AbstractAbstract
[en] To study the quality of early research on the clinical efficacy of diagnostic imaging with magnetic resonance, they assessed 54 evaluations published in the first four years after introduction of this modality using ten commonly accepted criteria of research methodology. The terms sensitivity, specificity, false-positive or false-negative, accuracy, and predictive values were used infrequently. 19% of the evaluations used three terms appropriately, 48% used one or two terms, and 33% used none. Data were presented appropriately for one or more of the five terms in 59% of evaluations. A gold standard comparison with the results of an independent procedure, such as surgical or autopsy findings, was presented in 22% of evaluations. Results of another imaging procedure were described in 63% of evaluations. Only one evaluation clearly described a prospective study design, although 11 evaluations apparently were planned in advance. Not one evaluation contained an appropriate statistical analysis of the distributions of quantitative readings, blinded image readers to diagnosis or other test results, measured observer error, or randomized the order of magnetic resonance imaging and other imaging procedures. The authors concludes that health care professionals paying for expensive innovative diagnostic technology should demand better research on diagnostic efficacy
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Journal Article
Journal
JAMA. Journal of the American Medical Association; ISSN 0098-7484; ; CODEN JAMAA; v. 259(22); p. 3277-3280
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Clark, B.M.; Mangelson, N.F.; Clair, L.L. St.; Gardner, J.S.; Cooper, L.S.; Rees, L.B.; Grant, P.G.; Bench, G.S., E-mail: nolan_mangelson@byu.edu1999
AbstractAbstract
[en] In order to better understand the distribution pattern of mineral elements in lichen tissues, thin sections (15 μm) of the foliose, vagrant soil lichen Xanthoparmelia chlorochroa were examined using proton microprobe Particle induced X-ray emission (PIXE). This technique was used to make two-dimensional scans, with 5 μm resolution, across tissue cross sections of the test species. Element maps for Si, P, S, Cl, K, Ca, Ti, Mn, Fe, Cu, Zn, and As have been prepared. Several elements are strongly localized in the element maps. PIXE data are complimented with STIM, light micrographs, and SEM images. Preliminary data suggest that nuclear microprobe techniques may be useful in elucidating element absorption and transport mechanisms in lichens
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S0168583X98009197; Copyright (c) 1999 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: China
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Journal Article
Journal
Nuclear Instruments and Methods in Physics Research. Section B, Beam Interactions with Materials and Atoms; ISSN 0168-583X; ; CODEN NIMBEU; v. 150(1-4); p. 248-253
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