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https://www.readbyqxmd.com/read/29793139/the-use-of-low-intensity-pulsed-ultrasound-in-treating-delayed-union-of-fifth-metatarsal-fractures
#1
Kar Hao Teoh, Robert Whitham, Jenny F Wong, Kartik Hariharan
BACKGROUND: There are no studies looking at the success rate of low-intensity pulsed ultrasound (LIPUS) in fifth metatarsal fracture delayed unions to our knowledge. The aim of this study is to investigate the use of LIPUS treatment for delayed union of fifth metatarsal fractures. METHODS: A retrospective review of patients who were treated with LIPUS following a delayed union of fifth metatarsal fracture was conducted over a three-year period. RESULTS: There were thirty patients (9 males, 21 females) in this cohort...
January 31, 2018: Foot
https://www.readbyqxmd.com/read/29785224/pseudarthrosis-of-the-calcaneus-advantages-of-regenerative-medicine-in-the-management-of-a-rare-entity-a-case-report-and-review-of-literature
#2
Bouaziz Wajdi, Mohamed Ali Rebai, Walid Baya, Nabil Krid, Wassim Zribi, Hassib Keskes
Background: The follow-up of calcaneal fractures has shown that they are difficult to manage and lead to multiple complications such as malunion and subtalar osteoarthritis. Pseudarthrosis of the calcaneus is an extremely rare complication, which was described in the literature through case reports.In the existing literature, only seven studies, including thirteen patients have reported the nonunion. However, to the best of our knowledge, no study elucidates the role of new techniques of regenerative medicine such as Bone Marrow Concentrates (BMC) or Platelet Rich Plasma (PRP) in the management...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29777884/neurosurgical-management-of-self-inflicted-cranial-crossbow-injury
#3
Charles G Kulwin, Andrew DeNardo, Saad Khairi, Troy Payner
BACKGROUND: While gun-related penetrating traumatic brain injuries make up the majority of cranial missile injuries, low-velocity penetrating injuries present significant clinical difficulties that cannot necessarily be identically managed. Bow hunting is an increasingly popular pastime, and a crossbow allows a unique mechanism to cause a self-inflicted cranial injury with a large, low-velocity projectile. Historically, arrow removal is described in an operating room setting, which provides limited knowledge of the location of vascular injury in the setting of post-removal hemorrhage, and may represent an inefficient use of operating room availability...
May 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29776902/an-internet-based-radiology-course-in-medical-school-comparison-of-academic-performance-of-students-on-campus-versus-those-with-absenteeism-due-to-residency-interviews
#4
Andrew George Alexander, Deborah Deas, Paul Eric Lyons
BACKGROUND: Imaging and its optimal use are imperative to the practice of medicine, yet many students don't receive a formal education in radiology. Concurrently, students look for ways to take time away from medical school for residency interviewing. Web-based instruction provides an opportunity to combine these imperatives using online modalities. OBJECTIVE: A largely Web-based course in radiology during the 4th year of medical school was evaluated both for its acceptance to students who needed to be away from campus for interviews, and its effectiveness on a nationally administered standardized test...
May 18, 2018: JMIR Medical Education
https://www.readbyqxmd.com/read/29774221/magnetic-resonance-imaging-findings-for-differential-diagnosis-of-perianal-plexiform-schwannoma-case-report-and-review-of-the-literature
#5
Xue-Liang Sun, Ke Wen, Zhi-Zhong Xu, Xiao-Peng Wang
Plexiform schwannoma is an extremely rare variant of schwannoma, accounting for approximately 5% of cases. Due to the rarity and lack of typical symptoms, signs and radiological images, a definite diagnosis of plexiform schwannoma may not be made by clinicians prior to biopsy. In the present study, we report the first case (to our knowledge) of perianal plexiform schwannoma arising from the overlapped skin of the ischioanal fossa, and we propose an intratumorally nonenhanced circumferential capsule dividing the tumour into multiple homogeneously enhanced nodules as a magnetic resonance imaging feature to aid in the differential diagnosis of plexiform schwannoma from ancient schwannoma, cavernous haemangioma, liposarcoma and plexiform neurofibroma...
May 16, 2018: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/29771224/discipline-specific-competency-based-curricula-for-leadership-learning-in-medical-specialty-training
#6
Sandra Turner, Ming-Ka Chan, Judy McKimm, Graham Dickson, Timothy Shaw
Purpose Doctors play a central role in leading improvements to healthcare systems. Leadership knowledge and skills are not inherent, however, and need to be learned. General frameworks for medical leadership guide curriculum development in this area. Explicit discipline-linked competency sets and programmes provide context for learning and likely enhance specialty trainees' capability for leadership at all levels. The aim of this review was to summarise the scholarly literature available around medical specialty-specific competency-based curricula for leadership in the post-graduate training space...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29771211/the-benefit-of-extending-oral-anticoagulation-treatment-excoa-after-acute-cerebral-vein-thrombosis-cvt-excoa-cvt-cluster-randomized-trial-protocol
#7
Bruno Miranda, Sanjith Aaron, Antonio Arauz, Fernando Barinagarrementeria, Afshin Borhani-Haghighi, Marta Carvalho, Adriana B Conforto, Jonathan M Coutinho, Jan Stam, Patrícia Canhão, José M Ferro
Rationale After a cerebral vein thrombosis, there is an increased risk of further venous thromboembolic events. The optimal duration of anticoagulation after cerebral vein thrombosis is unknown. Aim To compare efficacy and safety of a policy of short- (3-6 months) versus long-term (12 months) anticoagulation (any type venous thromboembolic events) after cerebral vein thrombosis for the prevention of venous thromboembolic events. Sample size estimates A sample of 1428 patients (749 per arm) allows detecting a reduction from 10 to 5% in the risk of venous thromboembolic event recurrence with 80% power at 5% significance, with 3% dropout rate...
January 1, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/29767400/volumetric-image-interpretation-in-radiology-scroll-behavior-and-cognitive-processes
#8
Larissa den Boer, Marieke F van der Schaaf, Koen L Vincken, Chris P Mol, Bobby G Stuijfzand, Anouk van der Gijp
The interpretation of medical images is a primary task for radiologists. Besides two-dimensional (2D) images, current imaging technologies allow for volumetric display of medical images. Whereas current radiology practice increasingly uses volumetric images, the majority of studies on medical image interpretation is conducted on 2D images. The current study aimed to gain deeper insight into the volumetric image interpretation process by examining this process in twenty radiology trainees who all completed four volumetric image cases...
May 16, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29757453/intracranial-medulloepithelioma-in-a-child-a-case-report
#9
Yi-Zheng Wang, Jing Chen, Yu-Lian Fang, Chun-Quan Cai
Intracranial medulloepithelioma is extremely rare and highly malignant in central nervous system. It is a kind of fast-growing tumor and shows a propensity to spread widely throughout the central nervous system. It commonly occurs in infants and young children. We reported a rare case of 2 years old female child with a huge mass diagnosed as medulloepithelioma. Though radiological examination was characteristic for the neoplasm, it was not enough to make a definite diagnosis. Combining with histopathological examination was contributing to diagnose medulloepithelioma and differentiate it from other central nervous system tumors...
April 26, 2018: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29755006/multiparametric-magnetic-resonance-imaging-for-bladder-cancer-development-of-vi-rads-vesical-imaging-reporting-and-data-system
#10
REVIEW
Valeria Panebianco, Yoshifumi Narumi, Ersan Altun, Bernard H Bochner, Jason A Efstathiou, Shaista Hafeez, Robert Huddart, Steve Kennish, Seth Lerner, Rodolfo Montironi, Valdair F Muglia, Georg Salomon, Stephen Thomas, Hebert Alberto Vargas, J Alfred Witjes, Mitsuru Takeuchi, Jelle Barentsz, James W F Catto
CONTEXT: Management of bladder cancer (BC) is primarily driven by stage, grade, and biological potential. Knowledge of each is derived using clinical, histopathological, and radiological investigations. This multimodal approach reduces the risk of error from one particular test, but may present a staging dilemma when results conflict. Multiparametric magnetic resonance imaging (mpMRI) may improve patient care through imaging of the bladder with better resolution of the tissue planes than computed tomography and without radiation exposure...
May 10, 2018: European Urology
https://www.readbyqxmd.com/read/29754190/allergic-and-immunologic-perspectives-of-inflammatory-bowel-disease
#11
REVIEW
Kofi Clarke, Jayakrishna Chintanaboina
Inflammatory bowel disease (IBD) is a chronic immune-mediated inflammatory condition primarily involving the gastrointestinal tract. It includes Crohn's disease (CD), ulcerative colitis (UC), and a less common phenotype-indeterminate colitis. It is thought to result from a complex interplay of environmental, microbial, and host factors including genetic factors, although the exact mechanism is not known. Dietary factors have been shown to play a role in the pathogenesis of IBD and can potentially alter the intestinal microbiota as well as disrupt the immune function in the gut...
May 12, 2018: Clinical Reviews in Allergy & Immunology
https://www.readbyqxmd.com/read/29753901/primary-intracranial-leiomyosarcoma-with-intra-tumoral-hemorrhage-case-report-and-review-of-literature
#12
Koichi Torihashi, Chin Masaki, Kazumichi Yoshida, Osamu Narumi, Sen Yamagata
BACKGROUND: Primary intracranial leiomyosarcoma is a very rare occurrence. And primary leiomyosarcoma with intra-tumoral hemorrhage has not been published. We firstly present a case report of a rapidly enlarging primary intracranial leiomyosarcoma with intra-tumoral hemorrhage. CASE DESCRIPTION: A 41-yr old female presented with right hemiparesis and gait disturbance. And she has the brain tumor on frontal lobe. And the tumor was increasing rapidly. Intra-tumoral hemorrhage was suddenly occurred...
May 10, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29751859/-lack-of-measurable-clinical-or-knowledge-gains-from-resident-participation-in-noon-conference
#13
Nathaniel B Meyer, Kara Gaetke-Udager, Kimberly L Shampain, Amy Spencer, Richard H Cohan, Matthew S Davenport
RATIONALE AND OBJECTIVES: The objective of this study was to determine whether noon conference attendance by diagnostic radiology residents is predictive of measurable performance. METHODS: This single-center retrospective Health Insurance and Portability and Accountability Act (HIPAA)-compliant cross-sectional study was considered "not regulated" by the institutional review board. All diagnostic radiology residents who began residency training from 2008 to 2012 were included (N = 54)...
June 2018: Academic Radiology
https://www.readbyqxmd.com/read/29751204/rare-pancreatic-masses-a-pictorial-review-of-radiological-concepts
#14
REVIEW
Regis Otaviano Franca Bezerra, Marcel Cerqueira Machado, Micaela Maciel Dos Santos Mota, Tamara Abou Ezzedine, Luiz Tenório de Brito Siqueira, Giovanni Guido Cerri
Non-ductal pancreatic neoplasm (NPN) represents a heterogeneous group of pancreatic masses, in which diagnosis and management remain challenging due to their overall rarity. Knowledge of their radiologic features is essential for differential diagnosis and to guide clinical decisions for optimal management. The purpose of this paper was to present radiological patterns of these rare pancreatic tumors, solid or predominantly solid, with emphasis in the differential diagnosis and surgical management.
May 4, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/29749566/great-veins-invasion-in-follicular-thyroid-cancer-single-centre-study-assessing-prevalence-and-clinical-outcome
#15
Maria Grazia Chiofalo, Raffaella D'Anna, Francesca Di Gennaro, Sergio Venanzio Setola, Vincenzo Marotta
PURPOSE: Great veins invasion is considered as a rare and prognostically unfavourable event in thyroid cancer. However, current knowledge about this issue is mainly based on single case reports. Follicular thyroid cancer (FTC) represents the histotype with the most pronounced angioinvasive feature. This study is aimed at assessing the actual prevalence of great veins invasion in FTC and providing information about prognosis and the proper clinical management of these patients. METHODS: Clinico-pathological and radiological data of patients with thyroid cancer undergoing thyroidectomy in our institution were retrospectively retrieved...
May 10, 2018: Endocrine
https://www.readbyqxmd.com/read/29747559/multidetector-row-ct-imaging-evaluation-of-superior-and-inferior-vena-cava-normal-anatomy-and-caval-variants-report-of-our-cases-and-literature-review-with-embryologic-correlation
#16
Roberto Iezzi, Alessandro Posa, Francesca Carchesio, Riccardo Manfredi
Objective To assess the potential of multidetector-row computed tomography imaging and its reformations in the evaluation of the superior and inferior vena cava normal anatomy and their anatomical variants, and to make a brief review of caval embryogenesis and developmental errors. Methods We retrospectively reviewed a total of 1000 whole-body computed tomography scans performed between January 2010 and December 2016 to assess the normal superior and inferior vena cava anatomy and their variants. Results The normal superior and inferior vena cava anatomy was found in 88...
January 1, 2018: Phlebology
https://www.readbyqxmd.com/read/29745875/interstitial-lung-disease-in-patients-with-mixed-connective-tissue-disease-pilot-study-on-predictors-of-lung-involvement
#17
Neha Narula, Tathagat Narula, Isabel Mira-Avendano, Benjamin Wang, Andy Abril
OBJECTIVES: Mixed connective tissue disease (MCTD) is an immune-mediated systemic disorder characterised by serum autoantibodies against U1-ribonucleoprotein and diverse multisystemic clinical manifestations. Approximately 50% of patients with MCTD develop a radiologic pattern of interstitial lung disease (ILD). Our single centre, cross-sectional study sought to identify clinical and serologic associations of ILD in patients with MCTD which may serve as predictors of lung disease and prognosis...
May 8, 2018: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/29745767/a-proof-of-concept-for-epidemiological-research-using-structured-reporting-with-pulmonary-embolism-as-a-use-case
#18
Pinto Dos Santos Daniel, Scheibl Sonja, Arnhold Gordon, Maehringer-Kunz Aline, Düber Christoph, Mildenberger Peter, Kloeckner Roman
OBJECTIVE: This paper studies the possibilities of an integrated IT-based workflow for epidemiological research in pulmonary embolism using freely available tools and structured reporting. METHODS: We included a total of 521 consecutive cases which had been referred to the radiology department for computed tomography pulmonary angiography (CTPA) with suspected pulmonary embolism (PE). Free-text reports were transformed into structured reports using a freely available IHE-MRRT-compliant reporting platform...
May 10, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29745751/clinical-audit-of-the-completion-of-ct-scan-request-forms
#19
Rechard Rawoo
OBJECTIVE: To pilot study an audit looking at whether CT scan request forms are completed to an appropriate level. This was based on the adequacy of the detail provided and the use of abbreviations based on local trust guidance. METHODS: 60 CT scan requests were retrospectively analysed at University Hospital South Manchester (UHSM). The following factors were considered: clinical information provided, the offering of a differential diagnosis and use of abbreviations in requests...
May 10, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29745725/doppler-ultrasonography-in-liver-transplant-recipients-with-hepatic-artery-dissection-association-of-doppler-abnormalities-with-disease-severity
#20
So Yeong Jeong, Kyoung Won Kim, Jin Sil Kim, Sunyoung Lee, So Yeon Kim, Gi Won Song, Sung Gyu Lee
OBJECTIVE: Role of Doppler ultrasonography (US) in determining radiologic and clinical significance of hepatic artery dissection (HAD) is not known. To determine the frequency of abnormalities on Doppler ultrasonography in liver transplant recipients with hepatic artery dissection and to evaluate association between Doppler abnormalities and disease severity. METHODS: 107 LT recipients with HAD between January 2008 and December 2016 were included, in whom Doppler US was performed within the week of diagnosis...
May 10, 2018: British Journal of Radiology
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