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  1. Article: Association of Retrospective Peer Review and Positive Predictive Value of Magnetic Resonance Imaging-Guided Vacuum-Assisted Needle Biopsies of Breast.

    Yalnız, Ceren / Rosenblat, Juliana / Spak, David / Wei, Wei / Scoggins, Marion / Le-Petross, Carisa / Dryden, Mark J / Adrada, Beatriz / Doğan, Başak E

    European journal of breast health

    2019  Volume 15, Issue 4, Page(s) 229–234

    Abstract: Objective: To evaluate the association between retrospective peer review of breast magnetic resonance imaging-guided vacuum-assisted needle biopsies and positive predictive value of subsequent magnetic resonance imaging-guided biopsies.: Materials and ...

    Abstract Objective: To evaluate the association between retrospective peer review of breast magnetic resonance imaging-guided vacuum-assisted needle biopsies and positive predictive value of subsequent magnetic resonance imaging-guided biopsies.
    Materials and methods: In January, 2015, a weekly conference was initiated in our institution to evaluate all breast magnetic resonance imaging-guided vacuum-assisted needle biopsies performed over January 1, 2014-December 31, 2015. During this weekly conferences, breast dynamic contrast-enhanced magnetic resonance imaging findings of 6 anonymized cases were discussed and then the faculty voted on whether they agree with the biopsy indication, accurate sampling and radiology-pathology correlation. We retrospectively reviewed and compared the magnetic resonance imaging indication, benign or malignant pathology rates, lesion types and the positive predictive value of magnetic resonance imaging-guided vacuum-assisted needle biopsy in the years before and after initiating this group peer review.
    Results: The number of dynamic contrast-enhanced magnetic resonance imaging and magnetic resonance imaging-guided vacuum-assisted needle biopsies before and after initiating the review were 1447 vs 1596 (p=0.0002), and 253 (17.5%) vs 203 (12.7%) (p=0.04), respectively. There was a significant decrease in the number of benign biopsies in 2015 (n=104) compared to 2014 (n=154, p=0.04). The positive predictive value of magnetic resonance imaging-guided biopsy significantly increased after group review was implemented (Positive predictive value in 2014=%39.1 and positive predictive value in 2015=%48.8) (p=0.03), although the indications (p=0.49), history of breast cancer (p=0.14), biopsied magnetic resonance imaging lesion types (p=0.53) were not different. Less surgical excision was performed on magnetic resonance imaging-guided vacuum-assisted needle biopsy identified high-risk lesions in 2015 (p=0.25).
    Conclusion: Our study showed an association between retrospective peer review of past biopsies and increased positive predictive value of magnetic resonance imaging-guided vacuum-assisted needle biopsies in our institution.
    Language English
    Publishing date 2019-10-01
    Publishing country Turkey
    Document type Journal Article
    ISSN 2587-0831
    ISSN 2587-0831
    DOI 10.5152/ejbh.2019.5002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Findings of cecal volvulus at CT.

    Rosenblat, Juliana M / Rozenblit, Alla M / Wolf, Ellen L / DuBrow, Ronelle A / Den, Elana I / Levsky, Jeffrey M

    Radiology

    2010  Volume 256, Issue 1, Page(s) 169–175

    Abstract: Purpose: To assess the diagnostic performance of computed tomographic (CT) and radiographic (as seen on CT topograms) signs of cecal volvulus.: Materials and methods: In this institutional review board-approved, HIPAA-compliant retrospective study, ... ...

    Abstract Purpose: To assess the diagnostic performance of computed tomographic (CT) and radiographic (as seen on CT topograms) signs of cecal volvulus.
    Materials and methods: In this institutional review board-approved, HIPAA-compliant retrospective study, the CT and CT topogram findings in 11 patients (one man, 10 women; age range, 26-100 years) with surgically confirmed cecal volvulus and 12 control patients were reviewed. The control subjects had suspicious radiographs, had undergone CT within 24 hours of radiography, and had received a clinical diagnosis other than cecal volvulus. Three radiologists independently evaluated the CT topograms for cecal distention, the coffee bean sign, cecal apex location, and distal colon decompression. CT images were analyzed for cecal distention, cecal apex location, distal colon decompression, and presence or absence of the whirl, ileocecal twist, transition point(s), the X-marks-the-spot, and the split wall. Sensitivity, specificity, and predictive values were computed. Baseline statistical values for the cecal volvulus and control groups were analyzed by using a two-tailed Z test to compare proportions with a threshold confidence interval of 95%. CT findings of bowel ischemia (free air or fluid, pneumatosis intestinalis, portal venous gas, mesenteric stranding) were correlated with pathology report findings.
    Results: On CT topograms, greater than 10-cm cecal distention, coffee bean sign, and left upper quadrant cecal apex had sensitivities of 45% (five of 11 patients), 27% (three of 11 patients), and 45% (five of 11 patients), respectively, and specificities of 100% (12 of 12 control subjects), 92% (11 of 12 control subjects), and 100% (12 of 12 control subjects), respectively. Distal colon decompression had sensitivities and specificities of 91% (10 of 11 patients) and 83% (10 of 12 control subject), respectively, on topograms and of 91% (10 of 11 patients) and 92% (11 of 12 patients), respectively, on CT images. On cross-sectional CT images, greater than 10-cm cecal distention, left upper quadrant cecal apex, whirl, ileocecal twist, transition point(s), X-marks-the-spot, and split wall had sensitivities of 45% (five of 11 patients), 36% (four of 11 patients), 73% (eight of 11 patients), 54% (six of 11 patients), 82% (nine of 11 patients), 27% (three of 11 patients), and 54% (six of 11 patients), respectively; each had 100% specificity. Pneumatosis intestinalis and free air had 100% (four of four control subjects) specificity. Overall, CT signs of bowel ischemia correlated poorly with pathology report findings.
    Conclusion: When cecal volvulus is suspected, the absence of distal colonic decompression on CT topograms makes the diagnosis very unlikely. Whirl, ileocecal twist, transition points, X-marks-the-spot, and split wall have high specificity for cecal volvulus.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cecum/diagnostic imaging ; Contrast Media ; Diatrizoate Meglumine ; Female ; Humans ; Intestinal Volvulus/diagnostic imaging ; Intestinal Volvulus/surgery ; Iohexol/analogs & derivatives ; Male ; Middle Aged ; Predictive Value of Tests ; Retrospective Studies ; Sensitivity and Specificity ; Tomography, X-Ray Computed/methods ; Triiodobenzoic Acids
    Chemical Substances Contrast Media ; Triiodobenzoic Acids ; Diatrizoate Meglumine (3X9MR4N98U) ; Iohexol (4419T9MX03) ; iopromide (712BAC33MZ) ; iodixanol (HW8W27HTXX)
    Language English
    Publishing date 2010-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.10092112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Resuscitation fluid practices in Brazilian intensive care units: a secondary analysis of Fluid-TRIPS.

    Freitas, Flavio Geraldo Rezende de / Hammond, Naomi / Li, Yang / Azevedo, Luciano Cesar Pontes de / Cavalcanti, Alexandre Biasi / Taniguchi, Leandro / Gobatto, André / Japiassú, André Miguel / Bafi, Antonio Tonete / Mazza, Bruno Franco / Noritomi, Danilo Teixeira / Dal-Pizzol, Felipe / Bozza, Fernando / Salluh, Jorge Ibrahin Figueira / Westphal, Glauco Adrieno / Soares, Márcio / Assunção, Murillo Santucci César de / Lisboa, Thiago / Lobo, Suzana Margarete Ajeje /
    Barbosa, Achilles Rohlfs / Ventura, Adriana Fonseca / Souza, Ailson Faria de / Silva, Alexandre Francisco / Toledo, Alexandre / Reis, Aline / Cembranel, Allan / Rea Neto, Alvaro / Gut, Ana Lúcia / Justo, Ana Patricia Pierre / Santos, Ana Paula / Albuquerque, André Campos D de / Scazufka, André / Rodrigues, Antonio Babo / Fernandino, Bruno Bonaccorsi / Silva, Bruno Goncalves / Vidal, Bruno Sarno / Pinheiro, Bruno Valle / Pinto, Bruno Vilela Costa / Feijo, Carlos Augusto Ramos / Abreu Filho, Carlos de / Bosso, Carlos Eduardo da Costa Nunes / Moreira, Carlos Eduardo Nassif / Ramos, Carlos Henrique Ferreira / Tavares, Carmen / Arantes, Cidamaiá / Grion, Cintia / Mendes, Ciro Leite / Kmohan, Claudio / Piras, Claudio / Castro, Cristine Pilati Pileggi / Lins, Cyntia / Beraldo, Daniel / Fontes, Daniel / Boni, Daniela / Castiglioni, Débora / Paisani, Denise de Moraes / Pedroso, Durval Ferreira Fonseca / Mattos, Ederson Roberto / Brito Sobrinho, Edgar de / Troncoso, Edgar M V / Rodrigues Filho, Edison Moraes / Nogueira, Eduardo Enrico Ferrari / Ferreira, Eduardo Leme / Pacheco, Eduardo Souza / Jodar, Euzebio / Ferreira, Evandro L A / Araujo, Fabiana Fernandes de / Trevisol, Fabiana Schuelter / Amorim, Fábio Ferreira / Giannini, Fabio Poianas / Santos, Fabrício Primitivo Matos / Buarque, Fátima / Lima, Felipe Gallego / Costa, Fernando Antonio Alvares da / Sad, Fernando Cesar Dos Anjos / Aranha, Fernando G / Ganem, Fernando / Callil, Flavio / Costa Filho, Francisco Flávio / Dall Arto, Frederico Toledo Campo / Moreno, Geovani / Friedman, Gilberto / Moralez, Giulliana Martines / Silva, Guilherme Abdalla da / Costa, Guilherme / Cavalcanti, Guilherme Silva / Betônico, Gustavo Navarro / Reis, Hélder / Araujo, Helia Beatriz N / Hortiz Júnior, Helio Anjos / Guimaraes, Helio Penna / Urbano, Hugo / Maia, Israel / Santiago Filho, Ivan Lopes / Farhat Júnior, Jamil / Alvarez, Janu Rangel / Passos, Joel Tavares / Paranhos, Jorge Eduardo da Rocha / Marques, José Aurelio / Moreira Filho, José Gonçalves / Andrade, Jose Neto / Sobrinho, José Onofre de C / Bezerra, Jose Terceiro de Paiva / Alves, Juliana Apolônio / Ferreira, Juliana / Gomes, Jussara / Sato, Karina Midori / Gerent, Karine / Teixeira, Kathia Margarida Costa / Conde, Katia Aparecida Pessoa / Martins, Laércia Ferreira / Figueirêdo, Lanese / Rezegue, Leila / Tcherniacovsk, Leonardo / Ferraz, Leone Oliveira / Cavalcante, Liane / Rabelo, Ligia / Miilher, Lilian / Garcia, Lisiane / Tannous, Luana / Hajjar, Ludhmila Abrahão / Paciência, Luís Eduardo Miranda / Cruz Neto, Luiz Monteiro da / Bley, Macia Valeria / Sousa, Marcelo Ferreira / Puga, Marcelo Lourencini / Romano, Marcelo Luz Pereira / Nobrega, Marciano / Arbex, Marcio / Rodrigues, Márcio Leite / Guerreiro, Márcio Osório / Rocha, Marcone / Alves, Maria Angela Pangoni / Rosa, Maria Doroti / Dias, Mariza D'Agostino / Martins, Miquéias / Oliveira, Mirella de / Moretti, Miriane Melo Silveira / Matsui, Mirna / Messender, Octavio / Santarém, Orlando Luís de Andrade / Silveira, Patricio Júnior Henrique da / Vassallo, Paula Frizera / Antoniazzi, Paulo / Gottardo, Paulo César / Correia, Paulo / Ferreira, Paulo / Torres, Paulo / Silva, Pedro Gabrile M de Barros E / Foernges, Rafael / Gomes, Rafael / Moraes, Rafael / Nonato Filho, Raimundo / Borba, Renato Luis / Gomes, Renato V / Cordioli, Ricardo / Lima, Ricardo / López, Ricardo Pérez / Gargioni, Ricardo Rath de Oliveira / Rosenblat, Richard / Souza, Roberta Machado de / Almeida, Roberto / Narciso, Roberto Camargo / Marco, Roberto / Waltrick, Roberto / Biondi, Rodrigo / Figueiredo, Rodrigo / Dutra, Rodrigo Santana / Batista, Roseane / Felipe, Rouge / Franco, Rubens Sergio da Silva / Houly, Sandra / Faria, Sara Socorro / Pinto, Sergio Felix / Luzzi, Sergio / Sant'ana, Sergio / Fernandes, Sergio Sonego / Yamada, Sérgio / Zajac, Sérgio / Vaz, Sidiner Mesquita / Bezerra, Silvia Aparecida Bezerra / Farhat, Tatiana Bueno Tardivo / Santos, Thiago Martins / Smith, Tiago / Silva, Ulysses V A / Damasceno, Valnei Bento / Nobre, Vandack / Dantas, Vicente Cés de Souza / Irineu, Vivian Menezes / Bogado, Viviane / Nedel, Wagner / Campos Filho, Walther / Dantas, Weidson / Viana, William / Oliveira Filho, Wilson de / Delgadinho, Wilson Martins / Finfer, Simon / Machado, Flavia Ribeiro

    Revista Brasileira de terapia intensiva

    2021  Volume 33, Issue 2, Page(s) 206–218

    Abstract: Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS.: Methods: This was a prospective, international, cross-sectional, observational ...

    Title translation Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS.
    Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS.
    Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice.
    Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only.
    Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
    MeSH term(s) Brazil ; Critical Illness ; Cross-Sectional Studies ; Fluid Therapy ; Humans ; Intensive Care Units ; Isotonic Solutions ; Prospective Studies ; Rehydration Solutions ; Resuscitation
    Chemical Substances Isotonic Solutions ; Rehydration Solutions
    Language English
    Publishing date 2021-07-05
    Publishing country Brazil
    Document type Journal Article ; Observational Study
    ZDB-ID 2732162-9
    ISSN 1982-4335 ; 1982-4335
    ISSN (online) 1982-4335
    ISSN 1982-4335
    DOI 10.5935/0103-507X.20210028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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