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Current Problems in Diagnostic Radiology

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https://www.readbyqxmd.com/read/28619440/breaking-bad-news-a-survey-of-radiology-residents-experiences-communicating-results-to-patients
#1
Anand Narayan, Sergio Dromi, Adam Meeks, Erin Gomez, Bonmyong Lee
PURPOSE: The practice of radiology often includes routine communication of diagnostic test results directly to patients in breast imaging and interventional radiology. There is increasing interest in expanding direct communication throughout radiology. Though these conversations can substantially affect patient well-being, there is limited evidence indicating that radiology residents are specifically taught methods to effectively convey imaging results to patients. Our purpose is to evaluate resident experience communicating imaging results to patients...
April 27, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28606379/launchpad-for-onboarding-new-faculty-into-academic-life
#2
Toshimasa Clark, Janet Corral, Eric Nyberg, Tami Bang, Premal Trivedi, Peter Sachs, Tatum Mcarthur, Jonathan Flug, Carol Rumack
We developed a faculty professional development seminar series in order to facilitate the integration of our numerous new faculty into academics. The changing nature of the healthcare system, increasing clinical and administrative responsibility, and lack of access to senior mentors can hinder junior faculty productivity and possibly increase attrition. Given that no ready-made resources existed to address these issues we established a Professional Development Committee, developed a curriculum that covers relevant topics including promotion, mentorship, conflict management and feedback, and effective presentation of scientific data, and instituted changes iteratively based upon feedback...
April 27, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28619441/radiologic-guide-to-surgical-treatment-of-kienbock-s-disease
#3
REVIEW
Erika M Nealey, Jonelle M Petscavage-Thomas, Felix S Chew, Christopher H Allan, Alice S Ha
Kienbock's disease, or avascular necrosis of the lunate, is a progressive disease ultimately resulting in end-stage arthrosis of the wrist. Various surgical treatments are available for different Lichtman stages of disease. We review the surgical options and indications, expected radiologic post-operative appearance, as well as detail potential surgical complications, as they relate to Kienbock's disease.
April 25, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28583689/granulomatous-lymphocytic-interstitial-lung-disease-in-a-patient-with-common-variable-immunodeficiency
#4
Jehan L Shah, Sagar B Amin, Nupur Verma, Tan-Lucien Mohammed
Common variable immunodeficiency is the most common primary immunodeficiency and consists of impaired immunoglobulin production causing recurrent sinopulmonary infections. The most common cause of mortality for this disorder, however, is from the development of malignancy and autoimmune disorders. One common entity that develops is a systemic granulomatous and lymphoproliferative disorder that can cause an interstitial lung disease more formally referred to as granulomatous-lymphocytic interstitial lung disease (GL-ILD)...
April 14, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28571907/magnetic-resonance-imaging-evaluation-of-urothelial-cell-carcinoma-histopathological-correlation-staging-and-treatment-planning
#5
REVIEW
Peter A Harri, Lauren Alexander, Juan C Camacho, Courtney C Moreno, Pardeep Mittal
No abstract text is available yet for this article.
April 14, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28554787/spending-an-evening-in-the-dark-the-radiology-medical-student-call-experience
#6
Dennis Monks, Brian Pagano, Matthew Hartman
The level of independent decision-making required of a radiology resident, as well as the acuity of studies populating the worklist, differ between the normal workday and a call shift. However, unlike clerkships where call is standard, medical students in radiology typically only have half of the true resident experience. To expose our rotating medical students to what a future career in radiology might actually look like, we implemented a required call shift as part of our medical student curriculum. All rotating third- and fourth-year medical students were assigned a single 3-hour short call shift alongside a radiology resident during the final week of their rotation...
April 14, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28554788/abdominal-lymphangiomatosis-with-intestinal-lymphangiectasia-diagnosed-by-magnetic-resonance-lymphangiography-a-case-report
#7
Jineesh Valakada, Kumble S Madhusudhan, Gyan Ranjan, Pramod Kumar Garg, Raju Sharma, Arun Kumar Gupta
No abstract text is available yet for this article.
April 12, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28602501/abdominal-imaging-surveillance-in-adult-patients-after-fontan-procedure-risk-of-chronic-liver-disease-and-hepatocellular-carcinoma
#8
Sadhna B Nandwana, Babatunde Olaiya, Kelly Cox, Anurag Sahu, Pardeep Mittal
PURPOSE: To assess the prevalence of chronic liver disease (CLD) and hepatocellular carcinoma (HCC) in adult patients who had surveillance imaging after Fontan procedure. METHODS: Institutional review board-approved, Health Insurance Portability and Accountability Act-compliant retrospective study evaluated electronic medical records including radiology reports and clinical notes for adult patients after Fontan procedure between January 1993 and January 2016. Abdominal ultrasound, computed tomography, and magnetic resonance imaging reports were reviewed for changes of CLD and HCC...
April 11, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28554789/diagnostic-performance-of-sru-and-ata-thyroid-nodule-classification-algorithms-as-tested-with-a-1-million-virtual-thyroid-nodule-model
#9
Mitchell Boehnke, Nayana Patel, Kristin McKinney, Toshimasa Clark
PURPOSE: The Society of Radiologists in Ultrasound (SRU 2005) and American Thyroid Association (ATA 2009 and ATA 2015) have published algorithms regarding thyroid nodule management. Kwak et al. and other groups have described models that estimate thyroid nodules' malignancy risk. The aim of our study is to use Kwak's model to evaluate the tradeoffs of both sensitivity and specificity of SRU 2005, ATA 2009 and ATA 2015 management algorithms. MATERIALS AND METHODS: 1,000,000 thyroid nodules were modeled in MATLAB...
April 11, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28552548/second-opinion-by-in-house-radiologists-present-picture-and-emphasis-on-standardizing-imaging-protocol-in-oncology
#10
G V SanthoshKumar, Abhishek Mahajan, Subhash Desai, Meenakshi Thakur
Standardization of imaging acquisition protocol, modification in protocols for specific tumor and standardization in providing image data sets for outside referral, will help not only patients but also oncologists (who requests the second read) and the radiologists (who provides the second read on outside imaging). The practical benefits to patients include, cost savings (limiting the repeat radiological examination), timely initiation of treatment; the unrealized benefits include prevention of unnecessary anxiety and discomfort...
April 10, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28571906/limited-usage-of-pulmonary-nodule-risk-calculators-for-managing-large-nodules
#11
Mark M Hammer, Arun C Nachiappan, Eduardo J Mortani Barbosa
RATIONALE AND OBJECTIVES: The optimal management of large pulmonary nodules, at higher risk for lung cancer, has not been determined, and it remains unclear as to which patients should undergo follow-up imaging vs invasive tissue diagnosis via biopsy or surgical resection. MATERIALS AND METHODS: Through search of radiology reports, 86 nodules from our institution were identified using the inclusion criterion of solid nodules measuring greater than 8mm. We evaluated these nodules with a number of risk prediction calculators, including the Brock University model, and compared these against the proven diagnosis...
April 8, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28550940/invasive-sinonasal-lesions-from-the-nasal-fossa-and-paranasal-sinuses-to-the-endocranium
#12
REVIEW
Pablo Naval Baudin, Albert Pons Escoda, Mònica Cos Domingo, Mario Huete Naval, Carles Majós, Carles Aguilera
The aim of this work is to review the spectrum of sinonasal lesions that extend to the endocranium and to present key points that may narrow the differential diagnosis. The most frequent sinonasal lesions that extend into the endocranium are malignant; however, benign entities are not unusual. Imaging diagnosis is difficult because malignant lesions and benign entities share similar clinical, epidemiologic, and imaging features. Tumor features in relation to bone, intratumor homogeneity and structure, magnetic resonance imaging signal, along with clinical and epidemiologic aspects may allow an appropriate diagnostic focus with important management implications...
April 8, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28552547/spirometry-assisted-high-resolution-chest-computed-tomography-in-children-is-it-worth-the-effort
#13
Jeffrey Parke Otjen, Jonathan Ogden Swanson, Assaf Oron, Robert M DiBlasi, Tim Swortzel, Jade Adriana Marie van Well, Eva Anna Elisabeth Gommers, Margaret Rosenfeld
BACKGROUND: Image quality of high resolution chest computed tomographies (HRCTs) depends on adequate breath holds at end inspiration and end expiration. We hypothesized that implementation of spirometry-assisted breath holds in children undergoing HRCTs would improve image quality over that obtained with voluntary breath holds by decreasing motion artifact and atelectasis. METHODS: This is a retrospective case-control study of HRCTs obtained at a tertiary care children's hospital before and after implementation of a spirometry-assisted CT protocol, in which children ≥8 years of age are first trained in supine slow vital capacity maneuvers and then repeat the maneuvers in the CT scanner, coached by a respiratory therapist...
April 7, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28641820/using-twitter-to-amplify-your-presence-during-radiology-meetings
#14
Puneet Bhargava
No abstract text is available yet for this article.
July 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28434559/what-do-george-clooney-and-sarah-jessica-parker-have-in-common-big-data
#15
Toshimasa J Clark, Rebecca J Mieloszyk, Puneet Bhargava
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May 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28185690/a-radiologist-s-guide-to-the-industry-a-methodical-approach-to-physician-industry-relationships-in-radiology
#16
Donald Dj Perry, Derek Khorsand, Michael McNeeley
In the last century, rapidly advancing technological innovations have become essential components of modern healthcare, increasing the frequency and necessity of interactions between physicians and industry. These interactions have the potential to bias objectivity and should be approached carefully. A recent JACR article by Harvey et al, highlighted 2014 CMS data, which reported that only 4% of radiologists had interactions with industry, coming in second lowest amongst all 19 reported specialties. However, when managed appropriately, physician-industry relationships can mutually benefit patients, research, payers, providers, hospitals and the medical industry...
May 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28162863/the-radiologist-is-in-but-was-it-worth-the-wait-radiology-resident-note-quality-in-an-outpatient-interventional-radiology-clinic
#17
Salim E Abboud, Stephanie Soriano, Rayan Abboud, Indravadan Patel, Jon Davidson, Nami R Azar, Dean A Nakamoto
Preprocedural evaluation of patients in an interventional radiology (IR) clinic is a complex synthesis of physical examination and imaging findings, and as IR transitions to an independent clinical specialty, such evaluations will become an increasingly critical component of a successful IR practice and quality patient care. Prior research suggests that preprocedural evaluations increased patient's perceived quality of care and may improve procedural technical success rates. Appropriate documentation of a preprocedural evaluation in the medical record is also paramount for an interventional radiologist to add value and function as an effective member of a larger IR service and multidisciplinary health care team...
May 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28089690/mri-evaluation-of-rectal-cancer-staging-and-restaging
#18
REVIEW
Courtney C Moreno, Patrick S Sullivan, Pardeep K Mittal
Magnetic resonance imaging (MRI) plays an important role in the staging and restaging of rectal cancer. Multiplanar high-resolution (≤3-mm section thickness) T2-weighted images are the primary sequences used for rectal cancer staging. No preprocedural bowel cleansing regimen, intravenous contrast material, nor endorectal coil is necessary. MRI is highly accurate for differentiating T1-T2 disease from T3 and T4 disease, an important distinction as patients with T3 and T4 tumors typically undergo preoperative neoadjuvant chemoradiation before resection...
May 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28069356/radiology-reports-what-you-think-you-re-saying-and-what-they-think-you-re-saying
#19
Bonmyong Lee, Matthew T Whitehead
BACKGROUND: Image interpretation and translation into written language is an imperfect process. Yet, the radiology report represents the link between radiologist's opinion and patient's images. Increased access to images through remote viewing stations has made direct communication between radiologists and clinicians less commonplace. We are interested in how accurately the descriptive contents within radiology reports convey the feelings of the radiologist to the referring clinician...
May 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28057388/evaluation-of-focused-obstetric-ultrasound-examinations-by-health-care-personnel-in-the-democratic-republic-of-congo-guatemala-kenya-pakistan-and-zambia
#20
Robert O Nathan, Jonathan O Swanson, David L Swanson, Elizabeth M McClure, Victor Lokomba Bolamba, Adrien Lokangaka, Irma Sayury Pineda, Lester Figueroa, Walter López-Gomez, Ana Garces, David Muyodi, Fabian Esamai, Nancy Kanaiza, Waseem Mirza, Farnaz Naqvi, Sarah Saleem, Musaku Mwenechanya, Melody Chiwila, Dorothy Hamsumonde, Dennis D Wallace, Holly Franklin, Robert L Goldenberg
Prior studies have suggested that obstetrical (OB) ultrasound in low- and middle-income countries has aided in detection of high-risk conditions, which in turn could improve OB management. We are participating in a cluster-randomized clinical trial of OB ultrasound, which is designed to assess the effect of basic OB ultrasound on maternal mortality, fetal mortality, neonatal mortality, and maternal near-miss in 5 low-income countries. We designed a 2-week course in basic OB ultrasound, followed by 12 weeks of oversight, to train health care professionals with no prior ultrasound experience to perform basic OB ultrasound to screen for high-risk pregnancies...
May 2017: Current Problems in Diagnostic Radiology
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