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Biomedical subjects

M Evanoff

Publications and source records attributed to M Evanoff.

4 recordsLinked to original sources

Influence of image processing on chest radiograph interpretation and decision changes.

RATIONALE AND OBJECTIVES: The authors investigate the effect of image processing on diagnostic performance in the reading of computed chest radiographs. MATERIALS AND METHODS: Six radiologists read 168 chest images with and without the use of image processing. Diagnostic performance was measured by means of receiver operating characteristic analysis, and changes made in diagnostic decisions with the use of image processing were evaluated. RESULTS: There were no statistically significant differences between reader performance with image processing and reader performance without image processing (P < .05). Readers' decisions were just as likely to change from false-negative to true-positive as from true-positive to false-negative with the use of image processing. More decisions changed from true-negative to false-positive than from false-positive to true-negative with processing, CONCLUSION: The effect of image processing does not greatly influence diagnostic performance in chest radiography.

Attitude of Health Personnel↗

Factors that determine reexploration treatment of carpal tunnel syndrome.

Eighteen patients (20 hands) underwent reexploration of the carpal tunnel after a primary carpal tunnel release. The patients complained of unrelieved symptoms after their initial surgical procedures. We recommend reexploration for patients with unrelieved carpal tunnel syndrome if they have a positive Phalen's test, have symptoms that cause nocturnal wakening or are exacerbated by activities, or have a short or transverse initial incision. If the incision is adequate and these symptoms are not present, we believe that reexploration will not result in a satisfactory outcome.

Adult↗

External fixation maintained until fracture consolidation in the skeletally immature.

In a prospective study, we investigated the effects of external fixation on fracture union in skeletally immature patients. Twenty-five fractures of the femur and tibia in 21 patients were fixed externally with the intention of leaving the fixator in place until the fractures consolidated or nonunion was established. The main indications were head injury and multiple trauma. One hundred percent of the fractures consolidated with the fixator in place; 45 of 50 joints had 100% motion, three had 95% motion, and two had 60% motion owing to scarring from traumatic wounds. Eight-four percent of the fractures lost no position in the fixator, and 16% lost < or = 5 degrees.

Adolescent↗