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Within 4 weeks of recruitment, all patients had full assessment of any measurable/evaluable lesions by CT scan of abdomen and pelvis and by other investigations such as clinical photography, CT thorax, MRI or bone scans as clinically indicated.
High-resolution CT thorax probably may be more informative.
CT thorax showed a right lung tumour abutting the pericardium.
CT thorax showed a small non-cavitatory lesion in the left lung (apical lobe, Fig. 1f).
f CT thorax showing small, non-cavitatory lesion (arrow) in the left apical lobe.
Urgent CT thorax was proceed and confirmed the lesion visualized on ultrasound as mediastinal lymphoma.
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For CT-thorax examinations in hospital C it was the other way around (Fig. 4, Fig. E3, Table 5).
These were the data requested by our national regulatory body and for which national DRLs were available: CT-head, CT-abdomen-pelvis, CT-thorax, CT-lumbar spine, CT-pulmonary embolism, CT-cervical spine and CT-thorax-abdomen.
The reason for the low CTDIvol of CT-thorax in hospital B was that the radiologist most involved in CT was sub-specialised in the thorax, which allowed "CT-thorax setting" optimisation in a stratified way, depending on patient habitus.
Inclusion criteria were adult patients and standard CT-head, CT-abdomen-pelvis, CT-thorax, CT-lumbar spine, CT-pulmonary embolism, CT-cervical spine and CT-thorax-abdomen studies, with one helical scan.
Only subtle differences in CTDIvol for the CT-thorax studies were registered in hospital C with the overall lowest median CTDIvol.
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