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المؤلفون: Luc J. A. Strobbe, Mireille J. M. Broeders, Lucien E. M. Duijm, Elisabeth G. Klompenhouwer, Adri C. Voogd, Roy J. P. Weber
المساهمون: Epidemiologie, RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - R6 - Promoting Health & Personalised Care, RS: GROW - Oncology, Interne Geneeskunde, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy
المصدر: British Journal of Cancer, 113(7), 1094-1098. Nature Publishing Group
British Journal of Cancerمصطلحات موضوعية: Cancer Research, medicine.medical_specialty, Digital mammography, Epidemiology, Breast Neoplasms, double reading, ATTENDANCE, Breast cancer, breast cancer, Double-Blind Method, Biopsy, BREAST-CANCER MORTALITY, medicine, Mammography, Humans, screening mammography, Breast, DIGITAL MAMMOGRAPHY, referral rate, Early Detection of Cancer, Aged, Netherlands, Gynecology, medicine.diagnostic_test, business.industry, FILM MAMMOGRAPHY, Double reading, Reading strategy, Middle Aged, medicine.disease, Predictive value, Oncology, positive predictive value, diagnostic workup, Female, Population screening, Radiology, Biopsy, Large-Core Needle, business, TRANSITION
الوصف: Background: To determine whether referred women experience differences in diagnostic workup at non-blinded or blinded double reading of screening mammograms.Methods: We included a consecutive series of respectively 42.996 and 44.491 screens, double read either in a non-blinded or blinded manner between 2009 and 2011. This reading strategy was alternated on a monthly basis.Results: The overall ultrasound-guided core needle biopsy (CNB) rate and stereotactic CNB (SCNB) rate per 1000 screens were higher at blinded than at non-blinded reading (7.5 vs 6.0, P = 0.008 and 8.1 vs 6.6, P = 0.009). Among women with benign workup, these rates were higher at blinded reading (2.6 vs 1.4, P Conclusions: Blinded double-reading results in higher overall CNB and SCNB rates than non-blinded double reading, as well as a higher benign biopsy rate.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e404a15ff1d18434fa511187be82b94bTest
https://cris.maastrichtuniversity.nl/en/publications/d67cb566-bc8e-41a1-8f0e-9ca5c7f8591cTest -
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المؤلفون: Lucien E. M. Duijm, Marieke W. J. Louwman, Frits H. Jansen, Marianne J. H. Hooijen, Johanna H. Groenewoud, Wikke Setz-Pels, Adri C. Voogd
المساهمون: Epidemiologie, RS: CAPHRI School for Public Health and Primary Care, RS: GROW - School for Oncology and Reproduction
المصدر: Radiology, 260(2), 357-363. Radiological Society of North America, Inc.
مصطلحات موضوعية: Oncology, medicine.medical_specialty, health care facilities, manpower, and services, education, Breast Neoplasms, Sensitivity and Specificity, Breast cancer, health services administration, Internal medicine, Confidence Intervals, medicine, Humans, Mass Screening, Mammography, Radiology, Nuclear Medicine and imaging, Contralateral breast, skin and connective tissue diseases, Aged, Netherlands, Chi-Square Distribution, medicine.diagnostic_test, Screening mammography, business.industry, Incidence, Cancer, Middle Aged, medicine.disease, Bilateral breast cancer, body regions, Population based study, Female, Breast disease, Radiology, business
الوصف: Purpose: To determine the incidence of bilateral breast cancer at biennial screening mammography and to assess the sensitivity of screening in the detection of bilateral breast cancer. Materials and Methods: All women gave written informed consent, and the requirement to obtain review board approval was waived. The authors included all 302 196 screening mammograms obtained in 80 466 women aged 50-75 years in a southern breast screening region of the Netherlands between May 1998 and July 2008. During 2-year follow-up, the authors collected clinical data, breast imaging reports, biopsy results, and breast surgery reports from all patients with screening-detected and interval cancers. Two screening radiologists reviewed the screening and clinical mammograms of all bilateral screening-detected and interval cancers for mammographic abnormalities. The radiologists were initially blinded to each other's referral opinion, and discrepant assessments were followed by consensus reading. Results: Of all women with screening-detected cancer (n = 1555) or interval cancer (n = 585), 52 (2.4%) had bilateral breast cancer. The sensitivity of screening mammography in the detection of bilateral breast cancer was 19% (10 of 52 women; 95% confidence interval: 8.5%, 29.9%). At blinded review, 18 of the 53 tumors not detected at screening (34%) were considered to be missed, 11 (21%) showed nonspecific minimal signs, and 24 (45%) had been mammographically occult at screening. Five women referred for further analysis experienced a 6-17-month delay in the diagnosis of the second breast cancer; in four of those women, the delay resulted from an incorrect Breast Imaging Reporting and Data System classification at clinical mammography. Conclusion: The sensitivity of screening mammography in the detection of bilateral breast cancer is disappointingly low. Both screening radiologists and clinical radiologists should pay vigorous attention to the contralateral breast to detect bilateral malignancies without diagnostic delay.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a5b372d4ebeba3c1189b6ea2584f506bTest
https://doi.org/10.1148/radiol.11102117Test -
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المؤلفون: Dick Venderink, Luc J. A. Strobbe, VC Tjan-Heijnen, Lucien E. M. Duijm, Adri C. Voogd, Joost R. C. Lameijer, Angela M. P. Coolen, Marieke W. J. Louwman
المصدر: European Radiology. 29:1059-1059
مصطلحات موضوعية: medicine.medical_specialty, Recall, medicine.diagnostic_test, Screening mammography, business.industry, Mistake, Interventional radiology, General Medicine, medicine, Radiology, Nuclear Medicine and imaging, Radiology, Contralateral breast, business, Neuroradiology
الوصف: The original version of this article, published on 17 April 2018, unfortunately contained a mistake.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d48a10c15d372923674c730a76845a70Test
https://doi.org/10.1007/s00330-018-5532-xTest -
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المؤلفون: Philippe W.M. Cuypers, Evert H. Overbosch, Lucien E. M. Duijm, Petra Douwes-Draaijer, Jan H.M. Tordoir, Michiel W. de Haan, Robrecht N. Planken, Ylian S. Liem
المساهمون: ACS - Amsterdam Cardiovascular Sciences, Radiology and Nuclear Medicine, Epidemiology
المصدر: Nephrology, dialysis, transplantation, 24(2), 539-547. Oxford University Press
Nephrology Dialysis Transplantation, 24(2), 539-547. Oxford University Pressمصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Arteriovenous Anastomosis, medicine.medical_treatment, Constriction, Pathologic, Femoral artery, Magnetic resonance angiography, Catheterization, Arteriovenous Shunt, Surgical, Renal Dialysis, medicine.artery, Angioplasty, medicine, Humans, Prospective Studies, Brachial artery, Aged, Aged, 80 and over, Transplantation, medicine.diagnostic_test, business.industry, Angiography, Digital Subtraction, Digital subtraction angiography, Middle Aged, medicine.disease, Blood Vessel Prosthesis, Surgery, body regions, Stenosis, Nephrology, Angiography, cardiovascular system, Female, Radiology, business, Angioplasty, Balloon, Magnetic Resonance Angiography
الوصف: Background. The European Best Practice Guidelines on Vascular Access propose magnetic resonance angiography (MRA) of dysfunctional dialysis fistulae and grafts if visualization of the complete arterial inflow and outflow vessels is needed. In a prospective multi-centre study we determined the technical success rate of complete vascular access tree depiction by digital subtraction angiography (DSA) as an alternative to MRA. Instead of a more invasive brachial artery of femoral artery approach, we performed a retrograde catheterization of the venous outflow or graft, and stenoses were treated in connection with DSA. Methods. A catheter was advanced into the central arterial inflow after retrograde puncture of the venous outflow or graft for depiction of the complete inflow, access region and complete outflow. Access DSA through femoral artery puncture was done if the retrograde approach failed to depict the complete vascular access tree. Stenoses with a luminal diameter reduction >= 50% were treated, if possible, in connection with DSA. Results. A total of 116 dysfunctional haemodialysis fistulae and 50 grafts were included. Retrograde DSA depicted the complete vascular tree in 162 patients (97.6%). The arteriovenous anastomosis of four fistulae could not be negotiated by a catheter. DSA demonstrated 247 significant stenoses: 30, 128 and 89 were located in the arterial inflow (12.1%), AV anastomosis and graft region (51.8%) and venous outflow (36.0%), respectively. Ten patients (6.0%) had no stenosis. Eight (4.8%), 55 (33.1%) and 33 (19.9%) patients demonstrated stenoses in only inflow, access region or outflow, respectively. Stenoses in two or three vascular territories were present in 53 (31.9%) and 7 (4.2%) patients, respectively. A technically successful endovascular intervention was obtained in 135 of the 139 patients (97.1%) who underwent angioplasty and/or stent placement. Additional sheath insertion by antegrade outflow puncture was needed in 46 patients (33.1%) for the treatment of coexisting venous outflow stenoses, located downstream from the retrograde positioned sheath. Two minor complications were observed at DSA/angioplasty. Conclusion. As an alternative to MRA, full retrograde DSA is safe and effective for stenosis detection and stenosis treatment. However, access evaluation by a non-invasive imaging modality such as colour duplex ultrasound will be sufficient in most cases as proximal inflow stenoses are encountered in a minority of patients. Full retrograde DSA, including complete arterial inflow depiction, may then be reserved for cases with an unsuccessful outcome following endovascular intervention of stenoses depicted at ultrasound.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2b39b15cff96eb50c465f55b31ef8ab3Test
https://doi.org/10.1093/ndt/gfn526Test -
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المساهمون: Public Health, Epidemiology
المصدر: British Journal of Cancer
British Journal of Cancer, 100(1), 77-81. Nature Publishing Groupمصطلحات موضوعية: Oncology, Adult, Cancer Research, medicine.medical_specialty, Time Factors, Population, Breast Neoplasms, Rate ratio, female survivors, Breast cancer, breast neoplasm, SDG 3 - Good Health and Well-being, Internal medicine, Epidemiology, Epidemiology of cancer, Clinical Studies, medicine, Humans, Survivors, Stage (cooking), education, Aged, education.field_of_study, business.industry, Incidence (epidemiology), Incidence, Cancer, Neoplasms, Second Primary, Middle Aged, medicine.disease, Cancer registry, trend, Female, Breast disease, second primary cancer, business
الوصف: The number of female cancer survivors has been rising rapidly. We assessed the occurrence of breast cancer in these survivors over time. We computed incidence of primary breast cancer in two cohorts of female cancer survivors with a first diagnosis of cancer at ages 30+ in the periods 1975-1979 and 1990-1994. Cohorts were followed for 10 years through a population-based cancer registry. Over a period of 15 years, the incidence rate of breast cancer among female cancer survivors increased by 30%(age standardised rate ratio (RR-adj): 1.30; 95% CI: 1.03-1.68). The increase was significant for non-breast cancer survivors (RR-adj: 1.41, 95% CI: 1.04-2.75). During the study period, the rate of second breast cancer stage II tripled (RR-adj: 3.10, 95% CI: 1.73-5.78). Non-breast cancer survivors had a significantly (P value = 0.005) more unfavourable stage distribution ( 62% stage II and III) than breast cancer survivors (32% stage II and III). A marked rise in breast cancer incidence among female cancer survivors was observed. Research to optimise follow-up strategies for these women to detect breast cancer at an early stage is warranted.
وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ad51b2bfa4b4c8af1f0b3807d23a5380Test
https://hdl.handle.net/1765/16539Test -
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المؤلفون: Johanna H. Groenewoud, J.W.W. Coebergh, Lucien E. M. Duijm, Jacques Fracheboud, L.V. van de Poll-Franse, Marieke W. Louwman
المساهمون: Public Health, Epidemiology
المصدر: British Journal of Cancer, 100(6), 901-907. Nature Publishing Group
British Journal of Cancerمصطلحات موضوعية: Breast biopsy, Cancer Research, medicine.medical_specialty, Breast imaging, mammography, Breast surgery, medicine.medical_treatment, Radiography, radiographer, education, Breast cancer, SDG 3 - Good Health and Well-being, health services administration, Clinical Studies, Cancer screening, Humans, Mass Screening, Medicine, Mammography, Prospective Studies, Referral and Consultation, Mass screening, Aged, Observer Variation, inter-observer, medicine.diagnostic_test, business.industry, screening, Middle Aged, medicine.disease, Oncology, Female, Radiology, radiologist, business
الوصف: We prospectively determined the variability in radiologists' interpretation of screening mammograms and assessed the influence of type and number of readers on screening outcome. Twenty-one screening mammography radiographers and eight screening radiologists participated. A total of 106 093 screening mammograms were double-read by two radiographers and, in turn, by two radiologists. Initially, radiologists were blinded to the referral opinion of the radiographers. A woman was referred if she was considered positive at radiologist double-reading with consensus interpretation or referred after radiologist review of positive cases at radiographer double-reading. During 2-year follow-up, clinical data, breast imaging reports, biopsy results and breast surgery reports were collected of all women with a positive screening result from any reader. Single radiologist reading (I) resulted in a mean cancer detection rate of 4.64 per 1000 screens (95% confidence intervals (CI) = 4.23-5.05) with individual variations from 3.44 (95% CI = 2.30-4.58) to 5.04 (95% CI = 3.81-6.27), and a sensitivity of 63.9% (95% CI = 60.5-67.3), ranging from 51.5% (95% CI = 39.6-63.3) to 75.0% (95% CI = 65.3-84.7). Sensitivity at non-blinded, radiologist double-reading (II), radiologist double-reading followed by radiologist review of positive cases at radiographer double-reading (III), triple reading by one radiologist and two radiographers with referral of all positive readings (IV) and quadruple reading by two radiologists and two radiographers with referral of all positive readings (V) were as follows: 68.6% (95% CI = 65.3-71.9) (II); 73.2% (95% CI = 70.1-76.4) (III); 75.2% (95% CI = 72.1-78.2) (IV), and 76.9% (95% CI = 73.9-79.9) (V). We conclude that screener performance significantly varied at single-reading. Double-reading increased sensitivity by a relative 7.3%. When there is a shortage of screening radiologists, triple reading by one radiologist and two radiographers may replace radiologist double-reading.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::18a2514e2846fe24c64bea9cba02af61Test
https://hdl.handle.net/1765/18033Test -
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المؤلفون: Lucien E. M. Duijm, R.N. Planken, F.M. van der Sande, Robbert J. Nijenhuis, P. Douwes-Draaijer, Philippe W.M. Cuypers, Tim Leiner, Jan H.M. Tordoir, Alphons G.H. Kessels
المصدر: The Journal of Vascular Access. 9:269-277
مصطلحات موضوعية: medicine.medical_specialty, Duplex ultrasonography, medicine.diagnostic_test, business.industry, medicine.medical_treatment, 030232 urology & nephrology, Magnetic resonance imaging, 030204 cardiovascular system & hematology, medicine.disease, Preoperative care, Magnetic resonance angiography, 03 medical and health sciences, 0302 clinical medicine, Nephrology, Nephrogenic systemic fibrosis, Arterial Occlusive Diseases, medicine, Vascular Patency, Surgery, Hemodialysis, Radiology, business
الوصف: Purpose To determine prospectively the clinical value of contrast-enhanced magnetic resonance angiography (CE-MRA) for assessment of the arterial inflow and venous outflow prior to vascular access (VA) creation. Methods Seventy-three patients underwent duplex ultrasonography (DUS) and CE-MRA prior to VA creation for detection of stenoses and occlusions. Two observers read the CE-MRA images for determination of inter-observer agreement. A VA was considered functional if it could be used for successful two-needle hemodialysis therapy within 2 months after creation. Results CE-MRA detected 6 stenosed, 8 occluded arterial vessel segments and 12 stenosed and 41 occluded venous vessel segments in 70 patients. Inter-observer agreement for detection of upper extremity arterial and venous stenoses and occlusions with CE-MRA was substantial to almost perfect (kappa values 0.76–0.96). CE-MRA detected lesions, not detected by DUS, that were associated with VA early failure and non-maturation in 33% of patients (7/21). Accessory veins detected preoperatively were the cause of VA non-maturation in a substantial group of patients (47%: 7/15). Conclusion CE-MRA enables accurate detection of upper extremity arterial and venous stenosis and occlusions prior to VA creation. Preoperative CE-MRA identified arterial and venous stenoses, not detected by DUS that were associated with VA early failure and non-maturation. However, the use of gadolinium containing contrast media is currently contraindicated due the reported incidence of nephrogenic systemic fibrosis.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::2a41cd07102fbc1371371110f58075baTest
https://doi.org/10.1177/112972980800900408Test -
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المؤلفون: Harry J. de Koning, Lucien E. M. Duijm, Johanna H. Groenewoud, Jacques Fracheboud, Mike W.P.M. van Beek, Menno L. Plaisier, Rudi M. H. Roumen, B. Martin van Ineveld
المساهمون: Public Health
المصدر: European Radiology, 18, 2390-2397. Springer-Verlag
مصطلحات موضوعية: Breast biopsy, medicine.medical_specialty, Stereotactic biopsy, Breast Neoplasms, Breast cancer screening, Breast cancer, SDG 3 - Good Health and Well-being, Cancer screening, Biopsy, medicine, Prevalence, Mammography, Humans, Mass Screening, Radiology, Nuclear Medicine and imaging, health care economics and organizations, Mass screening, Aged, Netherlands, medicine.diagnostic_test, business.industry, Biopsy, Needle, General Medicine, Health Care Costs, Middle Aged, medicine.disease, Female, Radiology, business
الوصف: We prospectively assessed trends in utilization and costs of diagnostic services of screen-positive women in a biennial breast cancer screening program for women aged 50-75 years. All 2,062 women with suspicious findings at screening mammography in the southern region of the Netherlands between 1 January 2000 and 1 July 2005 (158,997 screens) were included. Data were collected on any diagnostic examinations, interventional procedures, and surgical consultations with two-year follow-up. We used national reimbursement rates to estimate imaging costs and percutaneous biopsy costs. Cost prices, charged by hospitals, were used to estimate open surgical biopsy costs and surgical consultation costs. The largest increase in utilization of diagnostic procedures per 100 referrals was observed for axillary ultrasound (from 3.9 in 2000 to 33.5 in 2005) and for stereotactic core biopsy (from 2.1 in 2000 to 26.8 in 2005). Per 100 referrals, the open surgical biopsy rate decreased from 34.7 (2000) to 4.6 (2005) and the number of outpatient surgical consultations fluctuated between 269.8 (2000) and 309.7 (2004). Mean costs for the diagnosis of one cancer were Euro1,501 and ranged from Euro1,223 (2002) to Euro1,647 (2003). Surgical biopsies comprised 54.1% of total diagnostic costs for women screened in 2000, but decreased to 9.9% for women screened in 2005. Imaging costs increased from 23.7 to 43.8%, percutaneous biopsy costs from 9.9 to 27.2%, and consultation costs from 12.3 to 19.1%. We conclude that diagnostic costs per screen-detected cancer remained fairly stable through the years, although huge changes in the use of different diagnostic procedures were observed.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::81627d50ba3d3fa063778b8c459f708bTest
https://hdl.handle.net/1765/14580Test -
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المؤلفون: Lucien E. M. Duijm, Johanna H. Groenewoud, Harry J. de Koning, B. Martin van Ineveld, Jacques Fracheboud, Rudi M. H. Roumen
المساهمون: Public Health
المصدر: European Journal of Cancer, 44(9), 1223-1228. Elsevier Ltd.
مصطلحات موضوعية: Cancer Research, medicine.medical_specialty, Consensus, Referral, health care facilities, manpower, and services, education, Breast Neoplasms, Screening programme, SDG 3 - Good Health and Well-being, health services administration, Medicine, Mammography, Humans, Mass Screening, Diagnostic Errors, Referral and Consultation, Aged, Netherlands, Observer Variation, Chi-Square Distribution, medicine.diagnostic_test, business.industry, Screening mammography, Medical screening, Carcinoma, Ductal, Breast, Double reading, Middle Aged, Prognosis, surgical procedures, operative, Oncology, Costs and Cost Analysis, Female, Radiology, business, Follow-Up Studies
الوصف: Purpose: To determine the effect of introducing radiographer double reading, in addition to standard radiologist double reading, on screening mammography outcome. Methods: In period A, 66,225 mammograms were read by two screening radiologists. In period B, 78,325 mammograms were read by two radiographers in addition and radiologists were blinded to the referral opinion of the radiographers. Mammograms, for which only radiographers had suggested referral, (i.e. cases that would only be referred by technologists) were re-evaluated by the screening radiologists. Women were referred if at least one radiologist considered this necessary, and diagnostic costs of these additional referrals were estimated. Results: In period A, 322 cancers were diagnosed after referral of 678 women. During period B, radiologists initially referred 1122 patients and 411 cancers were detected. Radiologists' referral rate was higher in period B than in period A (1.43% versus 1.02%, p < 0.001), as well as the cancer detection rate per 1000 women screened (CDR) (5.25 versus 4.86, p = 0.3). The positive predictive value of referral (PPV) was 36.6% versus 47.5% (p < 0.001). In period B, radiologist review of 544 additional positive radiographer readings led to 102 extra referrals, with 29 additional cancers detected, resulting in an overall referral rate of 1.56% (compared to period A, p < 0.001), an overall CDR of 5.62 (p = 0.048) and an overall PPV of 35.9% (p < 0.001). Workup expenses of the 102 additional referrals were Sic60,274. Conclusion: Additional radiographer double reading detected cancers that would have been missed by radiologists. Mean expenses for diagnostic confirmation of these extra cancers was Sic2078 per cancer. (C) 2008 Elsevier Ltd. All rights reserved.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9b4b7bb71deeefac2f43266391e2e527Test
https://doi.org/10.1016/j.ejca.2008.03.003Test -
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المؤلفون: Lucien E. M. Duijm, Jan H.M. Tordoir, Harrie C. M. van den Bosch, Jeroen P. Kooman, Tim Leiner, Frank M. van der Sande, Nils R. Planken, Michiel W. de Haan
المصدر: European Radiology. 18:158-167
مصطلحات موضوعية: Adult, Gadolinium DTPA, Male, medicine.medical_specialty, Duplex ultrasonography, Vascular access, Contrast Media, Statistics, Nonparametric, Magnetic resonance angiography, Arteriovenous Shunt, Surgical, Forearm, Renal Dialysis, Image Processing, Computer-Assisted, medicine, Humans, Radiology, Nuclear Medicine and imaging, Aged, Neuroradiology, Aged, 80 and over, Ultrasonography, Doppler, Duplex, medicine.diagnostic_test, business.industry, Ultrasound, Magnetic resonance imaging, Interventional radiology, General Medicine, Middle Aged, eye diseases, Surgery, medicine.anatomical_structure, Arm, Feasibility Studies, Kidney Failure, Chronic, Female, Radiology, business, Magnetic Resonance Angiography
الوصف: A contrast-enhanced magnetic resonance angiography (CE-MRA) protocol for selective imaging of the entire upper extremity arterial and venous tree in a single exam has been developed. Twenty-five end-stage renal disease (ESRD) patients underwent CE-MRA and duplex ultrasonography (DUS) of the upper extremity prior to hemodialysis vascular access creation. Accuracy of CE-MRA arterial and venous diameter measurements were compared with DUS and intraoperative (IO) diameter measurements, the standard of reference. Upper extremity vasculature depiction was feasible with CE-MRA. CE-MRA forearm and upper arm arterial diameters were 2.94 +/- 0.67 mm and 4.05 +/- 0.84 mm, respectively. DUS arterial diameters were 2.80 +/- 0.48 mm and 4.38 +/- 1.24 mm; IO diameters were 3.00 +/- 0.35 mm and 3.55 +/- 0.51 mm. Forearm arterial diameters were accurately determined with both techniques. Both techniques overestimated upper arm arterial diameters significantly. Venous diameters were accurately determined with CE-MRA but not with DUS (forearm: CE-MRA: 2.64 +/- 0.61 mm; DUS: 2.50 +/- 0.44 mm, and IO: 3.40 +/- 0.22 mm; upper arm: CE-MRA: 4.09 +/- 0.71 mm; DUS: 3.02 +/- 1.65 mm, and IO: 4.30 +/- 0.78 mm). CE-MRA enables selective imaging of upper extremity vasculature in patients requiring hemodialysis access. Forearm arterial diameters can be assessed accurately by CE-MRA. Both CE-MRA and DUS slightly overestimate upper arm arterial diameters. In comparison to DUS, CE-MRA enables a more accurate determination of upper extremity venous diameters.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8834588492aad12592f81a2321ac6652Test
https://doi.org/10.1007/s00330-007-0714-yTest
