AJNR. American journal of neuroradiology
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AJNR Am J Neuroradiol · Sep 2012
Coiling for paraclinoid aneurysms: time to make way for flow diverters?
Paraclinoid aneurysms represent challenging lesions for which endovascular techniques have gained widespread application in their treatment. A new endovascular strategy, flow diversion, is gaining importance in the treatment of these aneurysms. Before embracing flow diversion in larger numbers of patients with paraclinoid aneurysms, it is important to know the safety and efficacy of "traditional" endovascular methods for these aneurysms. We review complications and outcomes of patients with unruptured paraclinoid aneurysms treated with coils, with or without balloon and stent assistance, over the past 12 years at our institution. ⋯ Modern endovascular coil treatment of unruptured paraclinoid aneurysms appears safe, with satisfactory, although not ideal, rates of complete occlusion. The introduction of flow diverters will probably increase the rate of complete angiographic occlusion, but this must be achieved with low complication rates.
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Assessment of postpublication errors in peer-reviewed journals is difficult and the numbers and types are unknown. We reviewed published errata in major clinical imaging journals in an attempt to understand the numbers and sources of errors in published articles. ⋯ Analysis of the 8910 articles published by the 5 journals during the study period, revealed the number of minor and major errors were few, 1.66% and 0.11%, respectively. Of these errors, 93.7% were considered minor and 6.3% major. Most major errors were judged to be the responsibility of the authors, whereas most minor ones were the responsibility of the journals.
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A brief review of the Meaningful Use incentive program for eligible professionals is presented, highlighting the legislative history, criteria, and incentive payment plan of the program. Clinical measures applicable to radiology practice and the barriers to implementation are discussed. Resources are also provided for further information on the requirements and enrollment of the program.
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AJNR Am J Neuroradiol · Sep 2012
ReviewRole of facet joints in spine pain and image-guided treatment: a review.
Chronic low back and neck pain remain prevalent medical concerns, with much debate regarding the effective evaluation and treatment. Facet disease has been implicated as a source of axial nonradiating low back pain. We discuss patient evaluation, the role of imaging, current and emerging image-guided therapies for facet-related pain, and the increasing importance of outcome-related research in this arena.
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AJNR Am J Neuroradiol · Sep 2012
Multicenter StudyVertebral endplate changes are not associated with chronic low back pain among Southern European subjects: a case control study.
Data on the association between vertebral endplate changes and low back pain are contradictory. This study was designed to assess whether this association exists among Southern European subjects. ⋯ In Southern European subjects, vertebral endplate changes are not associated with chronic LBP.