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  1. Book ; Online: Domain Transfer Through Image-to-Image Translation for Uncertainty-Aware Prostate Cancer Classification

    Zhou, Meng / Jamzad, Amoon / Izard, Jason / Menard, Alexandre / Siemens, Robert / Mousavi, Parvin

    2023  

    Abstract: Prostate Cancer (PCa) is often diagnosed using High-resolution 3.0 Tesla(T) MRI, which has been widely established in clinics. However, there are still many medical centers that use 1.5T MRI units in the actual diagnostic process of PCa. In the past few ... ...

    Abstract Prostate Cancer (PCa) is often diagnosed using High-resolution 3.0 Tesla(T) MRI, which has been widely established in clinics. However, there are still many medical centers that use 1.5T MRI units in the actual diagnostic process of PCa. In the past few years, deep learning-based models have been proven to be efficient on the PCa classification task and can be successfully used to support radiologists during the diagnostic process. However, training such models often requires a vast amount of data, and sometimes it is unobtainable in practice. Additionally, multi-source MRIs can pose challenges due to cross-domain distribution differences. In this paper, we have presented a novel approach for unpaired image-to-image translation of prostate mp-MRI for classifying clinically significant PCa, to be applied in data-constrained settings. First, we introduce domain transfer, a novel pipeline to translate unpaired 3.0T multi-parametric prostate MRIs to 1.5T, to increase the number of training data. Second, we estimate the uncertainty of our models through an evidential deep learning approach; and leverage the dataset filtering technique during the training process. Furthermore, we introduce a simple, yet efficient Evidential Focal Loss that incorporates the focal loss with evidential uncertainty to train our model. Our experiments demonstrate that the proposed method significantly improves the Area Under ROC Curve (AUC) by over 20% compared to the previous work (98.4% vs. 76.2%). We envision that providing prediction uncertainty to radiologists may help them focus more on uncertain cases and thus expedite the diagnostic process effectively. Our code is available at https://github.com/med-i-lab/DT_UE_PCa

    Comment: Preprint. In Submission
    Keywords Electrical Engineering and Systems Science - Image and Video Processing ; Computer Science - Computer Vision and Pattern Recognition
    Subject code 006
    Publishing date 2023-07-02
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Benefit of Neoadjuvant Cisplatin-based Chemotherapy for Invasive Bladder Cancer Patients Treated with Radiation-based Therapy in a Real-world Setting: An Inverse Probability Treatment Weighted Analysis.

    Kool, Ronald / Dragomir, Alice / Kulkarni, Girish S / Marcq, Gautier / Breau, Rodney H / Kim, Michael / Busca, Ionut / Abdi, Hamidreza / Dawidek, Mark / Uy, Michael / Fervaha, Gagan / Cury, Fabio L / Alimohamed, Nimira / Izawa, Jonathan / Jeldres, Claudio / Rendon, Ricardo / Shayegan, Bobby / Siemens, Robert / Black, Peter C /
    Kassouf, Wassim

    European urology oncology

    2024  

    Abstract: Background: Neoadjuvant chemotherapy (NAC) improves survival for patients with muscle-invasive bladder cancer (MIBC) treated with radical cystectomy. Studies on the potential benefit of NAC before radiation-based therapy (RT) are conflicting.: ... ...

    Abstract Background: Neoadjuvant chemotherapy (NAC) improves survival for patients with muscle-invasive bladder cancer (MIBC) treated with radical cystectomy. Studies on the potential benefit of NAC before radiation-based therapy (RT) are conflicting.
    Objective: To evaluate the effect of NAC on patients with MIBC treated with curative-intent RT in a real-world setting.
    Design, setting, and participants: The study cohort consisted of 785 patients with MIBC (cT2-4aN0-2M0) who underwent RT at academic centers across Canada. Patients were classified into two treatment groups based on the administration of NAC before RT (NAC vs no NAC).
    Outcome measurements and statistical analysis: The inverse probability of treatment weighting (IPTW) with absolute standardized differences (ASDs) was used to balance covariates across treatment groups. The impact of NAC on complete response, overall, and cancer-specific survival (CSS) after RT in the weighted cohort was analyzed.
    Results and limitations: After applying the exclusion criteria, 586 patients were included; 102 (17%) received NAC before RT. Patients in the NAC subgroup were younger (mean age 65 vs 77 yr; ASD 1.20); more likely to have Eastern Cooperative Oncology Group performance status 0-1 (87% vs 78%; ASD 0.28), lymphovascular invasion (32% vs 20%; ASD 0.27), higher cT stage (cT3-4 in 29% vs 20%; ASD 0.21), and higher cN stage (cN1-2 in 32% vs 4%; ASD 0.81); and more commonly treated with concurrent chemotherapy (79% vs 67%; ASD 0.28). After IPTW, NAC versus no NAC cohorts were well balanced (ASD <0.20) for all included covariates. NAC was significantly associated with improved CSS (hazard ratio [HR] 0.28; 95% confidence interval [CI] 0.14-0.56; p < 0.001) and overall survival (HR 0.56; 95% CI 0.38-0.84; p = 0.005). This study was limited by potential occult imbalances across treatment groups.
    Conclusions: If tolerated, NAC might be associated with improved survival and should be considered for eligible patients with MIBC planning to undergo bladder preservation with RT. Prospective trials are warranted.
    Patient summary: In this study, we showed that neoadjuvant chemotherapy might be associated with improved survival in patients with muscle-invasive bladder cancer who elect for curative-intent radiation-based therapy.
    Language English
    Publishing date 2024-02-06
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2588-9311
    ISSN (online) 2588-9311
    DOI 10.1016/j.euo.2024.01.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Phase II, Randomized, Multicenter Study Comparing 10 Months versus 4 Months of Degarelix Therapy in Prolonging the Off Treatment Interval in Men with Localized Prostate Cancer Receiving Intermittent Androgen Deprivation Therapy for Biochemical Recurrence following Radical Local Therapy.

    Klotz, Laurence / Loblaw, Andrew / Siemens, Robert / Ouellette, Paul / Kapoor, Anil / Kebabdjian, Marlene / Zhang, Liying / Saad, Fred

    The Journal of urology

    2018  Volume 200, Issue 2, Page(s) 335–343

    Abstract: Purpose: Clinical trials in men initiating intermittent androgen deprivation therapy have used a range of induction durations between 3 and 12 months. We sought to determine whether the duration of induction androgen deprivation therapy would influence ... ...

    Abstract Purpose: Clinical trials in men initiating intermittent androgen deprivation therapy have used a range of induction durations between 3 and 12 months. We sought to determine whether the duration of induction androgen deprivation therapy would influence the duration of the off treatment interval and the recovery of serum testosterone.
    Materials and methods: This was a prospective, randomized, open label study. Men with biochemical recurrence after local therapy for prostate cancer and a negative bone scan were randomized to 4 and 10 months of monthly degarelix. The first dose was 240 mg and subsequent doses were 80 mg per month. Quality of life was evaluated by the I-PSS (International Prostate Symptom Score), the PAS-SFI (Problem Assessment Scale of the Sexual Function Index) and the FACT-P (Functional Assessment of Cancer Therapy-Prostate).
    Results: A total of 90 patients were randomized, including 43 to 4 months and 47 to 10 months of treatment. There was no difference in any relevant baseline laboratory parameter, including prostate specific antigen and testosterone. There was no difference between the 2 treatment groups in time off treatment (HR 1.51, 95% CI 0.60-3.84, p = 0.38). Actuarial median time to testosterone recovery to 8.0 nmol/l or greater was 8.05 months (95% CI 4.34-39.89) in the 10-month treatment arm and 6.24 months (95% CI 5.45-15.90) in the 4-month treatment arm. The log rank test showed no statistical significance between the 2 treatment groups in time to testosterone recovery (p = 0.8392). There was no difference in the testosterone recovery rate between the 2 arms. Men younger than 65 years had a considerably shorter interval off treatment and time to testosterone recovery. There was a lesser adverse effect on quality of life at the end of treatment in the 4-month than in the 10-month arm.
    Conclusions: In men with biochemical recurrence who initiated intermittent androgen deprivation therapy with degarelix no difference was observed in the duration of the off treatment interval or the rate of testosterone recovery whether they received 4 or 10 months of induction androgen deprivation therapy.
    MeSH term(s) Age Factors ; Aged ; Aged, 80 and over ; Androgen Antagonists/administration & dosage ; Androgen Antagonists/therapeutic use ; Antineoplastic Agents, Hormonal/administration & dosage ; Antineoplastic Agents, Hormonal/therapeutic use ; Drug Administration Schedule ; Humans ; Injections, Subcutaneous ; Kallikreins/blood ; Male ; Middle Aged ; Neoplasm Recurrence, Local/blood ; Neoplasm Recurrence, Local/pathology ; Neoplasm Recurrence, Local/therapy ; Oligopeptides/administration & dosage ; Oligopeptides/therapeutic use ; Prospective Studies ; Prostate/pathology ; Prostate-Specific Antigen/blood ; Prostatic Neoplasms/blood ; Prostatic Neoplasms/pathology ; Prostatic Neoplasms/therapy ; Quality of Life ; Testosterone/blood ; Time Factors ; Treatment Outcome
    Chemical Substances Androgen Antagonists ; Antineoplastic Agents, Hormonal ; Oligopeptides ; acetyl-2-naphthylalanyl-3-chlorophenylalanyl-1-oxohexadecyl-seryl-4-aminophenylalanyl(hydroorotyl)-4-aminophenylalanyl(carbamoyl)-leucyl-ILys-prolyl-alaninamide ; Testosterone (3XMK78S47O) ; KLK3 protein, human (EC 3.4.21.-) ; Kallikreins (EC 3.4.21.-) ; Prostate-Specific Antigen (EC 3.4.21.77)
    Language English
    Publishing date 2018-03-11
    Publishing country United States
    Document type Clinical Trial, Phase II ; Comparative Study ; Journal Article ; Multicenter Study ; Randomized Controlled Trial
    ZDB-ID 3176-8
    ISSN 1527-3792 ; 0022-5347
    ISSN (online) 1527-3792
    ISSN 0022-5347
    DOI 10.1016/j.juro.2018.03.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mechanisms Of Hypoxia-Induced Immune Escape In Cancer And Their Regulation By Nitric Oxide.

    Graham, Charles / Barsoum, Ivraym / Kim, Judy / Black, Madison / Siemens, Robert D

    Redox biology

    2015  Volume 5, Page(s) 417

    Abstract: The acquired ability of tumour cells to avoid destruction by immune effector mechanisms (immune escape) is important for malignant progression. Also associated with malignant progression is tumour hypoxia, which induces aggressive phenotypes such as ... ...

    Abstract The acquired ability of tumour cells to avoid destruction by immune effector mechanisms (immune escape) is important for malignant progression. Also associated with malignant progression is tumour hypoxia, which induces aggressive phenotypes such as invasion, metastasis and drug resistance in cancer cells. Our studies revealed that hypoxia contributes to escape from innate immunity by increasing tumour cell expression of the metalloproteinase ADAM10 in a manner dependent on accumulation of the alpha subunit of the transcription factor hypoxia-inducible factor-1 (HIF-1α). Increased ADAM10 expression leads to shedding of the NK cell-activating ligand, MICA, from the surface of tumour cells, thereby resulting in resistance to NK cell-mediated lysis. Our more recent studies demonstrated that hypoxia, also via HIF-1α accumulation, increases the expression of the inhibitory co-stimulatory ligand PD-L1 on tumour cells. Elevated PD-L1 expression leads to escape from adaptive immunity via increased apoptosis of CD8
    Language English
    Publishing date 2015-08
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2213-2317
    ISSN (online) 2213-2317
    DOI 10.1016/j.redox.2015.09.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Bibliometric analysis of academic journal recommendations and requirements for surgical and anesthesiologic adverse events reporting.

    Sholklapper, Tamir N / Ballon, Jorge / Sayegh, Aref S / La Riva, Anibal / Perez, Laura C / Huang, Sherry / Eppler, Michael / Nelson, Gregg / Marchegiani, Giovanni / Hinchliffe, Robert / Gordini, Luca / Furrer, Marc / Brenner, Michael J / Dell-Kuster, Salome / Biyani, Chandra Shekhar / Francis, Nader / Kaafarani, Haytham M A / Siepe, Matthias / Winter, Des /
    Sosa, Julie A / Bandello, Francesco / Siemens, Robert / Walz, Jochen / Briganti, Alberto / Gratzke, Christian / Abreu, Andre L / Desai, Mihir M / Sotelo, Rene / Agha, Riaz / Lillemoe, Keith D / Wexner, Steven / Collins, Gary S / Gill, Inderbir / Cacciamani, Giovanni E

    International journal of surgery (London, England)

    2023  Volume 109, Issue 5, Page(s) 1489–1496

    Abstract: Background: Standards for reporting surgical adverse events (AEs) vary widely within the scientific literature. Failure to adequately capture AEs hinders efforts to measure the safety of healthcare delivery and improve the quality of care. The aim of ... ...

    Abstract Background: Standards for reporting surgical adverse events (AEs) vary widely within the scientific literature. Failure to adequately capture AEs hinders efforts to measure the safety of healthcare delivery and improve the quality of care. The aim of the present study is to assess the prevalence and typology of perioperative AE reporting guidelines among surgery and anesthesiology journals.
    Materials and methods: In November 2021, three independent reviewers queried journal lists from the SCImago Journal & Country Rank (SJR) portal (www.scimagojr.com), a bibliometric indicator database for surgery and anesthesiology academic journals. Journal characteristics were summarized using SCImago, a bibliometric indicator database extracted from Scopus journal data. Quartile 1 (Q1) was considered the top quartile and Q4 bottom quartile based on the journal impact factor. Journal author guidelines were collected to determine whether AE reporting recommendations were included and, if so, the preferred reporting procedures.
    Results: Of 1409 journals queried, 655 (46.5%) recommended surgical AE reporting. Journals most likely to recommend AE reporting were: by category surgery (59.1%), urology (53.3%), and anesthesia (52.3%); in top SJR quartiles (i.e. more influential); by region, based in Western Europe (49.8%), North America (49.3%), and the Middle East (48.3%).
    Conclusions: Surgery and anesthesiology journals do not consistently require or provide recommendations on perioperative AE reporting. Journal guidelines regarding AE reporting should be standardized and are needed to improve the quality of surgical AE reporting with the ultimate goal of improving patient morbidity and mortality.
    MeSH term(s) Humans ; Anesthesiology ; Bibliometrics ; Journal Impact Factor ; Europe ; Middle East
    Language English
    Publishing date 2023-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1097/JS9.0000000000000323
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Separation of benign and malignant glands in prostatic adenocarcinoma.

    Rashid, Sabrina / Fazli, Ladan / Boag, Alexander / Siemens, Robert / Abolmaesumi, Purang / Salcudean, Septimiu E

    Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention

    2014  Volume 16, Issue Pt 3, Page(s) 461–468

    Abstract: This paper presents an analysis of the high resolution histopathology images of the prostate with a focus on the evolution of morphological gland features in prostatic adenocarcinoma. Here we propose a novel technique of labeling individual glands as ... ...

    Abstract This paper presents an analysis of the high resolution histopathology images of the prostate with a focus on the evolution of morphological gland features in prostatic adenocarcinoma. Here we propose a novel technique of labeling individual glands as malignant or benign. In the first step, the gland and nuclei objects of the images are automatically segmented. Individual gland units are segmented out by consolidating their lumina with the surrounding layers of epithelium and nuclei. The nuclei objects are segmented by using a marker controlled watershed algorithm. Two new features, Number of Nuclei Layer (N(NL)) and Ratio of Epithelial layer area to Lumen area (R(EL)) have been extracted from the segmented units. The main advantage of this approach is that it can detect individual malignant gland units, irrespective of neighboring histology and/or the spatial extent of the cancer. The proposed algorithm has been tested on 40 histopathology scenes taken from 10 high resolution whole mount images and achieved a sensitivity of 0.83 and specificity of 0.81 in a leave-75%-out cross-validation.
    MeSH term(s) Adenocarcinoma/pathology ; Algorithms ; Artificial Intelligence ; Cell Nucleus/pathology ; Computer Simulation ; Humans ; Image Enhancement/methods ; Image Interpretation, Computer-Assisted/methods ; Male ; Microscopy/methods ; Models, Biological ; Models, Statistical ; Pattern Recognition, Automated/methods ; Prostatic Neoplasms/pathology ; Reproducibility of Results ; Sensitivity and Specificity ; Subtraction Technique ; Support Vector Machine
    Language English
    Publishing date 2014-01-30
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    DOI 10.1007/978-3-642-40760-4_58
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Approach to primary care follow-up of patients with prostate cancer.

    Wilkinson, Anna N / Brundage, Michael D / Siemens, Robert

    Canadian family physician Medecin de famille canadien

    2008  Volume 54, Issue 2, Page(s) 204–210

    Abstract: Objective: To review resources available to aid family physicians in their care of prostate cancer patients and develop an algorithm to summarize these findings.: Sources of information: MEDLINE, EMBASE, and relevant website search. All relevant ... ...

    Abstract Objective: To review resources available to aid family physicians in their care of prostate cancer patients and develop an algorithm to summarize these findings.
    Sources of information: MEDLINE, EMBASE, and relevant website search. All relevant guidelines were level III evidence.
    Main message: Improved screening and treatment of patients with prostate cancer is resulting in an increasing number of survivors. These men require ongoing monitoring, a responsibility that is largely falling to family physicians. We review the expected prostate-specific antigen (PSA) responses to different prostate cancer treatment modalities and provide an appropriate schedule of follow-up and monitoring techniques for prostate cancer patients.
    Conclusion: In light of the paucity of resources for family physicians in their ongoing care of prostate cancer patients, we present an algorithm, primarily based on PSA kinetics, for practical use in the continuing care of these patients.
    MeSH term(s) Aged ; Humans ; Male ; Mass Screening/methods ; Middle Aged ; Postoperative Care/methods ; Primary Health Care/methods ; Prostate-Specific Antigen/blood ; Prostatic Neoplasms/diagnosis ; Prostatic Neoplasms/pathology ; Prostatic Neoplasms/therapy ; Recurrence
    Chemical Substances Prostate-Specific Antigen (EC 3.4.21.77)
    Language English
    Publishing date 2008-02-13
    Publishing country Canada
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 603565-6
    ISSN 1715-5258 ; 0008-350X
    ISSN (online) 1715-5258
    ISSN 0008-350X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Prognostic pathological factors in radical cystectomy after neoadjuvant chemotherapy.

    Brimo, Fadi / Downes, Michelle R / Jamaspishvili, Tamara / Berman, David / Barkan, Guliz A / Athanazio, Daniel / Abro, Schuharazad / Visram, Kash / Yilmaz, Asli / Solanki, Shraddha / Hahn, Elan / Siemens, Robert / Kassouf, Wassim / Trpkov, Kiril

    Histopathology

    2018  Volume 73, Issue 5, Page(s) 732–740

    Abstract: Aims: We undertook a systematic evaluation of the prognostic value of numerous histological factors in 165 radical cystectomies (RCs) of patients with invasive urothelial carcinoma (UC) who underwent surgery after neoadjuvant chemotherapy (NAC).: ... ...

    Abstract Aims: We undertook a systematic evaluation of the prognostic value of numerous histological factors in 165 radical cystectomies (RCs) of patients with invasive urothelial carcinoma (UC) who underwent surgery after neoadjuvant chemotherapy (NAC).
    Methods and results: Tumour regression grade (TRG) and therapy-related stromal and epithelial changes were also recorded. Locally advanced disease (≥pT2 and/or pN+) was present in 64% of patients, 22% had no evidence of residual carcinoma (pT0 + pN0), and 28% had no evidence of residual muscle-invasive carcinoma (≤pT1 + N0). TRG1, TRG2 and TRG3 were found in 32%, 15% and 50% of patients, respectively. Histological variants of UC were reported in 25% of cases. The most common therapy-related stromal change was fibroblastic reaction (78%), and the most common epithelial change in residual UC was smudgy and poorly preserved chromatin (28%). Prominent stromal and epithelial changes were noted in 41% and 5% of RCs, respectively. Progression was found in 45% of patients, and cancer-related deaths occurred in 30%. Multivariate analysis showed that the only independent prognostic parameters for progression were T stage, N stage, lymphovascular invasion, and margin status. Similarly, only T stage, N stage and margin status correlated with cancer-related deaths. Neither TRG nor any of the stromal-related or epithelial-related variables correlated with outcome.
    Conclusions: We confirm that the traditional and routinely reported histological parameters in RC post-NAC remain the most powerful prognosticators of disease course. The significance of TRG in the bladder remains unconfirmed.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Carcinoma, Transitional Cell/mortality ; Carcinoma, Transitional Cell/pathology ; Carcinoma, Transitional Cell/therapy ; Chemoradiotherapy, Adjuvant/methods ; Chemoradiotherapy, Adjuvant/mortality ; Cystectomy/mortality ; Disease-Free Survival ; Female ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Neoadjuvant Therapy/methods ; Neoadjuvant Therapy/mortality ; Prognosis ; Treatment Outcome ; Urinary Bladder Neoplasms/mortality ; Urinary Bladder Neoplasms/pathology ; Urinary Bladder Neoplasms/therapy
    Language English
    Publishing date 2018-08-06
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 131914-0
    ISSN 1365-2559 ; 0309-0167
    ISSN (online) 1365-2559
    ISSN 0309-0167
    DOI 10.1111/his.13654
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book: Introduction to cultural historical sociology

    Siemens, Robert Peter

    (Mellen studies in sociology ; 18)

    1998  

    Author's details Robert Peter Siemens
    Series title Mellen studies in sociology ; 18
    Language English
    Size VII, 422 S
    Publisher Mellen Press
    Publishing place Lewiston u.a.
    Document type Book
    Note Literaturverz. S. [403] - 417 und Index
    ISBN 0773483160 ; 9780773483163
    Database Former special subject collection: coastal and deep sea fishing

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  10. Article ; Online: Increasing detection and increasing incidence in thyroid cancer.

    Hall, Stephen F / Walker, Hugh / Siemens, Robert / Schneeberg, Amy

    World journal of surgery

    2009  Volume 33, Issue 12, Page(s) 2567–2571

    Abstract: Background: It has been proposed that the increasing incidence of thyroid cancer is due to increasing detection.: Methods: Using administrative data, we compare by year from 1993 to 2006, the rates of diagnostic imaging tests of the neck (computed ... ...

    Abstract Background: It has been proposed that the increasing incidence of thyroid cancer is due to increasing detection.
    Methods: Using administrative data, we compare by year from 1993 to 2006, the rates of diagnostic imaging tests of the neck (computed axial tomography--CT, magnetic resonance imaging--MRI, and non-obstetrical ultrasound--US) to the incidence of thyroid cancer for the population of the Province of Ontario Canada.
    Results: Women and men have different rates of tests, and those rates reflect the rates of new diagnoses of thyroid cancer.
    Conclusions: The rising incidence of thyroid disease in women is associated with increasing numbers of diagnostic imaging tests.
    MeSH term(s) Adult ; Female ; Humans ; Incidence ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Ontario/epidemiology ; Sex Factors ; Thyroid Neoplasms/diagnosis ; Thyroid Neoplasms/epidemiology ; Tomography, X-Ray Computed ; Ultrasonography, Doppler, Color ; Young Adult
    Language English
    Publishing date 2009-09-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-009-0226-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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