Clinical radiology
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To describe the computed tomography (CT) findings associated with active bleeding from the internal mammary artery (IMA) in blunt trauma victims and to assess complications related to IMA haemorrhage. ⋯ Early CT recognition of active bleeding within the chest can direct rapid surgical or angiographic intervention. On-going blood loss and, in particular, the threat of cardiac tamponade must be considered with IMA injury.
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Widespread use of MRI now allows the routine identification of previously unevaluated traumatic bone marrow oedema and haemorrhage. Similar marrow oedema is identified in patients with tumours, hyperaemia and medullary congestion. Patterns and extent of traumatic bone marrow oedema and haemorrhage are dictated by mechanism. ⋯ Illustrative examples and discussion are presented. Eustace, S. (2001). Clinical Radiology56, 4-12.
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Review Comparative Study
Applying 'technology assessment' and 'evidence based medicine' theory to interventional radiology. Part 1: Suggestions for the phased evaluation of new procedures.
To compare and contrast interventional radiology (IR) clinical and research practices with the technology assessment and evidence-based medicine (EBM) paradigms and make suggestions for the phased evaluation of new IR procedures. ⋯ Principles of technology assessment and EBM can be applied to the investigation of new IR procedures. A tool is needed to simplify the application of EBM analytic methods. Better education in research methods is needed to raise the levels of evidence provided by the bulk of IR research and allow new procedures to be introduced into practice appropriately. Malone, D. E. & MacEneaney, P. M. (2000). Clinical Radiology55, 929-937.