Abstract：
:Thirty-three patients presenting with spontaneous rupture of hepatocellular carcinomas (HCCs) were referred for emergency transcatheter arterial embolization. Blood was present in the ascitic fluid on abdominal paracentesis in all 33 patients. Seventeen patients underwent emergency computed tomography (CT). HCCs were demonstrated on CT in all 17 patients. Blood was detected in the peritoneal cavity or around the liver surface on CT in 15 patients (88.2%), one of whom also had active extravasation of the contrast medium into the peritoneal cavity. Vascular tumours were present in the hepatic angiograms prior to embolization in all 33 patients but extravasation of the contrast medium from the HCC was seen on angiography in only six patients (18.2%). Bleeding from the ruptured HCC was stopped at the end of the procedure in 32 patients who had undergone successful embolization. The overall median survival time was 9 weeks. The median survival time of patients with a serum total bilirubin level of 50 micromol/l or below was 15 weeks, while that of patients with a serum total bilirubin level above 50 micromol/l was only 1 week, the difference being statistically significant. Embolization is therefore the treatment of choice in arresting life-threatening bleeding in ruptured HCC in patients with a serum total bilirubin level of 50 micromol/l or below, but the procedure is rarely effective in prolonging survival in patients with a serum total bilirubin above this critical level.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Ngan H,Tso WK,Lai CL,Fan STdoi
10.1016/s0009-9260(98)80004-4subject
Has Abstractpub_date
1998-05-01 00:00:00pages
338-41issue
5eissn
0009-9260issn
1365-229Xjournal_volume
53pub_type
杂志文章abstract：:Aneurysm of the ductus arteriosus has been reported in children more frequently than in adults [1-4]. The rarity of the lesion explains the low rate of recognition by the radiologist, especially because symptoms are non-specific in most cases. Clinically and radiologically, aneurysm of the ductal diverticulum can be c...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(97)80279-6
更新日期：1997-03-01 00:00:00
abstract：:The role of computed tomography (CT) in radiotherapy treatment planning was assessed in a series of 231 patients in whom treatment was planned with radical intent. For each patient, a treatment plan was produced by the best conventional techniques in use at the Middlesex Hospital. Each patient then underwent a CT scan...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(84)80021-5
更新日期：1984-03-01 00:00:00
abstract：AIM:To compare hip joint space on supine and weight-bearing anteroposterior digital radiographs. MATERIALS AND METHODS:Fifty anteroposterior views of the hip in 25 patients were taken in supine and weight-bearing positions on a fluoroscopic unit. Two observers in a double-blind study assessed the width of the joint sp...
journal_title：Clinical radiology
pub_type： 临床试验,杂志文章
doi：10.1016/s0009-9260(99)90850-4
更新日期：1999-08-01 00:00:00
abstract：:It is well recognized that a negative mammogram report does not exclude the presence of breast carcinoma. This study examines the accuracy of mammography in patients with palpable breast cancer. In particular, the study evaluates the reasons underlying negative mammography in breast cancer. All patients with Paget's d...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)83454-3
更新日期：1994-02-01 00:00:00
abstract：:An unusual case of multiple myeloma is reported in a 61-year-old man presenting with hepatomegaly and multiple hypoechoic lesions in the liver seen on ultrasound. Following cytotoxic chemotherapy the size and number of the lesions within the liver had significantly reduced. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)82970-8
更新日期：1995-01-01 00:00:00
abstract：:The sinographic appearances in 18 long bones of 14 consecutive patients with sickle-cell anaemia and chronic haematogenous osteomyelitis were studied prospectively; the observed features were compared with the plain radiographic and operative findings. Four sinographic patterns were noted: (1) infected bone cavities w...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(83)80358-4
更新日期：1983-05-01 00:00:00
abstract：:Iocetamic acid (Cholebrin) and calcium ipodate (Solubiloptin) were randomly allocated to two groups of 50 patients. Each patient completed a detailed questionnaire for side effects. There was no significant difference between the contrast media in their ability to opacify the gallbladder. Cholebrin was superior to Sol...
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(78)80046-4
更新日期：1978-09-01 00:00:00
abstract：AIM:To evaluate the risk of cancer of an enhancing focus identified at breast magnetic resonance imaging (MRI) by determining the positive predictive value (PPV) associated with specific characteristics of an enhancing focus. MATERIALS AND METHODS:Retrospective, institutional review board-approved review of the databa...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2014.02.007
更新日期：2014-07-01 00:00:00
abstract：:The role of the radiologist in 'out of hours' radiology was prospectively studied in a single Scottish Health Board for a continuous 6 month period. Six hundred and sixty seven procedures were performed by radiologists. Computed tomography (CT) (274, 41%), ultrasound scans (190, 28.5%) and vascular/interventional proc...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80317-4
更新日期：1992-08-01 00:00:00
abstract：:The purpose of this article is to review the computed tomography (CT) and histopathological features of uncommon primary neoplasms of the thorax that can manifest clinically malignant features (multiplicity of pulmonary nodules, an invasive nature, and metastases or recurrence after surgery) with little evidence of hi...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2012.03.011
更新日期：2012-11-01 00:00:00
abstract：:Six cases with bacteriologically and/or histologically proven breast tuberculosis were analysed out of 1152 consecutive mammograms performed. The objective was to identify some factors that may facilitate pre-operative mammographic and ultrasonographic diagnosis of breast tuberculosis. Nipple retraction and coarse str...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(96)80115-2
更新日期：1996-05-01 00:00:00
abstract：:Thirty patients with testicular teratomas were examined by computed tomography (CT), lymphangiography and chest X-rays/tomography and the role of each investigation in the staging and management of these tumours is examined. It is suggested that CT should be the primary investigation of the abdomen in patients with te...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(81)80338-8
更新日期：1981-11-01 00:00:00
abstract：:The appearances on computed tomography (CT) of the normal and abnormal superior sagittal sinuses are presented. The varied patterns of non-enhanced and enhanced normal superior sagittal sinuses are correlated with and reflect the findings of anatomical dissection. Cases of abnormal superior sagittal sinus include thro...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(82)80308-5
更新日期：1982-07-01 00:00:00
abstract：AIM:To evaluate spreading patterns of necrotizing external otitis (NEO) by magnetic resonance imaging (MRI) and to identify spreading patterns related to a poor outcome. MATERIALS AND METHODS:Fourteen patients with NEO were divided into good and poor outcome groups according to their final clinical outcomes. Initial M...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2006.01.010
更新日期：2006-06-01 00:00:00
abstract：:Hepatic artery thrombosis is a major cause of morbidity and mortality following liver transplantation. We assessed the value of prospective duplex Doppler ultrasound in detecting hepatic artery thrombosis. One hundred consecutive transplants in 90 patients were studied. Duplex Doppler detected all 10 proven cases of h...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81158-4
更新日期：1993-03-01 00:00:00
abstract：:In a controlled study of barium swallow radiographs in systemic sclerosis, longitudinal oesophageal mucosal folds were absent in eight of 30 patients and in one of 30 control subjects (P less than 0.03). Patients without mucosal folds developed Raynaud's phenomenon at an earlier age than those who retained their mucos...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(79)80177-4
更新日期：1979-09-01 00:00:00
abstract：AIM:To correlate CT morphological features and histopathological findings of adenosquamous carcinoma of the lung. MATERIALS AND METHODS:In all, 29 patients underwent contrast-enhanced CT of an adenosquamous carcinoma of the lung, followed by resection of the cancer. Correlations between CT morphological and histopatho...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2004.08.014
更新日期：2005-03-01 00:00:00
abstract：AIM:To compare T1-weighted magnetization transfer (MT) with fluid attenuated inversion recovery (FLAIR) imaging for evaluating conspicuity and number of lesions in individuals with brain tuberculoma. MATERIALS AND METHODS:In all 28 patients with brain tuberculoma underwent MR examination using fast spin-echo (FSE) T2,...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2004.09.016
更新日期：2005-07-01 00:00:00
abstract：:Diffuse lung disease is often a difficult clinical and radiographic problem to resolve. Standard computed tomography (CT) techniques are often unhelpful. By combining practical physiological criteria with narrow section CT a protocol has been developed which yields more accurate information and is now the standard met...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(86)80265-3
更新日期：1986-07-01 00:00:00
abstract：AIM:To assess whether the size of peritumoural stiffness (PTS) on shear-wave elastography (SWE) for small primary breast cancers (≤15 mm) was associated with size discrepancies between grey-scale ultrasound (GSUS) and final histological size and whether the addition of PTS size to GSUS size might result in more accurat...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2014.08.002
更新日期：2014-12-01 00:00:00
abstract：:The accuracy of high field, endorectal MRI in the staging of localized prostate cancer has been the focus of many previous reports. We present our findings with a mid-field magnet. Twenty-two patients with clinically localized prostate cancer were prospectively staged with endorectal MRI using a 0.5 T magnet. All pati...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(96)80133-4
更新日期：1996-08-01 00:00:00
abstract：AIM:To evaluate the feasibility of two-dimensional parametric parenchymal blood flow (2D-PPBF) to quantify perfusion changes in the lung parenchyma following balloon pulmonary angioplasty (BPA) for treatment of chronic thromboembolic pulmonary hypertension. MATERIALS AND METHODS:Overall, 35 consecutive interventions i...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2018.12.023
更新日期：2019-06-01 00:00:00
abstract：AIM:To determine the added value of dynamic contrast-enhanced imaging (DCE) over T2-weighted imaging (T2-WI) and diffusion-weighted imaging (DWI) for detection of clinically significant prostate cancer (csPC) in patients with elevated prostate-specific antigen (PSA). METHODS AND MATERIALS:Two hundred and forty-five pa...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2016.09.011
更新日期：2017-01-01 00:00:00
abstract：:Computed tomography (CT) proved to be invaluable in diagnosing and ascertaining the extent of an epidermal inclusion cyst of the tympanic membrane secondary to a previous myringoplasty. ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81168-7
更新日期：1993-03-01 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：:A prospective study was performed in 138 consecutive patients referred for small-bowel examination to evaluate the use of the pneumocolon when there was poor demonstration of the terminal ileum. One hundred and twenty-two patients were examined by enteroclysis (small-bowel enema) and 16 by small-bowel meal. Pneumocolo...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(85)80253-1
更新日期：1985-11-01 00:00:00
abstract：AIM:To determine whether acoustic radiation force imaging (ARFI) of the liver/spleen could be used in patients with cirrhosis to predict the presence of gastroesophageal varices (GOVs). MATERIALS AND METHODS:Fifty-eight patients with cirrhosis who were undergoing 6-monthly ultrasound examinations for hepatoma surveill...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2018.07.199
更新日期：2018-12-01 00:00:00
abstract：:Fifty-eight patients presenting with axillary symptoms (pain, oedema, etc) following radiation therapy for breast carcinoma were randomized to be investigated by either computed tomography (CT: 29 patients) or magnetic resonance imaging (MRI: 28). The objectives of the study were to compare the efficacy of the two tes...
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)81103-1
更新日期：1993-12-01 00:00:00
abstract：AIM:To compare the performance of axial images of the ankle joint on three-dimensional (3D) volume isotropic turbo spin echo acquisition (VISTA) with that of two-dimensional (2D) fast spin echo (FSE) T2-weighted images for the diagnosis of anterior talofibular ligament (ATFL) injury. MATERIALS AND METHODS:This retrosp...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.12.007
更新日期：2016-04-01 00:00:00
abstract：:The incidence of malignant melanoma in the UK is still rising despite public health warnings about the risks of excessive sun exposure. This aggressive tumour can metastasize to virtually any organ, even years after resection of the primary lesion and cause a variety of radiological appearances. This review provides e...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2003.09.020
更新日期：2004-04-01 00:00:00
