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A-0037 Findings of an early limited-sequence MRI protocol in suspected scaphoid fractures
Jefin Jose Edakalathur, Kevin Syam, Adam Watts, Wrightington Hospital, Wigan, UK
Thursday, June 14, 2018 · 9:25 a.m. · 05m 24s
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huh good morning no first of all thank you for giving me this uh over to the the person my episodes
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uh and so on only sequence a moderate uh in the
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early limited second somali in a suspected sacrifice liked us
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so we have a protocol uh you know hospital uh for scuffed
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white uh factors we've just seen a for cindy need
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uh well uh they take the x. a. s. catholic views and it just aspect discussed quite fracture they
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refer to the basic reason the billable slab under for the vision to the automatic factor clinic
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does the obvious confide facts uh the bases place and a billable cost and then refer to the clinic
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uh in the clinic uh the x. rays uh taken from genie out uh the view uh and the patients clinically assessed
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uh and plus various um no suspicion of us go for it fractured
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uh then it goes to uh the hand videos automatically this shows
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if the the clinical suspicion uh then i and there's no obvious evidence on the x. ray
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then we send the patient for the same they ask if i'm a factor protocol a moderate
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and uh the patient is akin to view a one week later with the results uh and the report of the my scam
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uh we know that uh the clinical assessment of us confide structure that's uh
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has been described quite a lot uh includes an upbringing stuff out a tenderness a
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scuffle cubicle tenderness and uh the axial a combination of the time uh
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and all of them to get the uh still has not only space for the day of a seventy five percentage
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and um then the study was sure that the indians n. c. d. and that's that's the of these uh pass
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uh we know that they need to later grabs a detect only eighty to eighty five
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to ninety percent of the factors and ten to fifteen can be uh can
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there's been studies uh using m. i. with a show on that uh
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they help in detecting the fact is there yet and uh help indicating the management costs
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so uh in my study uh the patients but uh that waterford
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but that's of figures graphite factors about identified from being eraser
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a little bit of one yeah and uh the l. tonic patient record system was uh
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use join the fray and uh go to the clinical details and am i scans
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uh the limited to give them a they involve only d. t. one a sequence images including the still images
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uh at the benefit of this as an that too early in the kernel uh planes
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uh the benefit is is that much a shorter time but it and uh lately just take six minutes for them to do this can
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uh and they're given fifteen minutes lots so you can fit in on a day to day basis a few extra ones
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uh the the sun so we had a total of three sixes patients were for suspected factors
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and uh more to the most seen within eight days a little sixty watt in scene
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and uh these were the initial clinical diagnosis so forty of them but uh it's quite factors and
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i would take a sites well one hundred and seventeen of them are suspect it's quite factors
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uh there are also other uh multiple injuries adjusts all of us efforts factors
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uh off the amount i uh of the vision when for the m. i. scans a double
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six patients were local this just in various factors six had a local scuff white factors
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and nineteen patients i born bruises in the other the other couple bones
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and uh the others but of non format because although forty nominations
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now the with regard to the bone growth that are for patients to ask avoid bone bruising
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a seven it should be simple browsing for with other multiple a couple one process
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uh these are some of the media's from the uh uh uh from from
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a study of the lawn patient with the suspect my courses or something
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so that was one with the distillate is like the this one had a local famished
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like the scene on the other image and this one had a void born both
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station did not have that perspective really look at mimi there's a line that
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but it was picked a very well on the uh i my scan
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the one page and where the uh miss fact areas related i don't in the same exodus uh initially seen
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a though no complications that none of the factors will miss him informing liberation full now almost two years
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at the part about had been reducing the overall clinical visits uh by uh the
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ones that didn't have the portable that leaves it by the one that uh
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with the protocol early to is it's and there's no change in the number of video is it
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uh to conclude uh the mouth and a debate is other injuries uh which
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otherwise would have gone and looked at the top with just a base
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uh the media number of clinical visits but less and we need to for the study uh regarding
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the clinical significance of p. e. a multiple bottles of that you're picking up the amount images
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