AJR. American journal of roentgenology
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AJR Am J Roentgenol · Mar 2018
Accuracy of CT Attenuation Measurement for Differentiating Treated Osteoblastic Metastases From Enostoses.
The objective of our study was to assess whether the maximum and mean CT attenuations are accurate for differentiating between enostoses and treated sclerotic metastases. ⋯ The mean and maximum CT attenuations can differentiate between enostoses and sclerotic metastases; however, the accuracy of both metrics decreases after treatment.
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The U.S. Preventive Services Task Force recommendation and Centers for Medicare & Medicaid Services coverage decision have created a favorable environment for implementation of clinical population-wide lung cancer screening. The purpose of this article is to describe effective recruitment methods for clinical lung cancer screening programs, with a focus on addressing barriers to screening for socioeconomically disadvantaged communities. ⋯ Large-scale recruitment of high-risk individuals into screening programs across the country is essential to significantly decrease the mortality associated with lung cancer. Recruitment strategies must also be tailored to minority and underserved communities, because they are at the highest risk for developing lung cancer.
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AJR Am J Roentgenol · Feb 2018
ReviewScreening Mammography in Women 40-49 Years Old: Current Evidence.
Breast cancer is an important health problem for women 40-49 years old, yet screening mammography for this age group remains controversial. This article reviews recent guidelines and supporting evidence on screening mammography in women of this age group. ⋯ Evidence supports the benefit of annual screening mammography in women 40-49 years old. Models of different breast cancer screening strategies consistently show the greatest breast cancer mortality reduction and life-years gained with annual screening starting when women reach 40 years old.
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Older women undergoing regular mammography experience significant reductions in breast cancer mortality, except in women with severe comorbidities or limited life expectancy. Optimizing screening strategies requires informed discussions of benefits and risks given each woman's health status. ⋯ This article will review the benefits and risks of screening mammography in women older than 75 years within the context of life expectancy and comorbidities and summarize the current recommendations from professional organizations for screening mammography in older women.
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The aim of this article is to review the available evidence regarding image-guided percutaneous cryoneurolysis, with a focus on indications, technique, efficacy, and potential complications. ⋯ Percutaneous image-guided cryoneurolysis is safe and effective for the management of several well-described syndromes involving neuropathic pain. Additional rigorous prospective study is warranted to further define the efficacy and specific role of these interventions.