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Journal of the American College of Radiology: JACR

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https://www.readbyqxmd.com/read/28527821/impact-of-sodium-bicarbonate-buffered-lidocaine-on-patient-pain-during-image-guided-breast-biopsy
#1
Alison Vasan, Jay A Baker, Rebecca A Shelby, Mary Scott C Soo
PURPOSE: This randomized, double-blind controlled study evaluated the effectiveness of sodium bicarbonate-buffered lidocaine on reducing pain during imaging-guided breast biopsies. MATERIALS AND METHODS: This prospective, HIPAA-compliant study randomly assigned 85 women undergoing ultrasound- or stereotactic-guided core-needle breast biopsies to receive intradermally and intraparenchymally either 1% lidocaine buffered with sodium bicarbonate (9:1 ratio) (bicarbonate study group) or 1% lidocaine alone (control group)...
May 17, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28533111/management-of-incidental-pancreatic-cysts-a-white-paper-of-the-acr-incidental-findings-committee
#2
Alec J Megibow, Mark E Baker, Desiree E Morgan, Ihab R Kamel, Dushyant V Sahani, Elliot Newman, William R Brugge, Lincoln L Berland, Pari V Pandharipande
The ACR Incidental Findings Committee (IFC) presents recommendations for managing pancreatic cysts that are incidentally detected on CT or MRI. These recommendations represent an update from the pancreatic component of the JACR 2010 white paper on managing incidental findings in the adrenal glands, kidneys, liver, and pancreas. The Pancreas Subcommittee-which included abdominal radiologists, a gastroenterologist, and a pancreatic surgeon-developed this algorithm. The recommendations draw from published evidence and expert opinion, and were finalized by informal iterative consensus...
May 12, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28483547/changes-in-emergency-department-imaging-perspectives-from-national-patient-surveys-over-two-decades
#3
Andrew B Rosenkrantz, Tarek N Hanna, James S Babb, Richard Duszak
PURPOSE: To use patient-generated data to assess the changing role of emergency department (ED) imaging for a spectrum of clinical indications. METHODS: The Household Component Emergency Room Visits File was obtained from 1996 through 2014 for the Medical Expenditure Panel Survey, a nationally representative survey of US households. Percentage of visits associated with various imaging modalities was computed annually, stratified by respondents' self-reported primary condition during the visit...
May 5, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28483546/impact-of-a-structured-report-template-on-the-quality-of-ct-and-mri-reports-for-hepatocellular-carcinoma-diagnosis
#4
Milana Flusberg, Jeremy Ganeles, Tulay Ekinci, Shlomit Goldberg-Stein, Viktoriya Paroder, Mariya Kobi, Victoria Chernyak
PURPOSE: To assess the impact of a Liver Imaging Reporting and Data System (LI-RADS) structured template on quality of reports for hepatocellular carcinoma (HCC). MATERIALS AND METHODS: A departmental structured LI-RADS template was adopted in April 2015. CT and MRI reports from September 2014 to February 2016 with probable or definite HCC were reviewed. Reporting of the following was recorded for each lesion and compared between template and free-text reports: (1) LI-RADS category, (2) Couinaud segment, and (3) unequivocal description of presence or absence of major LI-RADS HCC features: arterial phase hyperenhancement, "washout," diameter, threshold growth, and "capsule...
May 5, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28483545/developing-your-360-degree-leadership-potential
#5
Nupur Verma, Tan-Lucien Mohammed, Puneet Bhargava
Radiologists serve in leadership roles throughout their career, making leadership education an integral part of their development. A maxim of leadership style is summarized by 360-Degree Leadership, which highlights the ability of a leader to lead from any position within the organization while relying on core characteristics to build confidence from within their team. The qualities of leadership discussed can be learned and applied by radiologists at any level. These traits can form a foundation for the leader when faced with unfavorable events, which themselves allow the leader an opportunity to build trust...
May 5, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28483544/clinical-decision-support-decreases-volume-of-imaging-for-low-back-pain-in-an%C3%A2-urban-emergency-department
#6
Adam Min, Vivian W Y Chan, Ruben Aristizabal, Ed R Peramaki, David B Agulnik, Nardia Strydom, Damon Ramsey, Bruce B Forster
PURPOSE: To determine whether point-of-care clinical decision support can effectively reduce inappropriate medical imaging of patients who present to the emergency department (ED) with low-back pain (LBP). MATERIALS AND METHODS: This was a prospective, single-center study of lumbar imaging referrals made by 43 emergency physicians at a major acute care center. Each physician saw at least 10 LBP cases in both pre- and post-intervention periods. A point-of-care checklist of accepted red flags for LBP was designed by a working group of physicians and embedded in the computerized order entry form for lumbar imaging...
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28476612/redefining-the-medical-standard-of-care-event-specific-workflow-analysis
#7
Bruce I Reiner
No abstract text is available yet for this article.
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28476611/improving-radiology-workflow-with-automated-examination-tracking-and%C3%A2-alerts
#8
Oleg S Pianykh, Christina Jaworsky, M T Shore, Daniel I Rosenthal
The modern radiology workflow is a production line where imaging examinations pass in sequence through many steps. In busy clinical environments, even a minor delay in any step can propagate through the system and significantly lengthen the examination process. This is particularly true for the tasks delegated to the human operators, who may be distracted or stressed. We have developed an application to track examinations through a critical part of the workflow, from the image-acquisition scanners to the PACS archive...
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28476610/change-management-for-radiologists
#9
Howard Fleishon, Lawrence R Muroff, Sumir S Patel
Change management refers to the research, science, and tools that prepare, equip, and enable individuals to adopt transformation successfully. Implementation of this discipline involves familiarity with an organization's culture, people, and structure. Several frameworks exist within which radiologists can successfully apply these concepts. With changes occurring within health care and within the field of radiology itself, it will be increasingly important for radiologists to familiarize themselves with and adopt the principles of change management in their practices...
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28476609/focal-cystic-pancreatic-lesion-follow-up-recommendations-after-publication-of-acr-white-paper-on-managing-incidental%C3%A2-findings
#10
Mark D Bobbin, Ivan K Ip, V Anik Sahni, Atul B Shinagare, Ramin Khorasani
PURPOSE: To describe the variation in radiologists' follow-up recommendations for focal cystic pancreatic lesions (FCPL) after publication of the 2010 ACR incidental findings White Paper and determine adherence to guidance of the ACR Incidental Findings Committee. METHODS: Institutional Review Board approval was obtained for this retrospective, HIPAA-compliant observational study. Patients with FCPL were identified from abdominal CT and MRI reports generated in 2013 using natural language processing software...
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28476608/storing-medical-images-in-the-digital-age-the-need-for-universal-and-technologically-appropriate-guidelines
#11
Jonathan L Mezrich, Eliot Siegel
No abstract text is available yet for this article.
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28476607/physician-leadership-in-radiation-dose-optimization
#12
Mahadevappa Mahesh, Richard L Morin
No abstract text is available yet for this article.
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28476606/low-morale-high-turnover
#13
Frank J Lexa, David Fessell
No abstract text is available yet for this article.
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28476605/personal-branding-a-primer-for-radiology-trainees-and-radiologists
#14
Vivek Kalia, Amy K Patel, Andrew K Moriarity, Cheri L Canon
A radiologist's personal brand is a composite of many parts in one's professional life. In an age where work quality and digital footprints are tracked and measured more than ever before, it behooves radiologists to develop and curate their own individual brands in effective ways. Personal branding consists of the decisions we make, both consciously and unconsciously, which affect our reputation and the likelihood of seeking our services in the future for both patients and referring providers. As hospital systems are increasingly adjusting their systems to cater to better patient experiences, it is imperative that radiologists similarly adjust our practice patterns to accommodate the needs of the new paradigm of value-based care...
May 2, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28465026/spending-a-week-on-capitol-hill-a%C3%A2-rutherford-lavanty-fellow-s-experience
#15
Karan Patel
No abstract text is available yet for this article.
April 29, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28465025/clinical-history-provided-by-referring-clinicians-and-patients-for-musculoskeletal-mri
#16
Derik L Davis, Michael E Mulligan, Arie Moszkowicz, Charles S Resnik
No abstract text is available yet for this article.
April 29, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28465024/monte-carlo-basics-for-radiation-dose-assessment-in-diagnostic-radiology
#17
John M Boone, Michael F McNitt-Gray, Andrew M Hernandez
No abstract text is available yet for this article.
April 29, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28461170/lean-six-sigma-approach-to-improving-interventional-radiology-scheduling
#18
Joshua D Dowell, Mina S Makary, Mathew Brocone, James G Sarbinoff, Ivan G Vargas, Mrinalini Gadkari
No abstract text is available yet for this article.
April 28, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28461169/sexual-harassment-in-radiology
#19
Aline Camargo, Li Liu, David M Yousem
PURPOSE: To gauge the prevalence of sexual harassment (SH) and to understand the issues regarding its disclosure among radiologists. METHODS: A questionnaire on ethics and SH was sent by e-mail to 1,569 radiologists and radiology trainees in an institutional database maintained for continuing medical education purposes on three separate occasions between September 17 and October 31, 2016. The link to the survey was also posted on social media sites via the authors' divisional and institutional accounts on Facebook, Twitter, Instagram, and Aunt Minnie, as well as on ACR and RSNA web blogs...
April 28, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28461168/effects-of-interpersonal-skills-training-on-mri-operations-in-a-saturated-market-a%C3%A2-randomized-trial
#20
Amna A Ajam, Xuan V Nguyen, Ronda A Kelly, Joseph A Ladapo, Elvira V Lang
PURPOSE: The aim of this study was to assess the effects of team training on operational efficiency during outpatient MRI. METHODS: In this institutional review board-approved, HIPAA-compliant study, six MRI outpatient sites of a midwestern hospital system were randomized to serve as controls or have their teams trained in advanced communication skills. The fourth quarter of fiscal year 2015 was the trial baseline. The trial ended in the third quarter (Q3) of fiscal year 2016 (FY16)...
April 27, 2017: Journal of the American College of Radiology: JACR
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