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Percutaneous image-guided biopsy has supplanted open surgical biopsy as the primary modality for tissue diagnosis in this patient cohort.
Colour Doppler ultrasound (CD-US) remains the primary modality for investigating abnormalities of the testis and epididymis, particularly to differentiate torsion from inflammatory conditions [4, 8, 9].
With constant pressure to cut costs where possible without causing harm to the patient, US is often used as the primary modality for the workup of appendicitis.
Echocardiography remains the primary modality for detecting vegetations and abscesses [27]), with transesophageal echocardiography (TEE) having a reported sensitivity of 85 90 %.
While the sensitivity is inferior, US is known to be useful in children and pregnant patients, and is the primary modality for these subset of patients based on the American College of Radiology guidelines [24].
Currently, the primary modality for treatment or suppression of HSV infections is acyclovir, which interferes with viral DNA replication.
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TTE, TEE and MDCT are currently the primary modalities for aortic root anatomy assessment.
In the past, conventional CM-enhanced radiographic studies were the primary modalities for imaging of the male urethra, particularly for assessment of traumatic injuries, strictures, and abscesses draining into the urethra.
Although the primary modalities for liver imaging are ultrasound and CT, recent studies have suggested that contrast-enhanced MRI is the most sensitive method for detecting small metastases and MRI is now considered the preoperative standard.
HR, blood pressure, CVP, electrocardiographic recording and baseline laboratory measurements (complete blood count, electrolytes, glucose, albumin and base deficit [ 17]) are the primary modalities for monitoring the volumetric and cardiovascular status in any patient.
However, although the ACR criteria limiting the current role of ultrasound for adult acute abdomen evaluation with CT is emerging as the primary modality of choice for this condition, mounting concerns regarding diagnostic radiation and health care costs could affect the clinical management and shift the utilisation back towards US, which is widely available and easily accessible in the ED.
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