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Current Problems in Diagnostic Radiology

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https://www.readbyqxmd.com/read/28688532/missed-case-feedback-and-quality-assurance-conferences-in-radiology-resident-education-a-survey-of-united-states-radiology-program-directors
#1
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 SurveyMonkey(R)...
July 5, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28734572/experience-of-the-implementation-of-rapid-on-site-evaluation-in-ultrasound-guided-fine-needle-aspiration-biopsy-of-thyroid-nodules
#2
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...
June 27, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28684056/care-and-feeding-of-a-visiting-professor-revisited-to-adelaide-and-beyond
#3
Douglas S Katz
No abstract text is available yet for this article.
June 16, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28669430/complications-after-gynecologic-and-obstetric-procedures-a-pictorial-review
#4
REVIEW
Richard Tsai, Demetrios Raptis, Constantine Raptis, Vincent M Mellnick
Gynecologic and obstetric procedures require careful dissection in to high real-estate regions in the pelvis and abdomen where many structures lie in close proximity: the urinary bladder, ureter, and bowel. Damage to one of these structures can cause significant morbidity. Recognition of the patient who has an acute complication of gynecologic or obstetric surgery on imaging can precipitate quick and effective medical management. Imaging can appropriately diagnose the underlying problem and provide critical information for the clinical team...
June 7, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28705525/the-top-100-most-cited-articles-in-stroke-imaging-a-bibliometric-analysis
#5
REVIEW
Mohammed F Mohammed, Olivia Marais, Adnan 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...
June 6, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28705524/change-management-a-radiology-administrator-s-primer
#6
Prabhakar Rajiah, Puneet Bhargava
Radiology is no exception to the ubiquitous presence of change in every aspect of our life. Managing change is a challenge, with a high probability of failure if not properly implemented. While change management is not part of the radiology curriculum, it is a highly specialized discipline in the business world. It has been extensively researched and has emerged as a vital skillset in the management of major projects. In this article, the authors discuss how these change management strategies of the business world can be put to use in the radiologists's practice...
June 6, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28689696/implementing-a-systematic-approach-to-improve-governance-and-deployment-of-imaging-codes-in-radiology
#7
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...
June 6, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28684057/richter-transformation-an-unexpected-diffuse-large-b-cell-lymphoma-within-a-fatty-mesenteric-mass-in-a-patient-with-refractory-chronic-lymphocytic-leukemia
#8
Nicholas C Cleveland, Matthew S Hartman, Stacey B Miller, Suzanne C Schiffman
Richter transformation is the development of a high-grade lymphoma from chronic lymphocytic leukemia. This rare disease manifestation is difficult to predict and carries a poor prognosis. We describe the case of a 75-year-old man with refractory chronic lymphocytic leukemia who presented with multiple growing fatty abdominal masses on computed tomography and vague abdominal distension. The patient underwent exploratory laparotomy with mass resection due to the nonspecific imaging findings. A mesenteric mass was found to contain nodules of diffuse large B-cell lymphoma...
June 6, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28705527/reducing-stat-portable-chest-radiograph-turnaround-times-a-pilot-study
#9
REVIEW
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...
June 5, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28693933/-partially-matched-us-senior-diagnostic-radiology-applicants-scope-of-the-problem-and-implications-for-applicants-residency-training-programs-and-the-academic-diagnostic-radiology-community
#10
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...
June 5, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28684055/the-current-status-of-the-interventional-radiology-fellowship-match-results-of-a-resident-survey
#11
Jason C Hoffmann, Neyra Azimov, Jeffrey Forris Beecham Chick, Siavash Behbahani, Gregory Hall, Micah M Watts, Paul J Rochon
PURPOSE: To survey residents who participated in the 2015 interventional radiology fellowship match regarding the overall process, including the number of interviews received, programs ranked, money spent, and perceived effect on board preparation. METHODS: An IRB-approved, anonymous web-based survey was distributed via email link to 151 individuals in 41 states who had interview at 1 of 2 IR fellowship programs in the United States. Most of the survey's 12 questions were based on a five-point Likert scale, while others were free-text response...
June 3, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28716296/clinical-and-radiologic-predictive-factors-of-rib-fractures-in-outpatients-with-chest-pain
#12
REVIEW
Liang Zhang, Colm J McMahon, Samir Shah, Jim S Wu, Ronald L Eisenberg, Justin W Kung
PURPOSE: To identify the clinical and radiologic predictive factors of rib fractures in stable adult outpatients presenting with chest pain and to determine the utility of dedicated rib radiographs in this population of patients. METHOD AND MATERIALS: Following Institutional Review Board approval, we performed a retrospective review of 339 consecutive cases in which a frontal chest radiograph and dedicated rib series had been obtained for chest pain in the outpatient setting...
May 30, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28688531/tricky-findings-in-liver-transplant-imaging-a-review-of-pitfalls-with-solutions
#13
REVIEW
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 23, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28669431/radiology-online-patient-education-materials-provided-by-major-university-hospitals-do-they-conform-to-nih-and-ama-guidelines
#14
Arpan V Prabhu, Ashley L Donovan, Tudor Crihalmeanu, David R Hansberry, Nitin Agarwal, Sushil Beriwal, Hrishikesh Kale, Matthew Heller
AIMS: The internet creates opportunities for Americans to access medical information about imaging tests and modalities to guide them in their medical decision-making. Owing to health literacy variations in the general population, the American Medical Association and National Institutes of Health recommend patient education resources to be written between the third and seventh grade levels. Our purpose is to quantitatively assess the readability levels of online radiology educational materials, written for the public, in 20 major university hospitals...
May 22, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28684054/usage-of-an-electronic-database-and-checklist-system-for-improvement-in-magnetic-resonance-imaging-acquisition
#15
Juan E Small, Laura Semine, Jaclyn Therrien, Patricia Doyle, Lorraine Kelly, Robert Marquis, Curtis W Bakal
PURPOSE: To determine whether implementation of an easily accessible electronic database promotes significant reporting of magnetic resonance imaging (MRI) acquisition errors. Additionally, we wanted to see if analysis of the error reports could be used to create a comprehensive checklist to avoid the most common errors. METHODS: A new, simple, and efficient electronic database reporting system was written in-house and implemented at our institution. Over the course of 4 months, the use of this database enabled collection and analysis of sufficient data for trend analysis...
May 20, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28705526/utility-of-single-phase-computed-tomography-in-identifying-parathyroid-adenomas-a-feasibility-study
#16
Ethan Silver, Nader Sadeghi, Stanley Knoll, M Reza Taheri
OBJECTIVE: We tested the hypothesis that a single-phase neck computed tomography (CT) is not inferior to multiphase neck CT (MPNCT), ultrasound, or nuclear medicine sestamibi scan in identifying parathyroid adenomas (PAs). METHODS: A total of 29 patients who had an MPNCT for the evaluation of a PA were identified; 11 patients met the inclusion criteria. During the 30-second arterial phase CT (APNCT), a normalized Hounsfield unit of suspected PA was compared to Hounsfield unit of a normal-appearing level I and a level II lymph node...
May 17, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28673603/abdominal-applications-of-a-novel-detector-based-spectral-ct
#17
REVIEW
Nicholas Fulton, Prabhakar Rajiah
Detector-based spectral computed tomography (SDCT) is a recently introduced technology that uses a single x-ray tube and 2 layers of detectors to simultaneously collect low- and high-energy data. In this article, we provide an overview of this novel SDCT technology in abdominal imaging. Several applications of SDCT in abdominal imaging are discussed and illustrated, along with a brief description of current literature on the status of dual-energy computed tomography in these applications. This includes urinary calculus composition, characterization of masses (renal, adrenal, hepatic, and others), tumor perfusion, improving vascular contrast, improving lesion conspicuity, decreasing artifacts, and reducing radiation dose...
May 17, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28666561/emergency-magnetic-resonance-imaging-3-tiered-prioritization
#18
Juan E Small, Stacey Sullivan-Richard, Lisa A Kingsley Rocker, Jacob J Kim, Jennifer C Broder
BACKGROUND/PURPOSE: Traditional methods for prioritization are limited and insufficient for today's magnetic resonance imaging (MRI) demands. In particular, the discrepancy in urgency of the heterogeneous emergency department (ED) patient population necessitates risk stratification to meet different degrees of urgency. The purpose of this study is to more effectively prioritize the MRI imaging needs of ED patients commensurate with the severity of their presenting illness. METHODS: A 3-level tiered classification system (tier 1: critical, tier 2: emergent, and tier 3: urgent) of ED patients with unambiguous hierarchically defined numerical classifications was implemented to replace a traditional method of MRI orders...
May 17, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28648469/long-term-clinical-outcomes-following-radiofrequency-and-microwave-ablation-of-renal-cell-carcinoma-at-a-single-va-medical-center
#19
Salim E Abboud, Tanay Patel, Stephanie Soriano, Joseph Giesler, Nannette Alvarado, Preet Kang
PURPOSE: Microwave ablation (MWA) is a relatively newer treatment modality for treatment of renal cell carcinoma (RCC), and only a few small studies have examined the short- and long-term outcomes for MWA applied to renal tumors. The purpose of this retrospective review is to assess the initial experience including technical short- and long-term success rates of using radiofrequency ablation (RFA) and MWA for RCC at a single Veterans Affairs (VA) medical center. MATERIALS AND METHODS: Tumor characteristics were recorded using the R...
May 17, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28648468/the-joint-commission-ever-readiness-understanding-tracer-methodology
#20
REVIEW
Bettina Siewert
The Joint Commission (TJC) evaluates the consistent provision of appropriate and safe access to health care, treatment, and services. Currently, TJC uses the tracer methodology to assess standards compliance and follows a number of patients through an organization's entire health care delivery process. The tracer methodology uses 3 different types of tracers as follows: individual or patient tracers, program-specific, and system tracers, to identify performance issues in one or more steps of the care process or at interfaces between them...
May 17, 2017: Current Problems in Diagnostic Radiology
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