-weighted (DW) magnetic resonance imaging (MRI) in the diagnosis of abdominal wall endometrioma (AWE) and to compare the ADC (apparent diffusion coefficient) values of AWE with those of the uterine endometrium during two different phases of the menstrual cycle. MATERIALS AND ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2013.08.015
更新日期：2014-02-01 00:00:00
abstract：AIM:To evaluate the utility of the elastic ratio calculated using real-time tissue elastography for assessing liver fibrosis in patients with chronic hepatitis B (CHB). MATERIALS AND METHODS:Ninety-six patients with CHB were enrolled between September 2012 and August 2013. The elastic ratio of the liver for the intrah...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2013.10.003
更新日期：2014-02-01 00:00:00
abstract：:Castleman disease is a rare, benign disorder characterized by proliferation of lymphoid tissue most commonly presenting as a solitary mediastinal mass. We discuss the radiological findings in a 10-year-old female child with a mesenteric Castleman tumour presenting with intermittent abdominal pain and a persistently el...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80578-1
更新日期：1991-06-01 00:00:00
abstract：:A review of 19 patients treated for nephroblastoma between 1945 and 1978 by nephrectomy and radiotherapy with chemotherapy showed a marked improvement in cure rate in recent years. In the decade from 1950 to 1960 there are four survivors. From 1960 to 1970, there are nine survivors from 25 cases and since 1970 there a...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(82)80380-2
更新日期：1982-11-01 00:00:00
abstract：AIM:To report the magnetic resonance imaging (MRI) and corresponding histopathological features of squamous cell carcinoma (SCC) originating in the parotid gland. MATERIALS AND METHODS:The MRI images of seven patients with histopathologically proven SCC originating in the parotid gland were reviewed retrospectively, w...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2013.08.002
更新日期：2014-01-01 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
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journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2004.07.005
更新日期：2005-01-01 00:00:00
abstract：AIM:To quantify the dose reduction and ensure that the use of a split-bolus protocol provided sufficient vascular enhancement. MATERIALS AND METHODS:Between 1 January 2014 and 31 May 2014, both split bolus and traditional two-phase scans were performed on a single CT scanner (SOMATOM Definition AS+, Siemens Healthcare...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.05.014
更新日期：2015-10-01 00:00:00
abstract：:Five patients with deep pelvic abscesses underwent computed tomography (CT)-guided catheter drainage using a transrectal approach. The use of an outer removable plastic sheath over the catheter to facilitate positioning and prevent inadvertent damage to the mucosal wall is described. This new approach using CT guidanc...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80007-8
更新日期：1992-04-01 00:00:00
abstract：:This study was undertaken to determine whether three commonly used combinations of CT display window settings permit accurate measurement of pulmonary nodule size during thoracic CT examination. Forty-five rounded nodules of synthetic material of approximate soft tissue density (+70 Hounsfield units; HU), varying in s...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81130-4
更新日期：1993-04-01 00:00:00
abstract：:Neuronal migration anomalies form a spectrum of congenital brain malformations with a variety of clinical manifestations. The widespread use of MRI in the investigation of neurological symptoms, and particularly in the imaging of epilepsy, has made the correct recognition and interpretation of these disorders importan...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/s0009-9260(96)80211-x
更新日期：1996-01-01 00:00:00
abstract：AIM:To determine the diagnostic accuracy of MR imaging in differentiating phaeochromocytoma from other adrenal lesions. MATERIALS AND METHODS:Sixty-seven adrenal masses (65 patients) including 17 phaeochromocytomas were imaged using T2-weighted pulse sequences on 0.6 T and 1.5 T GE MR units. The adrenal lesions were q...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(97)80252-8
更新日期：1997-08-01 00:00:00
abstract：:Patients with end-stage renal disease on long term dialysis may develop de novo renal cystic disease. We used ultrasound as a primary screening procedure for renal cysts in 71 patients. In seven patients (10%) the native kidneys could not be identified. In 35 patients renal cysts were identified indicating a prevalenc...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81658-7
更新日期：1990-04-01 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：AIM:To prospectively compare helical and traditional sequential acquisition of computed tomography (CT) images of the head with respect to lens dose, thyroid dose, and image quality. MATERIALS AND METHODS:Patients undergoing non-emergency unenhanced CT examinations of the head were prospectively randomized to sequenti...
journal_title：Clinical radiology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.crad.2010.02.016
更新日期：2010-11-01 00:00:00
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
pub_type： 杂志文章
doi：10.1016/j.crad.2018.09.011
更新日期：2019-02-01 00:00:00
abstract：AIM:To evaluate the diagnostic performance of dual-energy computed tomography (DECT) using the virtual non-calcium (VNCa) technique for the detection of different degrees of vertebral bone marrow oedema. MATERIALS AND METHODS:The present prospective study was approved by the institutional ethics committee. Informed co...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.09.143
更新日期：2020-02-01 00:00:00
abstract：:We reviewed the initial imaging studies of 283 children with urinary tract infection in order to decide on the most effective approach. A voiding cystogram was performed in all, complemented by either urography (147 patients), ultrasonography (65), or both (71 patients). In the latter group there was good correlation ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(89)80031-5
更新日期：1989-01-01 00:00:00
abstract：AIM:To determine the clinical value of scaphoid and pronator fat stripes in identifying occult underlying scaphoid and distal radius fractures, respectively. MATERIALS AND METHODS:In our department, all patients with clinically suspected scaphoid fractures and normal scaphoid series of radiographs undergo magnetic res...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(03)00230-7
更新日期：2003-10-01 00:00:00
abstract：:Conduit volvulus is a very rare complication of ileal loop diversion. To date it has not been described in association with parastomal herniae. We report two such cases. Antegrade nephrostogram established the diagnosis and nephrostomy drainage facilitated spontaneous resolution of the volvulus with return to baseline...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)83052-1
更新日期：1995-03-01 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
