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3221. Complications of diagnostic cerebral angiography: evaluation of 19,826 consecutive patients. (PubMed)

Complications of diagnostic cerebral angiography: evaluation of 19,826 consecutive patients. To retrospectively evaluate the complications of diagnostic cerebral catheter angiography in 19,826 consecutive patients.This HIPAA-compliant study had institutional review board approval, with waiver of informed consent. Demographic, procedural, and complication data in 19 826 consecutive patients undergoing diagnostic cerebral angiography at one institution from 1981 through 2003 were retrospectively

2007 Radiology

3222. Multidetector CT of the paranasal sinus: potential for radiation dose reduction. (PubMed)

Multidetector CT of the paranasal sinus: potential for radiation dose reduction. The aim of the study was to retrospectively determine the potential for radiation dose reduction at multidetector computed tomography (CT) of the paranasal sinus by using computer simulation of the effect of low-radiation dose acquisition on diagnostic image quality. This HIPAA compliant study was approved by the institutional human research committee. The need for informed patient consent was waived. Twenty

2007 Radiology

3223. Virtual autopsy: two- and three-dimensional multidetector CT findings in drowning with autopsy comparison. (PubMed)

Virtual autopsy: two- and three-dimensional multidetector CT findings in drowning with autopsy comparison. To retrospectively determine the multidetector computed tomographic (CT) virtual autopsy findings of death by drowning in comparison with autopsy findings.The institutional review board of the Armed Forces Institute of Pathology approved this HIPAA-compliant study and did not require informed consent by the next of kin. Total-body multidetector CT was performed, immediately prior

2007 Radiology

3224. Percutaneous radiofrequency ablation of hepatic tumors against the diaphragm: frequency of diaphragmatic injury. (PubMed)

Percutaneous radiofrequency ablation of hepatic tumors against the diaphragm: frequency of diaphragmatic injury. To retrospectively determine the frequency of diaphragmatic injury when percutaneous hepatic radiofrequency (RF) ablation is performed adjacent to the diaphragm.Institutional Review Board approval was obtained for our HIPAA-compliant study. Informed consent for the ablation procedure and for use of related data for future research was obtained from each patient. A retrospective

2007 Radiology

3225. Breast mass lesions: computer-aided diagnosis models with mammographic and sonographic descriptors. (PubMed)

Breast mass lesions: computer-aided diagnosis models with mammographic and sonographic descriptors. To retrospectively develop and evaluate computer-aided diagnosis (CAD) models that include both mammographic and sonographic descriptors.Institutional review board approval was obtained for this HIPAA-compliant study. A waiver of informed consent was obtained. Mammographic and sonographic examinations were performed in 737 patients (age range, 17-87 years), which yielded 803 breast mass lesions

2007 Radiology

3226. Solitary brain lesions enhancing at MR imaging: evaluation with fluorine 18 fluorocholine PET. (PubMed)

consent in this institutional review board-approved, HIPAA-compliant study. Histopathologic diagnoses were made in 24 cases (13 high-grade gliomas, eight metastases to the brain, and three benign lesions). In six cases, benign lesions were diagnosed on the basis of longitudinal follow-up MR findings. The maximum standardized uptake value (SUV(max)) for lesion and peritumoral regions was measured on PET images, and a lesion-to-normal tissue uptake ratio (LNR) was calculated. Differences were assessed

2007 Radiology

3227. Acute brain infarct: detection and delineation with CT angiographic source images versus nonenhanced CT scans. (PubMed)

images as reference.Informed consent and institutional review board approval were received for this HIPAA-compliant study. Nonenhanced scans and angiographic source images obtained within 12 hours of symptom onset in 51 patients suspected of having MCA stroke were reviewed. Two blinded neuroimagers rated presence and extent of hypoattenuation on nonenhanced scans and angiographic source images with Alberta Stroke Programme Early CT Score (ASPECTS). Level of certainty for hypoattenuation detection

2007 Radiology

3228. Significant coronary artery stenosis: comparison on per-patient and per-vessel or per-segment basis at 64-section CT angiography. (PubMed)

Significant coronary artery stenosis: comparison on per-patient and per-vessel or per-segment basis at 64-section CT angiography. To prospectively evaluate the accuracy of 64-section computed tomographic (CT) coronary angiography for assessing significant stenosis on a global and segmental level, by using conventional coronary artery angiography as the reference standard.This study was HIPAA compliant and had local institutional review board approval. Patients gave informed consent. Patients

2007 Radiology

3229. CT colonography: false-negative interpretations. (PubMed)

CT colonography: false-negative interpretations. To retrospectively evaluate if false-negative interpretations at computed tomographic (CT) colonography are due to observer error.This study was HIPAA compliant and had institutional review board approval, with waiver of informed consent. An initial unblinded review of CT colonographic image data was used to generate reconciliation reports for all false-negative polyp candidates 6.0 mm or larger. These findings were then verified by two

2007 Radiology

3230. Acute cholecystitis: MR findings and differentiation from chronic cholecystitis. (PubMed)

Acute cholecystitis: MR findings and differentiation from chronic cholecystitis. To retrospectively determine the sensitivity and specificity of magnetic resonance (MR) imaging for differentiation between acute and chronic cholecystitis, with histopathologic analysis as the reference standard.Institutional review board approval with waived informed consent was obtained for this HIPAA-compliant study. Four reviewers blinded to the cholecystitis type but aware that cholecystitis was present

2007 Radiology

3231. The Health Insurance Portability and Accountability Act Privacy Rule: a practical guide for researchers. (PubMed)

The Health Insurance Portability and Accountability Act Privacy Rule: a practical guide for researchers. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, intended to address potential threats to patient privacy posed by the computerization and standardization of medical records, provides a new floor level of federal protection for health information in all 50 states. In most cases, compliance with the Privacy Rule was required as of April 2003. Yet considerable

2004 Medical Care

3232. AOFAS member experience with computerization of the office. (PubMed)

AOFAS member experience with computerization of the office. The combination of the implementation of the Healthcare Information Portability and Accountability Act (HIPAA) and the widespread publicity surrounding the report by the Institute of Medicine on preventable medical errors has increased interest of AOFAS members in the use of office-based electronic medical record (EMR) systems. Despite the large number of vendors for office-based EMR systems, little has been written to guide

2005 Foot & Ankle International

3233. The impaired hypothyroid patient: ethical considerations and obligations. (PubMed)

safety. Severely hypothyroid patients may lack the capacity to make an informed decision, even when warned against driving or other tasks, and some may ignore such warnings.The legal and ethical "duty to warn" may trump confidentiality and HIPAA in cases where the activity of impaired patients seriously affects public safety. Not only do health care providers have a clear duty to warn patients not to drive, but in some extreme cases, may have a duty to warn third parties when a patient's driving

2007 Thyroid

3234. The Use of Continuous Intrathecal Infusion of Octreotide in Patients with Chronic Pain of Noncancer Origin: An Evaluation of Side-effects and Toxicity in a Prospective Double-blind Fashion. (PubMed)

protected health information for research purposes which describes the privacy law, Health Insurance Portability and Accountability Act (HIPAA). The Saint Francis Hospital IRB and FDA approved the ongoing use of intrathecal octreotide for research. Conclusions.  Intrathecal octreotide, at doses as high as 20 µg/hr, appeared to be as safe as saline when given as a continuous intrathecal infusion. Further work is needed on dose-range analysis and efficacy.

2005 Neuromodulation : journal of the International Neuromodulation Society Controlled trial quality: uncertain

3235. A randomized controlled trial of a patient-accessible electronic medical record. (PubMed)

A randomized controlled trial of a patient-accessible electronic medical record. Legal and technologic trends are making medical records more patient-accessible. The Health Insurance Portability and Accountability Act (HIPAA) stipulates that "patients must be able to see and get copies of their records, and request amendments." Medical records are more commonly being stored in electronically, and methods have been developed to share these records with patients in a secure format.1,2 Previous

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2003 AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium Controlled trial quality: uncertain

3236. Brain mapping of deception and truth telling about an ecologically valid situation: functional MR imaging and polygraph investigation--initial experience. (PubMed)

Brain mapping of deception and truth telling about an ecologically valid situation: functional MR imaging and polygraph investigation--initial experience. To examine the neural correlates during deception and truth telling by using a functional magnetic resonance (MR) imaging technique and an ecologically valid task and to compare the results with those of a standard polygraph examination.All subjects gave written informed consent for this HIPAA-approved study, which was approved

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2006 Radiology Controlled trial quality: uncertain

3237. Contrast enhancement of central nervous system lesions: multicenter intraindividual crossover comparative study of two MR contrast agents. (PubMed)

Contrast enhancement of central nervous system lesions: multicenter intraindividual crossover comparative study of two MR contrast agents. To prospectively compare gadobenate dimeglumine with gadopentetate dimeglumine (0.1 mmol per kilogram body weight) for enhanced magnetic resonance (MR) imaging of central nervous system (CNS) lesions.This study was HIPAA-compliant at U.S. centers and was conducted at all centers according to the Good Clinical Practice standard. Institutional review board

2006 Radiology Controlled trial quality: uncertain

3238. Acute low back pain and radiculopathy: MR imaging findings and their prognostic role and effect on outcome. (PubMed)

Acute low back pain and radiculopathy: MR imaging findings and their prognostic role and effect on outcome. To prospectively determine in patients with acute low back pain (LBP) or radiculopathy, the magnetic resonance (MR) imaging findings, prognostic role of these findings, and effect of diagnostic information on outcome.Institutional review board approval and informed consent were obtained. This study was HIPAA compliant. A total of 246 patients with acute-onset LBP or radiculopathy were

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2005 Radiology Controlled trial quality: uncertain

3239. CT fluoroscopy-guided biopsy of the lung or upper abdomen with a breath-hold monitoring and feedback system: a prospective randomized controlled clinical trial. (PubMed)

CT fluoroscopy-guided biopsy of the lung or upper abdomen with a breath-hold monitoring and feedback system: a prospective randomized controlled clinical trial. To prospectively determine the clinical effectiveness of a breath-hold monitoring and feedback system in computed tomographic (CT) fluoroscopy-guided biopsies in which respiratory motion is a problem.Institutional review board approval and oral and written informed consent were obtained. This study was HIPAA compliant. A bellows-based

2005 Radiology Controlled trial quality: uncertain

3240. Evaluation of bowel distention and bowel wall appearance by using neutral oral contrast agent for multi-detector row CT. (PubMed)

Evaluation of bowel distention and bowel wall appearance by using neutral oral contrast agent for multi-detector row CT. To prospectively evaluate the performance of an orally administered 0.1% barium suspension, Volumen, as a bowel-marking agent for multi-detector row computed tomography (CT).This HIPAA-compliant study was approved by the Institutional Review Board and conformed to the institutional standards for research funded by a commercial sponsor. A total of 60 patients (33 women, 27 men

2006 Radiology Controlled trial quality: uncertain

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