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https://www.readbyqxmd.com/read/29771696/the-future-of-anesthesia-for-interventional-radiology
#1
Annie Amin, Jason Scott Lane
PURPOSE OF REVIEW: To review novel procedures in interventional radiology and describe anesthetic implications. RECENT FINDINGS: Noninvasive treatment options for patients who are nonsurgical candidates are on the rise. The complication rate for patients receiving anesthesia in the interventional radiology suite is higher than other nonoperating room anesthetizing locations. The investigative use of catheter-directed thrombolysis for acute submassive pulmonary embolism will likely lead to an increased demand for anesthesia assistance...
May 15, 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29767400/volumetric-image-interpretation-in-radiology-scroll-behavior-and-cognitive-processes
#2
Larissa den Boer, Marieke F van der Schaaf, Koen L Vincken, Chris P Mol, Bobby G Stuijfzand, Anouk van der Gijp
The interpretation of medical images is a primary task for radiologists. Besides two-dimensional (2D) images, current imaging technologies allow for volumetric display of medical images. Whereas current radiology practice increasingly uses volumetric images, the majority of studies on medical image interpretation is conducted on 2D images. The current study aimed to gain deeper insight into the volumetric image interpretation process by examining this process in twenty radiology trainees who all completed four volumetric image cases...
May 16, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29762047/imaging-of-suspected-pulmonary-embolism-and-deep-venous-thrombosis-in-obese-patients
#3
Vincent Cascio, Man Hon, Linda B Haramati, Animesh Gour, Peter Spiegler, Sanjeev Bhalla, Douglas Katz
Obesity is a growing problem around the world, and radiology departments frequently encounter difficulties related to large patient size. Diagnosis and management of suspected venous thromboembolism, in particular deep venous thrombosis (DVT) and pulmonary embolism (PE), are challenging even in some lean patients, and can become even more complicated in the setting of obesity. Many obstacles must be overcome to obtain imaging examinations in obese patients with suspected PE and/or DVT, and to ensure that these examinations are of sufficient quality to diagnose or exclude thromboembolic disease, or to establish an alternative diagnosis...
May 15, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29748851/a-platform-for-innovation-and-standards-evaluation-a-case-study-from-the-openmrs-open-source-radiology-information-system
#4
Judy W Gichoya, Marc Kohli, Larry Ivange, Teri S Schmidt, Saptarshi Purkayastha
Open-source development can provide a platform for innovation by seeking feedback from community members as well as providing tools and infrastructure to test new standards. Vendors of proprietary systems may delay adoption of new standards until there are sufficient incentives such as legal mandates or financial incentives to encourage/mandate adoption. Moreover, open-source systems in healthcare have been widely adopted in low- and middle-income countries and can be used to bridge gaps that exist in global health radiology...
May 10, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/29744192/prevalence-of-apical-periodontitis-and-frequency-of-root-filled-teeth-in-an-adult-sudanese-population
#5
I Ahmed, R W Ali, A M Mudawi
The aim of this study was to estimate the prevalence of teeth with apical periodontitis (AP) and root-filled (RF) teeth in an adult Sudanese population. Panoramic and periapical radiographs were obtained for 200 patients over 18 years of age seeking routine dental care and attending the dental clinics (University of Khartoum) and the dental hospital (University of Science and Technology) for the first time. The periapical status of all teeth (except third molars) was categorized on the basis of the presence or absence of radiographic signs of AP...
August 2017: Clinical and Experimental Dental Research
https://www.readbyqxmd.com/read/29734497/pseudoprogression-of-brain-tumors
#6
Stefanie C Thust, Martin J van den Bent, Marion Smits
This review describes the definition, incidence, clinical implications, and magnetic resonance imaging (MRI) findings of pseudoprogression of brain tumors, in particular, but not limited to, high-grade glioma. Pseudoprogression is an important clinical problem after brain tumor treatment, interfering not only with day-to-day patient care but also the execution and interpretation of clinical trials. Radiologically, pseudoprogression is defined as a new or enlarging area(s) of contrast agent enhancement, in the absence of true tumor growth, which subsides or stabilizes without a change in therapy...
May 7, 2018: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/29730736/are-we-at-a-crossroads-or-a-plateau-radiomics-and-machine-learning-in-abdominal-oncology-imaging
#7
Ronald M Summers
Advances in radiomics and machine learning have driven a technology boom in the automated analysis of radiology images. For the past several years, expectations have been nearly boundless for these new technologies to revolutionize radiology image analysis and interpretation. In this editorial, I compare the expectations with the realities with particular attention to applications in abdominal oncology imaging. I explore whether these technologies will leave us at a crossroads to an exciting future or to a sustained plateau and disillusionment...
May 5, 2018: Abdominal Radiology
https://www.readbyqxmd.com/read/29729856/building-imaging-institutes-of-patient-care-outcomes-imaging-as-a-nidus-for-innovation-in-clinical-care-research-and-education
#8
Myria Petrou, Paul Cronin, Duaa K Altaee, Aine M Kelly, Bradley R Foerster
Traditionally, radiologists have been responsible for the protocol of imaging studies, imaging acquisition, supervision of imaging technologists, and interpretation and reporting of imaging findings. In this article, we outline how radiology needs to change and adapt to a role of providing value-based, integrated health-care delivery. We believe that the way to best serve our specialty and our patients is to undertake a fundamental paradigm shift in how we practice. We describe the need for imaging institutes centered on disease entities (eg, lung cancer, multiple sclerosis) to not only optimize clinical care and patient outcomes, but also spur the development of a new educational focus, which will increase opportunities for medical trainees and other health professionals...
May 2018: Academic Radiology
https://www.readbyqxmd.com/read/29726431/telemedicine-in-diagnosis-treatment-and-management-of-diseases-in-children
#9
Abbas Sheikhtaheri, Farzaneh Kermani
The purpose of this study was to review different telemedicine services in diagnosis, treatment and management of various children diseases and providing an overview of systematic reviews conducted in this regard. We searched English articles published in peer-reviewed journals between 2000 to 2016. We found that tele-pediatric services have been reported in various areas such as cardiology, burn, diabetes, obesity, emergency medicine, speech and hearing loss, Ear, Nose and Throat, psychology and psychiatry, radiology, oncology, home healthcare, asthma, genetics and dentistry...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29726420/cross-enterprise-communication-and-data-exchange-in-radiology-in-austria-technology-and-use-cases
#10
Emmanuel Helm, Andreas Schuler, Herwig Mayr
BACKGROUND: The research project REPO (Radiology Ehealth PlatfOrm) was started in 2017 with the goal to "enable cross-enterprise collaboration in radiology using the Austrian eHealth infrastructure". OBJECTIVES: The objective of this paper was to provide an overview of the radiology IT environment - actors, use cases and technology. METHODS: We conducted semi-structured expert interviews with radiologists and hospital operators and we statistically analyzed the client database of our research project partner...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29725963/patient-centered-radiology-with-fhir-an-introduction-to-the-use-of-fhir-to-offer-radiology-a-clinically-integrated-platform
#11
Peter I Kamel, Paul G Nagy
Fast Healthcare Interoperability Resources (FHIR) is an open interoperability standard that allows external software to quickly search for and access clinical information from the electronic medical record (EMR) in a method that is developer-friendly, using current internet technology standards. In this article, we highlight the new FHIR standard and illustrate how FHIR can be used to offer the field of radiology a more clinically integrated and patient-centered system, opening the EMR to external radiology software in ways unfeasible with traditional standards...
May 3, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/29725962/standard-lexicons-coding-systems-and-ontologies-for-interoperability-and-semantic-computation-in-imaging
#12
REVIEW
Kenneth C Wang
Standard clinical terms, codes, and ontologies promote clarity and interoperability. Within radiology, there is a variety of relevant content resources, tools and technologies. These provide the basis for fundamental imaging workflows such as reporting and billing, and also facilitate a range of applications in quality improvement and research. This article reviews the key characteristics of lexicons, coding systems, and ontologies. A number of standards are described, including International Classification of Diseases-10-Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT), Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT), Logical Observation Identifiers Names and Codes (LOINC), and RadLex...
May 3, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/29725736/conventional-plate-fixation-method-versus-pre-operative-virtual-simulation-and-three-dimensional-printing-assisted-contoured-plate-fixation-method-in-the-treatment-of-anterior-pelvic-ring-fracture
#13
Chun-Chi Hung, Yuan-Ta Li, Yu-Ching Chou, Jia-En Chen, Chia-Chun Wu, Hsain-Chung Shen, Tsu-Te Yeh
PURPOSE: Treating pelvic fractures remains a challenging task for orthopaedic surgeons. We aimed to evaluate the feasibility, accuracy, and effectiveness of three-dimensional (3D) printing technology and computer-assisted virtual surgery for pre-operative planning in anterior ring fractures of the pelvis. We hypothesized that using 3D printing models would reduce operation time and significantly improve the surgical outcomes of pelvic fracture repair. METHODS: We retrospectively reviewed the records of 30 patients with pelvic fractures treated by anterior pelvic fixation with locking plates (14 patients, conventional locking plate fixation; 16 patients, pre-operative virtual simulation with 3D, printing-assisted, pre-contoured, locking plate fixation)...
May 3, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29717368/hybrid-cardiac-imaging-using-pet-mri-a-joint-position-statement-by-the-european-society-of-cardiovascular-radiology-escr-and-the-european-association-of-nuclear-medicine-eanm
#14
Felix Nensa, Fabian Bamberg, Christoph Rischpler, Leon Menezes, Thorsten D Poeppel, Christian la Fougère, Dietrich Beitzke, Sazan Rasul, Christian Loewe, Konstantin Nikolaou, Jan Bucerius, Andreas Kjaer, Matthias Gutberlet, Niek H Prakken, Rozemarijn Vliegenthart, Riemer H J A Slart, Stephan G Nekolla, Martin L Lassen, Bernd J Pichler, Thomas Schlosser, Alexis Jacquier, Harald H Quick, Michael Schäfers, Marcus Hacker
Positron emission tomography (PET) and magnetic resonance imaging (MRI) have both been used for decades in cardiovascular imaging. Since 2010, hybrid PET/MRI using sequential and integrated scanner platforms has been available, with hybrid cardiac PET/MR imaging protocols increasingly incorporated into clinical workflows. Given the range of complementary information provided by each method, the use of hybrid PET/MRI may be justified and beneficial in particular clinical settings for the evaluation of different disease entities...
May 2, 2018: European Radiology
https://www.readbyqxmd.com/read/29717069/interprofessional-education-perceptions-of-dental-assisting-and-radiologic-technology-students-following-a-live-patient-experience
#15
Amanda R Reddington, Amy J Egli, Heather M Schmuck
Health professions students are often unaware of other health care providers' roles or professional expertise due to most education taking place within their single profession. This pattern may be even more prevalent for baccalaureate and associate degree programs since most interprofessional education (IPE) occurs in predoctoral programs and, when IPE is incorporated into allied health professions education, it often utilizes simulation instead of live patient experiences. The aim of this study was to determine if radiologic technology and dental assisting students' perceptions changed regarding interprofessional practice and teamwork after an IPE activity with actual patients...
May 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29715165/implementation-of-a-low-frame-rate-protocol-and-noise-reduction-technology-to-minimize-radiation-dose-in-transcatheter-aortic-valve-replacement
#16
Davide Maccagni, Luciano Candilio, Azeem Latib, Cosmo Godino, Alaide Chieffo, Matteo Montorfano, Antonio Colombo, Lorenzo Azzalini
OBJECTIVES: Limiting radiation exposure is necessary in radiological procedures. This study evaluates the impact of a radiological low frame-rate protocol in a standard angiographic system and the implementation of a noise-reduction technology (NRT) on patient radiation exposure during transcatheter aortic valve replacement (TAVR). METHODS: Transfemoral TAVR procedures performed between February 2016 and February 2017 were analyzed according to two angiographic systems, Standard and NRT, and further divided in four subgroups: (1) Standard 15 frames per second (fps) with 15 fps for both fluoroscopy and cine acquisitions; (2) Standard 7...
May 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29712711/medical-nutrition-education-training-and-competencies-to-advance-guideline-based-diet-counseling-by-physicians-a-science-advisory-from-the-american-heart-association
#17
REVIEW
Karen E Aspry, Linda Van Horn, Jo Ann S Carson, Judith Wylie-Rosett, Robert F Kushner, Alice H Lichtenstein, Stephen Devries, Andrew M Freeman, Allison Crawford, Penny Kris-Etherton
Growing scientific evidence of the benefits of heart-healthy dietary patterns and of the massive public health and economic burdens attributed to obesity and poor diet quality have triggered national calls to increase diet counseling in outpatients with atherosclerotic cardiovascular disease or risk factors. However, despite evidence that physicians are willing to undertake this task and are viewed as credible sources of diet information, they engage patients in diet counseling at less than desirable rates and cite insufficient knowledge and training as barriers...
April 30, 2018: Circulation
https://www.readbyqxmd.com/read/29706083/urban-suburban-differences-in-gp-requests-for-lumbosacral-spine-radiographs-in-a-primary-healthcare-centre-in-malta
#18
Glorianne Pullicino, Philip Sciortino, Sean Francalanza, Paul Sciortino, Richard Pullicino
INTRODUCTION: Due to demographic changes, growing demands, technological developments and rising healthcare costs, analysis of resources in rural and urban primary care clinics is crucial. However, data on primary care provision in rural and suburban areas are lacking. Moreover, health inequities in small island communities tend to be reduced by social homogeneity and an almost indiscernible urban-rural difference. The aim of the study was to examine the urban-suburban differences in the indications for lumbosacral spine radiographs in a public primary healthcare centre in Malta...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29705191/society-for-maternal-fetal-medicine-smfm-consult-series-45-mild-fetal-ventriculomegaly-diagnosis-evaluation-and-management
#19
Nathan S Fox, Ana Monteagudo, Jeffrey A Kuller, Sabrina Craigo, Mary E Norton
Ventriculomegaly is defined as dilation of the fetal cerebral ventricles and is a relatively common finding on prenatal ultrasound. The purpose of this document is to review the diagnosis, evaluation, and management of mild fetal ventriculomegaly. When enlargement of the lateral ventricles (≥10 mm) is identified, a thorough evaluation should be performed, including detailed sonographic evaluation of fetal anatomy, amniocentesis for karyotype and chromosomal microarray analysis (CMA), and a workup for fetal infection...
April 26, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29705173/ultrasonographic-prenatal-imaging-of-fetal-ocular-and-orbital-abnormalities
#20
REVIEW
Courtney L Ondeck, Dolores Pretorius, Jill McCaulley, Michael Kinori, Theresa Maloney Rdms, Andrew Hull, Shira L Robbins
Technological progress in medicine has provided earlier diagnosis, even in the prenatal period. We address ultrasonographic imaging of the prenatal eye and orbit. During development of these structures, multiple pathologies and diseases can arise. Orbital anomalies can be detected prenatally using ultrasound or MRI. Some of these include congenital cataracts, hypertelorism, hypotelorism, dacryocystocele, microphthalmia, anophthalmia, orbital tumors/masses, and septo-optic dysplasia. We describe characteristic ultrasound findings of these diseases...
April 26, 2018: Survey of Ophthalmology
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