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In six patients, Vp was not measured because of inadequate imaging quality, whereas TDI was successfully performed in all studied patients.
Mitral Doppler parameters were not possible to measure in six patients secondary to fused E/A velocity profiles related to marked tachycardia, whereas pulmonary vein Doppler indices were obtained in all but one patient due to inadequate imaging quality.
Multiplane TEE (mean duration, 14 ± 6 min) was performed in addition to 59/106 TTE studies (56%) because of an inadequate imaging quality (n = 6), because of the absence of acoustic windows (n = 14) or considering its superior sensitivity to confidently rule out a diagnostic hypothesis (n = 39).
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The imaging quality of the skeletal system was very good.
This study shows that appropriately educated and certified imagers following a clearly defined imaging and grading protocol can accurately evaluate retinal images with a high degree of sensitivity and specificity for the presence of stDR and inadequate image quality at the time of imaging.
Exclusion criteria included: pregnancy, congenital heart disease, artificial valve prosthesis, severe mitral pathology and inadequate image quality.
These results are in keeping with those reported in most previous studies [ 8- 13] but differ from Goodkin and colleagues' experience [ 5], who described several false-negative findings of HHE related to inadequate two-dimensional imaging quality.
The results of the present study demonstrate that an MCD lesion is not likely to be missed using high quality CT imaging technique, although lack of observer expertise [ 31] or inadequate imaging acquisition parameters and window level settings [ 28] could result in inadequately depicted lesions.
Furthermore, inadequate imaging procedures and nonuniform staging systems have complicated data interpretation.
Both had isolated head injury and required further imaging to exclude cervical injuries following inadequate imaging which did not follow protocol.
Six pullbacks were excluded due to the suboptimal imaging quality.
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