Image findings

图像发现
  • 文章类型: Journal Article
    这项多中心研究的目的是说明COVID-19大流行封锁如何影响紧急放射学中放射学检查的工作量和结果。
    对意大利4家医院的放射科在意大利封锁3周内进行的检查进行了回顾性审查,并与2019年同期进行的检查进行了比较。仅包括急诊科(ED)的检查。每家医院的两名放射科医生将病例定义为阳性或阴性结果,基于成像研究的独立盲读数。在评估差异的情况下,他们通过讨论达成了共识。连续测量值表示为中值和四分位距,分类测量以频率和百分比表示;p值使用t检验计算,曼-惠特尼测试,和C2测试。
    在2020年接受放射学检查的患者中有745例(男性占53%;62岁[44-78])2019年为2623人(52%男性;56岁[35-76])(p<0.001)。此外,ED考试总数从3206(2019)下降到939(2020),CT检查的相对增加从23%增加到33%(p<0.001)。与2019年(684,26%)相比,2020年发现阳性的患者比例(355,48%)明显更高(p<0.001)。
    我们的研究结果表明,尽管减少了紧急放射检查,阳性病例数量相对增加。这些重要发现对于确保放射科更好地组织和改善未来类似健康紧急情况下的患者管理至关重要。
    UNASSIGNED: The aim of this multicentric study is to illustrate how the COVID-19 pandemic lockdown affected the workload and outcomes of radiological examinations in emergency radiology.
    UNASSIGNED: The exams performed in the radiology departments of 4 Italian hospitals during 3 weeks of the Italian lockdown were retrospectively reviewed and compared to the exams conducted during the same period in 2019. Only exams from the emergency department (ED) were included. Two radiologists from each hospital defined the cases as positive or negative findings, based on independent blind readings of the imaging studies. In the case of differences in the evaluation, consensus was reached amongst them via discussion. Continuous measurements are presented as median and interquartile range, while categorical measurements are presented as frequency and percentage; p-values were calculated using the t-test, Mann-Whitney test, and the c2 test.
    UNASSIGNED: There were 745 patients (53% male; 62 years [44-78]) who underwent radiological examinations in 2020 vs. 2623 (52% male; 56 years [35-76]) in 2019 (p < 0.001). Furthermore, the total number of ED exams dropped from 3206 (2019) to 939 (2020), with a relative increase of CT examinations from 23% to 33% (p < 0.001). The percentage of patients with a positive finding was significantly higher in 2020 (355, 48%) compared to 2019 (684, 26%) (p < 0.001).
    UNASSIGNED: Our findings show that despite the reduction of emergency radiological examinations, there was a rela-tive increase in the number of positive cases. These significant findings are crucial to ensure better organization of radiology departments and improve patient management during similar health emergencies in the future.
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  • 文章类型: Journal Article
    Kaposi\'s sarcoma (KS) is one of the most common diseases in patients with acquired immunodeficiency syndrome, but is rarely encountered in dental practice in Japan. We encountered a case of oral KS (OKS) presenting in the hard palate, gingiva, and tongue in a 41-year-old man. We report the results of imaging, including computed tomography (CT), magnetic resonance imaging, and positron emission tomography/CT in this case. The process leading to an imaging diagnosis of OKS is discussed, emphasizing the importance of collating clinical, laboratory, pathological, and radiological findings. The present results suggest that mapping of accurate tumors is very important in cases of OKS, and that multiple or bilateral manifestations, ill-defined margins, osteolysis, and swollen lymph nodes, in particular, need to be taken into account.
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