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ArtikelAdherence to Guideline-based Standard Operating Procedures in Pre-hospital Emergency Patients with Chronic Obstructive Pulmonary Disease  
Oleh: G, Bosse ; W, Schmidbauer ; Spies, C.D. ; Sorensen, M. ; Francis, R.C.E. ; Bubser, F. ; Krebs, M. ; Kerner, T.
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of International Medical Research vol. 39 no. 01 (Mar. 2011), page 267-276.
Topik: Chronic Obstructive Pulmonary Disease (Copd); Standard Operating Procedures; Guideline Implementation
Fulltext: 1583.pdf (126.75KB)
Ketersediaan
  • Perpustakaan FK
    • Nomor Panggil: J11.K
    • Non-tandon: 1 (dapat dipinjam: 0)
    • Tandon: tidak ada
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Isi artikelThis retrospective study was designed to evaluate the value of contrast-enhanced harmonic ultrasonography (CEHU), diffusion-weighted magnetic resonance imaging (DW-MRI) and CEHU plus DW-MRI for the diagnosis of prostate transitionzone (TZ) cancer. In total, 31 TZ cancers in 28 patients and 25 peripheral zone (PZ) cancers in 21 patients without a TZ cancer were evaluated. All patients underwent DW-MRI and CEHU followed by radical prostatectomy. Predictors for the diagnosis of prostate cancer were evaluated in three protocols (CEHU, DW-MRI, CEHU plus DW-MRI). Statistical analysis of the differences between these protocols and receiver operating characteristic (ROC) curve analysis were carried out. CEHU plus DW-MRI had a significantly higher sensitivity, accuracy and negative-predictive value (90.3%, 73.2% and 81.3%, respectively) for TZ cancer than either method alone. The area under the ROC curve values were 0.659, 0.679 and 0.712 for CEHU, DW-MRI, and CEHU plus DW-MRI, respectively. In conclusion, CEHU plus DW-MRI might be a useful protocol for the detection and location of TZ cancer.
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