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Current Problems in Diagnostic Radiology

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https://www.readbyqxmd.com/read/28104316/creating-and-sustaining-a-successful-fellowship-program-challenges-and-solutions
#1
Keith D Herr, Tarek N Hanna, Bharti Khurana, Jamlik-Omari Johnson, Aaron Sodickson
No abstract text is available yet for this article.
December 21, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28104315/implementing-a-structured-reporting-initiative-using-a-collaborative-multistep-approach
#2
Shlomit Goldberg-Stein, William R Walter, E Stephen Amis, Meir H Scheinfeld
PURPOSE: To describe the successful implementation of a structured reporting initiative in a large urban academic radiology department. METHODS: We describe our process, compromises, and top 10 lessons learned in overhauling traditional reporting practices and comprehensively implementing structured reporting at our institution. To achieve our goals, we took deliberate steps toward consensus building, undertook multistep template refinement, and achieved close collaboration with the technical staff, department coders, and hospital information technologists...
December 15, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28062089/structured-reporting-of-magnetic-resonance-enterography-for-pediatric-crohn-s-disease-effect-on-key-feature-reporting-and-subjective-assessment-of-disease-by-referring-physicians
#3
Benjamin Wildman-Tobriner, Brian C Allen, Joseph T Davis, Chad M Miller, Gary R Schooler, Nancy M McGreal, Reinaldo Quevedo, Julie K Thacker, Tracy A Jaffe
PURPOSE: To objectively compare the content of structured reports (SR) vs nonstructured reports (NSR) for magnetic resonance enterography (MRE) of pediatric patients with Crohn's disease, and to evaluate referring clinicians' subjective assessment of reports. METHODS: This institutional review board-approved, Health Insurance Portability and Accountability Act-compliant retrospective study included 25 pediatric subjects (15 male, 10 female; mean age = 14 years [range: 9-18 years]) with Crohn's disease imaged with MRE...
December 5, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28089690/mri-evaluation-of-rectal-cancer-staging-and-restaging
#4
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...
November 21, 2016: 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
#5
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...
November 16, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28049559/workflow-dynamics-and-the-imaging-value-chain-quantifying-the-effect-of-designating-a-nonimage-interpretive-task-workflow
#6
Matthew H Lee, Andrew J Schemmel, B Dustin Pooler, Taylor Hanley, Tabassum A Kennedy, Aaron S Field, Douglas Wiegmann, John-Paul J Yu
PURPOSE: To assess the impact of separate non-image interpretive task and image-interpretive task workflows in an academic neuroradiology practice. MATERIALS AND METHODS: A prospective, randomized, observational investigation of a centralized academic neuroradiology reading room was performed. The primary reading room fellow was observed over a one-month period using a time-and-motion methodology, recording frequency and duration of tasks performed. Tasks were categorized into separate image interpretive and non-image interpretive workflows...
November 15, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28069355/double-fellowships-in-radiology-a-survey-of-2014-graduating-fellows
#7
Thomas Y Wong, Andrew Moriarity, Neil Lall, Jason C Hoffmann, Douglas S Katz, Jonathan A Flug
PURPOSE: Radiology fellowship training has evolved from being an uncommon option to being a near requisite for post-training employment in the United States. A subset of fellows elect to pursue second fellowships with potentially substantial implications on both the private sector and academic radiology workforce. The purpose of this study was to assess the proportion of current radiology fellows pursuing multiple years of post-residency fellowship training. MATERIALS AND METHODS: After obtaining IRB approval, an anonymous web-based survey was emailed to 1,269 radiology fellows listed as "completing fellowship" in the American College of Radiology database in June 2014...
November 12, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28063633/evaluation-of-myocardial-strain-in-patients-with-amyloidosis-using-cardiac-magnetic-resonance-feature-tracking
#8
Tarun Pandey, Sindhura Alapati, Vibhor Wadhwa, Mohan M Edupuganti, Pooja Gurram, Shelly Lensing, Kedar Jambhekar
PURPOSE: To study the use of cardiac magnetic resonance (CMR) feature tracking technique in evaluation of myocardial amyloidosis. MATERIALS AND METHODS: CMR scans of 28 patients with biopsy proven myocardial amyloidosis and 35 controls were reviewed. Conventional short axis, vertical long axis, and 4-chamber cine steady-state free precession images from CMR scans were used to generate radial, circumferential, and longitudinal myocardial strain maps using feature tracking software...
November 10, 2016: 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
#9
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...
November 10, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28041658/a-window-to-the-real-world-of-radiology-from-the-ivory-tower-of-academia-the-value-of-community-rotations-and-career-training-in-radiology-residency-programs-in-canada
#10
REVIEW
Abdullah Alabousi, Michael N Patlas, Douglas S Katz
We highlight what we believe are 2 major areas of weakness in current Canadian radiology training programs: insufficient community radiology training and limited preparation of residents for the job market. Although focusing on Canadian radiology programs, we suspect that these are also 2 areas of substantial concern for radiology training programs in the United States and other countries. We offer suggestions to address these deficiencies, particularly by using pre-existing hybrid radiology practices and by making relatively small changes to the current curricula of radiology residency programs...
November 10, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28041657/navigational-guidance-and-ablation-planning-tools-for-interventional-radiology
#11
REVIEW
Yadiel Sánchez, Arash Anvari, Anthony E Samir, Ronald S Arellano, Anand M Prabhakar, Raul N Uppot
Image-guided biopsy and ablation relies on successful identification and targeting of lesions. Currently, image-guided procedures are routinely performed under ultrasound, fluoroscopy, magnetic resonance imaging, or computed tomography (CT) guidance. However, these modalities have their limitations including inadequate visibility of the lesion, lesion or organ or patient motion, compatibility of instruments in an magnetic resonance imaging field, and, for CT and fluoroscopy cases, radiation exposure. Recent advances in technology have resulted in the development of a new generation of navigational guidance tools that can aid in targeting lesions for biopsy or ablations...
November 10, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28040296/behavioral-interviewing-integrating-acgme-competency-based-questions-into-the-radiology-resident-selection-process
#12
Tatum A McArthur, Jonathan A Flug, Nicole Restauri
The practice of radiology is continually evolving with external pressures increasing the involvement of the radiologist as an integrated member of the multidisciplinary care delivery team and not just image interpreters working in isolation. Radiologists need to be comfortable interacting directly with patients and practicing "patient and family-centered care" and "value-based medicine." Despite this evolving role of the radiologist, medical training and the residency selection process have not significantly adapted to accommodate these new demands...
November 10, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28034477/percutane-image-guided-cryoablation-of-painful-osseous-metastases-a-retrospective-single-center-review
#13
Tatum A McArthur, Carl A Narducci, Phillip H Lander, Robert Lopez-Ben
PURPOSE: Painful osseous metastases are a common problem in patients with malignancy, and they can be associated with significant morbidity owing to immobility, pain, pathologic fracture, or neurovascular compromise or all of these. We retrospectively evaluated pain levels and tumor enhancement in patients who underwent palliative percutaneous cryoablation for painful bone metastasis. METHODS: In this institutional review board-approved, health insurance portability and accountability act-compliant study, we retrospectively searched our department׳s picture archiving system for patients who underwent computed tomography (CT)-guided percutaneous cryoablation for treatment of painful metastatic osseous disease over a 6-year period (1/1/2005-12/31/2011)...
November 10, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/27986095/deep-work-a-productivity-superpower
#14
EDITORIAL
Puneet Bhargava
No abstract text is available yet for this article.
January 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/27460749/evolving-practice-patterns-in-imaging-pregnant-patients-with-acute-abdominal-and-pelvic-conditions
#15
REVIEW
Wendy Hansen, Mariam Moshiri, Angelisa Paladin, Ramit Lamba, Douglas S Katz, Puneet Bhargava
OBJECTIVE: The purpose of our study was to determine the current practice patterns of U.S. radiologists in imaging pregnant or potentially pregnant patients with acute abdominal and pelvic conditions. MATERIALS AND METHODS: After obtaining an Institutional Review Board waiver, all members of the Association of University Radiologists, the Association of Program Directors in Radiology, and the Society of Radiologists in Ultrasound were invited via e-mail to take a 23-question online survey on radiology practices and clinical scenarios about acute abdominal and pelvic imaging of pregnant patients...
January 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/27443480/how-effective-are-your-mentoring-relationships-mentoring-quiz-for-residents
#16
REVIEW
Vibhor Wadhwa, Paul Nagy, Avneesh Chhabra, Cindy S Lee
Mentoring is an essential part of a resident's career development. It plays an important role in nurturing, and sustaining success along the career path of a young physician. Mentoring is a long-term goal that is development-driven rather than performance-driven. Although specific learning goals may be used as a basis, the focus of mentoring may also include self-confidence, self-perception, and work-life balance. A number of residency programs have implemented mentoring programs in their institutions. This article discusses the importance of mentoring, illustrates "do's and don'ts" for mentees and demonstrates how to choose the ideal mentor...
January 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/27268320/a-novel-timesaving-method-for-hepatobiliary-imaging-for-suspected-acute-cholecystitis
#17
Shawn S Carter, Syed Ramisa Ehsan, Richard Duszak, Daniel J Lee, Fabio P Esteves, David C Brandon, Raghuveer K Halkar
OBJECTIVE: To optimize resource utilization of cholescintigraphy for suspected acute cholecystitis with a time-saving method without a loss in diagnostic accuracy. MATERIALS AND METHODS: Institutional review board approval was obtained for this retrospective study. Hepatobiliary imaging data for 81 patients with suspected acute cholecystitis were recalled for modification into 2 summed static images, using only the first and last 5 minutes of the dynamic images, thereby eliminating the middle 50 minutes of imaging data...
January 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/27020254/disappearing-acts-the-many-causes-of-rapidly-destructive-arthritis
#18
REVIEW
Jack Porrino, Blake Carlson, Kimia K Kani, Hyojeong Mulcahy, Alvin Wyatt, Felix S Chew
Most of the destructive joint disease necessitating arthoplasty is the result of an insidious and protracted process that occurs over the course of many years. However, there are a variety of diseases that may result in a rapid progressive deterioration of a joint. We describe both the common and less common etiologies of rapidly destructive arthropathy that one should consider, with imaging examples, and present discriminative factors when present.
January 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/26995297/complicated-genitourinary-tract-infections-and-mimics
#19
REVIEW
Michael Yu, Kathryn Robinson, Cary Siegel, Christine Menias
This article provides pictorial review of complicated upper and lower genitourinary infections and their mimics. Imaging features of upper urinary tract infections including uncomplicated acute pyelonephritis, xanthogranulomatous pyelonephritis (XGPN), emphysematous pyelonephritis, perirenal abscess, and pyonephrosis are first reviewed and then followed by pictorial review of their mimics including contrast-associated nephrotoxicity, renal infarcts, malakoplakia, renal cell cancer, leukemia or lymphoma and Castleman's disease...
January 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/26826797/interpretation-of-breast-mri-utilizing-the-bi-rads-fifth-edition-lexicon-how-are-we-doing-and-where-are-we-headed
#20
REVIEW
Kyungmin Shin, Kanchan Phalak, Anthony Hamame, Gary J Whitman
The Breast Imaging Reporting and Data System (BI-RADS) was first initiated in the late 1980s in order to standardize reporting, improve report organization, and to monitor outcomes for more clear, concise, and uniform communication of breast imaging findings. In the BI-RADS 5th edition, several changes and new additions have been made to the magnetic resonance imaging (MRI) lexicon, reflecting increased utilization and availability of breast MRI in clinical practice. Understanding the role and appropriate utilization of breast MRI and the BI-RADS lexicon could help with interpretation and effective communication of MRI findings as well as preparing for incorporation of more advanced imaging techniques...
January 2017: Current Problems in Diagnostic Radiology
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