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Current Problems in Diagnostic Radiology

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https://www.readbyqxmd.com/read/29129347/international-society-for-the-study-of-vascular-anomalies-classification-of-soft-tissue-vascular-anomalies-survey-based-assessment-of-musculoskeletal-radiologists-use-in-clinical-practice
#1
Shivani Ahlawat, Laura M Fayad, Daniel J Durand, Kate Puttgen, Aylin Tekes
AIM: There is controversy regarding the diagnosis and classification of vascular anomalies (VA). As torso and extremities are the second most common body part for presentation of VAs, musculoskeletal (MSK) radiologists play a central role in VA classification. The purpose of this study was to evaluate the awareness and clinical use of the International Society for the Study of Vascular Anomalies (ISSVA) classification by MSK radiologists. MATERIALS AND METHODS: A Web-based survey was designed and electronically sent to Society of Skeletal Radiology (SSR) members, with 3 questions on demographics and 7 questions on ISSVA classification use and knowledge...
October 16, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29126576/beginner-s-guide-to-medicare-access-and-chip-reauthorization-act-s-quality-payment-program
#2
Naiim S Ali, Anthony Dinizio
No abstract text is available yet for this article.
October 12, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29126575/validation-of-prostate-imaging-reporting-and-data-system-version-2-a-retrospective-analysis
#3
Michael Nguyentat, Alexander Ushinsky, Alessandra Miranda-Aguirre, Edward Uchio, Chandana Lall, Layla Shirkhoda, Thomas Lee, Christopher Green, Roozbeh Houshyar
PURPOSE: Use of magnetic resonance imaging (MRI)/transrectal ultrasound fusion biopsies to determine the accuracy of multiparametric MRI (mpMRI), using Prostate Imaging-Reporting and Data System version 2 (PI-RADSv2), for detecting clinically significant prostate cancer in the overall gland and specifically the peripheral zone (PZ) and transitional zone (TZ). METHODS: A retrospective analysis of patients who underwent fusion biopsy identified 137 men with 231 prostate lesions was approved by the Institutional Review Board...
October 12, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29122395/the-clinical-and-medicolegal-implications-of-radiology-results-communication
#4
Barun Aryal, Derek A Khorsand, Theodore J Dubinsky
Multiple guidelines and legal precedents have established the radiologist's duty to inform clinicians directly of critical findings, or findings that will greatly impact patient health in a timely manner [1]. While the number one cause for radiology malpractice cases is misdiagnosis, the literature shows a growing portion of lawsuits surrounding breakdowns in communication between radiologists and ordering providers [2,3]. As such, a review of guidelines related to the communication of imaging results is warranted...
October 12, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29107397/traumatic-injury-to-the-portal-vein-with-shock-bowel
#5
Nicholas C Cleveland, Don N Nguyen, Cassie D Tran, Rishi K Maheshwary, Matthew S Hartman
A portal vein aneurysm is the dilatation of the portal vein due to a defect in the vein wall. This rare disease manifestation is difficult to predict and has the potential for severe complications. We describe the case of a 68-year-old man involved in a motor vehicle collision who presented with abdominal hemorrhage found on ultrasound, hypotension, and vague abdominal pain. The patient underwent an exploratory laparotomy to control bleeding. Surgery and a subsequent abdominal computed tomography revealed the presence of a portal vein pseudoaneurysm and shock bowel...
October 3, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29110909/radiologists-are-actually-well-positioned-to-innovate-in-patient-experience
#6
REVIEW
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...
October 2, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29103837/persistent-pulmonary-arteriovenous-malformations-percutaneous-embolotherapy
#7
Ahmed Kamel Abdel Aal, Joseph Eason, Sherif Moawad, Khalid Mahmoud, Basant Farouk Hamed, Moustafa Omar Massoud, Nathan Ertel, Andrew Gunn, Rachel Oser, Souheil Saddekni
Pulmonary arteriovenous malformations (PAVM) are an uncommon entity that interventional radiologists may face in their clinical practice. Many of these lesions are treated successfully using endovascular techniques with satisfactory long-term results. However, some PAVMs respond poorly to initial interventional techniques. This article reviews the signs and symptoms of persistent PAVMs, illustrates different imaging modalities used to diagnose these lesions, and outlines mechanisms by which these lesions may persist...
September 21, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29054314/bedside-chest-radiographs-in-the-intensive-care-setting-wireless-direct-radiography-compared-to-computed-radiography
#8
Craig R Audin, Shima Aran, Victorine V Muse, Gerald F Abbott, Jeanne B Ackman, Amita Sharma, Carol C Wu, Mannudeep K Kalra, Theresa C McLoud, Jo-Anne O Shepard, Florian J Fintelmann, Matthew D Gilman
OBJECTIVES: To compare image quality, visibility of anatomic landmarks, tubes and lines, and other clinically significant findings on portable (bedside) chest radiographs acquired with wireless direct radiography (DRw) and computed radiography (CR). METHODS: In a prospective IRB-approved and HIPAA-compliant study, portable DRw (DRX-1C mobile retrofit portable wireless direct radiography, CareStream Inc., Rochester, NY) and portable CR (AGFA CR (DXG) version; NIM2103, AGFA Healthcare, Ridgefield Park, NJ) images of the chest were acquired within 24-hours in 80 patients in the intensive care unit (ICU)...
September 21, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29122394/scientific-notebook-software-applications-for-academic-radiology
#9
Michael L Richardson, Behrang Amini
OBJECTIVES: The goal of this article is to introduce the concept of scientific notebook software, and to illustrate how it can be used to document a research project, to perform image analysis and to create interactive teaching tools. METHODS: We describe the installation of scientific notebook software known as Project Jupyter, which is free, open-source and available for the Macintosh, Windows and Linux operating systems. RESULTS: We have created 2 scientific notebooks that demonstrate applications germane to radiologists, particularly those in academic radiology...
September 18, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29054315/cord-topographical-anatomy-and-its-role-in-evaluating-intramedullary-lesions
#10
REVIEW
James Andrew Spain, Scott Cressman, Horia Marin, Suresh C Patel, John J Corrigan, Brent Griffith
Intramedullary spinal lesions present a wide differential diagnosis including infectious, inflammatory, traumatic, ischemic, benign, or malignant neoplastic etiologies. Using knowledge of anatomy and physiology within the spinal cord, many similar appearing entities can be parsed into a prioritized differential. The purpose of this article is to review anatomy and pathophysiology of the spinal cord, with subsequent discussion of how this knowledge can be used to differentiate several similar appearing intramedullary pathologic processes...
September 18, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29032882/adapting-a-computerized-medical-dictation-system-to-prepare-academic-papers-in-radiology
#11
Yadiel Sánchez, Anand M Prabhakar, Raul N Uppot
Everyday radiologists use dictation software to compose clinical reports of imaging findings. The dictation software is tailored for medical use and to the speech pattern of each radiologist. Over the past 10 years we have used dictation software to compose academic manuscripts, correspondence letters, and texts of educational exhibits. The advantages of using voice dictation is faster composition of manuscripts. However, use of such software requires preparation. The purpose of this article is to review the steps of adapting a clinical dictation software for dictating academic manuscripts and detail the advantages and limitations of this technique...
September 14, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29029866/optic-chiasm-involvement-with-concurrent-typical-wernicke-encephalopathy-magnetic-resonance-findings-a-case-report
#12
Chad J Mackay, Vu T Tran, Yao Chen
The variable clinical presentation of Wernicke encephalopathy often complicates interpretation. Prompt and accurate diagnosis relies on a constellation of typical and atypical magnetic resonance imaging (MRI) findings, which are not always simultaneously present. Our case demonstrates concurrent presentation of all typical Wernicke encephalopathy MRI findings with additional signal abnormalities involving the optic chiasm and optic tract. We suggest that optic pathway involvement may be considered among several atypical MRI manifestations, reinforcing the prompt diagnosis of the potentially life-threatening encephalopathy...
September 14, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28992997/association-of-tibial-plateau-fracture-morphology-with-ligament-disruption-in-the-context-of-multiligament-knee-injury
#13
REVIEW
Jack Porrino, Michael L Richardson, Keegan Hovis, Bruce Twaddle, Albert Gee
BACKGROUND: We identified common morphologies of tibial plateau fractures that arise with multiligament knee injuries (MLKIs), and investigated the relationship of the fracture with ligament tears. We also evaluated the correlation of 3 tibial plateau fracture classification systems (Schatzker, AO, and Duparc). METHODS: Over a 2-year period, a single orthopaedic surgeon at our institution managed 90 MLKIs. Images of those knees with a tibial plateau fracture were retrospectively reviewed and classified per Schatzker, AO, and Duparc systems...
September 12, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28988710/do-interventions-intended-to-increase-female-medical-student-interest-in-radiology-work-preliminary-findings
#14
Elizabeth D Yuan, Joseph Makris, Carolynn M DeBenedectis
PURPOSE: The purpose of this study is to share the preliminary findings after initiation of interventions at the medical school level, which have been suggested by the literature to increase female medical student interest in radiology at one institution. Additionally, the paper provides discussion of how to better future interventions for increasing female medical student interest. METHODS: Interventions to increase medical student exposure to radiology were implemented at the University of Massachusetts Medical School in 2012...
September 12, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28943050/small-cell-carcinoma-of-the-ovary-hypercalcemic-type-clinical-and-imaging-review
#15
REVIEW
Brinda Rao Korivi, Sanaz Javadi, Silvana Faria, Tara Sagebiel, Naveen Garg, Madhavi Patnana, Srinivasa R Prasad
Small Cell Carcinoma of the Ovary, Hypercalcemic Type (SCCOHT) is a rare, aggressive malignancy with a poor prognosis. Its features are difficult to differentiate from other ovarian malignancies. In this article, we discuss recent advances in our understanding of this rare malignancy including tumor genetics. We also describe demographic, clinical and imaging findings, staging, and treatment options.
September 1, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29031939/interest-in-interventional-radiology-at-different-stages-of-training-possible-implications-for-the-new-integrated-interventional-radiology-residency
#16
Kimberly G Kallianos, Emily M Webb, Miles Conrad, Bren Ahearn, David M Naeger
PURPOSE: Integrated interventional radiology (IR) residencies recently underwent their second year in the match, the first year of which involved only a limited number of programs. Now that students can choose to enter IR directly, student perceptions of IR vs diagnostic radiology (DR) are of paramount importance. METHODS: We surveyed first- through fourth-year medical students and radiology residents regarding interest in IR vs DR. RESULTS: Students considering a radiological career expressed more interest in IR than DR...
August 24, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28935459/clinical-and-pathologic-features-of-clinically-occult-synchronous-bilateral-breast-cancers
#17
Lumarie Santiago, Gary Whitman, Cuiyan Wang, Basak E Dogan
PURPOSE: To investigate clinicopathologic breast cancer characteristics associated with the identification of synchronous bilateral breast cancer (SBBC) on dynamic contrast-enhanced breast magnetic resonance imaging. METHODS: We performed a retrospective review of 311 consecutive patients newly diagnosed with breast cancer who underwent diagnostic mammography, ultrasonography, and dynamic contrast-enhanced breast magnetic resonance imaging (DCE-MRI) at our institution...
August 24, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28917433/surveillance-imaging-in-patients-with-endometrial-cancer-in-first-remission
#18
Yazan Z Alabed, Su-Chun Cheng, Christopher Mudge, Christopher Sakellis, Annick D Van den Abbeele, Susana M Campos, Heather A Jacene
OBJECTIVE: The clinical benefit of surveillance imaging in endometrial cancer remains undefined. This retrospective study was conducted to evaluate the positive predictive value (PPV) of surveillance imaging in endometrial cancer. METHODS: A total of 128 patients in first remission after treatment for endometrial cancer (uterine papillary serous, clear cell, stage III endometroid) who had surveillance imaging were retrospectively identified. The surveillance period was defined from the time of first-negative scan after treatment to the time when treatment was started for recurrent disease...
August 24, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29110858/reviewer-awards-and-acknowledgments
#19
LETTER
Puneet Bhargava
No abstract text is available yet for this article.
January 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28385371/wandering-spleen-an-overview
#20
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
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