Clinical Utility and Cost of Bronchial Alveolar Lavage Cytology and Culture in Electromagnetic Navigational Bronchoscopy with Rapid-Onsite Cytology

The incidence of lung nodules has increased with improved diagnostic imaging and screening protocols. Despite improvements for diagnosing pulmonary nodules with technologies such as electromagnetic navigational bronchoscopy (ENB), several limitations still exist including adequate visualization, localization, and diagnostic yield. Robotic-assisted bronchoscopy with ENB has been introduced as a method to overcome these shortcomings. We describe our initial experience in evaluating lung nodules with robotic assisted bronchoscopy. We retrospectively reviewed data on the first 25 patients that underwent robotic-assisted bronchoscopy and biopsy. We analyzed success with localization, diagnostic yield, and post procedural morbidity. Diagnostic yield was 96% (24/25) with no periprocedural morbidity. The majority of nodules were malignant or atypical (76%) and were located in the right upper lobe. Diameter ranged between 0.8–6.9 cm (median size 1–2 cm). Seventy-five percent of patients underwent subsequent treatment for cancer based on these results, with 25% having continued surveillance. Robotic assisted bronchoscopy is safe and accurate. Studies with larger numbers will allow better understanding of the diagnostic yield and clinical utility of this approach in comparison to other diagnostic tools for lung nodules.

Download Full-text

Type V Bekesy Pattern: Interpretation and Clinical Utility

Journal of Speech and Hearing Research ◽

10.1044/jshr.1004.733 ◽

1967 ◽

Vol 10 (4) ◽

pp. 733-744 ◽

Cited By ~ 2

Author(s):

William F. Rintelmann ◽

Earl R. Harford

Keyword(s):

Clinical Utility ◽

The Past ◽

Type V ◽

Clinical Cases

Recent studies indicate there is some disagreement concerning the interpretation and clinical utility of the Type V Bekesy pattern. Bekesy tracings obtained over the past six years from a sample of clinical cases were analyzed and a definition was established for the Type V pattern. This definition was applied to Bekesy tracings obtained from normal listeners, hypoacusics, and pseudohypoacusics. The Type V pattern was found frequently among pseudohypoacusics and only rarely among other individuals.

Download Full-text

“I Can See What You’re Saying”: Clinical Utility of Spectral Moment Analysis

Perspectives on Speech Science and Orofacial Disorders ◽

10.1044/ssod21.2.44 ◽

2011 ◽

Vol 21 (2) ◽

pp. 44-54

Author(s):

Kerry Callahan Mandulak

Keyword(s):

Speech Production ◽

Speech Signal ◽

Clinical Utility ◽

Acoustic Analysis ◽

Moment Analysis ◽

Analysis Tool ◽

Spectral Moment ◽

Clinical Measure ◽

Perceptual Analysis ◽

Disordered Speech

Spectral moment analysis (SMA) is an acoustic analysis tool that shows promise for enhancing our understanding of normal and disordered speech production. It can augment auditory-perceptual analysis used to investigate differences across speakers and groups and can provide unique information regarding specific aspects of the speech signal. The purpose of this paper is to illustrate the utility of SMA as a clinical measure for both clinical speech production assessment and research applications documenting speech outcome measurements. Although acoustic analysis has become more readily available and accessible, clinicians need training with, and exposure to, acoustic analysis methods in order to integrate them into traditional methods used to assess speech production.

Download Full-text

Clinical utility of real 3D angiography, a newly developed technology grown out of rotational DSA, in transcather arterial embolization (TAE) for treatment of liver cancer

Gastroenterology ◽

10.1016/s0016-5085(01)82776-1 ◽

2001 ◽

Vol 120 (5) ◽

pp. A558-A559

Author(s):

M YASUDA ◽

Y NITOH ◽

N YAOSHIDA ◽

T YOSHIKAWA

Keyword(s):

Liver Cancer ◽

Clinical Utility ◽

Arterial Embolization ◽

3D Angiography

Download Full-text

Clinical Utility of color doppler ultrasonography in pediatric liver transplantation from living donors

Gastroenterology ◽

10.1016/s0016-5085(01)82720-7 ◽

2001 ◽

Vol 120 (5) ◽

pp. A547-A547

Author(s):

M FUJIMOTO ◽

K MIZUTA ◽

F MORIYASU ◽

T CHIBA ◽

K TANAKA

Keyword(s):

Liver Transplantation ◽

Clinical Utility ◽

Doppler Ultrasonography ◽

Color Doppler ◽

Living Donors ◽

Color Doppler Ultrasonography ◽

Pediatric Liver Transplantation ◽

Pediatric Liver

Download Full-text

Staring Down Death

Crisis ◽

10.1027/0227-5910/a000367 ◽

2016 ◽

Vol 37 (3) ◽

pp. 212-217 ◽

Cited By ~ 7

Author(s):

Thomas E. Joiner ◽

Melanie A. Hom ◽

Megan L. Rogers ◽

Carol Chu ◽

Ian H. Stanley ◽

...

Keyword(s):

Suicide Risk ◽

Clinical Utility ◽

Blink Rate ◽

Specific Task ◽

Careful Planning ◽

Eye Blink ◽

Eye Blinks ◽

Potential Clinical Utility ◽

The Relationship

Abstract. Background: Lowered eye blink rate may be a clinically useful indicator of acute, imminent, and severe suicide risk. Diminished eye blink rates are often seen among individuals engaged in heightened concentration on a specific task that requires careful planning and attention. Indeed, overcoming one’s biological instinct for survival through suicide necessitates premeditation and concentration; thus, a diminished eye blink rate may signal imminent suicidality. Aims: This article aims to spur research and clinical inquiry into the role of eye blinks as an indicator of acute suicide risk. Method: Literature relevant to the potential connection between eye blink rate and suicidality was reviewed and synthesized. Results: Anecdotal, cognitive, neurological, and conceptual support for the relationship between decreased blink rate and suicide risk is outlined. Conclusion: Given that eye blinks are a highly observable behavior, the potential clinical utility of using eye blink rate as a marker of suicide risk is immense. Research is warranted to explore the association between eye blink rate and acute suicide risk.

Download Full-text