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Titolo:
Effect of MR angiography on the diagnosis and treatment of patients with suspected renovascular disease
Autore:
Omary, RA; Henseler, KP; Salem, R; McDermott, JC; Sproat, I; Wojtowycz, M; Becker, BN; Acher, CW; Chrisman, HB; Saker, MB; Grist, TM;
Indirizzi:
Northwestern Univ, Sch Med, Dept Radiol, Chicago, IL 60611 USA Northwestern Univ Chicago IL USA 60611 Dept Radiol, Chicago, IL 60611 USA Univ Wisconsin, Sch Med, Dept Radiol, Madison, WI USA Univ Wisconsin Madison WI USA sin, Sch Med, Dept Radiol, Madison, WI USA Univ Wisconsin, Sch Med, Dept Internal Med, Madison, WI USA Univ Wisconsin Madison WI USA ch Med, Dept Internal Med, Madison, WI USA Univ Wisconsin, Sch Med, Dept Surg, Madison, WI USA Univ Wisconsin Madison WI USA onsin, Sch Med, Dept Surg, Madison, WI USA William Beaumont Hosp, Royal Oak, MI 48072 USA William Beaumont Hosp Royal Oak MI USA 48072 osp, Royal Oak, MI 48072 USA
Titolo Testata:
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
fascicolo: 10, volume: 12, anno: 2001,
pagine: 1179 - 1183
SICI:
1051-0443(200110)12:10<1179:EOMAOT>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
RENAL-ARTERY STENOSIS; BREATH-HOLD; MANAGEMENT; IMPACT; INFORMATION;
Keywords:
renal angiography; renal arteries, MR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Omary, RA Northwestern Univ, Sch Med, Dept Radiol, 676 N St Clair,Suite 800, Chicago, IL 60611 USA Northwestern Univ 676 N St Clair,Suite 800 ChicagoIL USA 60611
Citazione:
R.A. Omary et al., "Effect of MR angiography on the diagnosis and treatment of patients with suspected renovascular disease", J VAS INT R, 12(10), 2001, pp. 1179-1183

Abstract

PURPOSE: Although the diagnostic accuracy of renal magnetic resonance (MR)angiography is established, its effect on referring physicians is unknown. The authors prospectively measured the effect of MR angiography results onreferring physicians' diagnosis and treatment (plans) of patients with suspected renovascular disease. MATERIALS AND METHODS: Referring physicians prospectively completed questionnaires before and after MR angiography was performed during evaluation oftheir patients with suspected renovascular disease. The questionnaires asked them to estimate the probability (0%-100%) of their most likely diagnosis before and after receiving the imaging information. They were also asked for their anticipated and final treatment plans. The authors calculated themean gain in diagnostic percentage confidence and the proportion of patients with changed initial diagnoses or anticipated management. A paired t-test was used to assess significance of the gains in diagnostic percentage confidence. RESULTS: Physicians prospectively completed pre- and post-MR-angiography questionnaires for 30 patients. MR angiography improved mean diagnostic certainty by 35% (P < .0001). MR angiography changed physicians' initial diagnoses in 12 patients (40%). Anticipated treatment plans were changed in 20 patients (67%). Invasive procedures were avoided in eight patients (27%). CONCLUSION: MR angiography has a substantial effect on the diagnostic and therapeutic decision-making of physicians managing patients with suspected renovascular disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 13:11:28