1. Clinical evaluation of MDCT multi-postprocessing techniques for diagnosing small bowel obstruction
Medical Journal of Chinese People's Liberation Army 2020;45(8):851-856
Objective To evaluate the clinical effects of multi-detector computed tomography (MDCT) multi-postprocessing techniques in the evaluation of small bowel obstruction (SBO). Methods Clinical and MDCT imaging data of 90 patients with SBO were collected. Three radiologists respectively applied two protocols (protocol 1 consisted of conventional axial and coronal reformations and protocol 2 involved integration of multiple post-processing techniques) to image post-processing and interpretation of patients' MDCT volume data, and completed condition evaluation reports. Two protocols were compared regarding relevant diagnostic self-confidence, clinical satisfaction, clinical treatment decisions, and radiological adverse events. Results In the same protocol, the diagnostic self-confidence showed no significant difference between three radiologists for any evaluation parameter (P>0.05), but the diagnostic self-confidence of three radiologists was significantly higher in the protocol 2 than in the protocol 1 (P<0.01). The clinical satisfaction was also significantly higher in the protocol 2 than in the protocol 1 for all the individual and compositive illness assessment reports (P<0.01). After protocol 2 was applied clinically, it changed the previous treatment decisions based on protocol 1 in 11 patients (12.22%). About radiological adverse events, regardless of minor, major, or the sum of them, protocol 1 was significantly higher than protocol 2 (P<0.05). Conclusion Integration of multi-postprocessing techniques can improve diagnostic self-confidence and clinical satisfaction of MDCT for assessing SBO and effectively reduce radiological adverse events.
2.Ultimate treatment for a patient with severe traumatic brain injury without intake for 192 hours after Wenchuan massive earthquake.
Jian-wen GU ; Hu-tian ZHOU ; Tao YANG ; Jing-min CHENG ; Yan QU ; Cui-ying LI ; Qing-jie LI ; Ji-yun LÜ ; Shou-long CHENG ; Jian-jun LIU ; Yong-qin KUANG ; Hai-dong HUANG ; Li-bin YANG ; Wei-qi HE ; Kai ZHAO ; Li-xin SONG ; Xiao-dong ZHENG ; Shu-xin LIU ; Yan SUN ; Hong-lian HE ; Jiang WU ; Xu-sheng LIU ; Min LU
Chinese Medical Journal 2009;122(1):113-116
Brain Injuries
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pathology
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surgery
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China
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Craniotomy
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Earthquakes
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Hematoma, Epidural, Cranial
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pathology
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surgery
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Humans
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Male
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Middle Aged
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Time Factors
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Treatment Outcome