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https://www.readbyqxmd.com/read/29921442/a-survey-of-uk-percutaneous-lung-biopsy-practice-current-practices-in-the-era-of-early-detection-oncogenetic-profiling-and-targeted-treatments
#1
A N Tavare, S S Hare, F N A Miller, C J Hammond, A Edey, A Devaraj
AIM: To ascertain current percutaneous lung biopsy practices around the UK. MATERIALS AND METHODS: A web-based survey was sent to all British Society of Thoracic Imaging (BSTI) and British Society of Interventional Radiology (BSIR) members (May 2017) assessing all aspects of lung biopsy practice. Responses were collected anonymously. RESULTS: Two hundred and thirty-nine completed responses were received (28.8% response rate). Of the respondents, 48...
June 16, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29920522/yield-of-early-postoperative-computed-tomography-after-frontal-ventriculoperitoneal-shunt-placement
#2
Maria Kamenova, Jonathan Rychen, Raphael Guzman, Luigi Mariani, Jehuda Soleman
Despite being widely used, ventriculoperitoneal (VP) shunt placement is a procedure often associated with complications and revision surgeries. Many neurosurgical centers routinely perform early postoperative cranial computer tomography (CT) to detect postoperative complications (e.g., catheter malposition, postoperative bleed, over-drainage). Because guidelines are lacking, our study aimed to evaluate the yield of early routine postoperative CT after shunt placement for adult hydrocephalus. We retrospectively reviewed 173 patients who underwent frontal VP shunting for various neurosurgical conditions...
2018: PloS One
https://www.readbyqxmd.com/read/29920412/unusual-site-for-primary-arterio-enteric-fistula-resulting-in-massive-upper-gastrointestinal-bleeding-a-case-report-on-presentation-and-management
#3
Anthony Pio Dimech, Matthew Sammut, Kelvin Cortis, Nebosja Petrovic
INTRODUCTION: Communications between an artery and the bowel are termed arterio-enteric fistulae. These are uncommon and mainly involve the aorta and duodenum. They can cause fatal haemorrhage. A primary aorto-enteric fistula has several aetiologies, one of which is post-radiotherapy. CASE REPORT: 75-year old gentleman presented with acute upper gastrointestinal bleeding and haemorrhagic shock. He had a past history of right colonic cancer treated by resection and radiotherapy...
June 4, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29913889/the-association-between-physicians-attitudes-to-psychosocial-aspects-of-low-back-pain-and-reported-clinical-behaviour-a-complex-issue
#4
Anna L Valjakka, Sanna Salanterä, Aarno Laitila, Juhani Julkunen, Nora M Hagelberg
Background and aim Physicians' attitudes predict clinical decision making and treatment choices, but the association between attitudes and behaviour is complex. Treatment guidelines for non-specific low back pain (LBP) include recommendations of early assessment of psychosocial risk factors forchronic pain, patient education and reassurance. Implication of these principles is demanding, and many patients are not referred for appropriate treatments due to a lack of systematic screening of psychosocial risk factors for chronic pain...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913522/contrast-media-extravasation-in-ct-and-mri-a-literature-review-and-strategies-for-therapy
#5
Veronika Mandlik, Lukas Prantl, Andreas G Schreyer
BACKGROUND:  Contrast extravasation events in daily radiological routine may lead to serious complications, especially during CT examinations. The resulting symptoms may vary from local pain up to skin ulcers, necrosis or even acute compartment syndrome.There are no uniformly accepted radiological guidelines or recommendations regarding detection and treatment of extravasation events and immanent complications in a timely manner. METHOD:  Systematic literature research considering the last 35 years via PubMed using search terms "contrast medium extravasation/paravasation"...
June 18, 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/29912455/pediatric-head-ct-exposure-doses-in-tunisia-a-pilot-study-towards-the-establishment-of-national-diagnostic-reference-levels
#6
Abir Bouaoun, Latifa Ben Omrane, Mohamed Mogaadi, Wièm Douira Khomsi, Asma Zidi, Azza Hammou
The purpose of this study was to assess and analyze the radiation doses during head pediatric CT from different CT units within six Tunisian hospitals representing different geographic regions in order to optimize the dose given and minimize the radiology risk to this category of patients and towards the derivation of national diagnostic reference levels. Patient data and exposure parameters were collected for four age groups (<1, 1-5, 5-10 and 10-15 y). Clinical protocols and exposure settings were analyzed...
April 18, 2018: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/29907228/diagnostic-inflammatory-markers-in-acute-cholangitis
#7
Andrei M Beliaev, Michael Booth, David Rowbotham, Colleen Bergin
BACKGROUND: The 2018 Tokyo guidelines for acute cholangitis (AC) use white cell count (WCC) as one of the diagnostic criteria. However, the 2018 Tokyo guidelines grading does not provide guidance for AC patients with normal WCC. In this situation, other inflammatory biomarkers also can be used to diagnose AC and grade severity, but their diagnostic values are yet undetermined. The aims of this study were to evaluate the discriminative powers of common inflammatory markers compared with WCC for diagnosing AC and to determine their diagnostic cutoff levels...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29898606/ct-colonography-implementation-indications-and-technical-performance-a-follow-up-national-survey
#8
Fredrik Thorén, Åse A Johnsson, John Brandberg, Mikael Hellström
Background Computed tomography colonography (CTC) is an accepted complement or alternative to optical colonoscopy (OC) but its implementation is incompletely analyzed, and technical performance varies between centers. Purpose To evaluate implementation, indications, and technical performance of CTC in Sweden and to evaluate compliance to international guidelines. Material and Methods A structured, self-assessed questionnaire regarding implementation and technical performance of CTC was sent to all eligible radiology departments in Sweden...
January 1, 2018: Acta Radiologica
https://www.readbyqxmd.com/read/29887631/management-options-in-avascular-necrosis-of-talus
#9
Mandeep S Dhillon, Balvinder Rana, Inayat Panda, Sandeep Patel, Prasoon Kumar
Avascular necrosis (AVN) of the talus can be a cause of significant disability and is a difficult problem to treat. The most common cause is a fracture of the talus. We have done a systematic review of the literature with the following aims: (1) identify and summarize the available evidence in literature for the treatment of talar AVN, (2) define the usefulness of radiological Hawkins sign and magnetic resonance imaging in early diagnosis, and (3) provide patient management guidelines. We searched MEDLINE and PUBMED using keywords and MESH terminology...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887263/intra-arterial-therapies-for-unresectable-and-chemorefractory-colorectal-cancer-liver-metastases-a-systematic-review-and-meta-analysis
#10
REVIEW
Jordan Levy, Jesse Zuckerman, Richard Garfinkle, Sergio A Acuna, Jacynthe Touchette, Tsafrir Vanounou, Jean-Sebastien Pelletier
BACKGROUND: A large proportion of patients with colorectal cancer liver metastases (CRCLM) not amenable to curative liver resection will progress on systemic therapy. Intra-arterial therapies (IAT) including conventional transarterial chemoembolization (cTACE), drug eluting beads (DEB-TACE) and yttrium-90 radioembolization (Y-90) are indicated to prolong survival and palliate symptoms. The purpose of this systematic review and meta-analysis is to compare the survival benefit and radiologic response of three intra-arterial therapies in patients with chemorefractory and unresectable CRCLM...
June 7, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29886881/limited-use-of-surgeon-s-advice-on-exercise-for-knee-osteoarthritis
#11
Sofie Ryaa, Lina H Ingelsrud, Søren T Skou, Ewa M Roos, Anders Troelsen
INTRODUCTION: The Good Life with osteoArthritis in Denmark (GLA:D) programme consists of patient education and supervised exercise therapy and adheres to clinical guidelines for knee osteoarthritis (OA). The purpose of this study was to present the treatment choice and clinical results of patients who were advised to participate in GLA:D before deciding on undergoing knee replacement. METHODS: Patient records from all patients with knee OA consulting one orthopaedic surgeon in 2015 were reviewed to identify those who were advised to seek GLA:D...
June 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29881199/long-term-results-of-metal-on-metal-total-hip-arthroplasty-in-younger-patients-55yrs
#12
Muhammad Umar, Noman Jahangir, Qasim Malik, Steven Kershaw, Keith Barnes, Syam Morapudi
Introduction: Metal on Metal (MoM) hip arthroplasty saw a new era of popularity with development of its second generation bearing surfaces, in the first decade of this century. However, by the end of that decade, concerns had been raised due to metal debris related complications.We aimed to determine the survival of MoM stemmed hip replacement in younger population. We also studied the rate of revision related to adverse reaction to metal debris (ARMD) along with reviewing the clinical and radiological progress of MoM hip arthroplasty in younger age (<55 yrs) group...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29876940/cost-effectiveness-analysis-of-imaging-strategy-for-an-intensive-follow-up-of-patients-with-ajcc-stage-iib-iic-and-iii-malignant-melanoma
#13
S Podlipnik, D Moreno-Ramírez, C Carrera, A Barreiro, E Manubens, L Ferrándiz-Pulido, M Sánchez, S Vidal-Sicart, J Malvehy, S Puig
BACKGROUND: Many follow-up guidelines for high-risk melanoma patients include expensive imaging studies, serum biomarkers, and regular visits to the dermatologist with little attention to cost-effectiveness. OBJECTIVES: To establish the cost-effectiveness of chest-abdomen-pelvis CT-scan and brain MRI in a follow-up protocol for patients at high risk of relapse. METHODS: Prospective single-center cohort study of 290 melanoma patients with clinicopathological AJCC stages IIB, IIC and III...
June 7, 2018: British Journal of Dermatology
https://www.readbyqxmd.com/read/29876703/clinical-indications-for-musculoskeletal-ultrasound-updated-in-2017-by-european-society-of-musculoskeletal-radiology-essr-consensus
#14
Luca Maria Sconfienza, Domenico Albano, Georgina Allen, Alberto Bazzocchi, Bianca Bignotti, Vito Chianca, Fernando Facal de Castro, Elena E Drakonaki, Elena Gallardo, Jan Gielen, Andrea Sabine Klauser, Carlo Martinoli, Giovanni Mauri, Eugene McNally, Carmelo Messina, Rebeca Mirón Mombiela, Davide Orlandi, Athena Plagou, Magdalena Posadzy, Rosa de la Puente, Monique Reijnierse, Federica Rossi, Saulius Rutkauskas, Ziga Snoj, Jelena Vucetic, David Wilson, Alberto Stefano Tagliafico
OBJECTIVES: To update the 2012 European Society of Musculoskeletal Radiology (ESSR) clinical consensus guidelines for musculoskeletal ultrasound referral in Europe. METHODS: Twenty-one musculoskeletal imaging experts from the ESSR participated in a consensus study based on a Delphic process. Two independent (non-voting) authors facilitated the procedure and resolved doubtful issues. Updated musculoskeletal ultrasound literature up to July 2017 was scored for shoulder, elbow, wrist/hand, hip, knee, and ankle/foot...
June 6, 2018: European Radiology
https://www.readbyqxmd.com/read/29876619/prospective-comparison-of-68-ga-psma-pet-ct-18-f-sodium-fluoride-pet-ct-and-diffusion-weighted-mri-at-for-the-detection-of-bone-metastases-in-biochemically-recurrent-prostate-cancer
#15
Helle D Zacho, Julie B Nielsen, Ali Afshar-Oromieh, Uwe Haberkorn, Nandita deSouza, Katja De Paepe, Katja Dettmann, Niels C Langkilde, Christian Haarmark, Rune V Fisker, Dennis T Arp, Jesper Carl, Jørgen B Jensen, Lars J Petersen
PURPOSE: To prospectively compare diagnostic accuracies for detection of bone metastases by 68 Ga-PSMA PET/CT, 18 F-NaF PET/CT and diffusion-weighted MRI (DW600 -MRI) in prostate cancer (PCa) patients with biochemical recurrence (BCR). METHODS: Sixty-eight PCa patients with BCR participated in this prospective study. The patients underwent 68 Ga-PSMA PET/CT, a 18 F-NaF PET/CT and a DW600 -MRI (performed in accordance with European Society of Urogenital Radiology guidelines, with b values of 0 and 600 s/mm2 )...
June 6, 2018: European Journal of Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/29874693/vascular-anomalies-part-i-classification-and-diagnostics-of-vascular-anomalies
#16
Maliha Sadick, René Müller-Wille, Moritz Wildgruber, Walter A Wohlgemuth
BACKGROUND:  Vascular anomalies are a diagnostic and therapeutic challenge. They require dedicated interdisciplinary management. Optimal patient care relies on integral medical evaluation and a classification system established by experts in the field, to provide a better understanding of these complex vascular entities. METHOD:  A dedicated classification system according to the International Society for the Study of Vascular Anomalies (ISSVA) and the German Interdisciplinary Society of Vascular Anomalies (DiGGefA) is presented...
June 6, 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/29870645/-alemtuzumab-therapy-2017
#17
REVIEW
Tamás Biernacki, Krisztina Bencsik, Dániel Sandi, László Vécsei
Multiple sclerosis (MS) is a chronic, immune-mediated disease of the central nervous system comprising of inflammation, demyelinisation and neurodegeneration. The natural history of MS is heterogenous. Owing to the vast range and severity of the symptoms MS can cause the effect of the disease on one's cognitive and physical status is unpredictable. According to the new, phenotype based classification two subgroups can be distinguished; relapsing-remitting (RR) and progressive MS. Relapsing-remitting MS can be further divided into active and inactive disease...
November 30, 2017: Ideggyógyászati Szemle
https://www.readbyqxmd.com/read/29862040/italian-consensus-conference-on-guidelines-for-conservative-treatment-on-lower-limb-muscle-injuries-in-athlete
#18
Gian Nicola Bisciotti, Piero Volpi, Maurizio Amato, Giampietro Alberti, Francesco Allegra, Alessandro Aprato, Matteo Artina, Alessio Auci, Corrado Bait, Gian Matteo Bastieri, Luca Balzarini, Andrea Belli, Gianandrea Bellini, Pierfrancesco Bettinsoli, Alessandro Bisciotti, Andrea Bisciotti, Stefano Bona, Lorenzo Brambilla, Marco Bresciani, Michele Buffoli, Filippo Calanna, Gian Luigi Canata, Davide Cardinali, Giulia Carimati, Gabriella Cassaghi, Enrico Cautero, Emanuele Cena, Barbara Corradini, Alessandro Corsini, Cristina D'Agostino, Massimo De Donato, Giacomo Delle Rose, Francesco Di Marzo, Francesco Di Pietto, Drapchind Enrica, Cristiano Eirale, Luigi Febbrari, Paolo Ferrua, Andrea Foglia, Alberto Galbiati, Alberto Gheza, Carlo Giammattei, Francesco Masia, Gianluca Melegati, Biagio Moretti, Lorenzo Moretti, Roberto Niccolai, Antonio Orgiani, Claudio Orizio, Andrea Pantalone, Federica Parra, Paolo Patroni, Maria Teresa Pereira Ruiz, Marzio Perri, Stefano Petrillo, Luca Pulici, Alessandro Quaglia, Luca Ricciotti, Francesco Rosa, Nicola Sasso, Claudio Sprenger, Chiara Tarantola, Fabio Gianpaolo Tenconi, Fabio Tosi, Michele Trainini, Agostino Tucciarone, Ali Yekdah, Zarko Vuckovic, Raul Zini, Karim Chamari
Provide the state of the art concerning (1) biology and aetiology, (2) classification, (3) clinical assessment and (4) conservative treatment of lower limb muscle injuries (MI) in athletes. Seventy international experts with different medical backgrounds participated in the consensus conference. They discussed and approved a consensus composed of four sections which are presented in these documents. This paper represents a synthesis of the consensus conference, the following four sections are discussed: (i) The biology and aetiology of MIs...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29859007/medical-and-surgical-interventions-for-the-treatment-of-urinary-stones-in-children
#19
REVIEW
Lenka Barreto, Jae Hung Jung, Ameera Abdelrahim, Munir Ahmed, Guy P C Dawkins, Marcin Kazmierski
BACKGROUND: Urolithiasis is a condition where crystalline mineral deposits (stones) form within the urinary tract. Urinary stones can be located in any part of the urinary tract. Affected children may present with abdominal pain, blood in the urine or signs of infection. Radiological evaluation is used to confirm the diagnosis, to assess the size of the stone, its location, and the degree of possible urinary obstruction. OBJECTIVES: To assess the effects of different medical and surgical interventions in the treatment of urinary tract stones of the kidney or ureter in children...
June 2, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29858734/correction-to-seom-clinical-guidelines-for-anaplastic-gliomas-2017
#20
C Balañá, M Alonso, A Hernandez-Lain, P Perez-Segura, E Pineda, A Ramos, A R Sanchez, P Teixidor, E Verger, M Benavides
The SEOM/GEINO clinical guidelines provide recommendations for radiological, and molecular diagnosis, treatment and follow-up of adult patients with anaplastic gliomas (AG). We followed the 2016 WHO classification which specifies the major diagnostic/prognostic and predictive value of IDH1/IDH2 missense mutations and 1p/19q codeletions in AG. The diagnosis of anaplastic oligoastrocytoma is discouraged. Surgery, radiotherapy and chemotherapy with PCV or TMZ are the first-line standard of care for AG with slight modifications according to molecular variables...
June 1, 2018: Clinical & Translational Oncology
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