21 results on '"Facal de Castro, Fernando"'
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2. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part VII, nerves of the lower limb
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Sconfienza, Luca Maria, Adriaensen, Miraude, Albano, Domenico, Alcala-Galiano, Andrea, Allen, Georgina, Aparisi Gómez, Maria Pilar, Aringhieri, Giacomo, Bazzocchi, Alberto, Beggs, Ian, Chianca, Vito, Corazza, Angelo, Dalili, Danoob, De Dea, Miriam, del Cura, Jose Luis, Di Pietto, Francesco, Drakonaki, Elena, Facal de Castro, Fernando, Filippiadis, Dimitrios, Gitto, Salvatore, Grainger, Andrew J., Greenwood, Simon, Gupta, Harun, Ivanoski, Slavcho, Khanna, Monica, Klauser, Andrea, Mansour, Ramy, Martin, Silvia, Mascarenhas, Vasco, Mauri, Giovanni, McCarthy, Catherine, McKean, David, McNally, Eugene, Melaki, Kalliopi, Messina, Carmelo, Miron Mombiela, Rebeca, Moutinho, Ricardo, Olchowy, Cyprian, Orlandi, Davide, Prada González, Raquel, Prakash, Mahesh, Posadzy, Magdalena, Rutkauskas, Saulius, Snoj, Žiga, Tagliafico, Alberto Stefano, Talaska, Alexander, Tomas, Xavier, Vasilevska Nikodinovska, Violeta, Vucetic, Jelena, Wilson, David, Zaottini, Federico, Zappia, Marcello, and Isaac, Amanda
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- 2022
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3. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part VI, foot and ankle
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Sconfienza, Luca Maria, Adriaensen, Miraude, Albano, Domenico, Alcala-Galiano, Andrea, Allen, Georgina, Aparisi Gómez, Maria Pilar, Aringhieri, Giacomo, Bazzocchi, Alberto, Beggs, Ian, Chianca, Vito, Corazza, Angelo, Dalili, Danoob, De Dea, Miriam, del Cura, Jose Luis, Di Pietto, Francesco, Drakonaki, Elena, Facal de Castro, Fernando, Filippiadis, Dimitrios, Gitto, Salvatore, Grainger, Andrew J, Greenwood, Simon, Gupta, Harun, Isaac, Amanda, Ivanoski, Slavcho, Khanna, Monica, Klauser, Andrea, Mansour, Ramy, Martin, Silvia, Mascarenhas, Vasco, Mauri, Giovanni, McCarthy, Catherine, McKean, David, McNally, Eugene, Melaki, Kalliopi, Messina, Carmelo, Mirón Mombiela, Rebeca, Moutinho, Ricardo, Olchowy, Cyprian, Orlandi, Davide, Prada González, Raquel, Prakash, Mahesh, Posadzy, Magdalena, Rutkauskas, Saulius, Snoj, Žiga, Tagliafico, Alberto Stefano, Talaska, Alexander, Tomas, Xavier, Vasilevska Nikodinovska, Violeta, Vucetic, Jelena, Wilson, David, Zaottini, Federico, Zappia, Marcello, and Obradov, Marina
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- 2022
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4. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part I, shoulder
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Sconfienza, Luca Maria, Adriaensen, Miraude, Albano, Domenico, Allen, Georgina, Aparisi Gómez, Maria Pilar, Bazzocchi, Alberto, Beggs, Ian, Bignotti, Bianca, Chianca, Vito, Corazza, Angelo, Dalili, Danoob, De Dea, Miriam, del Cura, Jose Luis, Di Pietto, Francesco, Drakonaki, Eleni, Facal de Castro, Fernando, Filippiadis, Dimitrios, Gielen, Jan, Gitto, Salvatore, Gupta, Harun, Klauser, Andrea S., Lalam, Radhesh, Martin, Silvia, Martinoli, Carlo, Mauri, Giovanni, McCarthy, Catherine, McNally, Eugene, Melaki, Kalliopi, Messina, Carmelo, Mirón Mombiela, Rebeca, Neubauer, Benedikt, Olchowy, Cyprian, Orlandi, Davide, Plagou, Athena, Prada Gonzalez, Raquel, Rutkauskas, Saulius, Snoj, Ziga, Tagliafico, Alberto Stefano, Talaska, Alexander, Vasilevska-Nikodinovska, Violeta, Vucetic, Jelena, Wilson, David, Zaottini, Federico, Zappia, Marcello, and Obradov, Marina
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- 2020
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5. Clinical indications for musculoskeletal ultrasound updated in 2017 by European Society of Musculoskeletal Radiology (ESSR) consensus
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Sconfienza, Luca Maria, Albano, Domenico, Allen, Georgina, Bazzocchi, Alberto, Bignotti, Bianca, Chianca, Vito, Facal de Castro, Fernando, Drakonaki, Elena E., Gallardo, Elena, Gielen, Jan, Klauser, Andrea Sabine, Martinoli, Carlo, Mauri, Giovanni, McNally, Eugene, Messina, Carmelo, Mirón Mombiela, Rebeca, Orlandi, Davide, Plagou, Athena, Posadzy, Magdalena, de la Puente, Rosa, Reijnierse, Monique, Rossi, Federica, Rutkauskas, Saulius, Snoj, Ziga, Vucetic, Jelena, Wilson, David, and Tagliafico, Alberto Stefano
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- 2018
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6. Ultrasonic Echo Intensity as a New Noninvasive In Vivo Biomarker of Frailty
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Mirón Mombiela, Rebeca, Facal de Castro, Fernando, Moreno, Pilar, and Borras, Consuelo
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- 2017
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7. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part VII, nerves of the lower limb
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Sconfienza, Luca Maria Adriaensen, Miraude Albano, Domenico and Alcala-Galiano, Andrea Allen, Georgina Aparisi Gomez, Maria Pilar Aringhieri, Giacomo Bazzocchi, Alberto Beggs, Ian and Chianca, Vito Corazza, Angelo Dalili, Danoob De Dea, Miriam and del Cura, Jose Luis Di Pietto, Francesco Drakonaki, Elena and Facal de Castro, Fernando Filippiadis, Dimitrios Gitto, Salvatore Grainger, Andrew J. Greenwood, Simon Gupta, Harun and Ivanoski, Slavcho Khanna, Monica Klauser, Andrea and Mansour, Ramy Martin, Silvia Mascarenhas, Vasco Mauri, Giovanni McCarthy, Catherine McKean, David McNally, Eugene and Melaki, Kalliopi Messina, Carmelo Miron Mombiela, Rebeca and Moutinho, Ricardo Olchowy, Cyprian Orlandi, Davide Prada Gonzalez, Raquel Prakash, Mahesh Posadzy, Magdalena and Rutkauskas, Saulius Snoj, Ziga Tagliafico, Alberto Stefano and Talaska, Alexander Tomas, Xavier Vasilevska Nikodinovska, Violeta Vucetic, Jelena Wilson, David Zaottini, Federico and Zappia, Marcello Isaac, Amanda
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Objectives To perform a Delphi-based consensus on published evidence on image-guided interventional procedures for peripheral nerves of the lower limb (excluding Morton’s neuroma) and provide clinical indications. Methods We report the results of a Delphi-based consensus of 53 experts from the European Society of Musculoskeletal Radiology who reviewed the published literature for evidence on image-guided interventional procedures offered around peripheral nerves in the lower limb (excluding Morton’s neuroma) to derive their clinical indications. Experts drafted a list of statements and graded them according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus was considered strong when > 95% of experts agreed with the statement or broad when > 80% but < 95% agreed. The results of the Delphi-based consensus were used to write the paper. Results Nine statements on image-guided interventional procedures for peripheral nerves of the lower limb have been drafted. All of them received strong consensus. Image-guided pudendal nerve block is safe, effective, and well tolerated with few complications. US-guided perisciatic injection of anesthetic provides good symptom relief in patients with piriformis syndrome; however, the addition of corticosteroids to local anesthetics still has an unclear role. US-guided lateral femoral cutaneous nerve block can be used to provide effective post-operative regional analgesia. Conclusion Despite the promising results reported by published papers on image-guided interventional procedures for peripheral nerves of the lower limb, there is still a lack of evidence on the efficacy of most procedures.
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- 2022
8. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part VI, foot and ankle
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Sconfienza, Luca Maria Adriaensen, Miraude Albano, Domenico and Alcala-Galiano, Andrea Allen, Georgina Aparisi Gomez, Maria Pilar Aringhieri, Giacomo Bazzocchi, Alberto Beggs, Ian and Chianca, Vito Corazza, Angelo Dalili, Danoob De Dea, Miriam and del Cura, Jose Luis Di Pietto, Francesco Drakonaki, Elena and Facal de Castro, Fernando Filippiadis, Dimitrios Gitto, Salvatore Grainger, Andrew J. Greenwood, Simon Gupta, Harun and Isaac, Amanda Ivanoski, Slavcho Khanna, Monica Klauser, Andrea Mansour, Ramy Martin, Silvia Mascarenhas, Vasco and Mauri, Giovanni McCarthy, Catherine McKean, David McNally, Eugene Melaki, Kalliopi Messina, Carmelo Miron Mombiela, Rebeca Moutinho, Ricardo Olchowy, Cyprian Orlandi, Davide and Prada Gonzalez, Raquel Prakash, Mahesh Posadzy, Magdalena and Rutkauskas, Saulius Snoj, Ziga Tagliafico, Alberto Stefano and Talaska, Alexander Tomas, Xavier Vasilevska Nikodinovska, Violeta Vucetic, Jelena Wilson, David Zaottini, Federico and Zappia, Marcello Obradov, Marina
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Objectives Clarity regarding accuracy and effectiveness for interventional procedures around the foot and ankle is lacking. Consequently, a board of 53 members of the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) reviewed the published literature to evaluate the evidence on image-guided musculoskeletal interventional procedures around this anatomical region. Methods We report the results of a Delphi-based consensus of 53 experts from the European Society of Musculoskeletal Radiology who reviewed the published literature for evidence on image-guided interventional procedures offered around foot and ankle in order to derive their clinical indications. Experts drafted a list of statements and graded them according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus was considered strong when > 95% of experts agreed with the statement or broad when > 80% but < 95% agreed. The results of the Delphi-based consensus were used to write the paper that was shared with all panel members for final approval. Results A list of 16 evidence-based statements on clinical indications for image-guided musculoskeletal interventional procedures in the foot and ankle were drafted after a literature review. The highest level of evidence was reported for four statements, all receiving 100% agreement. Conclusion According to this consensus, image-guided interventions should not be considered a first-level approach for treating Achilles tendinopathy, while ultrasonography guidance is strongly recommended to improve the efficacy of interventional procedures for plantar fasciitis and Morton’s neuroma, particularly using platelet-rich plasma and corticosteroids, respectively.
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- 2022
9. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part VII, nerves of the lower limb
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Sconfienza, Luca Maria, primary, Adriaensen, Miraude, additional, Albano, Domenico, additional, Alcala-Galiano, Andrea, additional, Allen, Georgina, additional, Aparisi Gómez, Maria Pilar, additional, Aringhieri, Giacomo, additional, Bazzocchi, Alberto, additional, Beggs, Ian, additional, Chianca, Vito, additional, Corazza, Angelo, additional, Dalili, Danoob, additional, De Dea, Miriam, additional, del Cura, Jose Luis, additional, Di Pietto, Francesco, additional, Drakonaki, Elena, additional, Facal de Castro, Fernando, additional, Filippiadis, Dimitrios, additional, Gitto, Salvatore, additional, Grainger, Andrew J., additional, Greenwood, Simon, additional, Gupta, Harun, additional, Ivanoski, Slavcho, additional, Khanna, Monica, additional, Klauser, Andrea, additional, Mansour, Ramy, additional, Martin, Silvia, additional, Mascarenhas, Vasco, additional, Mauri, Giovanni, additional, McCarthy, Catherine, additional, McKean, David, additional, McNally, Eugene, additional, Melaki, Kalliopi, additional, Messina, Carmelo, additional, Miron Mombiela, Rebeca, additional, Moutinho, Ricardo, additional, Olchowy, Cyprian, additional, Orlandi, Davide, additional, Prada González, Raquel, additional, Prakash, Mahesh, additional, Posadzy, Magdalena, additional, Rutkauskas, Saulius, additional, Snoj, Žiga, additional, Tagliafico, Alberto Stefano, additional, Talaska, Alexander, additional, Tomas, Xavier, additional, Vasilevska Nikodinovska, Violeta, additional, Vucetic, Jelena, additional, Wilson, David, additional, Zaottini, Federico, additional, Zappia, Marcello, additional, and Isaac, Amanda, additional
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- 2021
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10. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part V, knee
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Sconfienza, Luca Maria, primary, Adriaensen, Miraude, additional, Albano, Domenico, additional, Alcala-Galiano, Andrea, additional, Allen, Georgina, additional, Aparisi Gómez, Maria Pilar, additional, Aringhieri, Giacomo, additional, Bazzocchi, Alberto, additional, Beggs, Ian, additional, Chianca, Vito, additional, Corazza, Angelo, additional, Dalili, Danoob, additional, De Dea, Miriam, additional, del Cura, Jose Luis, additional, Di Pietto, Francesco, additional, Drakonaki, Elena, additional, Facal de Castro, Fernando, additional, Filippiadis, Dimitrios, additional, Gitto, Salvatore, additional, Grainger, Andrew J., additional, Greenwood, Simon, additional, Gupta, Harun, additional, Isaac, Amanda, additional, Ivanoski, Slavcho, additional, Khanna, Monica, additional, Klauser, Andrea, additional, Mansour, Ramy, additional, Martin, Silvia, additional, Mascarenhas, Vasco, additional, Mauri, Giovanni, additional, McCarthy, Catherine, additional, McKean, David, additional, McNally, Eugene, additional, Melaki, Kalliopi, additional, Mirón Mombiela, Rebeca, additional, Moutinho, Ricardo, additional, Obradov, Marina, additional, Olchowy, Cyprian, additional, Orlandi, Davide, additional, Prada González, Raquel, additional, Prakash, Mahesh, additional, Posadzy, Magdalena, additional, Rutkauskas, Saulius, additional, Snoj, Žiga, additional, Stefano Tagliafico, Alberto, additional, Talaska, Alexander, additional, Tomas, Xavier, additional, Vasilevska-Nikodinovska, Violeta, additional, Vucetic, Jelena, additional, Wilson, David, additional, Zaottini, Federico, additional, Zappia, Marcello, additional, and Messina, Carmelo, additional
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- 2021
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11. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part VI, foot and ankle
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Sconfienza, Luca Maria, primary, Adriaensen, Miraude, additional, Albano, Domenico, additional, Alcala-Galiano, Andrea, additional, Allen, Georgina, additional, Aparisi Gómez, Maria Pilar, additional, Aringhieri, Giacomo, additional, Bazzocchi, Alberto, additional, Beggs, Ian, additional, Chianca, Vito, additional, Corazza, Angelo, additional, Dalili, Danoob, additional, De Dea, Miriam, additional, del Cura, Jose Luis, additional, Di Pietto, Francesco, additional, Drakonaki, Elena, additional, Facal de Castro, Fernando, additional, Filippiadis, Dimitrios, additional, Gitto, Salvatore, additional, Grainger, Andrew J, additional, Greenwood, Simon, additional, Gupta, Harun, additional, Isaac, Amanda, additional, Ivanoski, Slavcho, additional, Khanna, Monica, additional, Klauser, Andrea, additional, Mansour, Ramy, additional, Martin, Silvia, additional, Mascarenhas, Vasco, additional, Mauri, Giovanni, additional, McCarthy, Catherine, additional, McKean, David, additional, McNally, Eugene, additional, Melaki, Kalliopi, additional, Messina, Carmelo, additional, Mirón Mombiela, Rebeca, additional, Moutinho, Ricardo, additional, Olchowy, Cyprian, additional, Orlandi, Davide, additional, Prada González, Raquel, additional, Prakash, Mahesh, additional, Posadzy, Magdalena, additional, Rutkauskas, Saulius, additional, Snoj, Žiga, additional, Tagliafico, Alberto Stefano, additional, Talaska, Alexander, additional, Tomas, Xavier, additional, Vasilevska Nikodinovska, Violeta, additional, Vucetic, Jelena, additional, Wilson, David, additional, Zaottini, Federico, additional, Zappia, Marcello, additional, and Obradov, Marina, additional
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- 2021
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12. Estudio comparativo de los valores de difusión por RM de las radiaciones ópticas en pacientes diagnosticados de síndrome clínico aislado con pacientes controles
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Facal de Castro, Fernando, Aparici Robles, Fernando, Romero Vidal, Francesc Xavier, Universitat Autònoma de Barcelona. Departament de Medicina, and Universitat Autònoma de Barcelona. Facultat de Medicina
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Esclerosi múltiple - Abstract
Diversos estudis han demostrat que, en pacients amb esclerosi múltiple, existeixen alteracions als paràmetres de difusió mesurats amb Resonància Magnètica als tractes de substància blanca que es mostren aparentment normals en les seqüències convencionals. Amb l'objectiu de demostrar si aquestes alteracions apareixen precoçment en la fase de síndrome clínic aïllada, es van analitzar una sèrie d'estudis de Resonància Magnètica cerebral amb seqüències potenciades en difusió i tractografia de les radiacions òptiques, de pacients amb el diagnòstic de síndrome clínic aïllada i pacients controls, mesurant en tots ells els valors dels paràmetres principals de difusió: coeficient de difusió aparent y fracció d'anisotropia. Amb aquestes exploracions no es van demostrar alteracions als paràmetres de difusió en fases tan precoces de la malaltia als pacients casos davant els controls. Diversos estudios han demostrado que, en pacientes con esclerosis múltiple, existen alteraciones en los parámetros de difusión medidos por Resonancia Magnética en los tractos de sustancia blanca que se muestran aparentemente normales en las secuencias convencionales. Con el objetivo de comprobar si estas alteraciones aparecen precozmente en la fase de síndrome clínico aislado, se analizaron una serie de estudios de Resonancia Magnética cerebral con secuencias potenciadas en difusión y tractografía de las radiaciones ópticas, de pacientes con el diagnóstico de síndrome clínico aislado y pacientes controles, midiendo en las mismas los valores de los parámetros principales de difusión: coeficiente de difusión aparente y fracción de anisotropía. Con estas exploraciones no se demostraron alteraciones en los parámetros de difusión en fases tan precoces de la enfermedad en los pacientes casos frente a los controles.
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- 2021
13. Diagnostic error in Radiology
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Facal de Castro, Fernando
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genetic structures ,Professional issues ,education ,Education and training ,Audit and standards ,Digital radiography ,MR ,Quality assurance ,Education ,CT ,Management - Abstract
Learning objectives Background Findings and procedure details Conclusion Personal information References, Learning objectives: · To clarify the concept and relevance of diagnostic errors. · To explain the pathophysiology and types of diagnostic errors. · To provide strategies to reduce...
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- 2019
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14. El error diagnóstico en radiología. Análisis de variables explicativas
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Facal de Castro, Fernando, Arana Fernández de Moya, Estanislao, Dualde Beltrán, Delfina, and Departament de Medicina
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control de calidad ,610901 Prevención de Accidentes ,610903 Planificación y Evaluación de Puestos de Trabajo ,doble lectura ,610609 Procesos de Percepción ,3299 Otras Especialidades Médicas (Radiodiagnóstico) ,error diagnóstico ,220716 Resonancia Magnética Nuclear ,610905 Comportamiento en la Organización ,errores activos ,factores latentes ,610907 Evaluación del Rendimiento - Abstract
ANTECEDENTES: Se ha demostrado que la etiología del error médico es multifactorial, con convergencia de factores humanos activos (errores de percepción, cognición y/o comunicación) y factores latentes del sistema. Los factores latentes del sistema son aquellas variables que pueden predisponer a la aparición de errores activos, o aumentar el impacto negativo de estos. Incluyen una amplia variedad de elementos, entre otros el material de trabajo inadecuado, la sobrecarga de trabajo, la falta de experiencia del radiólogo, la información clínica insuficiente y la no disponibilidad de estudios previos. Nuestra hipótesis de trabajo es que los factores latentes contribuyen significativamente al error diagnóstico en Radiología, sin embargo hasta la fecha no hay estudios que evalúen esta asociación. OBJETIVOS: • Determinar la tasa de discrepancia entre la primera lectura y la revisión del caso y comparar los resultados con las tasas de error diagnóstico reflejadas en la bibliografía médica. • Estimar la significación clínica de los errores detectados en base a la gravedad de los hallazgos de imagen. • Identificar los factores latentes asociados a una mayor incidencia de error diagnóstico. • Descubrir puntos débiles en el trabajo radiológico que puedan reforzarse con medidas específicas de formación o de control de calidad. METODOLOGÍA: Análisis observacional retrospectivo de las discrepancias diagnósticas en estudios de telerradiología de pacientes adultos de 37 centros sanitarios detectadas tras una revisión de casos por parte de radiólogos realizados en la empresa IBERORAD SL. desde 2014 a 2016. RESULTADOS PRINCIPALES: Para el total de estudios existe una tasa de discrepancia diagnóstica del 3,0%, que desciende al 1,4% en los estudios urgentes y se sitúa en el 3,6% en los estudios programados). La tasa media de estudios con discrepancias clínicamente significativas se sitúa en el 23,8% del total de discrepancias. En los estudios programados se observa asociación con la discrepancia diagnóstica, en orden decreciente de magnitud, de las siguientes variables: deficiente calidad técnica del estudio, estudio de TC frente a estudio de RM, disponibilidad de estudios de imagen previos, concordancia media o baja entre la especialidad del radiólogo y la especialidad del estudio, no utilización de sistemas de reconocimiento de voz, uso de un solo monitor de visualización de las imágenes y estudio informado fuera del horario laboral de un día laborable. En los estudios urgentes se observa asociación estadísticamente significativa con la discrepancia diagnóstica, en orden decreciente de magnitud, de las siguientes variables: disponibilidad de estudios de imagen previos, concordancia media entre la especialidad del radiólogo y del estudio, información clínica insuficiente, no utilización de sistemas de reconocimiento de voz, concordancia baja entre la especialidad del radiólogo y del estudio, estudio de complejidad alta, estudio de Body, uso de un solo monitor de visualización de las imágenes y estudio de MSK/Columna. CONCLUSIONES: La tasa de discrepancia diagnóstica en IBERORAD SL. durante el periodo estudiado es similar a la reflejada en la bibliografía médica. La mayoría de las discrepancias no son clínicamente significativas. Existen múltiples factores asociados al error diagnóstico, dependientes tanto de los estudios de imagen como del propio radiólogo, y la intensidad en que cada uno de estos factores se asocia al error diagnóstico es distinta en cada factor y variable en función del resto de características presentes en el proceso diagnóstico. BACKGROUND: It has been shown that the etiology of medical error is multifactorial, with convergence of active human factors (errors of perception, cognition and/or communication) and latent system factors. Latent system factors are those variables that may predispose to the arising of active errors or increase the negative impact of these. They include a wide variety of elements such as inadequate work material, work overload, inexperience of the radiologist, insufficient clinical information, and unavailability of previous studies, among others. Our working hypothesis is that the latent factors contribute significantly to diagnostic error in Radiology, however, to date there are no studies that evaluate this association. OBJECTIVES: • To determine the discrepancy rate between the first reading and the case review and to compare the results with the diagnostic error rates reflected in the medical literature. • To estimate the clinical significance of errors detected based on the severity of imaging findings. • To identify those latent factors associated with a higher incidence of diagnostic error. • To discover weak points in the radiological work that can be solved by specific training or quality control measures. METHOD: Retrospective observational analysis of diagnostic discrepancies in teleradiology studies of adult patients from 37 health centres detected after a review of cases performed by radiologists at the company IBERORAD SL from 2014 to 2016. MAIN RESULTS: For the total number of studies, there is a diagnostic discrepancy rate of 3%, which drops to 1.4% in emergency studies and stands at 3.6% in scheduled studies. The average rate of studies with clinically significant discrepancies is 23.8% of total discrepancies. In the programmed studies, an association was found with the diagnostic discrepancy, in decreasing order of magnitude, of the following variables: poor technical quality of the study; CT study versus MR study; availability of previous imaging studies; average or low level of concordance between the field of expertise of the radiologist and modality of the study; non-use of voice recognition systems; use of a single monitor to visualize images; and studies reported outside working hours of a working day. In the emergency studies, a statistically significant association was noticed with the diagnostic discrepancy, in decreasing order of magnitude, of the following variables: availability of previous imaging studies; average level of concordance between area of expertise of the radiologist and modality of the study; insufficient clinical information; non-use of speech recognition systems; low level of concordance between area of expertise of the radiologist and modality of the study; study of high complexity; body studies; use of a single monitor to visualize images; and MSK/spine studies. CONCLUSIONS: The diagnostic discrepancy rate in IBERORAD SL during the period analysed is similar to that reflected in the medical literature. Most discrepancies are not clinically significant. There are multiple factors associated with diagnostic error, depending on both the imaging studies and the radiologists themselves. The intensity in which each of these factors is associated with diagnostic error is different and variable determined by the rest of the characteristics present in the diagnostic process.
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- 2019
15. The use of ultrasound in the diagnosis of fractures in children: A short cut review
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Facal de Castro, Fernando
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Ultrasound ,Diagnostic procedure ,Trauma ,Musculoskeletal bone - Abstract
Purpose Methods and Materials Results Conclusion References Personal Information, Purpose: Ultrasound is a common diagnostic tool for different pathologies in children population, there is still not enough evidence on its use in bone imaging and fracture detection. It´s well known that bone is a natural obstacle to the transmission of...
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- 2018
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16. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part I, shoulder
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Sconfienza, Luca Maria, primary, Adriaensen, Miraude, additional, Albano, Domenico, additional, Allen, Georgina, additional, Aparisi Gómez, Maria Pilar, additional, Bazzocchi, Alberto, additional, Beggs, Ian, additional, Bignotti, Bianca, additional, Chianca, Vito, additional, Corazza, Angelo, additional, Dalili, Danoob, additional, De Dea, Miriam, additional, del Cura, Jose Luis, additional, Di Pietto, Francesco, additional, Drakonaki, Eleni, additional, Facal de Castro, Fernando, additional, Filippiadis, Dimitrios, additional, Gielen, Jan, additional, Gitto, Salvatore, additional, Gupta, Harun, additional, Klauser, Andrea S., additional, Lalam, Radhesh, additional, Martin, Silvia, additional, Martinoli, Carlo, additional, Mauri, Giovanni, additional, McCarthy, Catherine, additional, McNally, Eugene, additional, Melaki, Kalliopi, additional, Messina, Carmelo, additional, Mirón Mombiela, Rebeca, additional, Neubauer, Benedikt, additional, Olchowy, Cyprian, additional, Orlandi, Davide, additional, Plagou, Athena, additional, Prada Gonzalez, Raquel, additional, Rutkauskas, Saulius, additional, Snoj, Ziga, additional, Tagliafico, Alberto Stefano, additional, Talaska, Alexander, additional, Vasilevska-Nikodinovska, Violeta, additional, Vucetic, Jelena, additional, Wilson, David, additional, Zaottini, Federico, additional, Zappia, Marcello, additional, and Obradov, Marina, additional
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- 2019
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17. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-Part II, elbow and wrist.
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Sconfienza, Luca Maria, Adriaensen, Miraude, Albano, Domenico, Aparisi Gómez, Maria Pilar, Bazzocchi, Alberto, Beggs, Ian, Bignotti, Bianca, Chianca, Vito, Corazza, Angelo, Dalili, Danoob, De Dea, Miriam, del Cura, Jose Luis, Di Pietto, Francesco, Drakonaki, Eleni, Facal de Castro, Fernando, Filippiadis, Dimitrios, Gielen, Jan, Gitto, Salvatore, Gupta, Harun, and Klauser, Andrea S.
- Subjects
MUSCULOSKELETAL system ,CLINICAL indications ,WRIST ,ELBOW ,TENOSYNOVITIS ,GLUCOCORTICOIDS ,PLATELET-rich plasma ,ULTRASONIC imaging ,TENOTOMY ,INJECTIONS ,INTERVENTIONAL radiology ,RADIOGRAPHY ,HYALURONIC acid ,FLUOROSCOPY ,DE Quervain disease ,INTRA-articular injections ,SOLUTION (Chemistry) ,LONGITUDINAL method ,DELPHI method - Abstract
Background: Although image-guided interventional procedures of the elbow and wrist are routinely performed, there is poor evidence in the literature concerning such treatments. Our aim was to perform a Delphi-based consensus on published evidence on image-guided interventional procedures around the elbow and wrist and provide clinical indications on this topic.Methods: A board of 45 experts in image-guided interventional musculoskeletal procedures from the European Society of Musculoskeletal Radiology were involved in this Delphi-based consensus study. All panelists reviewed and scored published papers on image-guided interventional procedures around the elbow and wrist updated to September 2018 according to the Oxford Centre for Evidence-based Medicine levels of evidence. Consensus on statements drafted by the panelists about clinical indications was considered as "strong" when more than 95% of panelists agreed and as "broad" if more than 80% agreed.Results: Eighteen statements were drafted, 12 about tendon procedures and 6 about intra-articular procedures. Only statement #15 reached the highest level of evidence (ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement). Seventeen statements received strong consensus (94%), while one received broad consensus (6%).Conclusions: There is still poor evidence in published papers on image-guided interventional procedures around the elbow and wrist. A strong consensus has been achieved in 17/18 (94%) statements provided by the panel on clinical indications. Large prospective randomized trials are needed to better define the role of these procedures in clinical practice.Key Points: • The panel provided 18 evidence-based statements on clinical indications of image-guided interventional procedures around the elbow and wrist. • Only statement #15 reached the highest level of evidence: ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement. • Seventeen statements received strong consensus (94%), while broad consensus was obtained by 1 statement (6%). [ABSTRACT FROM AUTHOR]- Published
- 2020
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18. Clinical indications for image guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part III, nerves of the upper limb.
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Sconfienza, Luca Maria, Adriaensen, Miraude, Albano, Domenico, Allen, Georgina, Aparisi Gómez, Maria Pilar, Bazzocchi, Alberto, Beggs, Ian, Bignotti, Bianca, Chianca, Vito, Corazza, Angelo, Dalili, Danoob, De Dea, Miriam, del Cura, Jose Luis, Di Pietto, Francesco, Drakonaki, Eleni, Facal de Castro, Fernando, Filippiadis, Dimitrios, Gielen, Jan, Gitto, Salvatore, and Gupta, Harun
- Subjects
PERIPHERAL nervous system surgery ,ARM innervation ,COMPUTER-assisted surgery ,ULTRASONIC imaging ,CARPAL tunnel syndrome ,RADIOGRAPHY ,PERIPHERAL nervous system ,ARM ,MEDICAL societies ,MEDICAL specialties & specialists ,DELPHI method - Abstract
Background: Image-guided interventional procedures of the nerves are commonly performed by physicians from different medical specialties, although there is a lack of clinical indications for these types of procedures. This Delphi-based consensus provided a list of indications on image-guided interventional procedures for nerves of the upper limb based on updated published evidence.Methods: An expert panel of 45 members of the Ultrasound and Interventional Subcommittees of the ESSR participated in this Delphi-based consensus study. After revision of the published papers on image-guided interventional procedures for nerves of the upper limb updated to September 2018, the experts drafted a list of statements according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus on statements regarding clinical indications was considered as strong when more than 95% of experts agreed, and broad if more than 80% agreed.Results: Ten statements were drafted on procedures for nerves of the upper limb. Only two statements reached the highest level of evidence (ultrasound guidance is a safe and effective method for brachial plexus block; ultrasound-guided non-surgical approaches are safe and effective methods to treat carpal tunnel syndrome in the short term, but there is sparse evidence on the mid- and long-term effectiveness of these interventions). Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%).Conclusions: This Delphi-based consensus study reported poor evidence on image-guided interventional procedures for nerves of the upper limb. Sixty percent of statements on clinical indications provided by the expert board reached a strong consensus.Key Points: • An expert panel of the ESSR provided 10 evidence-based statements on clinical indications for image-guided interventional procedures for nerves of the upper limb • Two statements reached the highest level of evidence • Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%). [ABSTRACT FROM AUTHOR]- Published
- 2020
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19. Criterios RANO en la evaluación de respuesta terapéutica de gliomas de alto grado. Nuestra experiencia
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Facal de Castro, Fernando
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Neoplasia ,Neuroradiology brain ,MR ,Structured reporting - Abstract
Objetivos Material y método Resultados Conclusiones Bibliografía, Objetivos: Exponer los aspectos esenciales para realizar un informe estructurado de evaluación de respuesta terapéutica en gliomas de alto grado según los criterios RANO. Explicar nuestra experiencia en la metodología de recogida y análisis de los datos...
- Published
- 2014
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20. Estudio comparativo de los valores de difusión por RM de las radiaciones ópticas en pacientes diagnosticados de síndrome clínico aislado con pacientes controles
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Facal de Castro, Fernando, Universitat Autònoma de Barcelona. Departament de Medicina, Aparici Robles, Fernando, and Romero Vidal, Francesc Xavier
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616.8 - Neurologia. Neuropatologia. Sistema nerviós ,Esclerosi múltiple - Abstract
Diversos estudis han demostrat que, en pacients amb esclerosi múltiple, existeixen alteracions als paràmetres de difusió mesurats amb Resonància Magnètica als tractes de substància blanca que es mostren aparentment normals en les seqüències convencionals. Amb l’objectiu de demostrar si aquestes alteracions apareixen precoçment en la fase de síndrome clínic aïllada, es van analitzar una sèrie d’estudis de Resonància Magnètica cerebral amb seqüències potenciades en difusió i tractografia de les radiacions òptiques, de pacients amb el diagnòstic de síndrome clínic aïllada i pacients controls, mesurant en tots ells els valors dels paràmetres principals de difusió: coeficient de difusió aparent y fracció d’anisotropia. Amb aquestes exploracions no es van demostrar alteracions als paràmetres de difusió en fases tan precoces de la malaltia als pacients casos davant els controls. Diversos estudios han demostrado que, en pacientes con esclerosis múltiple, existen alteraciones en los parámetros de difusión medidos por Resonancia Magnética en los tractos de sustancia blanca que se muestran aparentemente normales en las secuencias convencionales. Con el objetivo de comprobar si estas alteraciones aparecen precozmente en la fase de síndrome clínico aislado, se analizaron una serie de estudios de Resonancia Magnética cerebral con secuencias potenciadas en difusión y tractografía de las radiaciones ópticas, de pacientes con el diagnóstico de síndrome clínico aislado y pacientes controles, midiendo en las mismas los valores de los parámetros principales de difusión: coeficiente de difusión aparente y fracción de anisotropía. Con estas exploraciones no se demostraron alteraciones en los parámetros de difusión en fases tan precoces de la enfermedad en los pacientes casos frente a los controles.
- Published
- 2012
21. Contemporary Non–Echo-planar Diffusion-weighted Imaging of Middle Ear Cholesteatomas
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Más-Estellés, Fernando, primary, Mateos-Fernández, Manuel, additional, Carrascosa-Bisquert, Blanca, additional, Facal de Castro, Fernando, additional, Puchades-Román, Iciar, additional, and Morera-Pérez, Constantino, additional
- Published
- 2012
- Full Text
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