AJNR. American journal of neuroradiology
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AJNR Am J Neuroradiol · Sep 2012
Multicenter StudyVertebral endplate changes are not associated with chronic low back pain among Southern European subjects: a case control study.
Data on the association between vertebral endplate changes and low back pain are contradictory. This study was designed to assess whether this association exists among Southern European subjects. ⋯ In Southern European subjects, vertebral endplate changes are not associated with chronic LBP.
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The severity of white matter hyperintensity, or leukoaraiosis, is a marker of cerebrovascular disease. In stroke, WMH burden is strongly linked to lacunar infarction; however, impaired cerebral perfusion due to extracranial or intracranial atherosclerosis may also contribute to WMH burden. We sought to determine whether WMH burden is associated with extracranial or intracranial stenosis in patients with AIS. ⋯ In our cohort of patients with AIS, age and HTN were the strongest determinants of the WMHV severity. Future studies are warranted to unravel further association between WMHV and cerebral vessel atherosclerosis.
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A brief review of the Meaningful Use incentive program for eligible professionals is presented, highlighting the legislative history, criteria, and incentive payment plan of the program. Clinical measures applicable to radiology practice and the barriers to implementation are discussed. Resources are also provided for further information on the requirements and enrollment of the program.
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AJNR Am J Neuroradiol · Sep 2012
Treatment of intracranial aneurysms using the pipeline flow-diverter embolization device: a single-center experience with long-term follow-up results.
Flow-diverting devices now offer a new treatment alternative for cerebral aneurysms. We present the results of a large single-center series of patients treated with the PED, including long-term follow-up. ⋯ Use of the PED is safe, efficacious, and durable in cerebral aneurysm treatment, with low morbidity-mortality and high occlusion rates as confirmed with mid- to long-term control angiography.
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AJNR Am J Neuroradiol · Sep 2012
Coiling for paraclinoid aneurysms: time to make way for flow diverters?
Paraclinoid aneurysms represent challenging lesions for which endovascular techniques have gained widespread application in their treatment. A new endovascular strategy, flow diversion, is gaining importance in the treatment of these aneurysms. Before embracing flow diversion in larger numbers of patients with paraclinoid aneurysms, it is important to know the safety and efficacy of "traditional" endovascular methods for these aneurysms. We review complications and outcomes of patients with unruptured paraclinoid aneurysms treated with coils, with or without balloon and stent assistance, over the past 12 years at our institution. ⋯ Modern endovascular coil treatment of unruptured paraclinoid aneurysms appears safe, with satisfactory, although not ideal, rates of complete occlusion. The introduction of flow diverters will probably increase the rate of complete angiographic occlusion, but this must be achieved with low complication rates.