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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.
These two disciplines worked side by side and were complementary, but never felt a real need for collaboration as their diagnostic objectives were different; although both guided by the same concern to perform optimal imaging, each discipline working independently.
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The requirements for appropriate imaging in cardiomyopathies nowadays exceed the pure diagnostic objective, whereby assessment of the more intricate aspects, such as depiction of underlying aetiology, risk assessment, therapy planning and determination of prognosis, are becoming increasingly important.
Migraine is diagnosed based on symptomatology [4] as no diagnostic objective tests for migraine are currently available.
Brain natriuretic peptide (BNP) and N-terminal (NT) pro-BNP are useful as diagnostic objective markers of chronic heart failure (CHF) due to systolic and diastolic dysfunction and important prognostic predictors [ 9].
These observations can be explained in part by the combination of poorly defined criteria at most hospitals for requesting rotavirus testing and the fact that physicians' diagnostic objective is often differentiation between the nosocomial highly active transmitting rotavirus and other less infectious agents for the purpose of isolation rather than therapeutic choices.
The sensitivity of F-FDG-PET -CT) imaging as a single diagnostic test (objective 2.1) and compared to I-MIBG (SPECT-CT) (objective 2.2) was only reported in one study.
Data were abstracted on the following items: publication year; objective; diagnostic test; target disorder; search terms (or whether an algorithm was given); databases searched; inclusion criteria (and whether they were made explicit); process of data extraction; method used to assess quality including QUADAS [ 12]; presence of heterogeneity; and responses to the PRISMA statement [ 14].
Each report is independently assessed based on study type, exposure assessment, diagnostic studies, objective findings, and strengths and weakness of the author's conclusions.
Whether or not the end point in the study was an objective measure of diagnostic performance, an objective attempt to determine a visually lossless threshold without a diagnostic task, or a subjective comparison.
We discuss the diagnostic criteria, treatment objectives and treatment outcomes, as well as the results almost 5 years after treatment.
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