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Radiographics: a Review Publication of the Radiological Society of North America, Inc

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https://www.readbyqxmd.com/read/30339518/hiv-related-malignancies-and-mimics-imaging-findings-and-management
#1
Sanaz Javadi, Christine O Menias, Niloofar Karbasian, Akram Shaaban, Komal Shah, Adam Osman, Corey T Jensen, Meghan G Lubner, Ayman H Gaballah, Khaled M Elsayes
The risk of developing malignancy is higher in patients with human immunodeficiency virus (HIV) infection than in non-HIV-infected patients. Several factors including immunosuppression, viral coinfection, and high-risk lifestyle choices lead to higher rates of cancer in the HIV-infected population. A subset of HIV-related malignancies are considered to be acquired immunodeficiency syndrome (AIDS)-defining malignancies, as their presence confirms the diagnosis of AIDS in an HIV-infected patient. The introduction of highly active antiretroviral therapy (HAART) has led to a significant drop in the rate of AIDS-defining malignancies, including Kaposi sarcoma, non-Hodgkin lymphoma, and invasive cervical carcinoma...
October 19, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30339517/2017-aua-renal-mass-and-localized-renal-cancer-guidelines-imaging-implications
#2
Ryan D Ward, Hajime Tanaka, Steven C Campbell, Erick M Remer
Renal cell carcinoma (RCC) is a common cancer that is increasing in incidence because of the increased prevalence of risk factors, including tobacco use, hypertension, and obesity, and the improved detection of these tumors due to increased use of imaging. Localized renal cancer now accounts for more than 60%-70% of new RCC cases. Renal masses suggestive of cancer include enhancing solid renal lesions and Bosniak III and IV complex cystic lesions. Most of these tumors are detected incidentally, and many are slow growing with little propensity to metastasize...
October 19, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30312139/breast-cancer-tissue-markers-genomic-profiling-and-other-prognostic-factors-a-primer-for-radiologists
#3
Nikki Tirada, Mireille Aujero, Gauri Khorjekar, Stephanie Richards, Jasleen Chopra, Sergio Dromi, Olga Ioffe
An understanding of prognostic factors in breast cancer is imperative for guiding patient care. Increased tumor size and more advanced nodal status are established independent prognostic factors of poor outcomes and are incorporated into the American Joint Committee on Cancer (AJCC) TNM (primary tumor, regional lymph node, distant metastasis) staging system. However, other factors including imaging findings, histologic evaluation results, and molecular findings can have a direct effect on a patient's prognosis, including risk of recurrence and relative survival...
October 12, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30312138/image-predictors-of-treatment-outcome-after-thoracic-aortic-dissection-repair
#4
Farhood Saremi, Cameron Hassani, Leah M Lin, Christopher Lee, Alison G Wilcox, Fernando Fleischman, Mark J Cunningham
Treatment of thoracic aortic dissection remains highly challenging and is rapidly evolving. Common classifications of thoracic aortic dissection include the Stanford classification (types A and B) and the DeBakey classification (types I to III), as well as a new supplementary classification geared toward endovascular decision making. By using various imaging techniques, the extent of the dissection, the location of the primary intimal tear, the shape of the aortic arch, and the zonal involvement of the aortic arch-factors that affect the treatment strategy-can easily be identified...
October 12, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30289735/li-rads-version-2018-ancillary-features-at-mri
#5
Milena Cerny, Victoria Chernyak, Damien Olivié, Jean-Sébastien Billiard, Jessica Murphy-Lavallée, Ania Z Kielar, Khaled M Elsayes, Laurence Bourque, Jonathan C Hooker, Claude B Sirlin, An Tang
The Liver Imaging Reporting and Data System (LI-RADS) standardizes performance of liver imaging in patients at risk for hepatocellular carcinoma (HCC) as well as interpretation and reporting of the results. Developed by experts in liver imaging and supported by the American College of Radiology, LI-RADS assigns to observations categories that reflect the relative probability of benignity, HCC, or other malignancy. While category assignment is based mainly on major imaging features, ancillary features may be applied to improve detection and characterization, increase confidence, or adjust LI-RADS categories...
October 5, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30289734/igg4-related-cardiovascular-disease-from-the-aorta-to-the-coronary-arteries-multidetector-ct-and-pet-ct
#6
Noriko Oyama-Manabe, Satoshi Yabusaki, Osamu Manabe, Fumi Kato, Hiromi Kanno-Okada, Kohsuke Kudo
Immunoglobulin G4 (IgG4)-related disease can affect the cardiovascular system, including the coronary arteries and pericardium and especially the walls of large and medium-sized vessels. The presence of coronary involvement is critical, as this condition can cause myocardial ischemia or sudden cardiac death. Although histopathologic examination remains the reference standard for detecting organ involvement and diagnosing IgG4-related disease, obtaining biopsy or surgical specimens from the vessel wall is still challenging...
October 5, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30265613/american-joint-committee-on-cancer-s-staging-system-for-breast-cancer-eighth-edition-what-the-radiologist-needs-to-know
#7
Sirishma Kalli, Alan Semine, Sara Cohen, Stephen P Naber, Shital S Makim, Manisha Bahl
The TNM staging system for cancer was developed by Pierre Denoix in France in the 1940s and 1950s. The North American effort to standardize the TNM system for cancer staging was first organized in 1959 as the American Joint Committee for Cancer Staging and End-Results Reporting, which is now the American Joint Committee on Cancer (AJCC). The most recent edition of the AJCC Cancer Staging Manual, the eighth edition, was globally adopted on January 1, 2018. Previous editions of the manual have relied on anatomic methods of staging alone, which used population-based survival data to predict clinical outcomes...
September 28, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30265612/endoscopic-interventions-in-acute-pancreatitis-what-the-advanced-endoscopist-wants-to-know
#8
Brendan M Case, Kyle K Jensen, Gene Bakis, Brintha K Enestvedt, Akram M Shaaban, Bryan R Foster
Endoscopic interventions play an important role in the modern management of pancreatic fluid collections. Successful management of pancreatitis is dependent on proper classification of the disease and its local complications. The 2012 revised Atlanta classification divides acute pancreatitis into subtypes of necrotizing pancreatitis and interstitial edematous pancreatitis (IEP) on the basis of the radiologic presence or absence of necrosis, respectively. Local complications of IEP include acute pancreatic fluid collections and pseudocysts, which contain fluid only and are differentiated by the time elapsed since the onset of symptoms...
September 28, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303807/ongoing-professional-practice-evaluation-of-radiologists-strategies-and-tools-for-simplifying-a-complex-process
#9
Jonathan B Kruskal, Ronald L Eisenberg, Muneeb Ahmed, Bettina Siewert
The Joint Commission, our major accreditation organization, requires that all physicians who have been granted privileges at an organization must undergo evaluation of and collect data relating to their performance, to make the decisions of privileging more objective and continuous by that organization. For radiologists, this so-called ongoing professional practice evaluation (OPPE) can be assessed by using the six general core competencies. These competencies were initially developed for graduate medical education and defined by the Accreditation Council for Graduate Medical Education and have now been expanded to provide a general framework for defining categories of data to be collected in assessing the performance of practicing radiologists...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303806/costs-of-quality-and-safety-in-radiology
#10
Lane F Donnelly, Grace M Lee, Paul J Sharek
With the movement toward at-risk population health management-related payment models, a core factor for the success and survival of health care organizations has become understanding and decreasing costs. In medical specialties such as radiology, understanding models for procedure-based costing will become increasingly important. Using bottom-up models for procedure-based costing, such as time-driven activity-based costing, is more advantageous than using the inaccurate ratio of costs to charges approach; however, these approaches are more resource intensive when compared to top-down approaches...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303805/migrating-to-the-modern-pacs-challenges-and-opportunities
#11
Seth J Berkowitz, Jesse L Wei, Safwan Halabi
With progressive advancements in picture archiving and communication system (PACS) technology, radiology practices frequently look toward system upgrades and replacements to further improve efficiency and capabilities. The transition between PACS has the potential to derail the operations of a radiology department. Careful planning and attention to detail from radiology informatics leaders are imperative to ensure a smooth transition. This article is a review of the architecture of a modern PACS, highlighting areas of recent innovation...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303804/strategies-for-implementing-a-standardized-structured-radiology-reporting-program
#12
David B Larson
Radiology practices are increasingly implementing standardized report templates to overcome the drawbacks of individual templates. However, implementing a standardized structured reporting program is not necessarily straightforward. This article provides practical guidance for radiologists who wish to implement standardized structured reporting in their practice. Challenges that radiology groups encounter tend to fall into two categories: technical and organizational. Defining and carrying out technical work can be tedious but tends to be relatively straightforward, whereas overcoming organizational challenges often requires changes in individuals' strongly held values, beliefs, roles, and relationships...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303803/invited-commentary-on-addressing-needs-of-women-radiologists
#13
Cheri L Canon
No abstract text is available yet for this article.
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303802/addressing-needs-of-women-radiologists-opportunities-for-practice-leaders-to-facilitate-change
#14
Lucy B Spalluto, Elizabeth Kagan Arleo, Madelene C Lewis, M Elizabeth Oates, Katarzyna J Macura
Women are, and have always been, underrepresented in radiology. This gender disparity must be addressed. Women bring a different perspective to the workplace; and their collaborative, empathetic, and compassionate approach to patient care and education is an asset that the radiology community should embrace and leverage. Radiologic organizations should focus on removing barriers to the entry of women physicians into radiology as a specialty and to their career advancement. Organizations should address bias, promote physician well-being, and cultivate a safe and positive work environment...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303801/fundamentals-of-diagnostic-error-in-imaging
#15
Jason N Itri, Rafel R Tappouni, Rachel O McEachern, Arthur J Pesch, Sohil H Patel
Imaging plays a pivotal role in the diagnostic process for many patients. With estimates of average diagnostic error rates ranging from 3% to 5%, there are approximately 40 million diagnostic errors involving imaging annually worldwide. The potential to improve diagnostic performance and reduce patient harm by identifying and learning from these errors is substantial. Yet these relatively high diagnostic error rates have persisted in our field despite decades of research and interventions. It may often seem as if diagnostic errors in radiology occur in a haphazard fashion...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303800/lessons-on-leadership
#16
Matthew S Davenport, N Reed Dunnick
Leadership is increasingly recognized as a distinct set of trainable skills that are different from the skills of management. Dedicated attention to these skills by future leaders and the people who hire them is necessary to stem the tide of failed leadership that continues to remain all too common. Effective leaders prioritize others over self and are skilled communicators. They integrate information from disparate parties, encourage collaborative engagement, create a sense of urgency, and set the organizational vision...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303799/the-2018-radiographics-monograph-issue-radiology-practice-management-editor-s-page
#17
Jonathan B Kruskal, Ammar Sarwar
No abstract text is available yet for this article.
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303798/building-and-implementing-an-operational-plan
#18
Alexander J Towbin, Laurie A Perry, Jay A Moskovitz, Timothy J OConnor
Radiology practices engage in planning processes with varying frequency. Organizational planning can occur on three levels. Strategic planning is an infrequent event occurring every 5-7 years. It is aspirational and is guided by the mission and the vision of the organization. Operational planning is a yearly process in which businesses articulate their goals for the year. Creating a yearly operational plan provides departmental employees with a road map for the upcoming year and helps to tie their daily activities to the larger strategic plan of the organization...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303797/customer-service-in-radiology-satisfying-your-patients-and-referrers
#19
Alexander J Towbin
Radiology has long been a service-oriented specialty. Although physicians in other specialties have direct interactions with patients, radiologists' interactions with patients are often indirect, most often occurring as a direct result of another provider's order. As such, radiology practices have had to focus on two distinct groups, patients and ordering providers, to grow their businesses and retain their patients. One could argue that during the past 2 decades, many of the most visible customer service initiatives in radiology practices have been directed toward the ordering provider...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/30303796/social-media-tools-for-department-and-practice-communication-and-branding-in-the-digital-age
#20
Marc D Kohli, Dania Daye, Alexander J Towbin, Amy L Kotsenas, Marta E Heilbrun
With nearly 70% of adults in the United States using at least one social media platform, a social media presence is increasingly important for departments and practices. Patients, prospective faculty and trainees, and referring physicians look to social media to find information about our organizations. The authors present a stepwise process for planning, executing, and evaluating an organizational social media strategy. This process begins with alignment with a strategic plan to set goals, identification of the target audience(s), selection of appropriate social media channels, tracking effectiveness, and resource allocation...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
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