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JOURNAL ARTICLE
Maximiliano Klug, Chad D Strange, Mylene T Truong, Zehavit Kirshenboim, Efrat Ofek, Eli Konen, Edith Michelle Marom
Thymic imaging is challenging because the imaging appearance of a variety of benign and malignant thymic conditions are similar. CT is the most commonly used modality for mediastinal imaging, while MRI and fluorine 18 fluorodeoxyglucose (FDG) PET/CT are helpful when they are tailored to the correct indication. Each of these imaging modalities has limitations and technical pitfalls that may lead to an incorrect diagnosis and mismanagement. CT may not be sufficient for the characterization of cystic thymic processes and differentiation between thymic hyperplasia and thymic tumors...
May 2024: Radiographics: a Review Publication of the Radiological Society of North America, Inc
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JOURNAL ARTICLE
Danah Kamphuis, Rik van Eekelen, Nienke van Welie, Kim Dreyer, Joukje van Rijswijk, Machiel H A van Hooff, Jan Peter de Bruin, Harold R Verhoeve, Femke Mol, Wilhelmina M van Baal, Maaike A F Traas, Arno M van Peperstraten, Arentje P Manger, Judith Gianotten, Cornelia H de Koning, Aafke M H Koning, Neriman Bayram, David P van der Ham, Francisca P J M Vrouenraets, Michaela Kalafusova, Bob I G van de Laar, Jeroen Kaijser, Arjon F Lambeek, Wouter J Meijer, Frank J M Broekmans, Olivier Valkenburg, Lucy F van der Voet, Jeroen van Disseldorp, Marieke J Lambers, Rachel Tros, Cornelis B Lambalk, Jaap Stoker, Madelon van Wely, Patrick M M Bossuyt, Ben Willem J Mol, Velja Mijatovic
STUDY QUESTION: What are the costs and effects of tubal patency testing by hysterosalpingo-foam sonography (HyFoSy) compared to hysterosalpingography (HSG) in infertile women during the fertility work-up? SUMMARY ANSWER: During the fertility work-up, clinical management based on the test results of HyFoSy leads to slightly lower, though not statistically significant, live birth rates, at lower costs, compared to management based on HSG results. WHAT IS KNOWN ALREADY: Traditionally, tubal patency testing during the fertility work-up is performed by HSG...
April 10, 2024: Human Reproduction
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JOURNAL ARTICLE
Transjugular Mitral Edge-to-Edge Repair: A Simplified Approach via TriClip Steerable Guide Catheter.
Mi Chen, Aris Moschovitis, Robin De Groot, Maurizio Taramasso
No abstract text is available yet for this article.
April 8, 2024: JACC. Cardiovascular Interventions
#24
JOURNAL ARTICLE
Rong Xu, Yi Liu, Zhiyuan Li, Zhiguo Gui
OBJECTIVES: In the past, guided image filtering (GIF)-based methods often utilized total variation (TV)-based methods to reconstruct guidance images. And they failed to reconstruct the intricate details of complex clinical images accurately. To address these problems, we propose a new sparse-view CT reconstruction method based on group-based sparse representation using weighted guided image filtering. METHODS: In each iteration of the proposed algorithm, the result constrained by the group-based sparse representation (GSR) is used as the guidance image...
April 11, 2024: Biomedizinische Technik. Biomedical Engineering
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JOURNAL ARTICLE
Shem K Blackley, Jay Lawrence, Addison Blevins, Caroline Howell, Charles C Butts, Nathan M Polite, Thomas J Capasso, Andrew C Bright, Kayla A Hall, Andrew N Haiflich, Ashley Y Williams, Christopher M Kinnard, Maryann I Mbaka, Jonathon P Audia, Jon D Simmons, Yannleei L Lee
BACKGROUND: Infection is a common cause of mortality within intensive care units (ICUs). Antibiotic resistance patterns and culture data are used to create antibiograms. Knowledge of antibiograms facilitates guiding empiric therapies and reduces mortality. Most major hospitals utilize data collection to create hospital-wide antibiograms. Previous studies have shown significant differences in susceptibility patterns between hospital wards and ICUs. We hypothesize that institutional or combined ICU antibiograms are inadequate to account for differences in susceptibility for patients in individual ICUs...
April 10, 2024: American Surgeon
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JOURNAL ARTICLE
Shaoting Luo, Federico Canavese, Alaric Aroojis, Antonio Andreacchio, Darko Anticevic, Maryse Bouchard, Pablo Castaneda, Vincenzo De Rosa, Michel Armand Fiogbe, Steven L Frick, James H Hui, Ashok N Johari, Antonio Loro, Xuemin Lyu, Masaki Matsushita, Hakan Omeroglu, David P Roye, Maulin M Shah, Bicheng Yong, Lianyong Li
OBJECTIVE: There is increasing interest in applying artificial intelligence chatbots like generative pretrained transformer 4 (GPT-4) in the medical field. This study aimed to explore the universality of GPT-4 responses to simulated clinical scenarios of developmental dysplasia of the hip (DDH) across diverse global settings. METHODS: Seventeen international experts with more than 15 years of experience in pediatric orthopaedics were selected for the evaluation panel...
April 10, 2024: Journal of Pediatric Orthopedics
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JOURNAL ARTICLE
Zenebe T Gebremariyam, Nebiyat A Weldemichael
BACKGROUND: Microsurgery, a revolutionary tool in reconstructive procedures, has historically faced challenges in implementation within resource-limited settings. This article presents the journey of establishing microsurgery services at Jimma University Medical Center (JUMC) in Ethiopia, a nation where a significant portion of the population lacks access to microsurgery. The objective was to provide a guide for establishing a microsurgery center in resource-limited settings and share experiences, challenges, and successes encountered during the establishment of the microsurgery unit at JUMC...
April 2024: Plastic and Reconstructive Surgery. Global Open
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JOURNAL ARTICLE
Moustaq Karim Khan Rony, Mst Rina Parvin, Md Wahiduzzaman, Mitun Debnath, Shuvashish Das Bala, Ibne Kayesh
BACKGROUND: The rapid integration of artificial intelligence (AI) into healthcare has raised concerns among healthcare professionals about the potential displacement of human medical professionals by AI technologies. However, the apprehensions and perspectives of healthcare workers regarding the potential substitution of them with AI are unknown. OBJECTIVE: This qualitative research aimed to investigate healthcare workers' concerns about artificial intelligence replacing medical professionals...
2024: SAGE Open Nursing
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JOURNAL ARTICLE
Sara Rinaldo, Roberto Cilia, Valentina Leta, Mariarosaria Gammone, Nico Golfrè Andreasi, Fabiana Colucci, Arianna Braccia, Roberta Telese, Marco Fusar Poli, Vincenzo Levi, Luigi Michele Antonio Romito, Francesco Ghilemetti, Elena De Martin, Maria Luisa Fumagalli, Francesca Epifani, Sara Prioni, Paolo Amami, Sylvie Piacentini, Antonio Emanuele Elia, Grazia Devigili, Vittoria Nazzi, Elisa Francesca Maria Ciceri, Mario Stanziano, Marina Grisoli, Valentina Caldiera, Marisa Catotti, Francesco DiMeco, Giacomina Clara Moreschi, Roberto Eleopra
MRI-guided focused ultrasound (MRgFUS) lesioning is an innovative, safe and effective treatment which provides an innovative development in the field of minimally invasive stereotactic neurosurgery. Based on the application of focused ultrasound energy under full MR planning and thermal imaging control, unilateral lesioning of the thalamus, subthalamic nucleus, and globus pallidus is indicated for the treatment of movement disorders, including essential tremor, Parkinson's disease, and dystonia. We started to apply this technique in February 2019 for the treatment of patients with movement disorders...
2024: Frontiers in Neurology
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JOURNAL ARTICLE
Yifan Jiao, Hantao Yao, Bing-Kun Bao, Changsheng Xu
Existing cross-domain classification and detection methods usually apply a consistency constraint between the target sample and its self-augmentation for unsupervised learning without considering the essential source knowledge. In this paper, we propose a Source-guided Target Feature Reconstruction (STFR) module for cross-domain visual tasks, which applies source visual words to reconstruct the target features. Since the reconstructed target features contain the source knowledge, they can be treated as a bridge to connect the source and target domains...
April 9, 2024: IEEE Transactions on Image Processing: a Publication of the IEEE Signal Processing Society
#31
RANDOMIZED CONTROLLED TRIAL
Elisha Fredman, Oded Icht, Assaf Moore, Dimitri Bragilovski, Jonathan Kindler, Shay Golan, Dror Limon
BACKGROUND: Dose-escalated radiotherapy is known to improve progression free survival in patients with localized prostate cancer, and recent advances have led to the standardization of ultrahypofractionated stereotactic ablative radiotherapy (SABR) delivered in just 5-fractions. Based on the known effectiveness of the accepted though invasive 2-fraction treatment method of high-dose-rate brachytherapy and given the ubiquity of prostate cancer, a further reduction in the number of treatments of external-beam SABR is possible...
April 8, 2024: BMC Cancer
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JOURNAL ARTICLE
Xiujuan Cao, Xiaowen Wang, Jian Song, Ya Su, Lizhen Wang, Yong Yin
BACKGROUND: To establish and validate a predictive model combining pretreatment multiparametric MRI-based radiomic signatures and clinical characteristics for the risk evaluation of early rapid metastasis in nasopharyngeal carcinoma (NPC) patients. METHODS: The cutoff time was used to randomly assign 219 consecutive patients who underwent chemoradiation treatment to the training group (n = 154) or the validation group (n = 65). Pretreatment multiparametric magnetic resonance (MR) images of individuals with NPC were employed to extract 428 radiomic features...
April 8, 2024: BMC Cancer
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JOURNAL ARTICLE
Rui Han Liu, Michael Lindeborg, Isaie Ncogoza, Sabine E Nyiraneza, Keisha J Barrera, David A Shaye
BACKGROUND: Rwanda has aimed to rebuild its health care system since the Rwandan genocide against the Tutsis in 1994, though one of the challenges has been a scarcity of radiologic resources. OBJECTIVE: To assess the location and accessibility of radiologic facilities in Rwanda using geospatial mapping and population-based data. METHODS: A cross-sectional study was conducted in May 2023 using location and radiologic modality data provided by the Department of Radiology at the University Teaching Hospital of Kigali and the WorldPop database, a publicly available database providing open-access geospatial population data...
April 8, 2024: Insights Into Imaging
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REVIEW
Enrico Checcucci, Alberto Piana, Gabriele Volpi, Alberto Quarà, Sabrina De Cillis, Federico Piramide, Mariano Burgio, Juliette Meziere, Edoardo Cisero, Marco Colombo, Gabriele Bignante, Michele Sica, Stefano Granato, Paolo Verri, Cecilia Gatti, Paolo Alessio, Michele Di Dio, Stefano Alba, Cristian Fiori, Daniele Amparore, Francesco Porpiglia
PURPOSE: The aim of this systematic review is to assess the clinical implications of employing various Extended Reality (XR) tools for image guidance in urological surgery. METHODS: In June 2023, a systematic electronic literature search was conducted using the Medline database (via PubMed), Embase (via Ovid), Scopus, and Web of Science. The search strategy was designed based on the PICO (Patients, Intervention, Comparison, Outcome) criteria. Study protocol was registered on PROSPERO (registry number CRD42023449025)...
April 9, 2024: European Journal of Nuclear Medicine and Molecular Imaging
#35
JOURNAL ARTICLE
Zinia T Nujum, Sindhu S, P S Rakesh, Remya G, Anuja U
BACKGROUND: India accounts for one fourth of the TB burden globally. One of the objectives of the National Strategic Plan is to achieve 90% notification rate of all TB cases. Screening of high risk groups is one of the important components towards achieving this objective. Inmates of homes for the aged and orphanages are at higher risk of having TB infection and disease. Hence this study was conducted with the objective of identifying the prevalence of TB among inmates of homes for the aged and orphanages...
April 2024: Indian Journal of Tuberculosis
#36
JOURNAL ARTICLE
Ann Van Hecke, Elsie Decoene, Mieke Embo, Dimitri Beeckman, Jochen Bergs, Annelies Courtens, Jacinthe Dancot, Fabienne Dobbels, Goddelieve Alice Goossens, Noortje Jacobs, Theo Van Achterberg, Peter Van Bogaert, Thérèse Van Durme, Sofie Verhaeghe, Ellen Vlaeyen, Eva Goossens
AIMS: The aim of the study was to develop a comprehensive competency framework for advanced practice nurses in Belgium. DESIGN: A co-design development process was conducted. METHODS: This study consisted of two consecutive stages (November 2020-December 2021): (1) developing a competency framework for advanced practice nurses in Belgium by the research team, based on literature and (2) group discussions or interviews with and written feedback from key stakeholders...
April 8, 2024: Journal of Advanced Nursing
#37
JOURNAL ARTICLE
C A Fink, J Ristau, C Buchele, S Klüter, J Liermann, P Hoegen-Saßmannshausen, E Sandrini, A Lentz-Hommertgen, L Baumann, N Andratschke, M Baumgartl, M Li, M Reiner, S Corradini, J Hörner-Rieber, D Bonekamp, H-P Schlemmer, C Belka, M Guckenberger, J Debus, S A Koerber
BACKGROUND: Due to superior image quality and daily adaptive planning, MR-guided stereotactic body radiation therapy (MRgSBRT) has the potential to further widen the therapeutic window in radiotherapy of localized prostate cancer. This study reports on acute toxicity rates and patient-reported outcomes after MR-guided adaptive ultrahypofractionated radiotherapy for localized prostate cancer within the prospective, multicenter phase II SMILE trial. MATERIALS AND METHODS: A total of 69 patients with localized prostate cancer underwent MRgSBRT with daily online plan adaptation...
May 2024: Clinical and Translational Radiation Oncology
#38
JOURNAL ARTICLE
Yu Gao, Stephanie Yoon, Ting Martin Ma, Yingli Yang, Ke Sheng, Daniel A Low, Leslie Ballas, Michael L Steinberg, Amar U Kishan, Minsong Cao
BACKGROUND AND PURPOSE: Magnetic Resonance Imaging (MRI)-guided Stereotactic body radiotherapy (SBRT) treatment to prostate bed after radical prostatectomy has garnered growing interests. The aim of this study is to evaluate intra-fractional anatomic and dose/volume metric variations for patients receiving this treatment. MATERIALS AND METHODS: Nineteen patients who received 30-34 Gy in 5 fractions on a 0.35T MR-Linac were included. Pre- and post-treatment MRIs were acquired for each fraction (total of 75 fractions)...
April 2024: Physics and Imaging in Radiation Oncology
#39
JOURNAL ARTICLE
Michael J Lavelle, Evangelia Kaza, Christian V Guthier, Desmond A O'Farrell, Thomas C Harris, Robert A Cormack, Phillip M Devlin, Ivan M Buzurovic
PURPOSE: Best practices for high-dose-rate surface applicator brachytherapy treatment (SABT) have long relied on computed tomography (CT)-based imaging to visualize diseased sites for treatment planning. Compared with magnetic resonance (MR)-based imaging, CT provides insufficient soft tissue contrast. This work described the feasibility of clinical implementation of MR-based imaging in SABT planning to provide individualized treatment optimization. MATERIAL AND METHODS: A 3D-printed phantom was used to fit Freiberg flap-style (Elekta, The Netherlands) applicator...
February 2024: Journal of Contemporary Brachytherapy
#40
JOURNAL ARTICLE
Jin G Choi, Pathik Amin, Alaina Tarantino, Mary Qiu
PURPOSE: A major barrier to glaucoma medication adherence is the patient's out-of-pocket costs. At the University of Chicago Medical Center (UCMC), the institutional pharmacy piloted a program to query out-of-pocket costs for each patient's medication list based on their insurance coverage. This study aims to describe the impact of this collaboration between the glaucoma service and the outpatient pharmacy service. METHODS: This study is a single institution, retrospective chart review of glaucoma patients with a formulary inquiry placed by a single glaucoma specialist between 4/1/2020 and 2/28/2022...
2024: Clinical Ophthalmology
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