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Broad view of heart shows otherwise missed diagnoses
Almost a quarter of all patients in a recent U.S. study who underwent CT angiography had findings outside the heart and great vessels.
Almost a quarter of all patients in a recent U.S. study who underwent CT angiography had findings outside the heart and great vessels. Several serious diagnoses were missed with a limited viewing approach (looking at just the heart and great vessels). Use of the broad viewing approach led to more workup and follow-up imaging.
Sixteen hundred and forty-two of 6920 patients had one or more extracardiac findings for a total of 1901 findings in the broad viewing scheme. Of all the patients, 16.2% had a finding necessitating therapy, workup, or follow-up. By engaging in just the focused viewing scheme, most therapy (90.9%), workup (64.1%), and followup (51.2%) needs were missed (AJR 2010;195[1]:143-148).
Use of the focused approach resulted in fewer false-positive diagnoses, but five malignant tumors of the breast, 88 lung infiltrates, 43 cases of adenopathy, two cases of polycystic kidney disease, one breast abscess, and one case of splenic flexure diverticulitis were missed.
Study Reaffirms Low Risk for csPCa with Biopsy Omission After Negative Prostate MRI
December 19th 2024In a new study involving nearly 600 biopsy-naïve men, researchers found that only 4 percent of those with negative prostate MRI had clinically significant prostate cancer after three years of active monitoring.
Study Examines Impact of Deep Learning on Fast MRI Protocols for Knee Pain
December 17th 2024Ten-minute and five-minute knee MRI exams with compressed sequences facilitated by deep learning offered nearly equivalent sensitivity and specificity as an 18-minute conventional MRI knee exam, according to research presented recently at the RSNA conference.
Can Radiomics Bolster Low-Dose CT Prognostic Assessment for High-Risk Lung Adenocarcinoma?
December 16th 2024A CT-based radiomic model offered over 10 percent higher specificity and positive predictive value for high-risk lung adenocarcinoma in comparison to a radiographic model, according to external validation testing in a recent study.
