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Current Problems in Diagnostic Radiology

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https://www.readbyqxmd.com/read/29224889/perioperative-internal-iliac-artery-balloon-occlusion-in-the-setting-of-placenta-accreta-and-its-variants-the-role-of-the-interventional-radiologist
#1
REVIEW
David A Petrov, Benjamin Karlberg, Kamalpreet Singh, Matthew Hartman, Pardeep K Mittal
Placenta accreta and its variants (increta and percreta) are conditions of abnormal placentation that are encountered with increasing frequency. The spectrum of placenta accreta (including placenta increta and percreta) involves an abnormal attachment of the placental chorionic villi to the uterine myometrium. This abnormal attachment leads to increased adherence of the placenta to the uterus and abnormal placental-uterine separation at the time of delivery. Placental invasion into, or through the myometrium is associated with increased postpartum morbidity and mortality as a result of uterine hemorrhage during and following cesarean section...
November 10, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29217311/in-pursuit-of-fellowship-results-from-a-2016-survey-of-us-trainees
#2
Junjian Huang, Suhag Patel, Richard Scruggs, Dayna Levin
PURPOSE: The purpose of this study was to gauge radiology trainee perceptions regarding the fellowship selection process and survey their perceived level of preparedness and desire for a fellowship-oriented lecture. METHODS: A survey, approved by Association of Program Coordinators in Radiology (APCR) was distributed via e-mail to all APCR members for distribution to their residents. RESULTS: A total of 98.6% (n = 261) of residents plan to pursue a fellowship...
November 10, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29203261/preoperative-computed-tomography-guided-pulmonary-lesion-marking-in-preparation-for-fluoroscopic-wedge-resection-rates-of-success-complications-and-pathology-outcomes
#3
Babatunde Olaiya, Charles A Gilliland, Seth D Force, Felix G Fernandez, Manu S Sancheti, William C Small
PURPOSE: In this study, we describe our experience of lesion marking with fiducial markers (FM) and microcoils (MC) facilitating same-day surgical wedge resection, including success rates, pathology outcomes, and complications. We also explored patient/nodular characteristics associated with developing complications. MATERIALS AND METHODS: An IRB-approved single-institutional retrospective study of 136 patients who had 148 pulmonary nodules was conducted. All patients had CT-guided pulmonary nodule labeling with either FM (121) or MC (15) patients with plan for same-day fluoroscopic-guided wedge resection...
November 6, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29203263/use-of-shoulder-imaging-in-the-outpatient-setting-a-pilot-study
#4
Elisabeth R Garwood, Gregory S Mittl, Michael J Alaia, James Babb, Soterios Gyftopoulos
PURPOSE: Characterize the clinical utility of diagnostic shoulder imaging modalities commonly used in the outpatient workup of shoulder pain. MATERIALS/METHODS: Retrospective review of adults imaged for outpatient shoulder pain from 1/1/2013 to 9/1/2015. To be categorized as "useful", a study had to meet one of the following criteria: change the clinical diagnosis or treatment plan, provide a final diagnosis, or guide definitive treatment. A utility score was assigned to each study based on the number of utility criteria met (range 0-4)...
November 4, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29273558/risk-factors-for-late-screening-mammography
#5
John Davis, Juliana Liang, Matthew B Petterson, Albert T Roh, Navya Chundu, Paul Kang, Samantha L Matz, Mary J Connell, Daniel G Gridley
BACKGROUND: Breast cancer has the highest incidence of cancers in women in the United States. Previous research has shown that screening mammography contributes to reduced breast cancer mortality. This study aimed to clarify why late screening might occur in an at-risk population. MATERIALS AND METHODS: This study was a prospective cross-sectional study including 758 patients presenting to our radiology department for routine screening mammography who completed a 30-question survey regarding personal characteristics and mammography history...
November 3, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29254848/towards-consensus-training-in-procedural-skills-for-diagnostic-radiology-residents-current-opinions-of-residents-and-faculty-at-a-large-academic-center
#6
Adam Prater, Bradley S Rostad, Emily L Ebert, Mark E Mullins, Christopher P Ho
RATIONALE AND OBJECTIVES: The Diagnostic Radiology Milestones Project provides a framework for measuring resident competence in radiologic procedures, but there are limited data available to assist in developing these guidelines. We performed a survey of current radiology residents and faculty at our institution as a first step toward obtaining data for this purpose. The survey addressed attitudes toward procedural standardization and procedures that trainees should be competent by the end of residency...
October 31, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29191365/trainee-knowledge-of-imaging-appropriateness-and-safety-results-of-a-series-of-surveys-from-a-large-academic-medical-center
#7
Thaddeus D Hollingsworth, Richard Duszak, Arvind Vijayasarathi, Rondi B Gelbard, Mark E Mullins
OBJECTIVE: In order to provide high quality care to their patients and utilize imaging most judiciously, physician trainees should possess a working knowledge of appropriate use, radiation dose, and safety. Prior work has suggested knowledge gaps in similar areas. We aimed to evaluate the knowledge of imaging appropriateness, radiation dose, and MRI and contrast safety of physician trainees across a variety of specialties. METHODS: Between May 2016 and January 2017, three online surveys were distributed to all interns, residents, and fellows in ACGME accredited training programs at a large academic institution over two academic years...
October 31, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29174138/development-and-assessment-of-a-multidisciplinary-radiology-contrast-reaction-training-course-our-experience-and-future-directions
#8
Alisa Sumkin, Michael J Magnetta, Ryan Anderson, Deborah Farkas, Margarita Zuley, Philip Orons, Marion Hughes
No abstract text is available yet for this article.
October 31, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29173798/portable-ct-pulmonary-angiogram-in-an-infant-on-veno-arterial-extracorporeal-membrane-oxygenation-in-the-pediatric-intensive-care-unit
#9
REVIEW
Simon S Ho, Meral M Patel, Renee M Mansour, Atul Vats, Nikhil K Chanani, Bradley S Rostad
PURPOSE: Computed tomography (CT) has been shown to change management in children on extracorporeal membrane oxygenation (ECMO). Although techniques have been described to transport these critically ill patients to the CT suite in the radiology department, transport out of the intensive care setting is not without risk, and using portable CT is a practical alternative. However, obtaining a CT pulmonary angiogram (CTPA) in a patient on veno-arterial (VA) ECMO presents unique challenges due to bypass of the cardiopulmonary system, which may lead to suboptimal opacification of the pulmonary arteries...
October 31, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29169676/gastrointestinal-stromal-tumor-of-the-jejunum-with-active-bleeding-demonstrated-on-dual-energy-mdct-angiography-a-case-report
#10
Abdul Razik, Kumble S Madhusudhan, Abhishek Aggarwal, Rajesh Panwar, Deep N Srivastava
Gastrointestinal stromal tumor (GIST) is the most common mesenchymal tumor of the gastrointestinal tract and may occasionally present with acute gastrointestinal bleed (GIB). Multidetector computed tomography (MDCT) angiography is extremely useful in demonstrating the tumor as well as the presence of active hemorrhage, thereby guiding subsequent interventional or surgical management. We report a case of a 38-year-old man who presented with acute-onset melena and compensated shock, whose source of bleed remained elusive on endoscopy...
October 31, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29169675/developing-a-multidisciplinary-vascular-anomalies-clinic-and-reviewing-the-radiologist-s-clinic-role
#11
Mark D Mamlouk, Pristine W Lee
Cutaneous vascular anomalies can be challenging to diagnose and treat given their rare presentation and that they do not always fall under the purview of a specific medical specialty. Patients with cutaneous vascular anomalies are best managed in vascular anomalies clinics, but to our knowledge, no reported publications exist on how to develop such a clinic. In this article, we describe the specifics steps our institution took to create a vascular anomalies clinic and discuss how it benefitted our patients and referring providers...
October 31, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29203262/computed-tomography-coronary-angiography-for-evaluation-of-children-with-kawasaki-disease
#12
Manphool Singhal, Surjit Singh, Pankaj Gupta, Avinash Sharma, Niranjan Khandelwal, Jane C Burns
OBJECTIVE: We sought to assess the feasibility of computed tomography coronary angiography (CTCA) on a 128-slice, dual source scanner in children with acute and convalescent phase Kawasaki disease (KD). MATERIALS AND METHODS: A prospective study of 49 children with KD (12 at presentation and 37 in the convalescent phase) was conducted between November 2013 and April 2015. CTCA was performed with either prospective (n = 37) or retrospective (n = 12) electrocardiographic gating...
October 23, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29110858/reviewer-awards-and-acknowledgments
#13
LETTER
Puneet Bhargava
No abstract text is available yet for this article.
January 2018: 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
#14
REVIEW
Peter A Harri, Lauren Alexander, Juan C Camacho, Courtney C Moreno, Pardeep Mittal
No abstract text is available yet for this article.
January 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28533102/real-time-electronic-dashboard-technology-and-its-use-to-improve-pediatric-radiology-workflow
#15
REVIEW
Randheer Shailam, Ariel Botwin, Markus Stout, Michael S Gee
The purpose of our study was to create a real-time electronic dashboard in the pediatric radiology reading room providing a visual display of updated information regarding scheduled and in-progress radiology examinations that could help radiologists to improve clinical workflow and efficiency. To accomplish this, a script was set up to automatically send real-time HL7 messages from the radiology information system (Epic Systems, Verona, WI) to an Iguana Interface engine, with relevant data regarding examinations stored in an SQL Server database for visual display on the dashboard...
January 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28385371/wandering-spleen-an-overview
#16
REVIEW
David C Reisner, Constantine M Burgan
An ectopic (or "wandering") spleen results from abnormal ligamentous laxity failing to fixate the spleen in its normal location in the left upper quadrant. Ligamentous laxity can be acquired due to conditions, such as splenomegaly or pregnancy, but is often congenital. Because of this laxity, there is an elongated vascular pedicle, which is prone to torsion and resultant splenic infarction. These patients generally present with abdominal pain and other nonspecific symptoms making the diagnosis very difficult to make clinically...
January 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28215521/orbital-imaging-manifestations-of-neurocutaneous-syndromes-revisited
#17
REVIEW
Abanti Das, Sanjay Sharma
Neurocutaneous syndromes or phakomatoses represent a heterogeneous group of multisystemic disorders involving structures of ectodermal origin. Characteristic ocular manifestations are described for individual entities that are often the first clues to the underlying diagnosis. However, opaque ocular media or involvement of retrobulbar orbit limits adequate clinical evaluation. This underlines the role of imaging, especially cross-sectional imaging modalities, such as computed tomography and magnetic resonance imaging, which offer a comprehensive evaluation of orbit and its contents...
January 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28162864/use-of-computed-tomography-to-determine-perforation-in-patients-with-acute-appendicitis
#18
Cameron E Gaskill, Vlad V Simianu, Jonathan Carnell, Daniel S Hippe, Puneet Bhargava, David R Flum, Giana H Davidson
PURPOSE: Urgent appendectomy has long been the standard of care for acute appendicitis. Six randomized trials have demonstrated that antibiotics can safely treat appendicitis, but approximately 1 in 4 of these patients eventually requires appendectomy. Overall treatment success may be limited by complex disease including perforation. Patients׳ success on antibiotic therapy may depend on preoperative identification of complex disease on imaging. However, the effectiveness of computed tomography (CT) in differentiating complex disease including perforated from nonperforated appendicitis remains to be determined...
January 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28751106/altmetrics-a-measure-of-social-attention-toward-scientific-research
#19
Akshay D Baheti, Puneet Bhargava
The quality and impact of scientific research is traditionally measured by citation-based metrics. However, the internet and social media revolution has led to radical changes in the way scientific information is shared and how it impacts the world. Alternative metrics (altmetrics) is a rapidly evolving measure to quantify social media attention received by a scientific work. It is a complement to the conventional metrics, and has tremendous potential in enabling faster alternative ways of evaluating research impact...
November 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28410848/improving-access-to-image-guided-procedures-at-an-integrated-rural-critical-access-hospital-ultrasound-guided-thyroid-biopsy-program
#20
Thang Q Le, Yadiel S√°nchez, Alexander S Misono, Sanjay Saini, Anand M Prabhakar
PURPOSE: Critical access hospitals face difficulty providing all services locally and may need to refer patients off-site for additional care. Providing on-site minimally invasive biopsies, may obviate visits to tertiary or quaternary care centers. This study aims to assess feasibility and outcomes of an ultrasound-guided thyroid biopsy program in a critical access hospital. METHODS: In this HIPAA compliant, IRB approved study, the Interventional Radiology (IR) database of a 19-bed, island, rural, critical access hospital without onsite pathology services affiliated with our quaternary care institution was retrospectively reviewed to identify all thyroid biopsies that were performed on site since inception of the service in April 2014 through August 2016...
November 2017: Current Problems in Diagnostic Radiology
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