Radiology
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Randomized Controlled Trial
Shoulder MR arthrography: intraarticular anesthetic reduces periprocedural pain and major motion artifacts but does not decrease imaging time.
To prospectively determine whether the addition of an intraarticular anesthetic to the magnetic resonance (MR) arthrography solution has an effect on periprocedural pain, motion artifacts, and imaging time. ⋯ The use of an intraarticular anesthetic significantly reduces periprocedural pain and major motion artifacts associated with MR shoulder arthrography; however, total MR imaging time is not reduced.
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To improve clinical three-dimensional (3D) MR spectroscopic imaging with more accurate localization and faster acquisition schemes. ⋯ The proposed adiabatic spiral 3D MR spectroscopic imaging sequence can be performed in a standard clinical MR environment. Improvements in image quality and imaging time could enable more routine acquisition of spectroscopic data than is possible with current pulse sequences.
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To determine the effect of evidence-based clinical decision support (CDS) on the use and yield of computed tomographic (CT) pulmonary angiography for acute pulmonary embolism (PE) in the emergency department (ED). ⋯ Implementation of evidence-based CDS in the ED was associated with a significant decrease in use, and increase in yield, of CT pulmonary angiography for the evaluation of acute PE.
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Comparative Study
Digital subtraction CT angiography for detection of intracranial aneurysms: comparison with three-dimensional digital subtraction angiography.
To evaluate the diagnostic accuracy of digital subtraction computed tomographic (CT) angiography in the detection of intracranial aneurysms compared with three-dimensional (3D) rotational digital subtraction angiography (DSA), as reference standard, in a large cohort in a single center. ⋯ Digital subtraction CT angiography has a high sensitivity and specificity in depicting intracranial aneurysms with different sizes and at different locations, compared with 3D DSA.
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Pulmonary embolism (PE) is a leading cause of maternal mortality in the developed world. Along with appropriate prophylaxis and therapy, prevention of death from PE in pregnancy requires a high index of clinical suspicion followed by a timely and accurate diagnostic approach. ⋯ The recommendations presented in this guideline are based upon the currently available evidence; availability of new clinical research data and development and dissemination of new technologies will necessitate a revision and update.