References Clinical Evaluations 1. 2. 3. 4. Sheedy II, P., Stephans, D. H., "Computed Tomography Pancreatic Masses," Proceeding - "Computed Tomography", 1977, University of California. Merino-deVillasante, J., Taveras, J.M., "Computerized Tomography (CT) in Acute Head Trauma," Preprint. Citrin, C. M., Davis, D. O., "Computerized Tomography in the Evaluation of Scott, W. R., New, P. F., Davis, K. R., Schnur, J. A., "Computerized 5. Mori, H., Lu, C. H., Chiu, L. C., Concilla, P. A., Christie, J. H., "Reliability of Computed Tomography: Correlation with Neuroparhologic Findings," AJR, Vol. 128, p. 795-798, May, 1977. 6. Koo, A. H., LaRogue, R. L., "Evaluation of Head Trauma by Computed Tomography," Radiology, Vol. 123, p. 345-350, May, 1977. 7. 8. 9. 10. 11. Dublin, A. B., French, B. N., Rennick, J. M., "Computed Tomography in An Goldberg, H. I., "Computed Tomography in the Evaluation of Jaundice," Genant, H. K., "Computed Tomography in Assessing Lesions of the Stanley, R. J., Sagel, S. S., Levitt, R. G., "Computed Tomography of the Sheedy, P. F., Stephens, D. H., Hattery, R. R., et al, "Computed Tomography of the Pancreas," The Radiologic Clinics of North America, Copyright 1977, W. B. Saunders Co., Philadelphia, PA, p. 349-366. 12. Stanley, Robert, Sagel, Stewart, CT Scanning of the Pancreas. Preliminary results presented at Society of Computed Body Tomography Annual Meeting, 1978. 13. Jacobs, L., et al., "Autopsy Correlations of Computerized Tomography: Experience with 6000 scans," Neurology 26: 1111-1118, 1976. Modality Comparison Studies 1. New, P. F., W. R. Scott, J. M. Taveras, et al. "Computed Tomography with the EMI Scanner in the Diagnosis of Primary and Metastatic Intracranial Neoplasms," Radiology, Vol. 114, p. 75-87, January, 1975. 2. 3. 4. 5. 6. 7. Davis, K. R., J. M. Taveras, P. F. New et al., "Cerebral Infarction Diagnosis Huete, I., T. Fuller, M. Gado, "CT and Conventional Radiographic Methods Korobkin, M., R. A. Filly, P. B. Hoffer. "Gallium, Ultrasound, and Computed Sagel, S. S., "Computed Tomography of the Retroperitoneum," Proceedings from: Levitt, R. G., S. Sagel, R. J. Stanley, et al, "Complementary Use of Ultrasound and Computed Tomography in Studies of the Pancreas and Kidney," Radiology, Vol. 126, p. 149-152, January, 1978. Sternick, E. S., F. W. Lane, B. Curran, "Comparison of Computed Tomography and Conventional Transverse Axial Tomography in Radiotherapy Treatment Planning," Radiology, Vol. 124, p. 835-836, September, 1977. 8. Sheedy II et al, (Preliminary results discussed at the "Society of Computed Body Tomography" San Diego, 1977. Comparing CT and Conventional Radiologic modalities in the examination of the Pancreas.) 9. 10. 11. Goitein, M., et al, "Prospective Study of the Value of CBT Scanning in Radiation Therapy Planning," Presented to the International Symposium and Course on Computed Tomography, Miami Beach, April 3-8, 1977. Pendergrass, H. P., et al, "Relative Efficacy of Radionuclide Imaging and Clifford, J. R., et al, "Comparison of Radionuclide Scans with ComputerAssisted Tomography in Diagnosis of Intracranial Disease," Neurology 26: 1119-1123, 1976. Cost Effectiveness and Utilization Studies to Date 1. Evens, Ronald, Arthur D. Little, Inc., Comparitive Cost Analysis: Computed Tomography vs. Alternative Diagnostic Procedures, 1977-1980. 2. 3. Baker, H. L., Campbell, J. R., Houser, O. W., Reese, D. F., Sheedy, P. F., et al: Computer Assisted Tomography of the Head: an Early Evaluation. Mayo Clinic Proceedings 49: 17-27, 1974. Baker, H. L., Computerized Tomography of the Head. JAMA 233, No. 12: 1304-1308, 1975. Baker, H. L., The Impact of Computed Tomography on Neuroradiologic Practice. Radiology 116: 637-640, 1975. Larson, Omenn, Margolis, Loop, "Impact of Computed Tomography on Utilization of Cerebral Angiograms," AJR, Vol. 129, p. 1-3, July, 1977. 4. Laffey, Oaks, Swami, Teplick, Haskin, Computerized Tomography in Clinical Medicine, Copyright 1976 by Medical Directions Inc., Philadelphia, PA. Laffey, Mitchell, Teplick, Haskin, Computerized Tomography in Clinical Pediatrics, Copyright 1976, Medical Directions, Inc., Philadelphia, PA. Evens, R. G., Jost, R. G., Economic Analysis of Computed Tomography Units. American Journal of Roentgenology, Vol. 127, p. 191-198, 1976. 5. 6. 7. Wortzman, G., Holgati, R. C., Morgan, P. P., Cranial Computed Tomography: an Evaluation of Cost Effectiveness, Radiology, Vol. 117, No. 1 p. 75-77, October, 1975. Evens, R. G., Rujanavech, N., Mikhael, M., Utilization, Reliability and Cost Effectiveness of Cranial Computed Tomography in Evaluating Pseudotumor Cerebri, American Journal of Roentgenology, 129: 263-265, 1977. 8. Abramowitz, D., Steinhoff, P., "Is There a CT Scanner in Your Future?" Efficacy Studies to Date 1. Wittenberg, J., Fineberg, H. V., Ferrucci, J. T., Black, E. B., Ikeda, M. K., The Influence of Computed Body Tomography on Medical Decision Making. (To be published.) 2. Levitt, R. G., Jost, R. G., Trachtman, J., Sagel, S. S., Stanley, R. J. Opinion Body Computed Tomography: A Clinically Important Ronald G. Evens, M.D., Ralph J. Alfidi, M.D., John R. Haaga, M.D., Glen W. In the institutions represented by the nuthors, more than 7,500 body CT examinations have Radiology 123:239-240, April 1977 Opinion Computed tomography (CT) was introduced in 1972 and Approximately one year ago, technological improve- Body CT is particularly useful in patients with a specific mediastinal widening; and mass lesions of the chest wall, Body CT is also useful when the extent of disease must vis. The examples above should not be considered a com- Finally, body CT has been classified as "experimental" Mallinckort Institute of Radiology and Washington University School of Medicine, 510 South kingshighway. St. Louis. Mo 63110. Accepted Department of Radiology, Clovelard Clinic Foundation, 9500 Fuclid Avenue, Cleveland, Ohio 44100 Department of Diagnostic Radiolony. Mayo Clinic and Mayo Foundation Rochester, Minn. 55901. ⚫Dupartiment of Radiology. The New York Hospital-Cornell Medical Center, 525 East 08th Street, New York, NY 10021. shan 240 OPINION April 1977 approach can be classified as clinical research, it is not experimental. We believe that radiologists (with the help of our colleagues in other disciplines) should define experimental, research, and clinical use-not third-party payers or governmental agencies. Ronald G. Evens, MD. Mallinckrodt Institute of Radiology Washington University School of Medicine 510 South Kingshighway St. Louis, Missouri 63110 REFERENCES 1. Alfidi RJ. Haaga J. Meaney TF, et al: Computed tomography of the thorax and abdomen a preliminary report. Radiology 117: 257-264, Nov 1975 2. Haaga JR, Alfidi RJ. Precise biopsy localization by computed tomography Radiology 118.603-607, Mar 1976 3. Sagel S. Stanley RJ. Evens RG. Early clinical experience with motionless whole-body computed tomography. Radiology 119. 321-330, May 1976 4 Stephens DH, Hattery RR, and Sheedy PF II: Computed tomography of the abdomen. Radiology 119:331-335, May 1976 5. Evens RG: Now frontier for radiology: computed tomography. Am J Roentgenol 126:1117-1129. Jun 1976 6. Sheedy PF II, Stephens DH, Hattery RR, et al: Computed tomography of the body: Initial clinical trial with the EMI prototype. Am J Roentgenol 127:23-51, Jul 1976 7. Stanley RJ. Sagel SS. Levitt AG: Computed tomography of the body: Early trends in application and accuracy of the method. Am J Roentgenol 127:53 67. Jul 1976 8. Allidi PJ. Haaga JR, Havrilla TR, et al: Computed tomography of the liver Am J Roentgenol 127:69-74, Jul 1976 |