Internal Derangement of Joints 2019: Current Concepts and Controversies

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Low-value x-ray persists in patients with maxillofacial trauma
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Targeted interventions to reduce low-value imaging may improve diagnostic accuracy.
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The findings highlight the need for systematic dose tracking and rigorous justification of imaging.
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Findings suggest a possible hazard associated with postoperative radiotherapy.
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Images of a 39-year-old who underwent screening mammography. Right craniocaudal (left) and mediolateral oblique (middle) views from preoperative mammography show suspicious grouped fine pleomorphic calcifications (arrows). After biopsy showed ductal carcinoma of situ (DCIS), patient underwent breast-conserving surgery, yielding final diagnosis of ductal carcinoma in situ (intermediate grade, hormone receptor positive). (Right) Screenshot of an output of a commercial AI tool applied to preoperative mammography. AI detected right breast lesion with score of 95% on both views (concentric colored circles). Present study’s reviewing radiologist deemed AI marking to correspond with site of DCIS.
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