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The trick is to "walk the tightrope of truth," Dr. Swedo said, between providing clear, easily used diagnostic guidance to clinicians and capturing the individual variation that is relevant to treatment.
We outlined the directives of these principles recently in a white paper [7], predicting a future link in-between PM and diagnostic guidance.
It is not used for diagnostic guidance in the radiological routine.
Such products make a major contribution to health as many important diseases and conditions require diagnostic guidance to ensure appropriate care.
These included a traffic-light colour coding of risks (red, amber and green) rather than absolute numeric risks, or presenting diagnostic guidance as the primary output with secondary access to the numeric risks if needed.
Although major modifications were beyond the scope of this project, we altered the way diagnostic guidance was highlighted so that GPs were more likely to access it, and reduced the prominence of the Disclaimer section.
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It was felt that with the new diagnostic criteria, guidance with respect to fasting and postprandial treatment targets would be appropriate.
This suggests that the e-learning resource for GPs needs to include a computer template to assist the diagnostic process, guidance on how to use an activity diary to aid a positive diagnosis and perhaps a video-recording of a consultation in which the diagnosis is being framed to the patient in a positive manner.
Although the mechanism for tissue grey-scale change is still unclear, US effects on tissue such as heating and cavitation are involved in the formation of coagulative necrosis, and real-time diagnostic US guidance is seen to be useful in the detection of the coagulative necrosis of target tissue during HIFU procedures.
Optical imaging of superficial tissues has the potential to find widespread use in medical diagnostics, surgical guidance, and in situ monitoring.
As well as diagnostic objectives, ultrasound guidance allows us to perform other interesting therapeutic procedures such as evacuation of liquid or semi-solid collections and placement of markers or coils for neoadjuvant chemotherapy.
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