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Accuracy of computed tomography to predict extracapsular spread in p16‐positive squamous cell carcinoma 下载免费PDF全文
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Misun Hwang Ryan Marovich Samuel S.Shin David Chi Barton F.Branstetter IV 《中华耳科学杂志(英文版)》2015,(1):13-17
Enlarged vestibular aqueduct(EVA), the most frequent identifiable cause of congenital hearing loss, is evaluated with high-definition multidetector CT in the axial plane. Our purpose was to determine which reformatted CT measurements are most reproducible. Seven multiplanar reformatted images were created for each of the 64 temporal bones in patients with EVA. Intraclass correlation coefficients(ICC) were used to assess inter-observer variability, and both linear regression and ROC analyses were used to compare the measurements with severity of hearing loss, as assessed by pure tone audiometry. All seven measurements had excellent inter-observer variability, with average-measure ICC ranging from 0.92 to 0.98. There was no statistically significant correlation between the radiologic degree of aqueduct enlargement and severity of hearing loss using any of the seven measurements; ROC analyses revealed areas under the curves ranging from 0.57 to 0.73. Optimal accuracy was obtained with a threshold of 1.75 mm as measured at the aqueductal aperture in the P€oschl plane, with sensitivity of 0.75 and specificity of0.63. Although the radiologic measurement may not serve as a reliable tool for assessing severity of EVA, P€oschl plane reformatting has proven to be better than conventional axial acquisition plane for identifying patients with clinically significant hearing loss. 相似文献
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Matthew S. Herbert M.A. Burel R. Goodin Ph.D. Samuel T. Pero IV B.S. Jessica K. Schmidt B.A. Adriana Sotolongo M.P.H. Hailey W. Bulls B.S. Toni L. Glover Ph.D. GNP-BC Christopher D. King Ph.D. Kimberly T. Sibille Ph.D. Yenisel Cruz-Almeida M.S.P.H. Ph.D. Roland Staud M.D. Barri J. Fessler M.D. M.S.P.H. Laurence A. Bradley Ph.D. Roger B. Fillingim Ph.D. 《Annals of behavioral medicine》2014,48(1):50-60
Background
Pain hypervigilance is an important aspect of the fear-avoidance model of pain that may help explain individual differences in pain sensitivity among persons with knee osteoarthritis (OA).Purpose
The purpose of this study was to examine the contribution of pain hypervigilance to clinical pain severity and experimental pain sensitivity in persons with symptomatic knee OA.Methods
We analyzed cross-sectional data from 168 adults with symptomatic knee OA. Quantitative sensory testing was used to measure sensitivity to heat pain, pressure pain, and cold pain, as well as temporal summation of heat pain, a marker of central sensitization.Results
Pain hypervigilance was associated with greater clinical pain severity, as well as greater pressure pain. Pain hypervigilance was also a significant predictor of temporal summation of heat pain.Conclusions
Pain hypervigilance may be an important contributor to pain reports and experimental pain sensitivity among persons with knee OA. 相似文献19.
Background:
Partial thickness rotator cuff tears occupy an important position in the spectrum of rotator cuff disease. The development of a more comprehensive classification has been sought to address both the tear location and extent, which may influence clinical results. The purpose of this study is to classify partial thickness rotator cuff tears according to the arthroscopic findings and to evaluate the clinical outcomes after arthroscopic repair of partial thickness tears.Materials and Methods:
One hundred and two patients had arthroscopic treatment of partial thickness rotator cuff tears. The inclusion criterion for the study was a partially torn supraspinatus tendon involving articular or bursal side, verified by direct arthroscopic visualization. Outcome analysis was exclusively applied to patients who underwent transtendon repair, using the shoulder index of American Shoulder and Elbow Society and the University of California Los Angeles (UCLA) rating system.Results:
Partial thickness rotator cuff tears were divided into five groups according to arthroscopic findings. There was significant improvement after surgery in all parameters of clinical evaluation in the tears that warranted repair. Arthroscopic repair in situ (transtendon technique) may be the preferred option in unstable partial thickness tear.Conclusion:
The proposed classification system may assist decision making in the treatment of partial thickness rotator cuff tears. 相似文献20.
Aaron U. Blackham Scott A. Northrup Mark Willingham Joseph Sirintrapun Greg B. Russell Douglas S. Lyles John H. Stewart IV 《The Journal of surgical research》2014