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Current Problems in Diagnostic Radiology

Rebecca J Mieloszyk, Joshua I Rosenbaum, Christopher S Hall, Usha Nandini Raghavan, Puneet Bhargava
No abstract text is available yet for this article.
June 12, 2018: Current Problems in Diagnostic Radiology
David Sadowsky, Tianyang Li, Usama Hasan, Christopher Harnain, Anthony Gilet, Perry Gerard
The Medicare Access and CHIP Reauthorization Act of 2015 was signed into law on April 16, 2015, fundamentally altering the way clinicians are reimbursed for the treatment of Medicare patients starting in 2017. Under this new pay-for-performance model, reimbursement will be tied to multiple metrics related to quality and cost of care. A scaled scoring system will require providers to compete for positive reimbursement adjustments, while also penalizing poor performers with negative adjustments. A firm understanding of this new system will be essential for all physicians looking to maximize their reimbursement, particularly diagnostic radiologists and members of other highly focused fields where special considerations lead to alterations in the scoring system...
May 23, 2018: Current Problems in Diagnostic Radiology
Timothy Alves, Monica Kalume-Brigido, Corrie Yablon, Puneet Bhargava, David Fessell
Stephen R. Covey's landmark work in the field of effectiveness and professional development delineated first 7, then ultimately eight, habits of highly effective people with applicability to all professions.1 This article describes the eight habits in specific relation to the radiologist, and proposes a ninth habit to help one bring a positive and centered approach during the journey to effectiveness and beyond.
July 2018: Current Problems in Diagnostic Radiology
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...
July 2018: Current Problems in Diagnostic Radiology
Ravi V Gottumukkala, Thang Q Le, Richard Duszak, Anand M Prabhakar
Patient experience is becoming increasingly prioritized, most notably as a component of recently passed health care legislation that aims to link physician reimbursement to quality of care and cost-effectiveness. For several reasons, radiologists are better positioned to seize opportunities to enhance patient experience than is readily apparent. We propose that discrete components along the imaging value chain can be evaluated specifically for their effect on patient experience and improved to this end. We also emphasize that the field of radiology has traditionally been the earliest adopter and a serial innovator in health information technology, and we suggest possible ways to leverage the newest technological tools to improve patient experience...
July 2018: Current Problems in Diagnostic Radiology
Aaron M Rutman, Daniel J Peterson, Wendy A Cohen, Mahmud Mossa-Basha
Although diffusion-weighted imaging (DWI) has become a mainstay in modern brain imaging, it remains less utilized in the evaluation of the spinal cord. Many studies have shown promise in using DWI and diffusion-tensor imaging (DTI) for evaluation of the spinal cord; however, application has been stalled by technical obstacles and artifacts, and questions remain regarding its clinical utility on an individual examination level. This review discusses the background, concepts, and technical aspects of DWI and DTI, specifically for imaging of the spinal cord...
July 2018: Current Problems in Diagnostic Radiology
Lara Cramer, Anke Brix, Ekatrina Matin, Frank Rühli, Kais Hussein
OBJECTIVE: Computed tomography (CT)-based analyses of mummies have been performed since the 1970s but, until now, no systematic summary of PubMed®-published data has been performed. The aim was to perform a systematic review of previously published cases and summarize artificial changes and detectable paleopathologies. MATERIALS AND METHODS: Data collection from publications on CT analyses of mummies from ancient Egypt until the Greco-Roman period (up to 700 ad) from the PubMed® database (1973-2013) and descriptive data analysis...
July 2018: Current Problems in Diagnostic Radiology
Ariadne K DeSimone, Andrew Post, Richard Duszak, Phuong-Anh T Duong
To evaluate differences in fluoroscopy time (FT) for common vascular access and gastrointestinal procedures performed by radiology trainees vs faculty radiologists. Report information was extracted for all 17,966 index fluoroscopy services performed by trainees or faculty, or both from 2 university hospitals over 66 months. Various vascular access procedures (eg, peripherally inserted central catheters [PICCs] and ports) and gastrointestinal fluoroscopy procedures (eg, upper gastrointestinal and contrast enema studies) were specifically targeted...
July 2018: Current Problems in Diagnostic Radiology
Fathima Fijula Palot Manzil, Jon Baldwin, Asim Kumar Bag
Pediatric skeletal scintigraphy is a noninvasive imaging modality which aids in functional as well as anatomic evaluation of bone. Bone scintigraphy plays a major role in diagnosis and evaluation of various benign, primary malignant and metastatic pediatric bone pathologies. The advantage of bone scan is that it becomes positive well before the bone pathology is evident on radiographs and specifically the entire skeleton can be imaged in a single examination. Pediatric bone scintigraphy evaluation can be challenging to the general radiologist not routinely exposed to the study, as the growing skeleton is quite different from a mature skeleton especially at or near the growth plates...
July 2018: Current Problems in Diagnostic Radiology
Vijay Krishnan, Ashish Chawla, Kedar G Sharbidre, Wilfred C G Peh
From conventional radiograph to magnetic resonance urography, imaging of urinary system has evolved with variety of investigations over the past several decades with each of them having advantages and limitations of their own. In the current era, computed tomography (CT) has emerged as a preferred investigations for evaluation of the urinary tract. There are various techniques involved in performing CT urography (CTU) with triple bolus technique (TB-CTU) currently drawing a special attention because of its low radiation exposure...
July 2018: Current Problems in Diagnostic Radiology
Flor Marina Medina Chamorro, José Abella Calle, Juliana Escobar Stein, Lina Merchancano, Andrés Mauricio Mendoza Briñez, Andrés Arturo Pulido Wilches
OBJECTIVE: To evaluate the effect of the implementation of the rapid on-site evaluation (ROSE) technique in ultrasound-guided fine-needle aspiration biopsy of thyroid nodules. MATERIALS AND METHODS: We conducted an observational and retrospective study approved by the Institutional Ethics Committee as an investigation without risk. Between January 2012 and December 2015, 892 ultrasound-guided fine-needle aspiration biopsy procedures were performed under ultrasound guidance...
July 2018: Current Problems in Diagnostic Radiology
Carolina V Guimaraes, Laura A Smith, Jo A Garza, Maria E Blado, Crystal S Lokey, Lane F Donnelly
Unlike medical procedure (Current Procedural Terminology [CPT]) and diagnostic (International Classification of Diseases [ICD]) codes, imaging (IMG) codes are defined at the local, institutional level. IMG codes are used within an organization to define IMG procedures and how they are routed between information systems. Our purpose is to describe the implementation of a reorganization (referred to as the IMG code cleanup) and governance structure deployed at a large children's hospital and the initial effects of that implementation...
July 2018: Current Problems in Diagnostic Radiology
Anne E Gill, Philip K Wong, Mark E Mullins, Amanda S Corey, Brent P Little
RATIONALE AND OBJECTIVES: Diagnostic Radiology (DR) residents typically generate preliminary reports for imaging examinations, but few publications discuss feedback regarding missed or misinterpreted findings. Our goal was to determine the practices of United States DR residencies with respect to missed case feedback, including the role of Quality Assurance (QA) conferences. MATERIALS AND METHODS: A 23-item survey containing multiple-choice questions and several free text fields was created and hosted on SurveyMonkeyR ...
July 2018: Current Problems in Diagnostic Radiology
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)...
July 2018: Current Problems in Diagnostic Radiology
Rebecca J Mieloszyk, Puneet Bhargava
No abstract text is available yet for this article.
May 2018: Current Problems in Diagnostic Radiology
Naiim S Ali, Anthony Dinizio
No abstract text is available yet for this article.
May 2018: Current Problems in Diagnostic Radiology
Pratik Rachh, Alexa O Levey, Andrew Lemmon, Aurora Marinescu, William F Auffermann, Daniel Haycook, Eugene A Berkowitz
BACKGROUND: Our health system orders a high number of STAT priority portable chest radiographs (62%) compared to Routine (35%) and Today (3%). Retrospective chart review of 1000 chest radiographs ordered with the STAT priority revealed that 38% of studies did not indicate clinical urgency. Given the high number or STAT priority portable chest radiographs ordered, prioritizing acquisition and interpretation of true STATs has become challenging for technologists and radiologists, leading to process inefficiencies, long turnaround times (TATs), communication failures, and patient-safety errors...
May 2018: Current Problems in Diagnostic Radiology
Mohammed F Mohammed, Olivia Marais, Adnan I Qureshi, Nizar Bhulani, David Ferguson, Hossain Abu-Alola, Savvas Nicolaou, Faisal Khosa
PURPOSE: The goal of our study was to compile a list of the top 100 most-cited articles in stroke imaging literature across all peer-reviewed scientific journals. These articles were then analyzed to identify current trends in stroke imaging research and determine the characteristics of highly-cited articles. MATERIALS AND METHODS: A database of the top 100 most-cited articles was created using Scopus and Web of Science. Articles were reviewed for applicability by 2 fellowship-trained radiologists with over 10 years of combined experience in neuroimaging...
May 2018: Current Problems in Diagnostic Radiology
Keith D Herr, Sravanthi Reddy, Elizabeth A Krupinski, Mark E Mullins, Christopher Straus
RATIONALE AND OBJECTIVES: Anecdotal reports have recently surfaced of an increase in the number of US senior diagnostic radiology (DR)-bound residency applicants who did not secure a preliminary year position through the Main Resident Match (the Match) of the National Resident Matching Program (NRMP), so-called "partial matches." This study sought to determine the scope of this phenomenon and address potential causes and solutions. MATERIALS AND METHODS: Publicly available and proprietary data from the National Resident Matching Program were analyzed from 2005-2016 to determine the number of partially matched US senior applicants, selectivity of DR residency training, availability of preliminary year positions, number of unique preliminary year applicants, distribution of preliminary year matches by successfully matched applicants in relevant specialties (DR, anesthesiology, dermatology, neurology, physical medicine and rehabilitation, and radiation oncology), and percentage of categorical training programs participating in the Match...
May 2018: Current Problems in Diagnostic Radiology
Bhagya Sannananja, Adeel R Seyal, Akshay D Baheti, Sooah Kim, Chandana Lall, Puneet Bhargava
Orthotopic liver transplantation is the preferred treatment for end-stage liver disease. Imaging plays an important role in the follow-up of transplant recipients by identifying a variety of complications. Posttransplant liver imaging can be challenging with altered vascular and nonvascular postoperative findings closely mimicking pathologies. A thorough knowledge of these common imaging findings in a posttransplant liver is essential for the radiologist to avoid erroneous diagnoses and unnecessary workup. We focus on such imaging findings and provide tips to avoid misinterpretation...
May 2018: Current Problems in Diagnostic Radiology
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