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Supplementary CT temporal lobe cuts confer no worthwhile benefit

Abstract

The value of angled temporal lobe cuts as a supplement to conventional head computed tomography (CT) has been assessed by comparing the diagnostic yield of standard axial and specific temporal lobe images (TLCT) in 62 patients with temporal lobe epilepsy and 87 with Alzheimer-type senile dementia. Fewer than one patient in six had structural abnormality in the temporal lobe most readily demonstrated by axial CT. Five patients with epilepsy and ten with dementia had changes demonstrated only by TLCT, reported on by one or other of a pair of observers. However such changes were of dubious clinical relevance, or arose as a result of artefact. In one patient with epilepsy and underlying neoplasm, axial CT was positive and TLCT false-negative. The routine addition of temporal lobe cuts to a conventional axial examination confers no added benefit to justify the prolonged examination time and increased radiation dose to the lens of the eye. (orig.).
Authors:
Straiton, J A; Macpherson, P; Teasdale, E M [1] 
  1. Institute of Neurological Sciences, Glasgow (UK). Dept. of Neuroradiology
Publication Date:
Feb 01, 1991
Product Type:
Journal Article
Reference Number:
DEN-91-005835; EDB-91-095659
Resource Relation:
Journal Name: Neuroradiology; (Germany, F.R.); Journal Volume: 33:1
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BRAIN; COMPUTERIZED TOMOGRAPHY; NERVOUS SYSTEM DISEASES; DIAGNOSIS; COMPARATIVE EVALUATIONS; EPILEPSY; IMAGES; PATIENTS; BODY; CENTRAL NERVOUS SYSTEM; DIAGNOSTIC TECHNIQUES; DISEASES; NERVOUS SYSTEM; ORGANS; TOMOGRAPHY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
5643240
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 0028-3940; CODEN: NRDYA
Submitting Site:
DEN
Size:
Pages: 19-21
Announcement Date:
Aug 01, 1991

Citation Formats

Straiton, J A, Macpherson, P, and Teasdale, E M. Supplementary CT temporal lobe cuts confer no worthwhile benefit. Germany: N. p., 1991. Web. doi:10.1007/BF00593327.
Straiton, J A, Macpherson, P, & Teasdale, E M. Supplementary CT temporal lobe cuts confer no worthwhile benefit. Germany. https://doi.org/10.1007/BF00593327
Straiton, J A, Macpherson, P, and Teasdale, E M. 1991. "Supplementary CT temporal lobe cuts confer no worthwhile benefit." Germany. https://doi.org/10.1007/BF00593327.
@misc{etde_5643240,
title = {Supplementary CT temporal lobe cuts confer no worthwhile benefit}
author = {Straiton, J A, Macpherson, P, and Teasdale, E M}
abstractNote = {The value of angled temporal lobe cuts as a supplement to conventional head computed tomography (CT) has been assessed by comparing the diagnostic yield of standard axial and specific temporal lobe images (TLCT) in 62 patients with temporal lobe epilepsy and 87 with Alzheimer-type senile dementia. Fewer than one patient in six had structural abnormality in the temporal lobe most readily demonstrated by axial CT. Five patients with epilepsy and ten with dementia had changes demonstrated only by TLCT, reported on by one or other of a pair of observers. However such changes were of dubious clinical relevance, or arose as a result of artefact. In one patient with epilepsy and underlying neoplasm, axial CT was positive and TLCT false-negative. The routine addition of temporal lobe cuts to a conventional axial examination confers no added benefit to justify the prolonged examination time and increased radiation dose to the lens of the eye. (orig.).}
doi = {10.1007/BF00593327}
journal = []
volume = {33:1}
journal type = {AC}
place = {Germany}
year = {1991}
month = {Feb}
}