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https://www.readbyqxmd.com/read/29139207/patient-reported-outcomes-of-slow-single-arc-rotation-do-we-need-rotating-gantries
#1
Brendan Whelan, Miriam Welgampola, Leigh McGarvie, Kuldeep Makhija, Robin M Turner, Lois Holloway, Ilana Feain, Michael Jackson, Michael Barton, Paul Keall
INTRODUCTION: Patient rotation could greatly simplify radiation therapy delivery, with particularly important ramifications for fixed beam treatment with protons, heavy ions, MRI-Linacs, and low cost Linacs. Patient tolerance is often cited as a barrier to widespread implementation to patient rotation; however, no quantitative data addressing this issue exists. In this study, patient reported experiences of slow, single arc rotation in upright (sitting) and lying orientations are reported...
November 15, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28904166/reducing-occurrences-of-mr-related-claustrophobia-in-patients-with-ptsd
#2
Thomas J Rotunda
No abstract text is available yet for this article.
September 2017: Radiologic Technology
https://www.readbyqxmd.com/read/28882915/patient-experience-and-perceived-acceptability-of-whole-body-magnetic-resonance-imaging-for-staging-colorectal-and-lung-cancer-compared-with-current-staging-scans-a-qualitative-study
#3
Ruth Evans, Stuart Taylor, Sam Janes, Steve Halligan, Alison Morton, Neal Navani, Alf Oliver, Andrea Rockall, Jonathan Teague, Anne Miles
OBJECTIVE: To describe the experience and acceptability of whole-body magnetic resonance imaging (WB-MRI) staging compared with standard scans among patients with highly suspected or known colorectal or lung cancer. DESIGN: Qualitative study using one-to-one interviews with thematic analysis. SETTING: Patients recruited from 10 hospitals in London, East and South East England between March 2013 and July 2014. PARTICIPANTS: 51 patients (31 male, age range 40-89 years), with varying levels of social deprivation, were recruited consecutively from two parallel clinical trials comparing the diagnostic accuracy and cost-effectiveness of WB-MRI with standard scans for staging colorectal and lung cancer ('Streamline-C' and 'Streamline-L')...
September 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28870431/could-parenchymal-enhancement-on-contrast-enhanced-spectral-mammography-cesm-represent-a-new-breast-cancer-risk-factor-correlation-with-known-radiology-risk-factors
#4
S L Savaridas, D B Taylor, D Gunawardana, M Phillips
AIM: To compare background parenchymal enhancement (BPE) on contrast-enhanced (CE) spectral mammography (CESM) with CE magnetic resonance imaging (MRI), and evaluate how these relate to hormonal status, mammographic breast density (MBD) and MRI fibroglandular tissue volume (FGTV). METHODS AND MATERIALS: Between June 2012 to October 2015, participants in a cancer staging study underwent full-field digital mammography (FFDM), CEMRI, and CESM. Two readers independently rated FGTV, MBD, and BPE using the Breast Imaging-Reporting and Data System (BI-RADS) criteria...
September 1, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28755757/understanding-eating-disorders-within-internalizing-psychopathology-a-novel-transdiagnostic-hierarchical-dimensional-model
#5
Kelsie T Forbush, Kelsey E Hagan, Benjamin A Kite, Danielle A N Chapa, Brittany K Bohrer, Sara R Gould
BACKGROUND: Several problems with the classification and diagnosis of eating disorders (EDs) have been identified, including proliferation of 'other specified' diagnoses, within-disorder heterogeneity, and frequent diagnostic migration over time. Beyond problems within EDs, past research suggested that EDs fit better in a spectrum of internalizing psychopathology (characterized by mood and anxiety disorders) than in a separate diagnostic class. PURPOSE: To develop a transdiagnostic, hierarchical-dimensional model relevant to ED psychopathology that: 1) reduces diagnostic heterogeneity, 2) includes important dimensions of internalizing psychopathology that are often excluded from ED diagnostic models, and 3) predicts clinical impairment...
June 28, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28687551/nebulized-opioids-for-the-palliation-of-dyspnea-in-terminally-ill-patients
#6
Titilola M Afolabi, Milap C Nahata, Vinita Pai
PURPOSE: The use of nebulized opioids for the palliation of dyspnea in terminally ill patients is reviewed. SUMMARY: More than 50% of patients with advanced diseases experience dyspnea during their final stages of life. Systemically administered opioids are recommended for the management of dyspnea in these patients, but adverse effects may limit their use. Nebulization offers an alternative route for administering opioids, providing relief of dyspnea while minimizing adverse events...
July 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28686823/enhancing-extinction-learning-in-posttraumatic-stress-disorder-with-brief-daily-imaginal-exposure-and-methylene-blue-a-randomized-controlled-trial
#7
RANDOMIZED CONTROLLED TRIAL
Lori A Zoellner, Michael Telch, Edna B Foa, Frank J Farach, Carmen P McLean, Robert Gallop, Ellen J Bluett, Adam Cobb, F Gonzalez-Lima
OBJECTIVE: The memory-enhancing drug methylene blue (MB) administered after extinction training improves fear extinction retention in rats and humans with claustrophobia. Robust findings from animal research, in combination with established safety and data showing MB-enhanced extinction in humans, provide a foundation to extend this work to extinction-based therapies for posttraumatic stress disorder (PTSD) such as prolonged exposure (PE). METHODS: Patients with chronic PTSD (DSM-IV-TR; N = 42) were randomly assigned to imaginal exposure plus MB (IE + MB), imaginal exposure plus placebo (IE + PBO), or waitlist (WL/standard PE) from September 2011 to April 2013...
July 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28646852/the-facial-expression-of-schizophrenic-patients-applied-with-infrared-thermal-facial-image-sequence
#8
Bo-Lin Jian, Chieh-Li Chen, Wen-Lin Chu, Min-Wei Huang
BACKGROUND: Schizophrenia is a neurological disease characterized by alterations to patients' cognitive functions and emotional expressions. Relevant studies often use magnetic resonance imaging (MRI) of the brain to explore structural differences and responsiveness within brain regions. However, as this technique is expensive and commonly induces claustrophobia, it is frequently refused by patients. Thus, this study used non-contact infrared thermal facial images (ITFIs) to analyze facial temperature changes evoked by different emotions in moderately and markedly ill schizophrenia patients...
June 24, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28641397/myocardial-scar-location-as-detected-by-cardiac-magnetic-resonance-is-associated-with-the-outcome-in-heart-failure-patients-undergoing-surgical-ventricular-reconstruction
#9
Serenella Castelvecchio, Giulia Careri, Federico Ambrogi, Antonia Camporeale, Lorenzo Menicanti, Francesco Secchi, Massimo Lombardi
OBJECTIVES: Post-infarction myocardial scar causes adverse left ventricular remodelling and negatively affects the prognosis. We sought to investigate whether scar extent and location obtained by cardiac magnetic resonance may affect the reverse remodelling and survival of heart failure patients undergoing surgical ventricular reconstruction. METHODS: From January 2011 to December 2015, 151 consecutive patients with previous myocardial infarction and left ventricular remodelling underwent surgical ventricular reconstruction at our Institution, of which 88 (58%) patients had a preoperative protocol-standardized late gadolinium enhancement (LGE)-cardiac magnetic resonance examination during the week before surgery...
June 21, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28615151/parkinson-s-disease-patient-preference-and-experience-with-various-methods-of-dbs-lead-placement
#10
Sara C LaHue, Jill L Ostrem, Nicholas B Galifianakis, Marta San Luciano, Nathan Ziman, Sarah Wang, Caroline A Racine, Philip A Starr, Paul S Larson, Maya Katz
INTRODUCTION: Physiology-guided deep brain stimulation (DBS) surgery requires patients to be awake during a portion of the procedure, which may be poorly tolerated. Interventional MRI-guided (iMRI) DBS surgery was developed to use real-time image guidance, obviating the need for patients to be awake during lead placement. METHODS: All English-speaking adults with PD who underwent iMRI DBS between 2010 and 2014 at our Center were invited to participate. Subjects completed a structured interview that explored perioperative preferences and experiences...
April 17, 2017: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/28599843/psychiatric-care-of-the-radiation-oncology-patient
#11
REVIEW
Emily G Holmes, Jordan A Holmes, Eliza M Park
BACKGROUND: In recent decades, psychiatrists have become increasingly involved in the care of patients with cancer. Psychiatrists are often less familiar with the field of radiation oncology than with other medical specialties. OBJECTIVE: Therefore, it is beneficial for consulting psychiatrists to be familiar with the basic principles of radiation therapy (RT) and its potential neuropsychiatric sequelae. METHODS: We performed a PubMed search to identify articles describing neuropsychiatric symptoms resulting from RT, including anxiety, claustrophobia, posttraumatic stress disorder, and neurocognitive impairment...
September 2017: Psychosomatics
https://www.readbyqxmd.com/read/28540211/delayed-enhancement-cardiac-computed-tomography-for-the-assessment-of-myocardial-infarction-from-bench-to-bedside
#12
REVIEW
Gaston A Rodriguez-Granillo
A large number of studies support the increasingly relevant prognostic value of the presence and extent of delayed enhancement (DE), a surrogate marker of fibrosis, in diverse etiologies. Gadolinium and iodinated based contrast agents share similar kinetics, thus leading to comparable myocardial characterization with cardiac magnetic resonance (CMR) and cardiac computed tomography (CT) at both first-pass perfusion and DE imaging. We review the available evidence of DE imaging for the assessment of myocardial infarction (MI) using cardiac CT (CTDE), from animal to clinical studies, and from 16-slice CT to dual-energy CT systems (DECT)...
April 2017: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/28366157/-sedation-during-noninvasive-mechanical-ventilation
#13
REVIEW
Fatma Yıldırım, İskender Kara, Ebru Ortaç Ersoy
Noninvasive mechanical ventilation (NIMV) is an effective technique that can avert side effects and complications associated with endotracheal intubation. The tolerance of NIMV is crucial for its success. Mask intolerance because of pain or discomfort, or claustrophobia, may lead the patient to refuse ongoing NIMV prompting its discontinuation. After considering all factors known to improve adaptation of the patients to NIMV, the implementation of sedation-based strategy to rescue patients with poor cooperation and/or adaptation to NIMV is remaining attaractive to enlarge its rate of success...
September 2016: Tüberküloz Ve Toraks
https://www.readbyqxmd.com/read/28356198/prevalence-of-unanticipated-events-associated-with-mri-examinations-a-benchmark-for-mri-quality-safety-and-patient-experience
#14
Gelareh Sadigh, Kimberly E Applegate, Amit M Saindane
PURPOSE: To determine the prevalence of unanticipated events (UE) associated with MRI examinations in a multicenter academic radiology department. METHODS: UE reported by MRI technologists for examinations performed between June 2013 and November 2014 on 17 scanners in a university- and community-affiliated single health system were retrospectively reviewed. Events were categorized into the following categories: (1) problems with orders and scheduling; (2) scan delays; (3) unanticipated foreign bodies; (4) non-contrast-related patient events (eg, patient motion, discomfort, claustrophobia, need for sedation); (5) contrast-related patient events; and (6) technical acquisition issues...
March 26, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28298588/claustrophobia-in-radiology-departments
#15
Kim LaGuardia
No abstract text is available yet for this article.
January 2017: Radiologic Technology
https://www.readbyqxmd.com/read/28295547/practitioner-perceptions-of-the-anaesthetic-needs-for-magnetic-resonance-imaging-in-paediatric-patients
#16
Glenn E Mann, Adam Canter, Singh Nair, Donna LaMonica, Madelyn Kahana, Jennifer Yoo, Ellise Delphin
No abstract text is available yet for this article.
March 12, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28129303/patient-experience-with-office-based-corneal-transplantation
#17
Jack Parker, Marina Krijgsman, Korine van Dijk, Gerrit R J Melles
PURPOSE: To evaluate patient experience with office-based corneal transplantation. METHODS: Five hundred sixty-seven consecutive patients had a corneal transplant in a stand-alone operation unit, ie, a unidirectional flow hood inside a dedicated treatment room in an office setting. Six months postoperatively, all patients received a questionnaire inquiring how they experienced corneal surgery and the operation unit; 354 patients responded to the questionnaire and their answers were scored on a scale of 1 to 5, with higher scores indicating greater satisfaction...
April 2017: Cornea
https://www.readbyqxmd.com/read/28117478/mouthpiece-ventilation-in-duchenne-muscular-dystrophy-a-rescue-strategy-for-noncompliant-patients
#18
Giuseppe Fiorentino, Anna Annunziata, Rosa Cauteruccio, Gianfranco Scotto di Frega, Antonio Esquinas
Objective: To evaluate mouthpiece ventilation (MPV) in patients with Duchenne muscular dystrophy (DMD) who are noncompliant with noninvasive ventilation (NIV). Methods: We evaluated four young patients with DMD who had previously refused to undergo NIV. Each patient was reassessed and encouraged to try MPV. Results: The four patients tolerated MPV well and were compliant with NIV at home. MPV proved to be preferable and more comfortable than NIV with any other type of interface...
November 2016: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/27964849/can-nocturnal-use-of-implant-retained-overdenture-improve-cardiorespiratory-stability-of-a-patient-with-obstructive-sleep-apnea-a-clinical-report
#19
Bulent Piskin, Alper Uyar, Bugra Senel, Hakan Avsever, Omer Karakoc, Canturk Tasci, Gurkan Rasit Bayar
Few studies have evaluated the interaction between conventional complete dentures (CCD) and the respiratory system and the authors are unaware of any that evaluated the interaction between implant-retained overdentures (IROs) and the respiratory system. This clinical report documented the effects of wearing an IRO on the cardiorespiratory stability of an edentulous patient with obstructive sleep apnea (OSA). A 64-year-old woman was referred to the department of otolaryngology because of daytime sleepiness and morning headaches...
June 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/27892781/analysis-and-prediction-of-claustrophobia-during-mr-imaging-with-the-claustrophobia-questionnaire-an-observational-prospective-18-month-single-center-study-of-6500-patients
#20
Adriane E Napp, Judith Enders, Robert Roehle, Gerd Diederichs, Matthias Rief, Elke Zimmermann, Peter Martus, Marc Dewey
Purpose To analyze claustrophobia during magnetic resonance (MR) imaging and to explore the potential of the 26-item claustrophobia questionnaire (CLQ) (range, 0-4) as a screening tool in patients scheduled for MR imaging. Materials and Methods The study received institutional review board approval, and patients in the CLQ cohort provided informed consent. A total of 6520 consecutive patients were included. Overall, 4288 patients completed the CLQ before MR imaging (CLQ cohort), and 2232 patients underwent MR imaging without having completed the CLQ (non-CLQ cohort)...
April 2017: Radiology
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