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Emergency Radiology

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https://www.readbyqxmd.com/read/28801805/pulmonary-cta-in-sickle-cell-patients-quantitative-assessment-of-enhancement-quality
#1
Jeff Jensen, Tony Lin, Elliot K Fishman, Pamela T Johnson
PURPOSE: The purpose of this study was to validate the observation that pulmonary artery (PA) enhancement is often decreased in sickle cell disease (SCD) patients imaged with MDCT for suspected pulmonary embolism and determine whether contrast infusion parameters are accountable for lower enhancement levels. MATERIALS AND METHODS: Retrospective comparison of 35 adult SCD patients imaged for suspected pulmonary embolism (PE) in our emergency department using 128-slice dual source MDCT scanner to 34 age and weight matched adult controls...
August 11, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28786040/abdominal-and-pelvic-ct-scan-interpretation-of-emergency-medicine-physicians-compared-with-radiologists-report-and-its-impact-on-patients-outcome
#2
Shahram Bagheri-Hariri, Niloofar Ayoobi-Yazdi, Mo Afkar, Shervin Farahmand, Mona Arbab, Neda Shahlafar, Hamed Basirghafoori, Seyedhosien Seyedhoseini-Davarani, Mojtaba Sedaghat, Atoosa Akhgar
PURPOSE: In this study, the impact of contrast-enhanced abdominopelvic CT scan interpretations by emergency medicine team on patients' morbidity and mortality was evaluated and their interpretations were compared to radiologists' reports. METHODS: During a 3-month period, all patients who had undergone a contrast-enhanced abdominopelvic CT scan at the emergency department enrolled in this study. All CT scans were interpreted blindly by the emergency medicine (ED) attending physicians and the patients were treated accordingly...
August 7, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28752376/abdominal-pelvic-scanning-parameters-revisited-a-case-for-z-axis-reduction-in-patients-with-clinical-suspicion-for-acute-appendicitis
#3
Darshan C Patel, Yu-Hui Huang, Jonathan Meyer, Amir Sepahdari
PURPOSE: The purpose of this study was to determine if CT for appendicitis can be abbreviated to begin at the top of the L2 vertebral body level and still maintain the detection rate of appendicitis and other symptomatic pathology without omitting significant incidental findings. METHODS: Retrospective review of CT abdomen-pelvis exams for suspected appendicitis over a 5-month period was performed. The Z-axis scan length of the original full scans and theoretical limited scans from the top of L2 were recorded and calculated...
July 27, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28744692/frequency-of-acute-longus-colli-tendinitis-on-ct-examinations
#4
John Boardman, Emanuel Kanal, Patrick Aldred, Joseph Boonsiri, Chijindu Nworgu, Feng Zhang
PURPOSE: We attempted to determine the frequency of acute longus colli tendinitis on diagnostic CT imaging performed at a large multicenter health care system. By correlating with the pre-imaging clinical information, we investigated which patient presentations should lead the radiologist to increased suspicion for this condition. METHODS: Images from a total of 8101 adult CT examinations of the neck and cervical spine performed over a 3-month period were evaluated by researchers independent of the original clinical report...
July 25, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28725923/assessing-3d-t2-fse-sequence-for-identification-of-the-normal-appendix-working-toward-a-single-sequence-mr-appendicitis-protocol
#5
Nattinee Leelakanok, Andrew S Phelps, Matthew A Zapala, Kambrie Kato, Michael Ohliger, Yi Li, Jesse Courtier
PURPOSES: To assess the ability of a single isotropic 3D T2 FSE sequence to identify the normal appendix in children with potential implication as alternative second-line modality in pediatric appendicitis. MATERIALS AND METHODS: Retrospective review of MR abdomino-pelvis or pelvis in children from Oct 2014-Dec 2016 was done. Only exams with 3D T2 FSE sequence performed on a single scanner type were selected. Patients with history of post appendectomy, studies in which field of view did not include ileocecal valve, with technical and protocol errors, or with fat-saturated acquisition were excluded...
July 19, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28699037/erratum-to-acute-ocular-traumatic-imaging-what-the-radiologist-should-know
#6
Jarett Thelen, Asha A Bhatt, Alok A Bhatt
No abstract text is available yet for this article.
July 11, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28685263/scoring-system-for-differentiating-perforated-and-non-perforated-pediatric-appendicitis
#7
Einat Blumfield, Daniel Yang, Joshua Grossman
OBJECTIVES: Appendicitis is the most common indication for emergency pediatric surgery and its most significant complication is perforation. Perforated appendicitis (PA) may be managed conservatively, whereas non-perforated appendicitis (NP) is managed surgically. Recent studies have shown that ultrasound (US) is effective for differentiating between PA and NP, and does not expose pediatric patients to ionizing radiation. The purpose of this study is to enhance the accuracy of differentiation with a novel scoring system based on clinical, laboratory, and US findings...
July 7, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28674923/pulmonary-hemorrhage-in-acute-heroin-overdose-a-report-of-two-cases
#8
Gerald J Riccardello, Pierre D Maldjian
Diffuse alveolar hemorrhage (DAH) is a clinical syndrome characterized by pulmonary hemorrhage, respiratory failure, and high early mortality rates. DAH typically appears on chest radiographs as bilateral parenchymal consolidations. To our knowledge, pulmonary hemorrhage associated with heroin overdose has not been reported. We report the clinical and radiographic findings in two cases of acute DAH following heroin overdose. We speculate that an adulterating agent may be the underlying etiology in these cases...
July 4, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28664320/usefulness-of-diffusion-weighted-imaging-for-diagnosis-of-adrenal-ischemia-during-pregnancy-a-preliminary-report
#9
Sébastien Molière, Adrien Gaudineau, Antoine Koch, Thomas Leroi, Marie-Noelle Roedlich, Francis Veillon
This case report aims to illustrate the clinical usefulness of diffusion-weighted imaging for diagnosis of bilateral adrenal ischemia during pregnancy. We also provide a retrospective analysis of adrenal gland diffusion data in a control group of 12 pregnant women with no adrenal dysfunction, to assess the normal range of apparent diffusion coefficient of adrenal gland during pregnancy.
June 29, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28660527/core-curriculum-illustration-abdominal-wood-impalement-injury-from-motor-vehicle-collision
#10
Shaimaa Abdelhassib Fadl, Annie P Ehlers, Gabriel Wallace, Joel A Gross
This is the 42nd installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at http://www.erad.org/page/CCIP_TOC .
June 28, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28656329/sacral-fractures-classification-and-management
#11
REVIEW
Nicholas M Beckmann, Naga R Chinapuvvula
Sacral fractures are a common component of pelvic fracture patterns and are an increasingly diagnosed injury both due to increased utilization of CT in trauma evaluation as well as an increasing rate of sacral fragility fractures as a result of an increase in general population age. Innovations in minimally invasive surgical techniques have also resulted in an increasing number of sacral fractures undergoing surgical management. It is vital that physicians practicing in an emergency setting are aware of the injury patterns and management of this increasingly injured and treated component of the bony pelvis...
June 27, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28656328/core-curriculum-illustration-blunt-traumatic-diaphragmatic-hernia
#12
Shaimaa Abdelhassib Fadl, Rachael M Edwards
This is the 43rd installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/page/CCIP_TOC .
June 27, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28634749/the-king-laryngeal-tube-a-mimic-of-esophageal-intubation-in-the-emergency-department
#13
Daniel B Green, Christopher W Root, Ian R Drexler, Alan C Legasto, Jonathan St George
The King Airway is a temporary airway device used primarily in the pre-hospital setting and typically exchanged for an endotracheal tube upon arrival to the emergency department. Since this usually occurs before imaging, many radiologists are unfamiliar with the King Airway. This lack of familiarity can have important consequences for the patient and treating team. The purpose of this article is to raise awareness of the King Airway among radiologists, emphasize appropriate positioning, and review the imaging complications of incorrect positioning...
June 20, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28631162/core-curriculum-case-illustration-blunt-traumatic-thoracic-aortic-pseudo-aneurysm
#14
Muhammad Mubashir Ramzan, Shaimaa Abdelhassib Fadl, Jeffrey D Robinson
Core Curriculum Illustration: [blunt thoracic aortic pseudo aneurysm]. This is the [40th] installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.aseronline.org/curriculum/toc.html...
June 19, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28624909/acute-ocular-traumatic-imaging-what-the-radiologist-should-know
#15
Jarett Thelen, Asha A Bhatt, Alok A Bhatt
Acute ocular trauma accounts for a substantial number of emergency department visits in the USA, and represents a significant source of disability to patients; however, the orbits remain a potential blind spot for radiologists. The goal of this article is to review the relevant anatomy of the orbit and imaging findings associated with commonly encountered acute ocular traumatic pathology, while highlighting the salient information which should be reported to the ordering clinician. Topics discussed include trauma to the anterior and posterior chamber, lens dislocations, intraocular foreign bodies, and open and contained globe injuries...
June 17, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28616789/core-curriculum-illustration-colles-dorsally-angulated-fracture-of-the-distal-radius
#16
Jake W Sharp, Rachael M Edwards
This is the 41st installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/page/CCIP_TOC .
June 14, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28616788/core-curriculum-case-illustration-cardiac-tamponade-complicating-proximal-aortic-dissection
#17
H Laura Aaltonen, Ken F Linnau, Shaimaa Abdelhassib Fadl
This is the 39th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at http://www.erad.org/page/CCIP_TOC .
June 14, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28616787/subtle-radiographic-signs-of-hamate-body-fracture-a-diagnosis-not-to-miss-in-the-emergency-department
#18
Nathan D Cecava, Mary F Finn, Liem T Mansfield
Hamate fractures are estimated to represent 1.7% of all carpal fractures and can occur at the hamulus (hook) or hamate body depending on mechanism of injury. Fractures of the hamate body can be exceedingly difficult to identify on standard wrist and hand radiographs in the emergency department. If the diagnosis is missed in the emergency department, orthopedic referral is often delayed. This can result in lasting functional disability for the patient, as these fractures have a propensity to destabilize the fourth and fifth carpometacarpal (CMC) joints...
June 14, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28593330/core-curriculum-illustration-pediatric-viral-parotitis
#19
Barbara Pawley, Sibi Rajendran, Ramya Kondaveeti
This is the 36th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at http://www.aseronline.org/curriculum/toc.htm .
June 7, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28593329/core-curriculum-illustration-pediatric-buckle-fracture-of-the-distal-radius
#20
Jake W Sharp, Rachael M Edwards
This is the 38th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/page/CCIP_TOC.
June 7, 2017: Emergency Radiology
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