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1

Arslan, Zeynep Betül, Hilal Demir, Dila Berker Yıldız, and Füsun Yaşar. "Diagnostic accuracy of panoramic radiography and ultrasonography in detecting periapical lesions using periapical radiography as a gold standard." Dentomaxillofacial Radiology 49, no. 6 (September 1, 2020): 20190290. http://dx.doi.org/10.1259/dmfr.20190290.

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Objectives: The purpose of this study was to compare the accuracy of imaging techniques in diagnosing periapical lesions. Methods: Imaging records of 80 patients (51 females, 29 males, aged between 14 and 75 years) including periapical and panoramic radiographs and ultrasonographic images were selected from databases of Selcuk University Dentistry Faculty. Periapical radiographs were accepted as gold-standard and 160 anterior maxillary and mandibular teeth with or without periapical lesion were included to the study. Three specialist observers (dental radiologists) evaluated the presence and appearance of periapical lesions on panoramic radiograph and ultrasonographic images. Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic value of panoramic radiographs and ultrasonography were determined. Results: Sensitivity was 0.80 and 0.77 for ultrasonographic images and panoramic radiographs, respectively which shows that periapical lesion was correctly detected in 80% of the cases with ultrasound and in 77% of the cases with panoramic radiography. Specificity values were determined as 0.97 for ultrasound and 0.95 for panoramic radiography. Overall diagnostic accuracy was 0.86 and 0.84 for ultrasound and panoramic radiography, respectively. Conclusions: Periapical and panoramic radiographs are commonly used to visualize periapical lesions. Besides, ultrasonography is an alternative method to digital radiographic techniques in the diagnosis of anterior teeth with periapical lesions.
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Mattoon, J. S. "Digital radiography." Veterinary and Comparative Orthopaedics and Traumatology 19, no. 03 (2006): 123–32. http://dx.doi.org/10.1055/s-0038-1632988.

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SummaryDigital radiography has been used in human medical imaging since the 1980's with recent and rapid acceptance into the veterinary profession. Using advanced image capture and computer technology, radiographic images are viewed on a computer monitor. This is advantageous because radiographic images can be adjusted using dedicated computer software to maximize diagnostic image quality. Digital images can be accessed at computer workstations throughout the hospital, instantly retrieved from computer archives, and transmitted via the internet for consultation or case referral. Digital radiographic data can also be incorporated into a hospital information system, making record keeping an entirely paperless process. Digital image acquisition is faster when compared to conventional screen-film radiography, improving workflow and patient throughput. Digital radiography greatly reduces the need for “retake” radiographs because of wide latitude in exposure factors. Also eliminated are costs associated with radiographic film and x-ray film development. Computed radiography, charged coupled devices, and flat panel detectors are types of digital radiography systems currently available.
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Suwal, Sundar, Surakshya Koirala, and Dinesh Chataut. "Evaluation of the Diagnostic Quality of Chest Radiographs." Nepalese Journal of Radiology 12, no. 1 (June 30, 2022): 13–17. http://dx.doi.org/10.3126/njr.v12i1.42266.

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Introduction: With the advancement of conventional radiography to digital, digital radiography of the chest is commonly performed these days. The role and importance of diagnostic quality of radiographs are to help the radiologists and the clinicians in the diagnosis of diseases and their management, as well as to prevent the misdiagnosis of any pathology. This study was an attempt to quantify the diagnostic quality of chest radiographs by evaluating the quality of depiction of the anatomical details as well as other technical factors. Method: A total of 450 chest radiographs, produced at Tribhuvan University Teaching Hospital, were selected for study over two months period. Five image quality criteria i.e. anatomical coverage, rotation, adequate penetration, adequate inspiration, and scapula out of lung fields were evaluated and tabulated. Results: Out of the 450 radiographs taken for study, only 22.2% of the radiographs fulfilled all the image quality criteria, the rest 77.8% either lacked one or more of the quality criteria. Conclusion: Many technical factors affect the image quality of digital chest radiographs. However, the radiographer/technologist should always try to maintain adequate image quality of the radiographs.
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Anderson, Helen. "Dental Intra-oral Radiography: The Tricky Bits Exposed." Dental Update 48, no. 1 (January 1, 2021): 22–27. http://dx.doi.org/10.12968/denu.2021.48.1.22.

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Dental radiography is usually straightforward; however, a few patients do offer a greater challenge to the dentist aiming to achieve diagnostic images. Ironically, it is frequently these tricky patients where a good quality radiograph will be of greatest use when treatment planning. This article has been written primarily to provide some tips aimed at increasing the likelihood of achieving a diagnostic image for a patient who finds the procedure difficult and includes some techniques that can be applied to all patients having a dental radiograph taken. CPD/Clinical Relevance: Achieving good quality radiographs is essential to aid in both diagnosis and treatment planning.
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Shrestha, S., S. Maharhan, U. Khanal, and M. Humagain. "Evaluation of image quality in cervical spine lateral radiographs." Journal of Chitwan Medical College 6, no. 1 (February 16, 2017): 30–33. http://dx.doi.org/10.3126/jcmc.v6i1.16652.

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In diagnostic radiography, cervical lateral spine x-ray is common radiographic examination among imaging of cervical spine. Thus, it is important to show entire anatomical structure, adequate penetration, soft tissue of neck and bony detail. This study attempts to quantify the quality of cervical spine radiographs by evaluating the quality of depiction of the anatomical and physical details. In this cross-sectional study, about 188 cases of cervical spine lateral radiographs were collected for study over the three months of period. Nine image criteria i.e. anatomical coverage, soft tissue visualization, C7/T1 junction, sharp bony detail, proper chin raise, artifact, density, patient rotation and collimation were followed and tabulated. Obtained data were analyzed using in SPSS v.20 software and shown in frequency, percentages, bar diagrams and graphs. Among 188 patients, about 23.4% cervical radiographs met all image criteria but remaining 76.6% did not meet these criteria due to no anatomical coverage (33.5%), no proper chin raise (46.3%), artifact (13.3%), patient rotation (50%) and no collimation (33.5%). It is difficult to perform good quality cervical radiograph according to European guidelines14. To a great extent the quality of cervical radiographs depends upon skill of radiographer, equipment condition (x-ray machine, CR reader) and co-operation of patients. This is always a challenge for radiographer and technologist.
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TIEL-VAN BUUL, M. M. C., E. J. R. VAN BEEK, J. J. J. BORM, F. M. GUBLER, A. H. BROEKHUIZEN, and E. A. VAN ROYEN. "The Value of Radiographs and Bone Scintigraphy in Suspected Scaphoid Fracture." Journal of Hand Surgery 18, no. 3 (June 1993): 403–6. http://dx.doi.org/10.1016/0266-7681(93)90074-p.

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The role of radiography and bone scintigraphy in the diagnostic management of suspected scaphoid fracture is controversial. Two strategies were compared for patients with initial negative radiographs: repeated radiography versus selective bone scintigraphy. Using the known positive predictive value of scintigraphy, the sensitivity and specificity of both diagnostic strategies were evaluated in a series of 78 consecutive patients. The kappa value for initial radiographs was 0.76 but decreased to 0.5 for follow-up radiographs. Similarly, sensitivity decreased from 64% to 30% in follow-up radiographs. Specificity of the bone scan was 98%. The best diagnostic strategy in the management of clinically suspected scaphoid fractures consists of initial radiography followed by bone scintigraphy in patients with negative radiographs.
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Hayabuchi, N., W. J. Russell, and J. Murakami. "Problems in Radiographic Detection and Diagnosis of Lung Cancer." Acta Radiologica 30, no. 2 (March 1989): 163–67. http://dx.doi.org/10.1177/028418518903000209.

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All chest radiographs of 107 proven lung cancer patients who received consecutive biennial chest radiography were reviewed to elucidate problems detecting their cancers, and diagnosing them when initially radiographically detected. Subjects, members of a fixed population sample, originally numbered 20000 persons, 17000 of whom consistently received consecutive biennial chest radiography during examinations for late effects of atomic-bomb radiation. Among the 107 subjects, 64 had radiographic manifestations of cancer; 47 were initially correctly diagnosed; 17 were not. Eleven of the 17 were initially equivocal, diagnosable only after subsequent radiography and retrospective review of serial radiographs. Diagnostic problems consisted of 1) six detection errors with cancer images superimposed on musculoskeletal and cardiovascular structures, reducible by stereoscopic p.a. instead of single p.a. radiography; immediate tentative interpretations; and by comparing earlier with current radiographs. 2) Eight decision errors, wherein cancers mimicked other diseases, were reducible by greater index of suspicion and scrutiny during interpretations.
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Simancas-Pallares, Miguel, Luisa Arévalo-Tovar, and Antonio Díaz-Caballero. "Inter-examiner concordance of periodontal findings using conventional periapical radiography." Imaging and Radiation Research 4, no. 1 (July 21, 2001): 1. http://dx.doi.org/10.24294/irr.v4i1.1729.

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Introduction: Periodontal disease affects more than half of the population in Colombia and is estimated to be one of the leading causes of oral morbidity. Diagnostic aids that allow the evaluation of its extension and severity are of importance since this will provide reliable tools to quantify the severity of the problem. Objective: To determine the inter-examiner agreement for the detection of radiographic findings in patients with localized chronic periodontitis using conventional periapical radiography. Methods: Study of diagnostic tests including patients with localized chronic periodontitis, the tooth with the worst clinical insertion level and a single conventional radiograph per dental organ using parallelism technique. The radiographic evaluations were performed by two independent and blinded evaluators for the findings: lamina dura, bone defects and type of defect. The agreement obtained was estimated through Cohen’s Kappa. Results: A total of 125 radiographs were taken. The mean age was 38.8 ± 9.9, and 61.6% were women. Concordance for lamina dura was 0.08 (95% CI: -0.04–0.21), bone defects 1.00 (95% CI: 1.00–1.00); type of defect present 0.31 (95% CI: 0.29–0.38). Conclusions: Concordance was evaluated as null, almost perfect and acceptable for the findings lamina dura, presence of bone defects and type of defect respectively. For some findings and given the importance of the diagnostic and therapeutic processes, more accurate evaluations are needed which would result in a higher degree of agreement.
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Beltrán, Jorge A., Roberto A. León-Manco, and Maria Eugenia Guerrero. "Comparison of the diagnostic accuracy of cone beam computed tomography and three intraoral radiographic systems in the diagnosis of carious lesions in vitro." Journal of Oral Research 9, no. 6 (December 30, 2020): 466–73. http://dx.doi.org/10.17126/joralres.2020.091.

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Objective: The objective of the study was to compare the diagnostic accuracy of cone beam computed tomography and three intraoral radiographic systems in the detection of in vitro caries lesions. Material and Methods: One hundred teeth (46 molars and 54 premolars) were evaluated, including 176 proximal surfaces and 90 occlusal surfaces, with or without dental caries lesions. Digital images of all teeth were obtained using specific intraoral radiographs, VistaScan DürrDental®phosphor-plate radiography, XIOS XG Sirona® digital sensor radiography, and CBCT I-CATTM. Observers evaluated the images for the detection of caries lesions. The teeth were clinically sectioned and stereomicroscopy served as a validation tool. The relationship of sensitivity and specificity between all systems was determined through the ROC curve using Az values. Results: The values of the area under the curve (Az) selected for the CBCT I-CATTM system were 0.89 (0.84-0.93), for conventional radiography 0.71 (0.66-0.76), digital sensor radiography 0.74 (0.70-0.78) and digital radiography with phosphor-plates 0.73 (0.69-0.77). Statistically significant differences were found between the CBCT I-CATTM system and intraoral radiographic systems (p<0.01). The sensitivity and specificity values for the CBCT I-CATTM were 0.84 and 0.93 respectively. Conclusion: CBCT has a high sensitivity and specificity compared to intraoral radiographic systems for the diagnosis of dental caries lesions in vitro.
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Wennemuth, Jan, Bernd Tellhelm, Nele Eley, and Kerstin von Pückler. "Computed Tomography Enhances Diagnostic Accuracy in Challenging Medial Coronoid Disease Cases: An Imaging Study in Dog Breeding Appeal Cases." Veterinary and Comparative Orthopaedics and Traumatology 33, no. 05 (July 26, 2020): 356–62. http://dx.doi.org/10.1055/s-0040-1714299.

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Abstract Objectives The aim of this study was to determine the radiographic sensitivity in detecting medial coronoid disease (MCD), using computed tomography (CT) as reference in dogs presented for an official second opinion, and to compare the medial coronoid process (MCP) in fragmented and fissured MCP as well as those unaffected by MCD. Materials and Methods The data of dogs, presented for official second opinion radiographs and CT, were reviewed by three board-certified observers and in accordance with the International Elbow Working Group guidelines regarding MCD. Radiographic delineation, radiopacity and Hounsfield Units (HU) of the MCP were recorded additionally and the correlation between radiography and CT was investigated. Results Sensitivity and specificity of radiography compared with CT yielded values of 83.6% for the former and 83.5% for the latter. False-negative grading in radiography correlated significantly (p = 0.0001) with a present fissure line in CT. The mean delineation (p = 0.03) and mean HU of fragmented MCP (p = 0.0045) were significantly reduced compared with fissured MCP and no significant differences in measured HU for fissured MCP were detected in comparison to elbows unaffected by MCD. Conclusion The results of the present study show substantial agreement between radiography and CT in second opinion cases. However, sensitivity is reduced compared with not preselected cases. A present fissure line in CT was significantly associated with a false-negative grading in radiography. Therefore, CT imaging of the elbows is strongly recommended in cases of appeal.
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11

Albassal, Ahmad, Nuraldeen Maher Al-Khanati, and Munir Harfouch. "Is Dental Panoramic Radiography Reliable to Assess Position of Bicortical Fixation Screws in Mandibular Fractures? Case Report." Open Dentistry Journal 15, no. 1 (December 22, 2021): 672–73. http://dx.doi.org/10.2174/1874210602115010672.

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Background: Panoramic radiography is widely used as a diagnostic tool before oral surgeries and can be considered the foremost follow-up image after. It provides a broad observation of the maxillomandibular complex at a lower cost and radiation dose. But cone-beam computed tomography (CBCT) examination, after panoramic radiograph evaluation, can produce a change in the diagnostic thinking of maxillofacial surgeons leading to alterations in treatment plans. Objective: We aim to report a case with incidentally discovered radiographic findings where diagnostic changes were caused by switching from panoramic to CBCT imaging. Conclusion: Radiographic assessment of the position and angulation of screws by panoramic x-ray should be approached with extreme caution. The image of choice is CBCT if nerve injury is suspected.
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12

Limone, Leah E., and Robert M. Baratt. "Dental Radiography of the Horse." Journal of Veterinary Dentistry 35, no. 1 (February 27, 2018): 37–41. http://dx.doi.org/10.1177/0898756417736882.

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This step-by-step article describes radiographic imaging of the horse’s teeth and paranasal sinuses with standard radiographic equipment. Obtaining radiographs of the horse’s skull that are of diagnostic quality can be challenging. The descriptions offered in this article can help practitioners become more comfortable with obtaining diagnostic images, which will improve recognition of radiographic signs of dental and paradental pathology.
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Manzoor, Sathick, Kalaiselvi Santhosh, Anu Sushanth, Sakthidaran Seralathan, Vivekanandan Rajasekar, and Anoop Jacob. "A Cross-sectional Study to Evaluate Nuclear Changes in Buccal Mucosa Following Panoramic Radiography." Journal of Contemporary Dental Practice 21, no. 11 (2020): 1258–61. http://dx.doi.org/10.5005/jp-journals-10024-2921.

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ABSTRACT Aim and objective To evaluate the possible genotoxic effect of X-rays on buccal mucosa while exposing to dental panoramic radiography using micronucleus test. Materials and methods The study group comprised of 30 healthy subjects, 15 males and 15 females, aged between 24 years and 65 years. Samples were obtained from the exfoliated oral mucosa cells of buccal mucosa before and 12 days after exposing the patients to panoramic radiography. Results The study reported that there was no significant increase in the number of micronuclei cells present before and after panoramic radiography. Positive correlation existed between age with pre- and postexposure micronuclei. Conclusion Diagnostic dental panoramic radiograph does not induce micronuclei in the target buccal epithelium cells. A positive correlation between age and micronuclei frequency was established. Clinical significance Panoramic radiographs does not induce cytotoxicity but increase frequency may be vulnerable to genotoxic effects in buccal mucosal cells. Hence, dental radiographs should be prescribed only when necessary. How to cite this article Santhosh K, Manzoor S, Sushanth A, et al. A Cross-sectional Study to Evaluate Nuclear Changes in Buccal Mucosa Following Panoramic Radiography. J Contemp Dent Pract 2020;21(11):1258–1261.
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Russell, J. G. "Diagnostic radiography in children." Archives of Disease in Childhood 63, no. 9 (September 1, 1988): 1005–6. http://dx.doi.org/10.1136/adc.63.9.1005.

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Taylor, Nicholas. "Veterinary nurse to medical diagnostic radiographer." Veterinary Record 181, no. 8 (August 18, 2017): i—ii. http://dx.doi.org/10.1136/vr.j3917.

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Nicholas Taylor is senior diagnostic radiographer at the Great Western Hospital, Swindon, having initially qualified as a veterinary nurse. It was a college lecture that initially sparked his interest in radiography – little did he know where it would lead
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Prasetyo, Marcel, Thariqah Salamah, and Trifonia P. Siregar. "Additional diagnostic value of digital radiology in plantar fasciitis diagnosis." Medical Journal of Indonesia 26, no. 2 (August 18, 2017): 122–7. http://dx.doi.org/10.13181/mji.v26i2.1514.

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Background: Ultrasonography (USG) is regarded as the gold standard to differentiate normal plantar fascia and plantar fasciitis. Conventional radiography or plain X-ray is typically used to exclude differential diagnosis. Lately, conventional radiography has been digitalized and leads to better visualization of the soft tissue. However, it is not known whether digital radiography evaluation for calcaneus area, both qualitative and quantitative, has a similar diagnostic value as USG findings. Therefore, this study aimed to evaluate whether there is a strong correlation between digital radiographic and USG findings for diagnosing plantar fasciitis.Methods: This is a cross sectional study examining adult patients (>18 years old) presenting with inferior heel pain. Plantar aponeurosis thickness was measured by digital radiography and ultrasonography; measurement was performed three times in each modality, and the average value was recorded. Fat stranding, presence of calcaneal enthesophyte, and microfracture were also evaluated in digital radiography. Measurement results were classified into plantar fasciitis diagnosis using the cut-off value 4 mm.Results: There was no significant correlation between plantar aponeurosis thickness measured by digital radiography and by ultrasonography (r=0.069, p=0.688). There was no significant association between plantar fasciitis diagnosis by digital radiography and ultrasonography (p=0.162). However, digital radiography showed good sensitivity to detect plantar fasciitis using a cut-off value of >4 mm plantar fascia thickness.Conclusion: Digital radiography might be used to aid definitive diagnosis for plantar fasciitis.
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Hashemiasl, SM, S. Azizi, and D. Torkamani. "Radiographic findings in sheep with abomasal phytobezoariasis." Veterinární Medicína 61, No. 8 (March 10, 2017): 436–42. http://dx.doi.org/10.17221/9/2016-vetmed.

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The purpose of this study was to characterise the radiographic appearance of abomasal phytobezoars in sheep as well as to evaluate the utility of abdominal radiography to identify them. Twenty-seven fat-tailed Herrick sheep with a clinical suspicion of abomasal impaction were examined radiographically. Abdominal survey radiographs in right lateral recumbency were taken. Abomasal phytobezoars (AP) were seen in abdominal survey radiographs in 25/27 sheep (92%). Their radiographic survey appearance was round-to-oval masses with radiopaque margins and radiopacity similar to the ingesta centrally. An additional gastrographic barium study was performed in six of the sheep, followed by exploratory laparotomy where phytobezoars were removed through abomasotomy. The optimal time to visualise the APs was 48 h post-contrast. A significant correlation was noted between phytobezoars size in radiology and surgery (r = 0.651, P &lt; 0.001). Use of the barium study can improve the phytobezoar-ingesta contrast and visibility of the phytobezoars. Plain radiography with sheep positioned in right lateral recumbency is a useful supplementary technique which can be used to evaluate abomasal phytobezoariasis. This study shows that radiography is a suitable diagnostic method for detecting the presence of, but not the number of, abomasal phytobezoars in sheep.
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Liu, Tiffany, Chia Wu, David Steinberg, David Bozentka, L. Levin, Benjamin Gray, and Nikolas Kazmers. "Deferring Routine Wrist Radiography Does Not Affect Management of de Quervain Tendinopathy Patients." Journal of Wrist Surgery 07, no. 02 (August 14, 2017): 115–20. http://dx.doi.org/10.1055/s-0037-1606124.

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Background Obtaining wrist radiographs prior to surgeon evaluation may be wasteful for patients ultimately diagnosed with de Quervain tendinopathy (DQT). Questions/Purpose Our primary question was whether radiographs directly influence treatment of patients presenting with DQT. A secondary question was whether radiographs influence the frequency of injection and surgical release between cohorts with and without radiographs evaluated within the same practice. Patients and Methods Patients diagnosed with DQT by fellowship-trained hand surgeons at an urban academic medical center were identified retrospectively. Basic demographics and radiographic findings were tabulated. Clinical records were studied to determine whether radiographic findings corroborated history or physical examination findings, and whether management was directly influenced by radiographic findings. Frequencies of treatment with injection and surgery were separately tabulated and compared between cohorts with and without radiographs. Results We included 181 patients (189 wrists), with no differences in demographics between the 58% (110 wrists) with and 42% (79 wrists) without radiographs. Fifty (45%) of imaged wrists demonstrated one or more abnormalities; however, even for the 13 (12%) with corroborating history and physical examination findings, wrist radiography did not directly influence a change in management for any patient in this series. No difference was observed in rates of injection or surgical release either upon initial presentation, or at most recent documented follow-up, between those with and without radiographs. No differences in frequency, types, or total number of additional simultaneous surgical procedures were observed for those treated surgically. Conclusion Wrist radiography does not influence management of patients presenting DQT. Level of Evidence This is a level III, diagnostic study.
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Manninen, H., K. Partanen, S. Soimakallio, and H. Rytkönen. "Large-Image Intensifier Photofluorography and Conventional Radiography in Pulmonary Emphysema." Acta Radiologica 29, no. 3 (May 1988): 293–97. http://dx.doi.org/10.1177/028418518802900307.

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Large-screen image intensifier (II) photofluorography was compared with full-size screen-film chest radiography in the diagnosis of pulmonary emphysema in 84 patients. Photospot films and conventional radiographs were interpreted independently by three radiologists. Computed tomography (CT) was used as an independent reference technique, and diagnostic performance of chest radiography in various CT patterns of emphysema was evaluated. The difference in diagnostic sensitivity for emphysema in favor of conventional chest radiography over photofluorography (0.65 versus 0.56) was statistically significant (p<0.05). Specificity of the imaging modalities was equal: 0.78 in full-size films and 0.77 in photospot films. All CT patterns of emphysema had great false negative response rates in chest radiography, which is an inaccurate technique for the diagnosis of emphysema. CT is required for reliable radiologic evaluation of emphysema.
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Kakar, R., H. Sharma, P. Allcock, and P. Sharma. "Occult Acetabular Fractures in Elderly Patients: A Report of Three Cases." Journal of Orthopaedic Surgery 15, no. 2 (August 2007): 242–44. http://dx.doi.org/10.1177/230949900701500225.

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Three elderly patients with acetabular fractures not evident on the initial plain radiographs are presented. All had a fall and were unable to bear weight. Cross-sectional imaging and repeated plain radiography confirmed fractures of the acetabulum. Occult acetabular fractures may occur in elderly patients after a fall and present with persistent discomfort and difficulty walking. When there is reason to suspect such a fracture, further diagnostic studies, including a Judet view radiograph, bone scan, computed tomographic scan or magnetic resonance image should be performed.
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Ferris, Christine. "Specialism in radiography – a contemporary history of diagnostic radiography." Radiography 15 (December 2009): e78-e84. http://dx.doi.org/10.1016/j.radi.2009.10.006.

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Mestriner, Soraya Fernandes, Dionísio Vinha, and Wilson Mestriner Junior. "Comparison of different methods for the occlusal dentine caries diagnosis." Journal of Applied Oral Science 13, no. 1 (March 2005): 28–34. http://dx.doi.org/10.1590/s1678-77572005000100007.

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The aim of this study was to compare the effectiveness of in-vitro methods for the occlusal dentine caries diagnosis. Thirty-eight sites were evaluated on third molars without macroscopic carious cavitation in adult individuals from the city of Barretos (SP), Brazil. Visual inspection (VI), endoscopic evaluation (AcuCam), visual inspection and blunt-tipped exploratory probes (Tactile), conventional bite-wing radiographs (CR), direct bite-wing digital radiograph (DR), and direct digital radiograph with contrast and brightness controled (DRbc) were used by five observers. In order to validate the data, the teeth were sectioned and histologically evaluated. The average sensitivity and specificity values of the methods were respectively:0,25 , 0,96 (VI); 0,15 , 0,92 (AcuCam); 0,17 , 0,95 (Tactile); 0,45 , 0,73 (CR); 0,33 , 0,80 (DR) and 0,35 , 0,84 (DRbc) , the effectiveness of clinical methods (VI, AcuCam and Tactile) as well as that of radiographic methods (CR, DR and DRbc) were comparatively similar. The clinical methods presented a smaller number of false-positive diagnosis than the radiographic methods. It was concluded that visual inspection is an important diagnostic method; conventional bite-wing and digital radiography aid the diagnosis and are equally efficient to diagnose carious lesions in the dentine of teeth without visible cavitation.
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Peker, Ilkay, Meryem Toraman Alkurt, Oya Bala, and Bulent Altunkaynak. "The Efficiency of Operating Microscope Compared with Unaided Visual Examination, Conventional and Digital Intraoral Radiography for Proximal Caries Detection." International Journal of Dentistry 2009 (2009): 1–6. http://dx.doi.org/10.1155/2009/986873.

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Objective. The purpose of this study was to evaluate the efficiency of operating microscope compared with unaided visual examination, conventional and digital intraoral radiography for proximal caries detection.Materialsand Methods. The study was based on 48 extracted human posterior permanent teeth. The teeth were examined with unaided visual examination, operating microscope, conventional bitewing and digital intraoral radiographs. Then, true caries depth was determined by histological examination. The extent of the carious lesions was assessed by three examiners independently. One way variance of analysis (ANOVA) and Scheffe test were performed for comparison of observers, and the diagnostic accuracies of all systems were assessed from the area under the ROC curve ().Results. Statistically significant difference was found between observers (). There was a statistically significant difference between operating microscope-film radiography, operating microscope-RVG, unaided visual examination-film radiography, and unaided visual examination-RVG according to pairwise comparison ().Conclusion. The efficiency of operating microscope was found statistically equal with unaided visual examination and lower than radiographic systems for proximal caries detection.
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Ren, Hongyu, Jun Chen, Feng Deng, Leilei Zheng, Xiong Liu, and Yanling Dong. "Comparison of cone-beam computed tomography and periapical radiography for detecting simulated apical root resorption." Angle Orthodontist 83, no. 2 (August 14, 2012): 189–95. http://dx.doi.org/10.2319/050512-372.1.

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ABSTRACT Objective: To compare the diagnostic accuracy between cone-beam computed tomography (CBCT) and periapical radiography for detecting simulated external apical root resorption (EARR) in vitro. Materials and Methods: The study sample consisted of 160 single-rooted premolar teeth for simulating EARR of varying degrees according to four setups: no (intact teeth), mild (cavity of 1.0 mm in diameter and depth on root surface), moderate (0.4 mm, 0.8 mm, 1.2 mm, and 1.6 mm root shortening), and severe (2.4 mm, 2.8 mm, 3.2 mm, and 3.6 mm root shortening). Two groups of radiographic images were obtained via CBCT and periapical radiography. The absence or presence and the severity for all resorption lesions were evaluated blindly by two calibrated observers. Results: With the CBCT method, the rates of correct classification of no, mild, moderate, and severe EARR were 96.3%, 98.8%, 41.3%, and 87.5%, respectively; with the periapical radiography method, the rates were 82.5%, 41.3%, 68.8%, and 92.5%, respectively. Highly significant differences were found between the two imaging methods for detection of mild (P &lt; .001), moderate (P &lt; .001), and all EARR (P &lt; .001). For detection of all EARR, the sensitivity and specificity values were 75.8% and 96.3% for CBCT, compared with 67.5% and 82.5% for periapical radiography. Conclusion: CBCT is a reliable diagnostic tool to detect simulated EARR, whereas periapical radiography underestimates it. However, if a periapical radiograph is already available to the diagnosis of EARR, CBCT should be used with extreme caution to avoid additional radiation exposure.
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Ott, David J., David W. Gelfand, and Michael Y. M. Chen. "Diagnostic Value of UGI Radiography." Journal of Clinical Gastroenterology 12, no. 6 (December 1990): 715. http://dx.doi.org/10.1097/00004836-199012000-00029.

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Adrian-Harris, D., D. J. Isaaman, T. R. H. Dawson, C. W. Hart, C. W. Hart, J. P. R. Jenkins, and C. Bond. "Pattern Recognition in Diagnostic Radiography." Journal of Photographic Science 37, no. 3-4 (May 1989): 195–96. http://dx.doi.org/10.1080/00223638.1989.11737047.

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Eshar, David, La'Toya Latney, and Nicole R. Wyre. "Diagnostic contrast radiography in fish." Lab Animal 38, no. 10 (October 2009): 323–24. http://dx.doi.org/10.1038/laban1009-323.

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Strudwick, Ruth M., and Jane Day. "Interprofessional working in diagnostic radiography." Radiography 20, no. 3 (August 2014): 235–40. http://dx.doi.org/10.1016/j.radi.2014.03.009.

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Hinkle, Frances, and Myra Barrett. "CPD article: Radiographic interpretation of the navicular bone: a review." UK-Vet Equine 4, no. 5 (September 2, 2020): 136–43. http://dx.doi.org/10.12968/ukve.2020.4.5.136.

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Navicular syndrome (navicular disease) plays a major role in the equine industry as a chronic, degenerative, and often career-limiting disease process, affecting a variety of breeds of horses. In addition to clinical signs and diagnostic analgesia, diagnostic imaging plays a key role in the identification of this disease process; radiography is the most widely used imaging modality. In addition to their clinical utility, foot radiographs are a standard element of most pre-purchase examinations. Good radiographic quality and positioning are necessary for accurate interpretation. Radiographic lesions of the navicular bone, such as sclerosis, enlarged synovial invaginations, distal border fragments and flexor cortical erosions, are important to identify and understand because of their potential role in the disease process. This article reviews an approach to radiological evaluation and interpretation of lesions affecting the navicular bone.
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Mupparapu, Muralidhar. "Wireless Networking for the Dental Office: Current Wireless Standards and Security Protocols." Journal of Contemporary Dental Practice 5, no. 4 (2004): 155–62. http://dx.doi.org/10.5005/jcdp-5-4-155.

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Abstract Digital radiography has gained immense popularity in dentistry today in spite of the early difficulty for the profession to embrace the technology. The transition from film to digital has been happening at a faster pace in the fields of Orthodontics, Oral Surgery, Endodontics, Periodontics, and other specialties where the radiographic images (periapical, bitewing, panoramic, cephalometric, and skull radiographs) are being acquired digitally, stored within a server locally, and eventually accessed for diagnostic purposes, along with the rest of the patient data via the patient management software (PMS).1 A review of the literature shows the diagnostic performance of digital radiography is at least comparable to or even better than that of conventional radiography.2,3 Similarly, other digital diagnostic tools like caries detectors, cephalometric analysis software, and digital scanners were used for many years for the diagnosis and treatment planning purposes. The introduction of wireless charged–coupled device (CCD) sensors in early 2004 (Schick Technologies®, Long Island City, NY) has moved digital radiography a step further into the wireless era. As with any emerging technology, there are concerns that should be looked into before adapting to the wireless environment. Foremost is the network security involved in the installation and usage of these wireless networks. This article deals with the existing standards and choices in wireless technologies that are available for implementation within a contemporary dental office. The network security protocols that protect the patient data and boost the efficiency of modern day dental clinics are enumerated. Citation Mupparapu M, Arora S . Wireless Networking for the Dental Office: Current Wireless Standards and Security Protocols. J Contemp Dent Pract 2004 November;(5)4:155-162.
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Lee, Seung Yeol, Moon Seok Park, Ki Hyuk Sung, Sangho Chun, Sung Jin Kim, Shin Sangyeop, Hyun Choi, Seungbum Koo, and Kyoung min Lee. "Posterior tibial tendon integrity can be screened using plain anteroposterior foot radiography." Foot & Ankle Orthopaedics 2, no. 3 (September 1, 2017): 2473011417S0002. http://dx.doi.org/10.1177/2473011417s000260.

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Category: Hindfoot Introduction/Purpose: Posterior tibial tendon’s condition has traditionally been evaluated using ultrasonography or magnetic resonance imaging, but recent advancements in radiography have increased the resolution of radiographic soft tissue images. We performed this study to examined whether the posterior tibial tendon could be screened using anteroposterior foot radiographs, based on interobserver agreement and accuracy. Methods: We retrospectively evaluated consecutive patients who underwent weight-bearing foot radiography and ultrasonography based on a suspicion of posterior tibial tendinopathy. The integrity of the posterior tibial tendon was evaluated by two orthopaedic surgeons (8 years and 3 years of experience) using foot radiographs, and scored as having normal or abnormal tendon integrity (Fig). We evaluated interobserver agreement between the two surgeons, and the ultrasonography and radiography findings were compared to evaluate diagnostic accuracy. Results: We included 21 patients with a mean age of 51.5 ± 15.7 years (5 men and 16 women). Ultrasonography revealed 4 patients with normal tendon integrity, 6 patients with tenosynovitis and no tendinopathy, 8 patients with tendinopathy and tendon continuity, and 3 patients with loss of tendon continuity. The surgeons provided consistent radiographic findings for 81.0% of the patients (17/21; kappa = 0.576, p = 0.007). Based on the ultrasonographic findings, the surgeons provided accuracies of 76.2% (16/21) and 61.9% (13/21). Conclusion: The results indicate that weight-bearing anteroposterior foot radiography can be used to evaluate posterior tibial tendon integrity, which may allow physicians to predict the prognosis of patients with PTTD, to determine the extent of surgical treatment, and to evaluate the postoperative tendon integrity.
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Kaleem, Sultan Mohammed, Asif Sheik, Muhammad Ajmal, Muhammad Shahul Hameed, and Master Luqman. "Conventional Radiographic Assessment of Temporomandibular Joint Disorders in Young Saudi Patients: A Retrospective and Prospective Radiographic Study." International Journal of Experimental Dental Science 2, no. 2 (2013): 76–81. http://dx.doi.org/10.5005/jp-journals-10029-1045.

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ABSTRACT Objective The objective of the study is to evaluate temporomandibular joint (TMJ) disorders in young Saudi patients in Southern Aseer Region of the province and to find out the diagnostic efficacy of conventional radiography as basic diagnostic tool. Materials and methods A random sample of 200 patient radiographic data was collected in which 60 radiographs showing osseous changes are taken as study group. The patients in this study group are then recalled for clinical correlation of the radiographic findings along with the assessment of clinical signs and symptoms, sticking on to the research diagnostic criteria. Results There was no statistical difference in age groups and gender of the population and 14 patients (21.87%) showed clinical symptoms like clicking and pain in the preauricular region, correlating to the radiographic findings. mostly young female patients reported to have TMJ related symptoms (29.68%) whose radiographic findings correlate with that of clinical symptoms. Conclusion According to our knowledge, highest prevalence rate of TMDs is found in young Saudi females and is around 43% and 35% in young Saudi males. The sensitivity of conventional radiographs in diagnosing TMDs is 78.12% and specificity is 21.8%. How to cite this article Kaleem SM, Sheik A, Ajmal M, Hameed MS, Luqman M. Conventional Radiographic Assessment of Temporomandibular Joint Disorders in Young Saudi Patients: A Retrospective and Prospective Radiographic Study. Int J Experiment Dent Sci 2013;2(2):76-81.
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Booth, Naomi J., Samuel J. Morley, and Richard S. Ewers. "Use of radiography in small animal practice in the UK and Republic of Ireland in 2013." Veterinary Record 182, no. 8 (January 31, 2018): 225. http://dx.doi.org/10.1136/vr.104670.

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Radiography is an essential diagnostic tool in small animal practice. A major transition is currently underway from film screen to digital systems. However, there is limited published research detailing the use of radiography in practices in the UK and Republic of Ireland (ROI). The study aimed to describe the uptake of digital radiographic systems, wider aspects of radiographic practice and use of other diagnostic imaging techniques in the UK and ROI. This is a cross-sectional study using paper and online questionnaires. Veterinary surgeons, veterinary nurses and veterinary radiographers working in small animal practice in the UK and ROI were eligible to participate in the survey. Seventy-five per cent of respondents worked in practices using digital radiography systems. Cost appeared to be the largest barrier to digital conversion. Chemical restraint was used on 86 per cent of cases; however, 3 per cent of cases were reported to be restrained by hand. Thirty-one per cent of respondents had not received specific training in radiation safety. Ultrasonography is reportedly now widely utilised on a regular basis. These results provide useful information on the use of radiography and additional diagnostic imaging techniques in the UK. These results should be used to indicate future training requirements, particularly to improve radiation safety.
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Sujar, Aaron, Graham Kelly, Marcos García, and Franck P. Vidal. "Interactive teaching environment for diagnostic radiography with real-time X-ray simulation and patient positioning." International Journal of Computer Assisted Radiology and Surgery 17, no. 1 (October 13, 2021): 85–95. http://dx.doi.org/10.1007/s11548-021-02499-7.

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Abstract Purpose Traditional undergraduate radiographer training mixes academic lectures and clinical practice. Our goal is to bridge the current disconnection between theory and practice in a safe environment, avoiding the risk of radiation for both practitioners and patients. To this end, this research proposes a new software to teach diagnostic radiography using real-time interactive X-ray simulation and patient positioning. Methods The proposed medical simulator is composed of three main modules. A fast and accurate character animation technique is in charge of simulating the patient positioning phase and adapts their internal anatomy accordingly. gVirtualXRay is an open-source X-ray simulation library and generates the corresponding radiographs in real time. Finally, the courseware allows going through all the diagnostic radiology steps from the patient positioning and the machine configuration to the final image enhancing. Results A face and content validation study has been conducted; 18 radiology professionals were recruited to evaluate our software using a questionnaire. The results show that our tool is realistic in many ways (72% of the participants agreed that the simulations are visually realistic), useful (67%) and suitable (78%) for teaching X-ray radiography. Conclusions The proposed tool allows simulating the most relevant steps of the projectional radiography procedure. The virtual patient posing system and X-ray simulation module execute at interactive rates. These features enable the lectures to show their students the results of good and bad practices in a classroom environment, avoiding radiation risk.
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Pandey, S., KM Pai, and A. Dhakal. "Common positioning and technical errors in panoramic radiography." Journal of Chitwan Medical College 4, no. 1 (July 30, 2014): 26–29. http://dx.doi.org/10.3126/jcmc.v4i1.10844.

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Panoramic radiograph is one of the routinely used investigations in dentistry. The value of panoramic radiograph is reduced when they are of poor diagnostic quality. Therefore, the aim of the study is to be aware of the common positional and tech­nical errors so as to minimize such errors occurring in the department. Panoramic radiographs of all the patients, who were taking radiographs for their own diagnostic purpose, were examined. All Radiographs taken for a 3 months period were 1010. All panoramic radiographs examined for various errors. Data were analyzed for the frequency of some common faults, both technical and processing errors, which directly contributed to failure of the radiographs. Total 1010 radiographs were analyzed for errors. 27.5% (n=278) were showing errors which ranged from technical errors 11.3% ( n=14) to positional errors 16.2% (n=164) and 72.5% of radiographs were error free. Most common technical error was density/dark radiographs which were 45% (n=51) and the most common positional error found was tongue not resting against the palate, 20% (n=32). Dark radiograph and tongue not resting against the palate were found common errors. Fewer errors are likely to be made when a quality assurance regimen and proper training, which includes the recognition and correction of errors, is followed DOI: http://dx.doi.org/10.3126/jcmc.v4i1.10844 Journal of Chitwan Medical College 2014; 4(1): 26-29
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Jaremko, Jacob L., Lei Liu, Naomi J. Winn, Janet E. Ellsworth, and Robert G. W. Lambert. "Diagnostic Utility of Magnetic Resonance Imaging and Radiography in Juvenile Spondyloarthritis: Evaluation of the Sacroiliac Joints in Controls and Affected Subjects." Journal of Rheumatology 41, no. 5 (March 15, 2014): 963–70. http://dx.doi.org/10.3899/jrheum.131064.

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Objective.To compare the utility of radiography and magnetic resonance imaging (MRI) for the diagnosis of juvenile-onset spondyloarthritis in pediatric patients presenting with low back and/or sacroiliac (SI) pain of potentially inflammatory etiology.Methods.Radiographs and MRI studies of the SI joints in 26 patients with juvenile spondyloarthritis (JSpA) and 35 controls were assessed independently by 2 radiologists, with discrepancies arbitrated by a third. Radiographs and MRI were blinded and read in separate batches in random order.Results.Erosion was common and was the most useful diagnostic feature on radiography [positive likelihood ratio (LR) = 3.5] and was especially diagnostic of SpA on MRI (LR = 6.7). Subchondral sclerosis was common but was the least specific feature for both modalities. Joint space narrowing had some utility on radiography (LR = 2.0) and MRI (LR = 2.7) but was uncommon and had poor reader reliability. Bone marrow edema (LR = 3.1) and subarticular fat infiltration (LR = 4.5), detectable only on MRI, were both useful features. Global diagnostic impression of MRI (LR = 9.4) had very high utility for the diagnosis of JSpA, exceeding radiography (LR = 4.4) because of superior specificity. In addition, global diagnosis of SpA is much more reliably made on MRI (κ = 0.80) compared to radiography (κ = 0.30).Conclusion.Specificity and reliability of MRI of the SI joints are superior to radiography for the diagnosis of juvenile-onset SpA and, where available, MRI should replace radiography as the first line of investigation.
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Tantanapornkul, Weeraya, Darika Mavin, Jaruthai Prapaiphittayakun, Natnicha Phipatboonyarat, and Wanchanok Julphantong. "Accuracy of Panoramic Radiograph in Assessment of the Relationship Between Mandibular Canal and Impacted Third Molars." Open Dentistry Journal 10, no. 1 (June 23, 2016): 322–29. http://dx.doi.org/10.2174/1874210601610010322.

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Background: The relationship between impacted mandibular third molar and mandibular canal is important for removal of this tooth. Panoramic radiography is one of the commonly used diagnostic tools for evaluating the relationship of these two structures. Objectives: To evaluate the accuracy of panoramic radiographic findings in predicting direct contact between mandibular canal and impacted third molars on 3D digital images, and to define panoramic criterion in predicting direct contact between the two structures. Methods: Two observers examined panoramic radiographs of 178 patients (256 impacted mandibular third molars). Panoramic findings of interruption of mandibular canal wall, isolated or with darkening of third molar root, diversion of mandibular canal and narrowing of third molar root were evaluated for 3D digital radiography. Direct contact between mandibular canal and impacted third molars on 3D digital images was then correlated with panoramic findings. Panoramic criterion was also defined in predicting direct contact between the two structures. Results: Panoramic findings of interruption of mandibular canal wall, isolated or with darkening of third molar root were statistically significantly correlated with direct contact between mandibular canal and impacted third molars on 3D digital images (p < 0.005), and were defined as panoramic criteria in predicting direct contact between the two structures. Conclusion: Interruption of mandibular canal wall, isolated or with darkening of third molar root observed on panoramic radiographs were effective in predicting direct contact between mandibular canal and impacted third molars on 3D digital images. Panoramic radiography is one of the efficient diagnostic tools for pre-operative assessment of impacted mandibular third molars.
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Wagner, A., M. J. Albeck, and F. F. Madsen. "Diagnostic Imaging in Fracture of Lumbar Vertebral Ring Apophyses." Acta Radiologica 33, no. 1 (January 1992): 72–75. http://dx.doi.org/10.1177/028418519203300115.

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The findings at plain radiography, myelography, CT, and MR imaging in 3 cases of fracture of the lumbar vertebral ring apophysis are presented. Familiarity with this entity is important in evaluating low back pain in children and young adults. Conventional radiographs and/or MR imaging may suggest ring apophysis fracture; CT will confirm and classify the diagnosis.
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Woznitza, Nick, Lisa Pittock, James Elliott, and Bev Snaith. "Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey." BJR|Open 3, no. 1 (January 2021): 20210003. http://dx.doi.org/10.1259/bjro.20210003.

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Objectives: To survey the diagnostic radiography workforce in the United Kingdom (UK) at an organisational level to ascertain the scope of advanced practice and compliance with Health Education England standards for multiprofessional advanced clinical practice (ACP). Methods: 174 diagnostic imaging departments were invited to participate in a cross-sectional electronic survey focused upon advanced level practice and their educational and accreditation expectations (October–December 2019). Breast imaging, computed tomography, fluoroscopy, interventional radiology, lithotripsy, magnetic resonance imaging and projectional radiography were included. Results: A total of 97 responses were received, of which 79 were eligible for inclusion (45%). Respondents reported advanced-level practice roles across all imaging modalities, which included clinical reporting, procedural-based and combined roles. Radiograph and mammogram reporting were most prevalent (95 and 67% of Trusts), with fluoroscopy the most frequent procedure-only role (25%). Only 39% of trusts required adherence to the four pillars of ACP within job descriptions, and only 12% requiring a full Masters qualification. Conclusions: Diagnostic radiographer reporting and procedure-based roles in the NHS are varied and widespread. However, inconsistencies in fulfilment against the expected standards for advanced practice exist. Realignment of advanced-level roles to delineate enhanced and advanced clinical practice may ensure consistency between roles and professions. A requirement for accreditation as an advanced (clinical) practitioner with adherence to advanced practice requirements could therefore provide value to accreditation for both individual practitioners and Trusts. Advances in knowledge: Within the UK, diagnostic radiographer roles previously self-identified as advanced-level practice may be termed enhanced practice when not adhering to expected ACP standards.
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Traslaviña, Julián A., Manuel M. Martínez, Maria J. Olivera, and Ramón M. Balsalobre. "Comparative study of transthoracic ultrasound and chest X-ray in the postoperative period of thoracic surgery." International Surgery Journal 4, no. 9 (August 24, 2017): 2925. http://dx.doi.org/10.18203/2349-2902.isj20173872.

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Background: Chest radiography is currently the reference technique in postoperative follow-up of thoracic surgery. However, routine use (almost daily) has been repeatedly questioned. Moreover, transthoracic ultrasound, besides being a useful technique in pleuropulmonary pathology offers additional advantages over the radiograph. The aim of this study is to analyse the diagnostic agreement between radiographic and ultrasound techniques in the postoperative follow-up of thoracic surgery.Methods: Observational, prospective study, in the postoperative period of thoracic surgery, to study the concordance between the ultrasound and radiographic findings. Sixty patients were evaluated during the postoperative period with the two diagnostic tests, first the lung ultrasound of the 2 hemithorax and then the chest radiograph. Each patient had an ultrasound and an X-ray. The sonographer and radiologist have independently assessed the occurrences of pneumothorax, pleural effusion, pulmonary consolidation, and interstitial pattern.Results: The Cohen kappa index for pneumothorax was 0.706 (p <0.001), for pleural effusion 0.588 (p <0.001), for interstitial pattern 0.471 (p <0.001) and for pulmonary consolidation 0.282 (p 0.002).Conclusions: The diagnostic concordance between radiographic and ultrasound techniques in the postoperative period of thoracic surgery is substantial for pneumothorax, pleural effusion and interstitial pattern, and fair for pulmonary consolidation.
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Sołtysiak, Arkadiusz, Ewelina A. Miśta-Jakubowska, Jacek J. Milczarek, Piotr Tulik, and Izabela Fijał-Kirejczyk. "Neutron radiography as a diagnostic tool in human osteology." HOMO 70, no. 4 (November 29, 2019): 277–82. http://dx.doi.org/10.1127/homo/2019/1115.

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Kazama, K., K. Onda, S. Arai, Y. Shinozuka, K. Kawai, K. Kaneko, T. Kondo, and K. Yamada. "A case report: Characteristic plain radiographic findings of a displaced abomasum in a heifer." Veterinární Medicína 67, No. 1 (November 29, 2021): 46–50. http://dx.doi.org/10.17221/83/2021-vetmed.

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A 9-month-old Holstein heifer with a history of severely poor growth presented with diarrhoea. On physical examination, a metallic pinging sound was heard on the simultaneous percussion and auscultation of the left trunk. On the cranial abdominal radiography, the contour of a gas-filled balloon-like abomasum wall was delineated, which elevated to the dorsal abdomen. Radiopaque sand at the bottom of the abomasum had been pulled up caudodorsally by the gas-filled abomasum. After surgery, the gas-filled balloon-like appearance of the abomasum wall disappeared and the radiopaque sand was located in the normal position. To our knowledge, no reports on a displaced abomasum on plain radiographs are available. The radiographic findings described herein are characteristic imaging findings of a displaced abomasum. Abdominal radiography could be a new option as an auxiliary diagnostic approach for a displaced abomasum.
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Beregi, A., F. Felkai, V. Molnár, Zs Szentgáli, and F. Bíró. "DIAGNOSTIC RADIOLOGY OF PET AND WILD BIRDS: A REVIEW – II. INDICATIONS OF RADIOLOGICAL EXAMINATION AND RADIOGRAPHS OF PATHOLOGICAL LESIONS." Acta Veterinaria Hungarica 47, no. 4 (November 1, 1999): 395–408. http://dx.doi.org/10.1556/avet.47.1999.4.1.

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The second part of the review dealing with the diagnostic radiology of pet and wild birds discusses the indications of radiological examination, the interpretation of radiographs taken of pathological lesions, and the differential diagnosis of such lesions. Radiology has paramount importance in the diagnosis of diseases affecting the skeletal, digestive, respiratory, urogenital and cardiovascular systems. Certain diseases (shortage of grits, ovarian cysts) cannot be recognised without radiography. Other conditions (e.g. Macaw Wasting Disease, renal tumours, egg retention) require this complementary diagnostic method for confirmation of a suspicion based upon the clinical signs. Radiographic examination is also indicated for follow-up of the surgical management of bone fractures and for facilitating the implantation of transponders aimed at individual identification of the birds.
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Nocera, Irene, Caterina Puccinelli, Micaela Sgorbini, Simone Scoccianti, Marco Aloisi, Claudia Biliotti, and Simonetta Citi. "Deer Rescue in Tuscany: Retrospective Analysis and Assessment of Radiography Diagnoses." Animals 11, no. 11 (October 29, 2021): 3087. http://dx.doi.org/10.3390/ani11113087.

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Animal-vehicle collisions are the major cause of rescue and need for hospitalization in wildlife referral centers. Clinicians need easy-to-use tools to make rapid decisions about whether to euthanize or treat injured animals. The aim of the study was to evaluate the data (reasons for rescue, diagnosed lesions, and outcome) from a hospitalized population of wildlife ungulates and investigate the benefits of using radiography as a diagnostic tool. Data were collected from three wildlife referral centers in Tuscany (Italy). The following information was collected for each animal: reason for hospitalization, clinical examination, radiographic examination, definitive diagnosis, and outcome. A chi-squared test was used to assess the benefits of radiography in detecting different traumatic lesions. Prevalence was reported according to the reason for hospitalization, definitive diagnosis, radiographic diagnosis, and outcome. The main reason for hospitalization was traumatic lesions due to vehicle collisions and 71.1% of the animals did not survive. Radiography was more useful in patients with traumatic axial skeletal lesions and/or multiple traumas with respect to traumatic appendicular skeleton lesions. Our results show that radiography is a useful diagnostic technique for assessing wildlife emergencies and it could help the clinician in making medical decisions.
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Hardy, Maryann, and Hugh Harvey. "Artificial intelligence in diagnostic imaging: impact on the radiography profession." British Journal of Radiology 93, no. 1108 (April 2020): 20190840. http://dx.doi.org/10.1259/bjr.20190840.

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The arrival of artificially intelligent systems into the domain of medical imaging has focused attention and sparked much debate on the role and responsibilities of the radiologist. However, discussion about the impact of such technology on the radiographer role is lacking. This paper discusses the potential impact of artificial intelligence (AI) on the radiography profession by assessing current workflow and cross-mapping potential areas of AI automation such as procedure planning, image acquisition and processing. We also highlight the opportunities that AI brings including enhancing patient-facing care, increased cross-modality education and working, increased technological expertise and expansion of radiographer responsibility into AI-supported image reporting and auditing roles.
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Antonijevic, Djordje, Dragan Ilic, Vesna Medic, Slobodan Dodic, Kosovka Obradovic-Djuricic, and Zoran Rakocevic. "Evaluation of conventional and digital radiography capacities for distinguishing dental materials on radiograms depending on the present radiopacifying agent." Vojnosanitetski pregled 71, no. 11 (2014): 1006–12. http://dx.doi.org/10.2298/vsp1411006a.

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Bacgroun/Aim. The radiopacity of an endodontic material can considerably vary as measured on film and a digital sensor. Digital radiography offers numerous advantages over convential film-based radiography in dental clinical practice regarding both diagnostic capabilities and postintervention procedures. The aim of this study was to investigate the capacity of conventional and charge-conpled device (CCD) based digital radiography to detect material on radiograph depending on the radio-pacifying agent present in the material. Methods. Experimental cements were formulated by mixing Portland cement with the following radiopacifying agents: zinc oxide (ZnO), zirconium oxide (ZrO2), titanium dioxide (TiO2), barium sulphate (BaSO4), iodoform (CHI3), bismuth oxide (Bi2O3) and ytterbium trifluoride (YbF3). In addition, 5 endodontic materials comprising Endomethasone?, Diaket?, N2?, Roth 801? and Acroseal? were investigated to serve as control. Per three specimens of each material were radiographed alongside an aluminum step wedge on film (Eastman Kodak Company?, Rochester, NY) and a CCD-based digital sensor (Trophy Radiologie?, Cedex, France). Radiopacity values were calculated by converting the radiographic densities of the specimens expressed as a mean optical densities or mean grey scale values into equivalent thickness of aluminum. Results. Twoway ANOVA detected no significant differences with respect to the imaging system (p > 0.05), but the differences were significant with respect to radiopacifier (p < 0.001) and the interaction of the two factors (p < 0.05). Paired ttest revealed significant differences between the methods used for pure Portland cement, all concentrations of BaSO4 and CHI3, 10% and 20% additions of ZrO2 and Bi2O3 and 10% and 30% addition of YbF3 (p < 0.05). Conclusion. The materials which incorporate CHI3 or BaSO4 as radiopacifying agents are expected to be significantly more radiopaque on a digital sensor than on film. During clinical practice one should concern to the quality of contrast assessement obtained by digital according to conventional radiography.
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Kantor, M. L., and B. A. Slome. "Efficacy of Panoramic Radiography in Dental Diagnosis and Treatment Planning." Journal of Dental Research 68, no. 5 (May 1989): 810–12. http://dx.doi.org/10.1177/00220345890680051101.

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We compared treatment decisions based on a clinical examination alone with decisions based on an examination plus a panoramic radiograph to determine whether the panoramic radiograph increased the diagnostic yield and consequently affected treatment. Provisional treatment plans, based on a screening clinical examination alone (n = 33), or on a screening clinical examination plus panoramic radiograph (n = 43), were compared with final treatment plans based on a complete diagnostic assessment (including all necessary radiographs). For this analysis, the final treatment plan was considered correct and used as the gold standard. The two groups used in the comparison were equivalent in age, gender, and final treatment plan needs. The availability of a panoramic radiograph did not improve the accuracy with which provisional treatment plans predicted the number of teeth requiring composites, amalgams, crowns, or extraction, nor did it improve the accuracy of the assessment of the periodontal status (Wilcoxon rank sum, alpha = 0.05). The proportion of patients who had an intra-oral full-mouth series as part of the complete diagnostic work-up was essentially the same for both groups (58% and 60%, respectively); the availability of the panoramic film did not reduce the need for full-mouth series radiographs for the development of the final treatment plans.
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Makris, N., K. Tsiklakis, K. Alexiou, A. Vierrou, and Th Stefaniotis. "The Subjective Image Quality of Conventional and Digital Panoramic Radiography Among 6 to 10 year old Children." Journal of Clinical Pediatric Dentistry 31, no. 2 (January 1, 2007): 109–12. http://dx.doi.org/10.17796/jcpd.31.2.46lx77211v483x01.

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Objectives: To compare the diagnostic quality of orthopantomographs made with the conventional unit Orthophos Siemens and the direct digital unit Planmeca 2000 cc Proline among children 6-10 years old and to investigate possible differences on image interpretation between oral radiologists and pediatric dentists. Methods: Study material included two independent groups of panoramic images (50 in each group) made with different panoramic modalities (digital, conventional). Eight observers (four pediatric dentists and four oral radiologists) evaluated all images for diagnostic quality in 12 pre-determined areas using a 4-point rating scale. Results: Digital and conventional panoramic radiography performed almost similarly as far as it concerns the specific diagnostic tasks rated with the exception of the interproximal contacts of mandibular molars where digital panoramic radiography was scored significantly higher and the periapical region of anterior mandible and anterior mandibular tooth germs where conventional panoramic radiography was found to be significantly better. Both oral radiologists and pediatric dentists graded similarly digital and conventional radiographs for a variety of diagnostic tasks. Conclusions: It can be concluded that diagnostic image quality obtained with the digital orthopantomograph unit Planmeca 2000 cc Proline was generally equal to image quality obtained with the conventional orthopantomograph unit Orthophos Plus CD. Image interpretation between oral radiologists and pediatric dentists was not substantially different
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49

Rischin, A., E. Kathpal, S. Vogrin, L. Bentley, V. Master, A. Steward, K. Le Marshall, and K. Lim. "AB1126 THE RELIABILITY AND DIAGNOSTIC ACCURACY OF DIGITAL TOMOSYNTHESIS COMPARED WITH CONVENTIONAL RADIOGRAPHY FOR THE INVESTIGATION OF SACROILIITIS." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1852. http://dx.doi.org/10.1136/annrheumdis-2020-eular.3521.

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Background:Conventional radiography remains part of the diagnosis of axial spondyloarthritis and determines qualification for biologic disease modifying anti-rheumatic drugs in many countries. The standard anteroposterior radiograph (XR) incompletely images the complex sacroiliac joint with recognised unacceptably low levels of agreement between readers. Digital tomosynthesis (DTS) uses conventional radiographic projections to create a three-dimensional image and is a potential alternative for the initial radiographic detection and grading of sacroiliitis.Objectives:To compare the level of agreement between two radiologists when reporting sacroiliac joint imaging with digital tomosynthesis versus conventional radiography, as well as to compare the diagnostic accuracy of each imaging modality.Methods:229 consecutive patients that had radiography and digital tomosynthesis performed at Footscray Hospital, Melbourne, Australia were included. Two blinded radiologists independently re-reported all images according to the modified New York criteria, or listed an alternative diagnosis. An overall assessment of each image as inflammatory sacroiliitis, normal or non-inflammatory disease was also recorded. Demographic and clinical data were extracted from medical records. Agreement between and within readers was evaluated using kappa (κ) statistic. Diagnostic accuracy was calculated by comparing each reader’s overall assessment against 2 reference standard comparators: most recent rheumatologist diagnosis and fulfillment of ASAS criteria at any time point.Results:The intra-reader agreement of reader 1 was almost perfect for the left, right and overall sacroiliac joint assessments (κ 0.77 - 0.94), with DTS outperforming XR. Reader 2 agreement was mostly moderate (κ 0.39 - 0.69), with DTS and XR better on the left and right sacroiliac joint respectively, but XR having better overall assessment. The inter-reader agreement of DTS for all patients was moderate and better than XR as shown in the Table. When excluding non-spondyloarthritis patients, inter-reader agreement improved (κ 0.50 to 0.58) but there was no significant difference between DTS and XR. Using reader 1, the sensitivity of DTS (64.8 - 66.7%) was better than XR (54.9 - 60.7%) but low, in keeping with what is known about radiographic sacroiliitis and axial spondyloarthritis. The specificity of XR (78.5 – 80.3%) was better than DTS (72.3 – 73.1%). There were no significant differences when fulfillment of modified New York Criteria was used as a reader’s positive test.Table.Inter-rater reliability between the readersAll patients(N=229)*Inflammatory sacroiliitis & normal patients (N=164)**Inflammatory sacroiliitis patients (N=92)**XR Right0.360.520.56DTS Right0.390.500.51XR Left0.340.550.56DTS Left0.420.550.58XR Overall0.40DTS Overall0.45*Non-weighted kappa statistic**Weighted kappa statisticConclusion:DTS demonstrated moderate reliability for assessment of sacroiliitis, marginally better than conventional radiography. Overall levels of agreement for both imaging modalities were however lower than radiography in previous studies, with several possible contributing factors. A prospective study in a selected spondyloarthritis cohort may better determine any benefit of DTS.References:[1]Christiansen AA, Hendricks O, Kuettel D, Horslev-Petersen K, Jurik AG, Nielsen S, et al. Limited Reliability of Radiographic Assessment of Sacroiliac Joints in Patients with Suspected Early Spondyloarthritis. The Journal of rheumatology. 2017;44(1):70-7.[2]van Tubergen A, Heuft-Dorenbosch L, Schulpen G, Landewe R, Wijers R, van der Heijde D, et al. Radiographic assessment of sacroiliitis by radiologists and rheumatologists: does training improve quality? Annals of the rheumatic diseases. 2003;62(6):519-25.Disclosure of Interests:None declared
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50

Beregi, A., Cs Székely, L. Békési, Judit Szabó, V. Molnár, and K. Molnár. "Radiodiagnostic examination of the swimbladder of some fish species." Acta Veterinaria Hungarica 49, no. 1 (January 2001): 87–98. http://dx.doi.org/10.1556/004.49.2001.1.11.

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Radiodiagnostic methods have not been used previously for studying the anatomy and diseases of the swimbladder of freshwater fish species. In this study, the radiographic anatomy of the swimbladder and species-related differences in swimbladder structure were studied on plain radiographs taken of 12 Hungarian fish species of major economic importance. Changes observed by radiography were also studied by conventional parasitological methods. The radiodiagnostic method reported here appears to be a useful complement to diagnostic examinations that have been based merely on dissection so far. It enables evaluation of the pathological lesions in live condition, without causing damage to the fish.
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