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A importância do diagnóstico por imagem na classificação dos endoleaks como complicação do tratamento endovascular de aneurismas aórticos; The value of diagnostic imaging in the classification of endoleaks as a complication of endoluminal grafting of aortic aneurysms

CHAGAS NETO, Francisco Abaeté das; BARRETO, André Rodrigues Façanha; REIS, Henrique Ferreira dos; BERNARDES, João Paulo Giacomini; LEITÃO, Juliana Pinho da Costa; LUCENA, Adson Freitas de; MUGLIA, Valdair Francisco; ELIAS JUNIOR, Jorge
Fonte: Colégio Brasileiro de Radiologia e Diagnóstico por Imagem Publicador: Colégio Brasileiro de Radiologia e Diagnóstico por Imagem
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
55.95%
OBJETIVO: Relatar uma série de casos de endoleaks, com descrição da classificação vigente. MATERIAIS E MÉTODOS: Realizou-se um estudo retrospectivo dos endoleaks diagnosticados em nossa instituição, entre 2005 e 2009. Foram incluídos 20 casos, utilizados para ilustrar os diferentes tipos de endoleaks. RESULTADOS: Setenta por cento dos pacientes eram do sexo masculino. A idade variou entre 43 e 91 anos, média de 76,3 anos. Treze casos foram observados na aorta abdominal infrarrenal, quatro na aorta torácica, dois nas artérias ilíacas e um no território carotídeo. A ultrassonografia foi o método utilizado para o diagnóstico em 3 casos e a tomografia computadorizada, nos outros 17 casos. Classificação: tipo I, 60%; tipo II, 25%; tipo III, 15%. Não foram observados os demais tipos nesta série. CONCLUSÃO: O diagnóstico precoce e a correta classificação são fundamentais para o manejo adequado dos casos de endoleaks, tornando o conhecimento de seus subtipos conceito fundamental na formação do médico especialista em radiologia e diagnóstico por imagem e para o cirurgião vascular.; OBJECTIVE: To describe a series of endoleak cases and their respective classification. MATERIALS AND METHODS: The authors developed a retrospective study of endoleaks diagnosed at their institution in the period between 2005 and 2009. Twenty cases were included to illustrate the different types of endoleaks. RESULTS: Seventy percent of the patients were men...

Avaliação morfológica e angiográfica por tomografia computadorizada e ressonância magnética do círculo arterial do cérebro.; Morphologic and angiographic computer tomography and magnetic resonance imaging of arterial circle of the brain (Willis Polygon).

Regattieri, Neysa Aparecida Tinoco
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 18/10/2012 PT
Relevância na Pesquisa
56.08%
O círculo arterial do cérebro (CAC) é objeto de estudo desde os princípios da anatomia moderna e ao longo dos séculos documentado e classificado de várias maneiras. Recentemente o desenvolvimento dos métodos diagnósticos por imagem e de ultraestrutura abriram um novo leque nas possibilidades de investigação. Neste trabalho o CAC foi avaliado por meio de exames por angiotomografia computadorizada, por angiorressonância magnética, fotografias de peças anatômicas, histologia, microscopia eletrônica por varredura e por transmissão. Verificou-se na amostra que o CAC possui tendência a simetria. Os achados foram similares na comparação entre os métodos de diagnóstico por imagem, porém não demonstraram todos os achados dos espécimes anatômicos. A metodologia utilizada permitiu verificar que as camadas das paredes das diferentes artérias podem explicar parcialmente as diferenças nos achados entre os métodos de imagem e as peças anatômicas. Os dados aqui apresentados revestem-se de grande importância clínica e cirúrgica uma vez que o CAC é um elemento chave na circulação cerebral.; The Willis Polygon (WP) has been studied since the beginning of modern anatomy and documented and classified over the centuries in various ways. Recently the development of diagnostic imaging methods and ultra structure opened a new range of possibilities in the investigation. In this work the WP was assessed by computer tomography angiography examinations by magnetic resonance angiography...

Diagnostic accuracy of sonography for pleural effusion: systematic review

Grimberg,Alexandre; Shigueoka,David Carlos; Atallah,Álvaro Nagib; Ajzen,Sergio; Iared,Wagner
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2010 EN
Relevância na Pesquisa
55.96%
CONTEXT AND OBJECTIVE: The initial method for evaluating the presence of pleural effusion was chest radiography. Isolated studies have shown that sonography has greater accuracy than radiography for this diagnosis; however, no systematic reviews on this matter are available in the literature. Thus, the aim of this study was to evaluate the accuracy of sonography in detecting pleural effusion, by means of a systematic review of the literature. DESIGN AND SETTING: This was a systematic review with meta-analysis on accuracy studies. This study was conducted in the Department of Diagnostic Imaging and in the Brazilian Cochrane Center, Discipline of Emergency Medicine and Evidence-Based Medicine, Department of Medicine, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil. METHOD: The following databases were searched: Cochrane Library, Medline, Web of Science, Embase and Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs). The references of relevant studies were also screened for additional citations of interest. Studies in which the accuracy of sonography for detecting pleural effusion was tested, with an acceptable reference standard (computed tomography or thoracic drainage), were included. RESULTS: Four studies were included. All of them showed that sonography had high sensitivity...

Aptamer-based radiopharmaceuticals for diagnostic imaging and targeted radiotherapy of epithelial tumors

Missailidis,Sotiris; Perkins,Alan; Santos-Filho,Sebastião David; Fonseca,Adenilson de Souza da; Bernardo-Filho,Mario
Fonte: Instituto de Tecnologia do Paraná - Tecpar Publicador: Instituto de Tecnologia do Paraná - Tecpar
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2008 EN
Relevância na Pesquisa
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In the continuous search for earlier diagnosis and improved therapeutic modalities against cancer, based on our constantly increasing knowledge of cancer biology, aptamers hold the promise to expand on current antibody success, but overcoming some of the problems faced with antibodies as therapeutic or delivery agents in cancer. However, as the first aptamer reached the market as an inhibitor against angiogenesis for the treatment of macular degeneration, aptamers have found only limited applications or interest in oncology, and even less as radiopharmaceuticals for diagnostic imaging and targeted radiotherapy of tumours. Yet, the chemistry for the labelling of aptamers and the options to alter their pharmacokinetic properties, to make them suitable for use as radiopharmaceuticals is now available and recent advances in their development can demonstrate that these molecules would make them ideal delivery vehicles for the development of targeted radiopharmaceuticals that could deliver their radiation load with accuracy to the tumour site, offering improved therapeutic properties and reduced side effects.

National examination of Brazilian residents and specialization trainees in radiology and diagnostic imaging: a tool for evaluating the qualifications of future radiologists

Moreira,Fernando Alves; Baptista,Luciana de Pádua Silva; Soares,Aldemir Humberto; Lederman,Henrique Manuel; Ajzen,Sergio Aron; Szejnfeld,Jacob
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2007 EN
Relevância na Pesquisa
66.02%
PURPOSE: This is a study of performance based on an In-training Examination for Radiology and Diagnostic Imaging targeting residents (R) and specialization trainees (ST) in Radiology. The radiological training may differ between R and ST in some centers. The authors present their experience and thoughts regarding the first three years of application of the In-training Examination administered by The Brazilian College of Radiology. METHODS: Three hundred and eight-six tests were analyzed in 1999, 715 in 2000, and 731 in 2001. The yearly tests consisted of multiple-choice answers, some with interpretation of digital images, and were divided into 9 specialties: neurology, thorax, physics, pediatrics, digestive system, urinary system, musculoskeletal system, mammography, and gynecology-obstetrics. Each specialty was analyzed separately. The tests were given simultaneously in 12 Brazilian cities. The subspecialty scores of examinees at different stages of training were compared (1st, 2nd, and 3rd year residents and specialization trainees), by the Kruskal-Wallis test (P<0.001). RESULTS: The 1999 examination did not reveal any significant difference between the R and ST groups (P>0.05). Generally, in 2000 and 2001, R achieved higher scores than ST (P<0.001). The performance in physics was poor for both groups for the 3 years covered by the study. CONCLUSION: The performance of residents was better than that of the specialization trainees in the majority of the subspecialties...

Diagnostic imaging at its centennial: the past, the present and the future.

Doris, C I
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 01/11/1995 EN
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Since the discovery of x-rays by Wilhelm Conrad Röntgen 100 years ago, diagnostic imaging has profoundly influenced the practice of medicine. As a result of discoveries during this period, ultrasonography, nuclear imaging, computed tomography and magnetic resonance imaging, as well as conventional radiography, have assumed a major role in diagnostic medicine. In addition to their traditional role in diagnosis, imaging techniques are becoming an increasingly important factor in innovative treatment methods, and this role is likely to expand. In the current climate of rising health care costs, radiologists and other health care providers who use imaging must increasingly account to health care funders for the cost-effectiveness of imaging in relation to other diagnostic and interventional techniques. They must also assure minimum standards of quality and training, and determine the appropriate role for diagnostic imaging in health care systems of the future.

Clinical Applications of Magnetic Resonance Imaging: Tapping the strengths of this imaging technique

Kumar, Alka; Montanera, Walter; Terbrugge, Karel G.; Willinsky, Robert; Fenton, Paul V.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /01/1992 EN
Relevância na Pesquisa
56.04%
Magnetic resonance imaging (MRI) is a relatively new diagnostic imaging technique that has substantially affected the diagnosis of a multitude of diseases. It has become the imaging modality of choice for a number of pathologic processes, especially in the central nervous system. The authors discuss the clinical applications of MRI, its current status in radiologic investigations, and radiographic features of some of the common diseases of the central nervous system.

Cancer Risks Associated with External Radiation From Diagnostic Imaging Procedures

Linet, Martha S.; Slovis, Thomas L.; Miller, Donald L.; Kleinerman, Ruth; Lee, Choonsik; Rajaraman, Preetha; de Gonzalez, Amy Berrington
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.2%
The 600% increase in medical radiation exposure to the US population since 1980 has provided immense benefit, but potential future cancer risks to patients. Most of the increase is from diagnostic radiologic procedures. The objectives of this review are to summarize epidemiologic data on cancer risks associated with diagnostic procedures, describe how exposures from recent diagnostic procedures relate to radiation levels linked with cancer occurrence, and propose a framework of strategies to reduce radiation from diagnostic imaging in patients. We briefly review radiation dose definitions, mechanisms of radiation carcinogenesis, key epidemiologic studies of medical and other radiation sources and cancer risks, and dose trends from diagnostic procedures. We describe cancer risks from experimental studies, future projected risks from current imaging procedures, and the potential for higher risks in genetically susceptible populations. To reduce future projected cancers from diagnostic procedures, we advocate widespread use of evidence-based appropriateness criteria for decisions about imaging procedures, oversight of equipment to deliver reliably the minimum radiation required to attain clinical objectives, development of electronic lifetime records of imaging procedures for patients and their physicians...

Diagnostic Imaging of Pulmonary Thromboembolism by Multidetector-row CT

Hayashi, Hiromitsu; Kiriyama, Tomonari; Shiiba, Masato; Tachi, Masaki; Kuwako, Tomoyuki; Ueda, Tatsuo; Yamagguchi, Hidenori; Sekine, Tetsuro; Kobayashi, Yasuhiro; Takagi, Ryo; Kumita, Shin-ichiro
Fonte: The Editorial Committee of Annals of Vascular Diseases Publicador: The Editorial Committee of Annals of Vascular Diseases
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
56.06%
For diagnosis of pulmonary thromboembolism, multidetector-row computed tomography (CT) is a minimally invasive imaging technique that can be performed rapidly with high sensitivity and specificity, and has been increasingly employed as the imaging modality of first choice for this disease. Since deep vein thrombosis in the legs, which is important as a thrombus source, can be evaluated immediately after the diagnosis of pulmonary thromboembolism, this diagnostic method is considered to provide important information when deciding on a comprehensive therapeutic strategy for this disease.

Sinus Venosus Atrial Septal Defect as a Cause of Palpitations and Dyspnea in an Adult: A Diagnostic Imaging Challenge

Donovan, Michael S.; Kassop, David; Liotta, Robert A.; Hulten, Edward A.
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.14%
Sinus venosus atrial septal defects (SV-ASD) have nonspecific clinical presentations and represent a diagnostic imaging challenge. Transthoracic echocardiography (TTE) remains the initial diagnostic imaging modality. However, detection rates have been as low as 12%. Transesophageal echocardiography (TEE) improves diagnostic accuracy though it may not detect commonly associated partial anomalous pulmonary venous return (PAPVR). Cardiac magnetic resonance (CMR) imaging provides a noninvasive, highly sensitive and specific imaging modality of SV-ASD. We describe a case of an adult male with exercise-induced, paroxysmal supraventricular tachycardia who presented with palpitations and dyspnea. Despite nondiagnostic imaging results on TTE, CMR proved to be instrumental in visualizing a hemodynamically significant SV-ASD with PAPVR that ultimately led to surgical correction.

Estudo comparativo das aplicações dos objetos de teste Eurospin e American College of Radiology no controle de qualidade em ressonância magnética

Krzyuy, Ariadne Maria
Fonte: Curitiba Publicador: Curitiba
Tipo: Dissertação de Mestrado
POR
Relevância na Pesquisa
46.14%
Magnetic resonance imaging (MRI) is a method of diagnostic imaging which has advantages over other methods, which caused the number of installed equipment in the large Brazilian centers increased 88% over the past 5 years and about 508% in the last 15 years, which shows the importance of this method as a diagnostic imaging modality. To ensure medical imaging with diagnostic quality, it is necessary that the equipment is monitored for quality of the images they produce. Therefore, in order to maintain the quality of medical images at the highest level and ensure the proper performance of equipment, are implemented Quality Control (QC) programs in MRI. In Brazil, there are few works published discussing the procedures for the QC in MRI and there are no national standards for its regulation. The standardization and recommendation on QC in MRI is restricted to the work of international organizations. The best-known commercially available test objects are the test object (TO) Eurospin and the American College of Radiology (ACR), and several international research groups have published studies on QC in MRI with promising results using these objects. The aim of this work is to study the methodology of use of the test objects Eurospin and ACR...

Estudo descritivo de alterações dentárias de equídeos utilizando a radiografia e a tomografia como métodos auxiliares de diagnóstico; Descriptive study of dental changes of equidae using radiography and tomography as auxiliary methods of diagnostic

FARIA, Carlos Vinícius de Miranda
Fonte: Universidade Federal de Goiás; BR; UFG; Mestrado em Ciência Animal; Ciências Agrárias - Veterinaria Publicador: Universidade Federal de Goiás; BR; UFG; Mestrado em Ciência Animal; Ciências Agrárias - Veterinaria
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
56%
Tomographic and radiographic examination can help in the diagnostic and prognostic of lesions in equids check teeth based on knowledge of topographic anatomy. Many dental lesions still need better diagnostic imaging carachterization. The objective of this study was to compare and correlate images from radiography and computerized tomography with visual inspection of equids heads. After being submited and approved in the UFG Research Ethical Committee, protocol Nº 193/2011., were utilized 10 equids skulls of animals from the clinical and surgical service of Veterinary Hospital from School of Veterinary and Animal Science of Goiás Federal University (HV/EVZ/UFG) and pieces from the pathology service of EVZ/UFG. For radiographic examination were used lateral, lateral oblique (30º and 45º) for maxilla and mandible and dorsoventral. For tomographic examination the skulls were positioned in the ventral region of mandibula over the tomography s table and images were obtained in transverse slides. From visual inspections were observed dental enamel overgrowth in all the heads (100%), rostral and caudal hook were observed in four heads (40%), rostral and caudal ramp in six heads (60%), diastema in three heads (30%), wave in two heads (20%)...

Addressing "waste" in diagnostic imaging: Some implications of comparative effectiveness research

Elshaug, A.; Bessen, T.; Moss, J.; Hiller, J.
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
55.99%
Comparative effectiveness research is intended to provide evidence to improve patient outcomes through the use of the most appropriate health technology affordable. The authors present 5 case studies, focusing on the use of plain radiography in common clinical scenarios, to illustrate the considerable scope for comparative effectiveness research within medical imaging and the different levels of evidence currently in existence to guide the improved use of medical imaging. These are blunt ankle injury, breast cancer follow-up, low back pain, routine daily chest x-rays in intensive care, and screening for breast cancer. Although there are established models for evaluating new technologies, especially pharmaceuticals, against the most commonly used current technology, the evaluation of technologies in current clinical practice is in an early phase of development. Because evaluation resources are limited, one major challenge is developing ways to identify established technologies for evaluation to refine the indications for their use. A set of criteria with which to identify established technologies that may not be delivering value for money is described, and their use is illustrated in relation to the 5 case studies. These criteria could be incorporated into literature search strategies...

A before and after study of the impact of academic detailing on the use of diagnostic imaging for shoulder complaints in general practice

Broadhurst, N.; Barton, C.; Rowett, D.; Yelland, L.; Matin, D.; Gialamas, A.; Beilby, J.
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
66.1%
Background: The aim of this study was to assess the impact that Academic Detailing (AD) had on General Practitioners' use of diagnostic imaging for shoulder complaints in general practice and their knowledge and confidence to manage shoulder pain. Methods: One-to-one Academic Detailing (AD) for management of shoulder pain was delivered to 87 General Practitioners (GPs) in metropolitan Adelaide, South Australia, together with locally developed clinical guidelines and a video/DVD on how to examine the shoulder. Three months after the initial AD a further small group or an individual follow up session was offered. A 10-item questionnaire to assess knowledge about the shoulders was administered before, immediately after, and 3 months after AD, together with questions to assess confidence to manage shoulder complaints. The number of requests for plain film (X-ray) and ultrasound (US) imaging of the shoulder was obtained for the intervention group as well as a random comparison group of 90 GP's from the same two Divisions. The change in the rate of requests was assessed using a log Poisson GEE with adjustment for clustering at the practice level. A linear mixed effects model was used to analyse changes in knowledge. Results: In an average week 54% of GPs reported seeing fewer than 6 patients with shoulder problems. Mean (SD) GP knowledge score before...

The knowledge about diagnostic imaging methods among primary care and medical emergency physicians

Borém,Luciana Mendes Araújo; Figueiredo,Maria Fernanda Santos; Silveira,Marise Fagundes; Rodrigues Neto,João Felício
Fonte: Colégio Brasileiro de Radiologia e Diagnóstico por Imagem Publicador: Colégio Brasileiro de Radiologia e Diagnóstico por Imagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2013 EN
Relevância na Pesquisa
56.07%
Objective To evaluate the knowledge about diagnostic imaging methods among primary care and medical emergency physicians. Materials and Methods Study developed with 119 primary care and medical emergency physicians in Montes Claros, MG, Brazil, by means of a structured questionnaire about general knowledge and indications of imaging methods in common clinical settings. A rate of correct responses corresponding to ≥ 80% was considered as satisfactory. The Poisson regression (PR) model was utilized in the data analysis. Results Among the 81 individuals who responded the questionnaire, 65% (n = 53) demonstrated to have satisfactory general knowledge and 44% (n = 36) gave correct responses regarding indications of imaging methods. Respectively, 65% (n = 53) and 51% (n = 41) of the respondents consider that radiography and computed tomography do not use ionizing radiation. The prevalence of a satisfactory general knowledge about imaging methods was associated with medical residency in the respondents' work field (PR = 4.55; IC 95%: 1.18-16.67; p-value: 0.03), while the prevalence of correct responses regarding indication of imaging methods was associated with the professional practice in primary health care (PR = 1.79; IC 95%: 1.16-2.70; p-value: 0.01). Conclusion Major deficiencies were observed as regards the knowledge about imaging methods among physicians...

DIAGNÓSTICO POR IMAGEM NO TRAUMA ABDOMINAL; IMAGING IN ABDOMINAL TRAUMA

Lucchesi, Fabiano R.; Laguna, Claudio B.; Monteiro, Carlos R.; Prado, Cecília H. M. A.; Elias Junior, Jorge
Fonte: Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto Publicador: Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 30/12/1999 POR
Relevância na Pesquisa
55.95%
In this update review, we describe recents improvements of diagnostic imaging and their role in practical assistance of abdominal trauma. We also analyze abdominal injury as well as its main radiological features .; A presente revisão objetiva descrever os recentes avanços tecnológicos dos métodos de diagnóstico por imagem e sua atual aplicabilidade no manuseio dos pacientes com trauma abdominal, bem como as principais apresentações pelos métodos de imagem dos diversos órgãos envolvidos.

Prova Nacional dos Residentes e Especializandos em Radiologia e Diagnóstico por Imagem no Brasil: instrumento de avaliação da qualificação do futuro radiologista; National examination of Brazilian residents and specialization trainees in radiology and diagnostic imaging: a tool for evaluating the qualifications of future radiologists

Moreira, Fernando Alves; Baptista, Luciana de Pádua Silva; Soares, Aldemir Humberto; Lederman, Henrique Manuel; Ajzen, Sergio Aron; Szejnfeld, Jacob
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/01/2007 ENG
Relevância na Pesquisa
66.02%
OBJETIVO: Estudo comparativo entre o desempenho dos residentes e especializandos em radiologia por meio da Prova Nacional dos Residentes e Especializandos em Radiologia e Diagnóstico por Imagem (PNRERADI), durante os três primeiros anos de sua aplicação. O ensino nos centros de formação em radiodiagnóstico pode diferir entre residentes e especializandos. MÉTODOS: Foram analisadas 386 provas em 1999, 715 em 2000 e 731 em 2001. As provas foram divididas em nove subespecialidades: neurologia, tórax, digestivo, física, pediatria, urinário, músculo-esquelético, mamografia e ginecologia-obstetrícia, cada uma delas avaliada separadamente, constando de testes de múltipla escolha, algumas com interpretação de imagens digitalizadas. As provas foram aplicadas simultaneamente em 12 cidades distribuídas no território nacional. As subespecialidades foram comparadas nos diversos níveis (residentes e especializandos de 1º, 2º e 3º anos) através do teste não-paramétrico de Kruskal-Wallis (p; PURPOSE: This is a study of performance based on an In-training Examination for Radiology and Diagnostic Imaging targeting residents (R) and specialization trainees (ST) in Radiology. The radiological training may differ between R and ST in some centers. The authors present their experience and thoughts regarding the first three years of application of the In-training Examination administered by The Brazilian College of Radiology. METHODS: Three hundred and eight-six tests were analyzed in 1999...

Healthcare provider and patient perspectives on diagnostic imaging investigations

Makanjee,Chandra R.; Bergh,Anne-Marie; Hoffmann,Willem A.
Fonte: African Journal of Primary Health Care & Family Medicine Publicador: African Journal of Primary Health Care & Family Medicine
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
46.17%
BACKGROUND: Much has been written about the patient-centred approach in doctor-patient consultations. Little is known about interactions and communication processes regarding healthcare providers' and patients' perspectives on expectations and experiences of diagnostic imaging investigations within the medical encounter. Patients journey through the health system from the point of referral to the imaging investigation itself and then to the post-imaging consultation. AIM AND SETTING: To explore healthcare provider and patient perspectives on interaction and communication processes during diagnostic imaging investigations as part of their clinical journey through a healthcare complex. METHODS: A qualitative study was conducted, with two phases of data collection. Twenty-four patients were conveniently selected at a public district hospital complex and were followed throughout their journey in the hospital system, from admission to discharge. The second phase entailed focus group interviews conducted with providers in the district hospital and adjacent academic hospital (medical officers and family physicians, nurses, radiographers, radiology consultants and registrars. RESULTS: Two main themes guided our analysis: (1) provider perspectives; and (2) patient dispositions and reactions. Golden threads that cut across these themes are interactions and communication processes in the context of expectations...

Diagnostic imaging of migrating kebab (sosatie) sticks: a review of 8 cases

Stander,N; Kirberger,R M
Fonte: Journal of the South African Veterinary Association Publicador: Journal of the South African Veterinary Association
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 EN
Relevância na Pesquisa
55.96%
Complications related to extraluminal migration of ingested kebab (sosatie) sticks are infrequently diagnosed in small animals. A total of 8 cases diagnosed with extragastric migration of ingested kebab sticks were retrospectively evaluated. No significant breed or sex predilection was found but there was a tendency for animals to present at a younger age (less than 3 years). Clinical signs (of variable duration) were non-specific and included haemoptysis, abdominal pain, regurgitation, subcutaneous abscessation and chronic draining sinus tracts, making a clinical diagnosis difficult. Ultrasonography proved invaluable in facilitating the diagnosis of kebab stick migration in 6 of the cases and computed tomography unexpectedly identified a kebab stick that had migrated into the thorax in 1 patient. Survey radiography was generally found to be insensitive in identifying the kebab sticks. The aim of this article is to alert veterinarians to a clinical syndrome that may not be considered a differential diagnosis in patients with non-specific inflammatory disease of the thorax, abdomen or pelvic regions and to illustrate the usefulness of the various diagnostic imaging modalities in facilitating a diagnosis of kebab stick ingestion and its possible secondary complications.

Accreditation of diagnostic imaging services in developing countries

Jiménez,Pablo; Borrás,Cari; Fleitas,Ileana
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2006 EN
Relevância na Pesquisa
66.08%
In recent decades, medical imaging has experienced a technological revolution. After conducting several surveys to assess the quality and safety of diagnostic imaging services in Latin America and the Caribbean, the Pan American Health Organization (PAHO) developed a basic accreditation program that can be implemented by the ministry "of health of any developing country. Patterned after the American College of Radiology's accreditation program, the PAHO program relies on a national accreditation committee to establish and maintain accreditation standards. The process involves a peer review evaluation of: (1) imaging and processing equipment, (2) physician and technologist staff qualifications, (3) quality control and quality assurance programs, and (4) image quality and, where applicable, radiation dose. Public and private conventional radiography/ fluoroscopy, mammography, and ultrasound services may request accreditation. The radiography/fluoroscopy accreditation program has three modules from which to choose: chest radiography, general radiography, and fluoroscopy. The national accreditation committee verifies compliance with the standards. On behalf of the ministry of health, the accreditation committee also issues a three-year accreditation certificate. As needed...