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interventions radiology

Salvatore Gitto, Giorgia Grassi, Chiara De Angelis, Cristian Giuseppe Monaco, Silvana Sdao, Francesco Sardanelli, Luca Maria Sconfienza, Giovanni Mauri
AIM OF THE STUDY: To compare the diagnostic performance of a commercially available computer-aided diagnosis (CAD) system for thyroid ultrasound (US) with that of a non-computer-aided radiologist in the characterization of low-to-high suspicion thyroid nodules. METHODS: This retrospective study included a consecutive series of adult patients referred for US-guided fine-needle aspiration biopsy (FNAB) of a thyroid nodule. All patients were eligible for thyroid nodule FNAB according to the current international guidelines...
September 22, 2018: La Radiologia Medica
Subhan Mohammed, Vidya S Kollu
A 64-year-old woman with a medical history of morbid obesity, chronic hepatitis C, essential hypertension, multiple episodes of abdominal cellulitis, diabetes mellitus type 2 on insulin, intravenous and subcutaneous drug abuse presented to the emergency department complaining of left lower chest pain for 6 weeks along with multiple episodes of vomiting. Initial laboratory data revealed leucocytosis of 17 200×103 /μL with left shift. She reported multiple episodes of fever spikes. Abdominal and pelvic CT showed a splenic hypodense lesion...
September 21, 2018: BMJ Case Reports
Daryl Goldman, Jonathan Martin, Zachary Bercu, Janice Newsome, Lars Grimm
PURPOSE: The purpose of this study is to compare the motivations of interventional radiology (IR) residency, IR fellowship, and diagnostic radiology (DR) applicants. MATERIALS AND METHODS: A questionnaire was distributed to IR integrated residency and IR fellowship applicants for the 2018 National Resident Matching Program (NRMP) Match. Survey respondents scored the influence of 13 aspects of IR on their career decision. These results were combined with a previously published survey of DR residency applicants from 2016 who were asked the same questions...
September 19, 2018: Journal of the American College of Radiology: JACR
Kotaro Sato, Kenya Murakami, Yoshikuni Mimata, Norio Numata, Hideo Shiraishi, Minoru Doita
INTRODUCTION: Although volar locking plates (VLPs) have been exclusively used for unstable distal radius fractures (DRFs), the optimal management of distal ulna fractures (DUFs) remains controversial. Internal fixation using a plate for DUFs might be challenging because of the presence of osteoporotic bone and fragile bone fragments in elderly patients. HYPOTHESIS: We hypothesized that a strategy including VLP fixation for DRFs and non-intervention for DUFs with early wrist mobilization would provide encouraging results in elderly patients...
September 19, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
T Kawal, A K Srinivasan, R Talwar, D I Chu, C Long, D Weiss, J Van Batavia, T F Kolon, A R Shukla
PURPOSE: Upper pole nephrectomy has been the traditional surgical management of children with poorly functioning upper pole moieties in duplex renal collecting systems having ureteral ectopia and ureterocele. However, ablative surgery confers a risk of functional loss to the remnant moiety due to vasospasm or vascular injury. It was hypothesized that ipsilateral ureteroureterostomy (IUU) is a safe and feasible approach for the management of these patients and that residual function in the obstructed upper pole does not affect surgical outcomes...
August 20, 2018: Journal of Pediatric Urology
Jesús Quintero, Cristina Molera, Javier Juamperez, Susanna Redecillas, Silvia Meavilla, Raquel Nuñez, Camila García, Mireia Del Toro, Ángels Garcia, Juan Ortega, Óscar Segarra, Javier Martin de Carpi, Itxarone Bilbao, Ramon Charco
Despite optimal medical treatment and strict low protein diet, the prognosis of propionic acidemia patients is generally poor. We aim to report our experience with liver transplantation in the management of propionic acidemia patients. Six patients with Propionic Acidemia received a liver transplantation at a mean age of 5.2 years (1.3-7.5). The indications for liver transplantation were frequent metabolic decompensations in the first four patients and preventative in the last two. Two patients presented hepatic artery thromboses which were solved through an interventional radiologist approach...
September 22, 2018: Liver Transplantation
M Pasquino, C Cutaia, M Poli, C Valero, G Peroni, M De Benedictis, E Petrucci, M Stasi
OBJECTIVE: Number and complexity of interventional cardiology procedures have increased during last years and can result in patient skin dose high enough to cause deterministic skin effects. The aim of the work is to investigate the correlation between Peak Skin Dose (PSD) and the dosimetric indicators directly registered by the radiological equipment and provide the physicians a tool to identify patients at risk of deterministic effects and include them into a follow-up program. METHODS: PSD was measured in vivo using radiochromic Gafchromic XR-RV3 films, properly calibrated...
September 2018: Physica Medica: PM
Sanjay Agarwala, Shripad D Banavali, Mayank Vijayvargiya
PURPOSE: With improved survival after chemotherapy for acute lymphoblastic leukemia (ALL), it is imperative to maintain good quality of life as part of the management of post-therapy adverse effects. Avascular necrosis of the femoral head (AVNFH) is one such adverse effect. A need exists for a therapy that ameliorates discomfort, provides a productive life, is cost effective, and is joint preservative. We conducted the current study to evaluate the response to bisphosphonate in the nonsurgical management of AVNFH in adolescents and young adults (AYA) who receive treatment for ALL...
September 2018: Journal of Global Oncology
Marcio S Rassi, Sashank Prasad, Anil Can, Svetlana Pravdenkova, Rami Almefty, Ossama Al-Mefty
OBJECTIVE: Although meningiomas frequently involve the optic nerve, primary optic nerve sheath meningiomas (ONSMs) are rare, accounting for only 1% of all meningiomas. Given the high risk of vision loss with these tumors, surgical intervention is seldom considered, and radiation or observation is commonly applied. Here, the authors describe the visual outcomes for a series of patients who were treated with surgery aiming at maximal tumor resection and highlight their prognostic factors...
September 21, 2018: Journal of Neurosurgery
Riti Kanesa-Thasan, Mougnyan Cox, Manisha Patel, Brian Curtis, Robert W Hurst, David Kung, Adam E Flanders
Providing a fast and accurate diagnosis of acute large-vessel occlusion on computed tomography angiograms (CTAs) is essential for timely intervention and good stroke outcomes. However, the detection and appropriate management of incidental findings are also important parts of any clinical radiology practice and can greatly affect patient care. The intricate anatomy covered by CTAs of the head and neck coupled with the time pressures of acute stroke diagnosis creates an environment in which unrelated, important findings can potentially be missed...
September 21, 2018: Neuroradiology Journal
Arnaud Hocquelet, Charalampos Sotiriadis, Rafael Duran, Boris Guiu, Takamune Yamaguchi, Nermin Halkic, Emmanuel Melloul, Nicolas Demartines, Alban Denys
PURPOSE: To compare estimated future remnant liver (FRL) growth following portal vein embolization or liver venous deprivation (LVD) (combined PVE and right hepatic vein embolization), before surgery for a Klatskin tumor in patients who receive intraoperative biliary drainage or before venous interventional radiology. MATERIAL AND METHOD: Six patients underwent LVD and six underwent PVE alone before hepatectomy for a Klatskin tumor. Before embolization, the FRL ratio, prothrombin time and bilirubin levels were similar in both groups...
September 20, 2018: Cardiovascular and Interventional Radiology
Warren Clements, Gerard S Goh, Julian Nguyen, John Vrazas, Chris Rogan, Gabriel Lau, Tim Joseph
PURPOSE: Over recent times, procedural Radiologists have begun to establish themselves as the distinct subspecialty of Interventional Radiology (IR). The Interventional Radiology Society of Australasia (IRSA) was established in 1982 to share collaborative ideas, encourage research, and promote education. IRSA developed a weekend registrar workshop attended by Radiology Registrars from Australia and New Zealand. In the 2018 event, we surveyed the Registrars to identify their interest in IR training before and after the workshop...
September 20, 2018: Cardiovascular and Interventional Radiology
Nirav K Patel, Joanna Horstman, Victoria Kuester, Senthil Sambandam, Varatharaj Mounasamy
Tibial shaft fractures are one of the most common pediatric fractures. They require appropriate diagnosis and treatment to minimize complications and optimize outcomes. Diagnosis is clinical and radiological, which can be difficult in a young child or with minimal clinical findings. In addition to acute fracture, Toddler's and stress fractures are important entities. Child abuse must always be considered in a nonambulatory child presenting with an inconsistent history or suspicious concomitant injuries. Treatment is predominantly nonoperative with closed reduction and casting, requiring close clinical and radiological followup until union...
September 2018: Indian Journal of Orthopaedics
Anjan Trikha, Preet Mohinder Singh
One of the most important causes of maternal mortality is major obstetric haemorrhage. Major haemorrhage can occur in parturients either during the antepartum period, during delivery, or in the postpartum period. Early recognition and a multidisciplinary team approach in the management are the cornerstones of improving the outcome of such cases. The management consists of fluid resuscitation, administration of blood and blood products, conservative measures such as uterine cavity tamponade and sutures, and finally hysterectomy...
September 2018: Indian Journal of Anaesthesia
Helen H L Chan, Thomas G Hardy, Alan A McNab
PURPOSE: The authors present the largest series of patients to date of spontaneous hemorrhage in relation to extraocular muscles (EOMs). METHODS: Observational retrospective case series. Institutional review board approval was obtained. RESULTS: Eighteen patients with a mean age of 71 years presented with 20 episodes of spontaneous orbital hemorrhage closely related to an EOM. Most patients woke with unilateral proptosis, pain, and diplopia...
September 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
Thomas W Conlon, Adam S Himebauch, Anne Marie Cahill, Blair M Kraus, Chinonyerem R Madu, Mark D Weber, Carol A Czajka, Ruby L Baker, Torron M Brinkley, Melanie D Washington, Anne Marie Frey, Eileen M Nelson, Cara T Jefferies, Charlotte Z Woods-Hill, Heather A Wolfe, Daniela H Davis
OBJECTIVES: To create a bedside peripherally inserted central catheter service to increase placement of bedside peripherally inserted central catheter in PICU patients. DESIGN: Two-phase observational, pre-post design. SETTING: Single-center quaternary noncardiac PICU. PATIENTS: All patients admitted to the PICU. INTERVENTIONS: From June 1, 2015, to May 31, 2017, a bedside peripherally inserted central catheter service team was created (phase I) and expanded (phase II) as part of a quality improvement initiative...
September 17, 2018: Pediatric Critical Care Medicine
Katherine Linder, Oleg Epelbaum
Despite being categorized as a procedure associated with a low risk of iatrogenic hemorrhage, percutaneous pleural drainage in patients taking the ubiquitous antiplatelet agent clopidogrel is still commonly perceived as a risky proposition. There is mounting evidence, however, in support of the safety of percutaneous needle procedures in persons receiving this medication. Establishing that these pleural interventions can be performed safely without clopidogrel interruption would be of great clinical significance, especially in those taking it for recent cardiac stenting and therefore in danger of stent thrombosis should antiplatelet therapy (APT) be withheld...
August 2018: Journal of Thoracic Disease
Sakib Moghul, Sidath Liyanage, Suresh Vijayananda, Matthew Tam, Ioannis Kapralos
Anatomic variants of the urinary tract are relatively common; however, a bifid ureter with a blind-ending branch is a rare congenital anomaly. This variant often goes unnoticed because patients are either asymptomatic or complain of vague abdominal symptoms. Diagnosis is often incidental, and may be missed on conventional imaging. Although bifid ureters usually do not require any specific investigations or treatment; it is important to have an appreciation for these anomalies particularly if radiological intervention or surgical procedures are planned...
December 2018: Radiology Case Reports
Subba Rao Bhavaraju
A paradigm shift in human evolution, from our predecessors, the 'hunter-gatherers' to the 'era of digital revolution', has made certain human skills more and more machine driven. This digital revolution has made possible a constant connectivity, wearable technologies, customized platforms, enormous data storage and cloud computing at high speeds, smart phones and apps, internet of things, artificial intelligence, telemedicine, etc. These have made real-time monitoring and interventions possible in healthcare...
September 2018: Neurology India
Juneko E Grilley-Olson, Nicholas P Webber, David S Demos, Jared D Christensen, David G Kirsch
Soft tissue sarcomas (STS) encompass a group of rare but heterogeneous diseases. Nevertheless, many patients, particularly those with oligometastatic disease can benefit from thoughtful multimodality evaluation and treatment regardless of the STS subtype. Here, we review surgical, interventional radiology, radiation, and chemotherapy approaches to maximize disease palliation and improve survival, including occasionally long-term disease-free survival. Surgical resection can include lung or other visceral, soft tissue and bone metastases with a goal of rendering the patient disease free...
May 23, 2018: American Society of Clinical Oncology Educational Book
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