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Diagnostic imaging peer review

Brandon T Larsen, Maxwell L Smith, Brett M Elicker, Jessica M Fernandez, Guillermo A Arbo-Oze de Morvil, Carlos A C Pereira, Kevin O Leslie
Context .- Idiopathic pulmonary fibrosis (IPF) is a distinctive clinicopathologic entity and the most common form of progressive diffuse lung scarring in older adults. Idiopathic pulmonary fibrosis manifests histopathologically as the usual interstitial pneumonia pattern. The usual interstitial pneumonia pattern is distinguished by geographically and temporally heterogeneous fibrosis that is peripherally accentuated, often with honeycombing and traction bronchiectasis. Idiopathic pulmonary fibrosis is not the only disease that leads to end-stage lung fibrosis, however, and several other entities may also cause advanced fibrosis...
September 15, 2016: Archives of Pathology & Laboratory Medicine
J Peter Campbell, Jayashree Kalpathy-Cramer, Deniz Erdogmus, Peng Tian, Dharanish Kedarisetti, Chace Moleta, James D Reynolds, Kelly Hutcheson, Michael J Shapiro, Michael X Repka, Philip Ferrone, Kimberly Drenser, Jason Horowitz, Kemal Sonmez, Ryan Swan, Susan Ostmo, Karyn E Jonas, R V Paul Chan, Michael F Chiang
PURPOSE: To identify patterns of interexpert discrepancy in plus disease diagnosis in retinopathy of prematurity (ROP). DESIGN: We developed 2 datasets of clinical images as part of the Imaging and Informatics in ROP study and determined a consensus reference standard diagnosis (RSD) for each image based on 3 independent image graders and the clinical examination results. We recruited 8 expert ROP clinicians to classify these images and compared the distribution of classifications between experts and the RSD...
August 30, 2016: Ophthalmology
Kelms Amoo-Achampong, Benedict U Nwachukwu, Frank McCormick
BACKGROUND: The utilization of musculoskeletal ultrasound has expanded within the setting of the orthopedic clinic as a cost-effective, point-of-care diagnostic tool for shoulder pathology. In experienced hands, ultrasound exhibits capabilities equivalent to that of magnetic resonance imaging in the diagnosis of many shoulder diseases including full-thickness and partial-thickness rotator cuff tears. Although similarly effective in identifying additional shoulder disease processes, major obstacles to its widespread use include user dependence and intrinsic limitation to extra-articular diagnosis...
August 22, 2016: Physician and Sportsmedicine
Pooja H Mehta, Catherine Meyerle, Shobha Sivaprasad, Camiel Boon, Jay Chhablani
PURPOSE: Central serous chorioretinopathy (CSC) management lacks well-defined guidelines given the variable natural history of this disease and the lack of prospective trials. We conducted an online preferred physician practice survey to track international trends and variations in the management of CSC data. METHODS: We designed and distributed an online 27-item questionnaire with secure confidential access to retina specialists with a publication record in CSC...
August 18, 2016: British Journal of Ophthalmology
Vít Procházka, Miloslav Klugar, Veronika Bachanova, Jitka Klugarová, Dagmar Tučková, Tomáš Papajík
INTRODUCTION: Hodgkin lymphoma is an effectively treated malignancy, yet 20% of patients relapse or are refractory to front-line treatments with potentially fatal outcomes. Early detection of poor treatment responders is crucial for appropriate application of tailored treatment strategies. Tumour metabolic imaging of Hodgkin lymphoma using visual (qualitative) 18-fluorodeoxyglucose positron emission tomography (FDG-PET) is a gold standard for staging and final outcome assessment, but results gathered during the interim period are less accurate...
2016: BMJ Open
Neha A Patel, David Garber, Shirley Hu, Ameet Kamat
CONTEXT: Intracranial complications of rhinosinusitis are rare in the post-antibiotic era. However, due to potentially devastating outcomes, prompt recognition and management are essential. OBJECTIVE: This study aims to perform the first systematic review of the intracranial complications of rhinosinusitis in order to better characterize their clinical presentation, diagnosis, and treatment, and report a case of frontal lobe empyema secondary to pediatric frontoethmoid sinusitis...
July 2016: International Journal of Pediatric Otorhinolaryngology
Michael Hanley, Osmanuddin Ahmed, Ankur Chandra, Kenneth L Gage, Marie D Gerhard-Herman, Michael Ginsburg, Heather L Gornik, Pamela T Johnson, Isabel B Oliva, Thomas Ptak, Michael L Steigner, Richard Strax, Frank J Rybicki, Karin E Dill
Pulmonary arteriovenous malformations are often included in the differential diagnosis of common clinical presentations, including hypoxemia, hemoptysis, brain abscesses, and paradoxical stroke, as well as affecting 30% to 50% of patients with hereditary hemorrhagic telangiectasia (HHT). Various imaging studies are used in the diagnostic and screening settings, which have been reviewed by the ACR Appropriateness Criteria Vascular Imaging Panel. Pulmonary arteriovenous malformation screening in patients with HHT is commonly performed with transthoracic echocardiographic bubble study, followed by CT for positive cases...
July 2016: Journal of the American College of Radiology: JACR
Ahmed Radwan, Jordan Bakowski, Stephanie Dew, Bridget Greenwald, Eryn Hyde, Nicole Webber
BACKGROUND: Chronic ankle instability (CAI) is a condition that often develops after repeated ankle sprains, increasing the suceptability of the ankle to move into excessive inversion when walking on unstable surfaces. Treatment for CAI costs approximately three billion health care dollars annually. Currently, common diagnostic tools used to identify ankle instability are arthroscopy, imaging, manual laxity testing, and self-reported questionnaires. PURPOSE: The purpose of this systematic review was to investigate the effectiveness of ultrasonography in diagnosing CAI, in comparison with other diagnostic tools...
April 2016: International Journal of Sports Physical Therapy
Yaasir Mamoojee, Munawar Arham, Wael Elsaify, Sath Nag
Cardiomyopathy as the initial presentation of phaeochromocytoma (PCA) is uncommon. Diagnostic work-up and perioperative management may be challenging within this context. We report three cases of PCA presenting with cardiomyopathy to illustrate the pitfalls in diagnosis and management. None of the patients had typical adrenergic symptoms and all three were established on beta-blockers prior to diagnosis. Their fractionated plasma catecholamine levels were elevated and the diagnosis of PCA was confirmed with various imaging modalities and post adrenalectomy...
April 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
Iosief Abraha, Diego Serraino, Gianni Giovannini, Fabrizio Stracci, Paola Casucci, Giuliana Alessandrini, Ettore Bidoli, Rita Chiari, Roberto Cirocchi, Marcello De Giorgi, David Franchini, Maria Francesca Vitale, Mario Fusco, Alessandro Montedori
INTRODUCTION: Administrative healthcare databases are useful tools to study healthcare outcomes and to monitor the health status of a population. Patients with cancer can be identified through disease-specific codes, prescriptions and physician claims, but prior validation is required to achieve an accurate case definition. The objective of this protocol is to assess the accuracy of International Classification of Diseases Ninth Revision-Clinical Modification (ICD-9-CM) codes for breast, lung and colorectal cancers in identifying patients diagnosed with the relative disease in three Italian administrative databases...
2016: BMJ Open
Vicki Nisenblat, Patrick M M Bossuyt, Cindy Farquhar, Neil Johnson, M Louise Hull
BACKGROUND: About 10% of women of reproductive age suffer from endometriosis. Endometriosis is a costly chronic disease that causes pelvic pain and subfertility. Laparoscopy, the gold standard diagnostic test for endometriosis, is expensive and carries surgical risks. Currently, no non-invasive tests that can be used to accurately diagnose endometriosis are available in clinical practice. This is the first review of diagnostic test accuracy of imaging tests for endometriosis that uses Cochrane methods to provide an update on the rapidly expanding literature in this field...
2016: Cochrane Database of Systematic Reviews
H Benjamin Harvey, Tarik K Alkasab, Anand M Prabhakar, Elkan F Halpern, Daniel I Rosenthal, Pari V Pandharipande, G Scott Gazelle
PURPOSE: The objective of this study was to evaluate the feasibility of the consensus-oriented group review (COGR) method of radiologist peer review within a large subspecialty imaging department. METHODS: This study was institutional review board approved and HIPAA compliant. Radiologist interpretations of CT, MRI, and ultrasound examinations at a large academic radiology department were subject to peer review using the COGR method from October 2011 through September 2013...
June 2016: Journal of the American College of Radiology: JACR
Udo Hoffmann, Scott R Akers, Richard K J Brown, Kristopher W Cummings, Ricardo C Cury, S Bruce Greenberg, Vincent B Ho, Joe Y Hsu, James K Min, Kalpesh K Panchal, Arthur E Stillman, Pamela K Woodard, Jill E Jacobs
Primary imaging options in patients at low risk for coronary artery disease (CAD) who present with undifferentiated chest pain and without signs of ischemia are functional testing with exercise or pharmacologic stress-based electrocardiography, echocardiography, or myocardial perfusion imaging to exclude myocardial ischemia after rule-out of myocardial infarction and early cardiac CT because of its high negative predictive value to exclude CAD. Although possible, is not conclusive whether triple-rule-out CT (CAD, pulmonary embolism, and aortic dissection) might improve the efficiency of patient management...
December 2015: Journal of the American College of Radiology: JACR
Suhui Li, Erin Brantley
PURPOSE: A widespread concern among physicians is that fear of medical malpractice liability may affect their decisions for diagnostic imaging orders. The purpose of this article is to synthesize evidence regarding the defensive use of imaging services. METHODS: A literature search was conducted using a number of databases. The review included peer-reviewed publications that studied the link between physician orders of imaging tests and malpractice liability pressure...
December 2015: Journal of the American College of Radiology: JACR
Priyadarshani R Bhosale, Marcia C Javitt, Mostafa Atri, Robert D Harris, Stella K Kang, Benjamin J Meyer, Pari V Pandharipande, Caroline Reinhold, Gloria M Salazar, Thomas D Shipp, Lynn Simpson, Betsy L Sussman, Jennifer Uyeda, Darci J Wall, Carolyn M Zelop, Phyllis Glanc
Acute pelvic pain in premenopausal women frequently poses a diagnostic dilemma. These patients may exhibit nonspecific signs and symptoms such as nausea, vomiting and leukocytosis. The cause of pelvic pain includes a myriad of diagnostic possibilities such as obstetric, gynecologic, urologic, gastrointestinal, and vascular etiologies. The choice of the imaging modality is usually determined by a suspected clinical differential diagnosis. Thus the patient should undergo careful evaluation and the suspected differential diagnosis should be narrowed before an optimal imaging modality is chosen...
June 2016: Ultrasound Quarterly
Resa E Lewiss, Wilma Chan, Alexander Y Sheng, Jorge Soto, Alexandra Castro, Andrew C Meltzer, Alan Cherney, Manickam Kumaravel, Dianna Cody, Esther H Chen
The appropriate selection and accurate interpretation of diagnostic imaging is a crucial skill for emergency practitioners. To date, the majority of the published literature and research on competency assessment comes from the subspecialty of point-of-care ultrasound. A group of radiologists, physicists, and emergency physicians convened at the 2015 Academic Emergency Medicine consensus conference to discuss and prioritize a research agenda related to education, assessment, and competency in ordering and interpreting diagnostic imaging...
December 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Francesca K Litow, Edward Lee Petsonk, Bruce K Bohnker, Carl A Brodkin, Clayton T Cowl, Tee L Guidotti, Philip Harber, Jeremy J Biggs, Kurt T Hegmann
OBJECTIVE: Evidence-based diagnostic and treatment guidelines for occupationally related interstitial lung diseases (ILDs) have been developed and are summarized herein. METHODS: Comprehensive literature reviews were conducted with article abstraction, critiquing, objective grading, and evidence table compilation. A multidisciplinary expert panel drafted evidence- and consensus-based guidance. External peer-review was incorporated. RESULTS: Recommendations for diagnosis (n = 12) and management (n = 4) of ILD were developed...
November 2015: Journal of Occupational and Environmental Medicine
David E Malarkey, Gabrielle A Willson, Cynthia J Willson, E Terence Adams, Greg R Olson, William M Witt, Susan A Elmore, Jerry F Hardisty, Michael C Boyle, Torrie A Crabbs, Rodney A Miller
This article describes the results of comparisons of digitally scanned whole slide images (WSIs) and glass microscope slides for diagnosis of tissues under peer review by the National Toxicology Program. Findings in this article were developed as a result of the data collected from 6 pathology working groups (PWGs), 1 pathology peer review, and survey comments from over 25 participating pathologists. For each PWG, 6-14 pathologists examined 10-143 tissues per study from 6- and 9-month perinatal studies and 2-year carcinogenicity studies...
December 2015: Toxicologic Pathology
Lucio Dell'Atti
OBJECTIVES: In literature, most of the published data regarding prostatic abscess (PA) are case reports, whereas there is no standardization of the diagnostic and therapeutic routines. The purpose of this study is a new classification of ultrasound imaging of PA with clinical features correlation. MATERIAL AND METHODS: We retrospectively analysed the ultrasound database archives and performed a MEDLINE® research of the peer reviewed literature on diagnosis and case reports of PA using the terms "prostate and abscess"...
September 30, 2015: Archivio Italiano di Urologia, Andrologia
Jonathan Kruskal, Ronald Eisenberg
The Centers for Medicare and Medicaid Services require that all physicians undergo periodic performance evaluation to maintain hospital privileges. This evaluation is achieved through a screening ongoing professional practice evaluation, typically performed at 8-month intervals. When any concerns are raised through this evaluation, for all newly appointed physicians seeking hospital privileges or for physicians seeking privileges for new procedures, a focused professional practice evaluation must be undertaken...
March 2016: Current Problems in Diagnostic Radiology
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