Journal of medical imaging and radiation oncology
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J Med Imaging Radiat Oncol · Aug 2013
Cost analysis of intracranial aneurysmal repair by endovascular coiling versus flow diversion: at what size should we use which method?
Flow diverters enable intracranial aneurysmal repair without the need to enter the aneurysm sac. Concerns, however, have been raised regarding the cost compared with coiling techniques. The aim of this study was to evaluate the relative costs for different aneurysm sizes to ascertain if different sizes are more cost-effectively treated by a particular method. ⋯ Given the price parity threshold crossed for aneurysms >12 mm requiring stent assistance and the relative ease of the flow diverter technique, we suggest that flow diversion should be considered the first-line treatment for aneurysms in this category.
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J Med Imaging Radiat Oncol · Aug 2013
Five-year analysis of magnetic resonance imaging as a screening tool in women at hereditary risk of breast cancer.
Women at very high risk of breast cancer are recommended to undertake enhanced surveillance with annual MRI in addition to mammography. We aimed to review the performance of breast MRI as a screening modality over its first 5 years at our institution. ⋯ Breast MRI as a screening modality for malignant lesions in women with high hereditary risk is valuable. The recall rate, especially in the prevalent round, improved with radiologist experience.
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J Med Imaging Radiat Oncol · Aug 2013
Ultrashort time-to-echo MRI of the cartilaginous endplate: technique and association with intervertebral disc degeneration.
The purpose of this study was to report the feasibility of the ultrashort time-to-echo (UTE) MRI technique to assess cartilaginous endplate (CEP) defects in humans in vivo and to assess their relationship with intervertebral disc (IVD) degeneration. ⋯ Our study demonstrates the feasibility of using UTE MRI in humans in vivo to assess the integrity of the CEP. A statistically significant association was found to exist between the presence of CEP defects and IVD degeneration. In the lower lumbar region, more severe degeneration was found to occur in the IVDs with CEP defects than in those without defects.