Whole-body magnetic resonance imaging (MRI) is increasingly being used for a number of indications. Our aim was to review and describe indications and scan protocols for diagnostic value of whole-body MRI for multifocal disease in children and adolescents, we conducted a systematic search in Medline, Embase and Cochrane for all published papers until November 2018. Relevant subject headings and free text words were used for the following concepts: 1) whole-body, 2) magnetic resonance imaging and 3) child and/or adolescent. Included were papers in English with a relevant study design that reported on the use and/ or findings from whole-body MRI examinations in children and adolescents. This review includes 54 of 1,609 papers identified from literature searches. Chronic nonbacterial osteomyelitis, lymphoma and metastasis were the most frequent indications for performing a whole-body MRI. The typical protocol included a coronal STIR (short tau inversion recovery) sequence with or without a coronal T1-weighted sequence. Numerous studies lacked sufficient data for calculating images resolution and only a few studies reported the acquired voxel volume, making it impossible for others to reproduce the protocol/images. Only a minority of the included papers assessed reliability tests and none of the studies documented whether the use of whole-body MRI affected mortality and/or morbidity. Our systematic review confirms significant variability of technique and the lack of proven validity of MRI findings. The information could potentially be used to boost attempts towards standardization of technique, reporting and guidelines development.
BackgroundPositron emission tomography (PET) with fluor-18-deoxy-glucose (FDG) is widely used for diagnosing recurrent or metastatic disease in patients with differentiated thyroid cancer (DTC).PurposeTo assess the diagnostic accuracy of FDG-PET for DTC in patients after ablative therapy.Material and MethodsA systematic search was conducted in Medline/PubMed, EMBASE, Cochrane Library, Web of Science, and Open Grey looking for all English-language original articles on the performance of FDG-PET in series of at least 20 patients with DTC having undergone ablative therapy including total thyroidectomy. Diagnostic performance measures were pooled using Reitsma’s bivariate model.ResultsThirty-four publications between 1996 and 2014 met the inclusion criteria. Pooled sensitivity and specificity were 79.4% (95% confidence interval [CI], 73.9–84.1) and 79.4% (95% CI, 71.2–85.4), respectively, with an area under the curve of 0.858.ConclusionF18-FDG-PET is a useful method for detecting recurrent DTC in patients having undergone ablative therapy.
The Pacific red alga Heterosiphonia japonica has dispersed rapidly along European shores. Due to the species' high abundance in many habitats, an impact on species richness and composition of local macroalgal communities might be expected. Higher sea temperatures may also influence local macroalgal composition, by providing more favourable conditions for species requiring higher temperatures. Macroalgal composition at 22 sublittoral sites along the south-western coast of Norway investigated prior to the establishment of H. japonica (1994Á1995) were reinvestigated in 2003Á2004, using similar methods. The total number of species collected in the area was approximately the same in the present investigation as in the previous study. With regard to number and composition of species at each site, there were no significant differences between sites with high abundance of H. japonica and sites with low or no abundance. Similarity percentage analysis (SIMPER) showed that there were temporal changes in composition of the macroalgal communities, mainly caused by higher frequency of 'southern species' (species with a northern limit on our coast). There was a significant increase in the percentage share of such species in the reinvestigations. The temporal differences observed are most likely caused by several warm summers/autumns and mild winters since the first investigation, which may favour a higher abundance of 'southern species'. Heterosiphonia japonica was the most important species contributing to temporal dissimilarity in the area. This paper concludes that H. japonica has caused no negative impact on regional algal species richness in the relatively short time span since its introduction.
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