#526
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Öèòàòà:
Çíà÷èò âñ¸-òàêè ÿ íå äàëåêî óø¸ë. Íî Âàø âàðèàíò, êîíå÷íî, òî÷íåå. |
#527
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Öèòàòà:
Christiane Nüsslein-Volhard, Personal communication to The FASEB Journal, May 14, 2010 Interviewer: Hat es in Ihrem Leben den Heureka-Moment gegeben? (Have you ever had a Eureka! moment in your life?) Nüsslein-Volhard: Immer wieder mal. Das ist ganz toll! (Again and again. That’s what’s so crazy!) --- Pattern Recognition and Gestalt Psychology: The Day Nüsslein-Volhard Shouted “Toll!” [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#528
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#529
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Áëàãîäàðþ âñåõ êîëëåã, î÷åíü èíòåðåñíî!
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Èñðàôèëîâà Øàõëà Þñèôîâíà. Òåðàïåâò, ïóëüìîíîëîã. |
#530
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Óâàæàåìûå êîëëåãè!
Ïîìîãèòå ñ ïåðåâîäîì. Ïîñëå "in" ñîâñåì çàïóòàëñÿ. "Statistical modeling indicated that the sensitivity of FNA is highly dependent on the risk of malignancy in the patients with negative FNA results who did not undergo thyroidectomy; in the "same risk" scenario, where the risk of malignancy in the whole group with negative FNA result was assumed to be the same as that in patients with negative FNA results who underwent surgical biopsy; sensitivity could be as low as 66% (confidence interval [CI]: 65-68%)." Àäðåñ òåêñòà, åñëè íóæíî: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] |
#531
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×óâñòâèòåëüíîñòü ÒÀÁ îïðåäåëÿåòñÿ ïî ðåçóëüòàòàì õèðóðãè÷åñêîãî âìåøàòåëüñòâà ó ïàöèåíòîâ ñ ïîëîæèòåëüíûì ðåçóëüòàòîì ÒÀÁ, à åñëè ó÷åñòü êîëè÷åñòâî îïóõîëåé ó ïàöèåíòîâ ñ íåãàòèâíûì ðåçóëüòàòîì ÒÀÁ, ïîäâåðãíóòûõ õèðóðãè÷åñêîìó âìåøàòåëüñòâó, ÷óâñòâèòåëüíîñòü ÒÀÁ â öåëîì áóäåò èíîé. Ïîýòîìó, íàâåðíîå, ïðèåìðíî òàê:
"Ñòàòèñòè÷åñêîå ìîäåëèðîâàíèå ïîêàçàëî, ÷òî ÷óâñòâèòåëüíîñòü ÒÀÁ î÷åíü çàâèñèìà îò âåðîÿòíîñòü íàëè÷èÿ çëîêà÷åñòâåííîãî îáðàçîâàíèÿ ó òåõ ïàöèåíòîâ, êîòîðûå èìåëè íåãàòèâíûé ðåçóëüòàò ÒÀÁ è íå ïîäâåðãëèñü õèðóðãè÷åñêîìó âìåøàòåëüñòâó. Åñëè ïðèíÿòü ãèïîòåçó "îäèíàêîâîãî ðèñêà", ò.å. ïðåäïîëîæèòü, ÷òî âåðîÿòíîñòü çëîêà÷åñòâåííîñòè âî âñåé ãðóïïå ñ íåãàòèâíûìè ðåçóëüòàòàìè ÒÀÁ ðàâíà òàêîâîé äëÿ òåõ ïàöèåíòîâ ñ íåãàòèâíûì ðåçóëüòàòîì ÒÀÁ, êîòîðûå ïîäâåðãëèñü õèðóðãè÷åñêîé áèîïñèè, òî ÷óâñòâèòåëüíîñòü ÒÀÁ ìîæåò áûòü îöåíåíà êàê 66%"... |
#532
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Ñïàñèáî áîëüøîå, Âàñèëèé!
Ò.å. ðèñê ðàêà ïðèíÿò îäèíàêîâûì äëÿ âñåõ ïàöèåíòîâ ñ äîáðîêà÷åñòâåííîé ÒÀÁ è îïåðèðîâàííûì (âåðèôèöèðîâàííûì) è íå îïåðèðîâàííûì? |
#533
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Äà, ïîëó÷àåòñÿ èìåííî òàêîå äîïóùåíèå. Õîòÿ â ïîëíîì òåêñå, ïî ëîãèêå, äîëæíû áûëè áû îáñóæäàòü, ÷òî ïîêàçàíèåì ê îïåðàöèè ïðè îòðèöàòåëüíîì ðåçóëüòàòå ÒÀÁ áûëè, âèäèìî, êàêèå-òî äîïîëíèòåëüíûå ïîäîçðèòåëüíûå ïðèçíàêè (ðàçìåð, íåîäíîðîäíîñòü, ñîîíîøåíèå ðàçìåðîâ, êðàé è ò.ï.), ïîýòîìó ñëîæíî ñðàçó ñêàçàòü, íàñêîëüêî òàêàÿ ýêñòðàïîëÿöèÿ êîððåêòíà.
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#534
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Öèòàòà:
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#535
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Öèòàòà:
http://forums.rusmedserv.com/showpos...&postcount=559 Ïîêàçàíèåì ê îïåðàöèè ïðè îòðèöàòåëüíîé ÒÀÁ áûëè íå äîï. îíêîïðèçíàêè, à ãèïåðòèðåîç èëè ñäàâëåíèå. Òàê ÷òî âñ¸ ÷åñòíî. Êàê ó íèõ è áûâàåò. |
#536
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#537
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Ïðîøó ïîìîùè â ïåðåâîäå - ýëàñòîãðàôèÿ
Óâàæàåìûå êîëëåãè!
Íå ìîãó ïîíÿòü, ÷òî õîòÿò àâòîðû ñêàçàòü ïîñëåäíåé ôðàçîé âûâîäîâ. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Diagnostic Accuracy of Elastography and Scintigraphic Imaging After Thermal Microwave Ablation of Thyroid Nodules. .... Conclusion: Scintigraphic imaging using 99mTc-pertechnetate and 99mTc-MIBI provides quantifiable results and is promising as a diagnostic follow-up after microwaveablation. Strain elastography detects decreasing tissue elasticity, but accuracy is limited by the necessary reduction of color-coded output to elasticity scores. Ìîé ïåðåâîä Äèàãíîñòè÷åñêàÿ òî÷íîñòü ýëàñòîãðàôèè è ñöèíòèãðàôèè ïîñëå ÑÂ×-àáëÿöèè óçëîâ ùèòîâèäíîé æåëåçû. ... Âûâîä: ñöèíòèãðàôèÿ ñ èñïîëüçîâàíèåì ïåðòåõíåòàòà è MIBI îáåñïå÷èâàåò êîëè÷åñòâåííûå ðåçóëüòàòû è ÿâëÿåòñÿ ïåðñïåêòèâíîé äëÿ äèàãíîñòè÷åñêîãî íàáëþäåíèÿ ïîñëå ÑÂ×-àáëÿöèè. Ýëàñòîãðàôèÿ îáíàðóæèâàåò óìåíüøåíèå ýëàñòè÷íîñòè òêàíåé, íî òî÷íîñòü ìåòîäà îãðàíè÷åíà óìåíüøåíèåì öâåòîâîé êîäèðîâêè íà øêàëå ýëàñòè÷íîñòè. |
#538
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Ñêîðåå, òàê:
"Ýëàñòîãðàôèÿ ïîçâîëÿåò îïðåäåëÿòü óâåëè÷åíèå æåñòêîñòè òêàíè, íî òî÷íîñòü ýòîãî ìåòîäà îãðàíè÷èâàåòñÿ íåîáõîäèìîñòüþ ïðèâåäåíèÿ ðåçóëüòàòîâ, ïîëó÷åííûõ â öâåòîâîé êîäèðîâêå, ê ÷èñëåííîé øêàëå ýëàñòè÷íîñòè." Ýòî, íàâåðíîå, ñóáúåêòèâíî, íî "ñíèæåíèå ýëàñòè÷íîñòè", ìíå êàæåòñÿ, çâó÷èò õóæå, ÷åì "óâåëè÷åíèå æåñòêîñòè". Âïðî÷åì, ñïåöèàëèñòàì ÓÇ-äèàãíîñòèêè âèäíåå. |
#539
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Ñïàñèáî çà îòâåò, Âàñèëèé!
ß, íàâåðíîå, íåâåðíî âûðàçèëñÿ. ß íè òî ÷òîáû íå ìîãó ïåðåâåñòè, ÿ íå ìîãó ïîíÿòü ñóòü - ïî÷åìó óñëîâíàÿ øêàëà ïëîòíîñòè (ýëàñòè÷íîñòè, æ¸ñòêîñòè) õóæå, ÷åì ïðîöåíòû ïðè ñöèíòèãðàôèè? |
#540
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Âîîáùå ïèøóò ÷òî ýëàñòîãðàôèÿ âåñüìà ñóáúåêòèâíà:
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] |