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However, the high specificity suggests that such evaluation might be proposed prior to vertebral biopsy in some difficult cases.
However, in some difficult cases, the definitive diagnosis relies solely on the histopathologic examination, which often depends on the experience of the pathologists working in referral centers.
Hip reinforcement screws were used in 17 cases, as a further safety measure in presence of poor bone quality (severe osteoporosis), in DDH patients and in some difficult cases of sub-capital fracture.
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Yet there are some difficult cases in which violence and killing seem almost unavoidable.
In difficult cases, some clinicians try to use benzodiazepines, which decrease slow-wave sleep.
Corroborating findings from the present study, Collinge and colleagues [ 31] report that the inclusion of CAM improved the therapeutic progress in some difficult to treat cases.
We specialize in difficult cases.
The Carabinieri's investigators "built up accusations that are totally unfounded," and in some cases "difficult to understand," Donati wrote; she even used the expression "fabricating an accusation".
The number of burnt plots was extracted using visual interpretation of the satellite images and is therefore in some cases difficult to classify with certainty.
Slade's subject matter is utterly mundane -- the slow development of Southern California's until recently untapped inland real estate -- yet he finds within it images that are bizarre, uncanny, in some cases difficult to believe.
The struggle to adapt to this change has been long and in some cases, difficult.
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