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A case report of gastric antral vascular ectasia treated by endoscopic band ligation combined with lauromacrogol injection.
Medicine (Baltimore)
January 2025
Department of Gastroenterology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Rationale: Gastric antral vascular ectasia (GAVE) is a rare acquired lesion characterized by vascular dilation in the gastric antrum, frequently results in occult or overt gastrointestinal bleeding. Endoscopic intervention remains the cornerstone of therapy. Argon plasma coagulation was previously considered a first treatment option.
View Article and Find Full Text PDFTorsion and ruptured ovarian cystadenocarcinoma with internal bleeding complicated with retroperitoneal hematoma after tumor transection: A case report.
Medicine (Baltimore)
January 2025
Department of Obstetrics and Gynecology, Minimally Invasive Gynecology Surgery Center, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Rationale: Ovarian tumor torsion is a critical gynecological emergency, predominantly affecting women of reproductive age, with benign teratomas being the most common culprits. In contrast, malignant ovarian tumors, such as mucinous cystadenocarcinoma, infrequently present with torsion due to their invasive and angiogenic characteristics. The occurrence of torsion in malignant tumors complicates diagnosis and management, particularly when associated with complications like congestion, infarction, and internal bleeding.
View Article and Find Full Text PDFArtificial intelligence and machine learning capabilities in the detection of acute scaphoid fracture: a critical review.
J Hand Surg Eur Vol
January 2025
Clinical Scientific Computing, Guy's and St Thomas' NHS Foundation Trust, London, UK.
This paper discusses the current literature surrounding the potential use of artificial intelligence and machine learning models in the diagnosis of acute obvious and occult scaphoid fractures. Current studies have notable methodological flaws and are at high risk of bias, precluding meaningful comparisons with clinician performance (the current reference standard). Specific areas should be addressed in future studies to help advance the meaningful and clinical use of artificial intelligence for radiograph interpretation.
View Article and Find Full Text PDFOncological Feasibility of Limited Neck Dissection in cN0 Supraglottic Laryngeal Cancer.
Head Neck
January 2025
Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Background: Supraglottic squamous cell carcinoma (SCC) is a significant portion of head and neck cancers, with the management of clinically negative necks (cN0) through selective neck dissection (SND) being debated due to potential morbidities and low metastasis rates in levels IIb and IV.
Methods: This study is a retrospective, multicenter examination of the potential feasibility of limited neck dissection (LND), including only levels IIa and III in cN0 supraglottic SCC patients. It analyzed occult metastasis rates and explored relapse occurrences alongside potential predictors of lymph node metastasis.
Texture analysis combined with machine learning in radiographs of the knee joint: potential to identify tibial plateau occult fractures.
Quant Imaging Med Surg
January 2025
School of Management and Economics, University of Electronic Science and Technology of China, Chengdu, China.
Background: Missed or delayed diagnosis of occult fractures of tibial plateau may cause adverse effects on patients. The objective of this study was to evaluate the diagnostic performance of texture analysis (TA) of knee joint radiographs combined with machine learning (ML) in identifying patients at risk of tibial plateau occult fractures.
Methods: A total of 169 patients with negative fracture on knee X-ray films from 2018 to 2022 who were diagnosed with occult tibial plateau fractures or no fractures by subsequent magnetic resonance imaging (MRI) examination were retrospectively enrolled.
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