instruction stringlengths 219 1.08k | procedure stringlengths 3 193 | output stringclasses 3
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Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu... | Conservative management (do nothing) | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu... | Follow-up imaging only | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu... | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu... | Percutaneous lung biopsy | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu... | Surgical lung biopsy/resection | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have... | Percutaneous lung biopsy | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have... | Bronchoscopic biopsy (repeat biopsy) | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have... | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have... | Follow-up imaging only | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have... | Surgical lung biopsy/resection | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have... | Conservative management (do nothing) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp... | Endoscopic/bronchoscopic biopsy | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp... | Percutaneous mediastinal biopsy | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp... | Surgical mediastinal biopsy/resection | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp... | Follow-up imaging only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp... | Conservative management (do nothing) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed... | Endoscopic/bronchoscopic mediastinal biopsy | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed... | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed... | Percutaneous lung biopsy | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed... | Percutaneous mediastinal biopsy | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed... | Surgical pulmonary nodule biopsy/resection | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed... | Follow-up imaging only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed... | Conservative management (do nothing) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ... | Bronchoscopic biopsy (repeat biopsy) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ... | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ... | Follow-up imaging only | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ... | Surgical lung biopsy/resection | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ... | Percutaneous lymph node biopsy | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ... | Conservative management (do nothing) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er... | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er... | Percutaneous lung biopsy | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er... | Surgical pleural biopsy/resection | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er... | Conservative management (do nothing) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35β60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er... | Follow-up imaging only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis. | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis. | Percutaneous internal/external biliary catheter | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis. | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis. | Removable biliary covered stent | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis. | Medical management only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis. | Surgery | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis. | Permanent biliary metallic stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis. | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis. | Medical management only | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis. | Percutaneous internal/external biliary catheter | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis. | Removable biliary covered stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis. | Surgery | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis. | Permanent biliary metallic stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s... | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s... | Percutaneous internal/external biliary catheter | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s... | Removable biliary covered stent | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s... | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s... | Surgery | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s... | Medical management only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s... | Permanent biliary metallic stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy. | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy. | Percutaneous internal/external biliary catheter | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy. | Surgery | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy. | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy. | Medical management only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy. | Permanent biliary metallic stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy. | Removable biliary covered stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis. | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis. | Percutaneous internal/external biliary catheter | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis. | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis. | Medical management only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis. | Removable biliary covered stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis. | Surgery | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis. | Permanent biliary metallic stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma). | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma). | Percutaneous internal/external biliary catheter | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma). | Percutaneous biliary metallic stent | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma). | Removable biliary covered stent | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma). | Surgery | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma). | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma). | Medical management only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor). | Percutaneous internal/external biliary catheter | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor). | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor). | Permanent biliary metallic stent | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor). | Removable biliary covered stent | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor). | Surgery | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor). | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor). | Medical management only | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K). | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K). | Percutaneous internal/external biliary catheter | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K). | Medical management only | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K). | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K). | Removable biliary covered stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K). | Surgery | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K). | Permanent biliary metallic stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites. | Endoscopic internal biliary catheter (removable plastic stent) | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites. | Percutaneous internal/external biliary catheter | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites. | Medical management only | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites. | Removable biliary covered stent | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites. | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites. | Permanent biliary metallic stent | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites. | Surgery | The proposed procedure is **usually not appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days.
Physical examination shows no perito... | Percutaneous catheter drainage only | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days.
Physical examination shows no perito... | Percutaneous catheter drainage followed by delayed surgery | The proposed procedure is **usually appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days.
Physical examination shows no perito... | Needle aspiration | The proposed procedure is **may be appropriate** |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days.
Physical examination shows no perito... | Surgical drainage | The proposed procedure is **may be appropriate** |
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