1,721,030 research outputs found
Nuove Tecnologie, appropriatezza e costo efficacia dei programmi di screening di qualità
No full textInappropriateness of breast imaging: cost analysis.
No full textPurpose: The aim of this study was to assess how an incorrect indication for an examination may affect the diagnostic workup and diagnosis as well as healthcare expenditure. Materials and methods: We considered all the requests for breast imaging (mammography, ultrasound and magnetic resonance imaging) received by our radiology department between October 2010 and December 2010, and assessed their appropriateness based on the patient's age and the clinical question, if present. We then analysed the unnecessary costs resulting from inappropriate requests. Results: Out of a total of 1500 requests for ultrasound examination, the request was appropriate in 855 (57%) cases; out of a total of 2350 requests for mammography, the request was appropriate in 493 (21%) cases; out of a total of 100 requests for magnetic resonance imaging, the request was appropriate in 83 (83%) cases. The cost deriving from inappropriate requests was 51,235.04 Euros. Conclusions: Improving the timeliness of diagnosis is an important goal to be pursued by enhancing the available health services, improving communication and coordination of the different professionals involved and optimising diagnostic pathways in order to reduce healthcare spendin
“Considerazioni Clinico-Terapeutiche Sull' Impiego Dei Filtri Endoluminali Nella Prevenzione Dell' Embolia Polmonare”
No full text“Considerazioni Clinico-Terapeutiche Sull' Impiego Dei Filtri Endoluminali Nella Prevenzione Dell' Embolia Polmonare”
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Presurgical characterization and localization of breast lesions evidenced at Magnetic Resonance exclusively
No full textMagnetic Resonance (MR) is considered a third-generation imaging technique for breast cancer patients, in fact provides further useful information to obtain more precise definitions about the nature of lesions, particularly in case of inadequate or discordant results at traditional techniques. To the date, MR is considered to have high sensitivity but low specificity to discriminate the benign from malignant lesions. However MR-guided biopsies are determinant to achieve a correct histological diagnosis in case of lesions evidenced exclusively at MR. The MR improves the clinical comprehension of the significance of enhanced areas increasing the specificity of the technique as well. In the past, the histological typing of breast lesions, evidenced only at MR, was obtained exclusively through surgical procedures, nowadays the opportunity of use MR guided procedures as biopsies or reperage of impalpable lesions drastically reduced the invasive surgical ones. The purpose of this work is to asses the benefit of MR-guided interventistic procedures in breast lesions with dedicated materials as amagnetic wires and shearing needles
Changing indications for thoracotomy in blunt chest trauma after the advent of videothoracoscopy
No full textBackground: The advent of videothoracoscopy may restrict the indications for thoracotomy in blunt chest trauma. Methods: We retrospectively compared two groups of patients with blunt chest trauma observed in consecutive periods, before and after the advent of videothoracoscopy, 989 patients from 1989 to 1993 and 908 patients from 1994 to 1998. Results: During the first period, 38 thoracotomies were performed; but in 8 instances (21%), no major injuries were found. In the second period, 36 videothoracoscopies were performed to repair the lung (n = 5) or diaphragm (n = 5), to evacuate clots (n = 4), pericardial effusion (n = 3), and empyema (n = 2). Six procedures were converted and 11 findings were negative for lesions. Only nine intentional thoracotomies were performed, and significant lesions were found in each case. Conclusion: Videothoracoscopy has reduced the number of thoracotomies performed. Thoracotomy can be limited to massive bleeding with hemodynamic instability, major air leak, radiologic evidence of mediastinal enlargement or diaphragmatic rupture, or major anterolateral flail chest
“Associazione tra aneurisma dell’aorta addominale e aneurisma dell’aorta toracica: considerazioni cliniche ed epidemiologiche”
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“Patologia aneurismatica aterosclerotica. Indicazioni al trattamento chirurgico”
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