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pediatric musculoskeletal radiology

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https://www.readbyqxmd.com/read/28152768/improving-care-quality-for-patients-with-soft-tissue-and-bone-sarcoma-by-establishing-a-national-virtual-tumor-board-and-electronic-consultation-platform
#1
Andrew Fang, Maihgan Kavanagh, Brian Kim, Jason D Lee, Craig McCormick, Lee Jae Morse, Subir Nag, Grant Nybbaken, Peter Peng, Corey M Schwartz, Joseph Song, Denah Renee Taggart, Jeanette Cu Yu
211 Background: Bone and soft tissue sarcomas are relatively uncommon and their management is extremely complex requiring coordinated multidisciplinary expertise for optimal care. Because Kaiser Permanente operates across many geographic regions in the country, in-person tumor board is not practical. METHODS: The Kaiser Permanente Northern California medical oncology team has developed a system-based virtual tumor board (VTB) and electronic consultation (EC) platform comprised of experts from several key disciplines including musculoskeletal/surgical oncology, musculoskeletal radiology, pathology, radiation oncology, brachytherapy, medical adult and pediatric oncology...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28046867/su-f-p-06-moving-from-computed-radiography-to-digital-radiography-a-collaborative-approach-to-improve-image-quality
#2
D Sandoval, D Valenti, T Bateman, V Norris, G Mlady, R Selwyn
PURPOSE: To bring together radiologists, technologists, and physicists to utilize post-processing techniques in digital radiography (DR) in order to optimize image acquisition and improve image quality. METHODS: Sub-optimal images acquired on a new General Electric (GE) DR system were flagged for follow-up by radiologists and reviewed by technologists and medical physicists. Various exam types from adult musculoskeletal (n=35), adult chest (n=4), and pediatric (n=7) were chosen for review...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28040333/signs-and-symptoms-of-rheumatic-diseases-as-first-manifestation-of-pediatric-cancer-diagnosis-and-prognosis-implications
#3
Mariana Bertoldi Fonseca, Francisco Hugo Rodrigues Gomes, Elvis Terci Valera, Gecilmara Salviato Pileggi, Paula Braga Gonfiantini, Marcela Braga Gonfiantini, Virgínia Paes Leme Ferriani, Luciana Martins de Carvalho
OBJECTIVE: To assess the prevalence and describe the clinical, laboratory and radiological findings, treatment and outcome of children with cancer initially referred to a tertiary outpatient pediatric rheumatology clinic. METHODS: Retrospective analysis of medical records from patients identified in a list of 250 new patients attending the tertiary Pediatric Rheumatology Clinic, Ribeirão Preto Medical School hospital, University of São Paulo, from July 2013 to July 2015, whose final diagnosis was cancer...
December 16, 2016: Revista Brasileira de Reumatologia
https://www.readbyqxmd.com/read/28009800/is-there-value-in-having-radiology-provide-a-second-reading-in-pediatric-orthopaedic-clinic
#4
Vivek Natarajan, Patrick Bosch, Ozgur Dede, Vincent Deeney, Stephen Mendelson, Timothy Ward, Maria Brooks, Tanya Kenkre, James Roach
BACKGROUND: The Joint Commission on Accreditation of Healthcare Organizations specifically mandates the dual interpretation of musculoskeletal radiographs by a radiologist in addition to the orthopaedist in all hospital-based orthopaedic clinics. Previous studies have questioned the utility of this practice. The purpose of this study was to further investigate the clinical significance of having the radiologist provide a second interpretation in a hospital-based pediatric orthopaedic clinic...
December 22, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27569677/underrepresentation-of-women-and-minorities-in-the-united-states-ir-academic-physician-workforce
#5
Mikhail C S S Higgins, Wei-Ting Hwang, Chase Richard, Christina H Chapman, Angelique Laporte, Stefan Both, Charles R Thomas, Curtiland Deville
PURPOSE: To assess the United States interventional radiology (IR) academic physician workforce diversity and comparative specialties. METHODS: Public registries were used to assess demographic differences among 2012 IR faculty and fellows, diagnostic radiology (DR) faculty and residents, DR subspecialty fellows (pediatric, abdominal, neuroradiology, and musculoskeletal), vascular surgery and interventional cardiology trainees, and 2010 US medical school graduates and US Census using binomial tests with ...
December 2016: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/27490462/impact-factors-and-prediction-of-popular-topics-in-a-journal
#6
M B Nielsen, K Seitz
The impact factor (IF) for 2015 was recently released and this could be the time to once again reflect on its use as a metric of a journal. Problems and concerns regarding the IF have been addressed extensively elsewhere 1 2. The principle of the IF for a given year is that it represents the average number of citations of articles published in the journal in the two previous years.While authors frequently cite the IF as a determining factor for submission, the IF does not predict how many times individual articles will be cited...
August 2016: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/26692880/analysis-of-clinical-characteristics-and-causes-of-chest-pain-in-children-and-adolescents
#7
Ji Hye Chun, Tae Hyeong Kim, Mi Young Han, Na Yeon Kim, Kyung Lim Yoon
PURPOSE: Chest pain is common in children and adolescents and is a reason for referral to pediatric cardiologists. Although most cases of chest pain in these age groups are benign and do not require treatment, timely diagnosis is important not to miss life-threatening diseases requiring prompt treatment. We investigated certain clinical characteristics that may be useful in the diagnosis of such critical diseases. METHODS: Patient medical records between July 2006 and September 2013 were retrospectively examined...
November 2015: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/26459012/ultrasound-evaluation-of-foot-deformities-in-infants
#8
REVIEW
Marie-Claude Miron, Guy Grimard
Foot deformity in infants is the most common congenital musculoskeletal condition. A precise diagnosis can sometimes be impossible to establish clinically. Radiologic imaging plays a major role in the evaluation of musculoskeletal abnormalities. However conventional imaging techniques, such as plain radiographs of the foot, are of very little help in this age group because of the lack of ossification of the tarsal bones. US presents a significant advantage because it permits the visualization of cartilaginous structures...
February 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/26398433/incidence-of-carpal-coalition-in-the-pediatric-population
#9
Blazej Pruszczynski, Jeremy Saller, Kenneth J Rogers, Laurens Holmes, Jennifer M Ty
BACKGROUND: Carpal coalitions (CCs) result from the failure of segmentation of the carpal anlage in early development. In the adult population, CC is usually described as an asymptomatic radiographic finding. Data on CC in the pediatric population are limited. This study examines the prevalence of CC in the pediatric population and characterizes the presentation and associated musculoskeletal conditions. METHODS: We used a cross-sectional design to assess data collected from all patients seen in our institution and associated facilities from August 2004 through February 2013...
December 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26363861/-pediatric-intervertebral-disc-calcification-a-rare-cause-of-acquired-torticollis-case-report
#10
Yerko Cuevas, Luisa Schonhaut, Aníbal Espinoza, Valeria Schonstedt, Alejandra Aird, Francesca Castoldi
INTRODUCTION: Pain and cervical muscle spasm are common reasons why parents bring children to the pediatric emergency department. The first steps are the gathering of medical history of the patient and a physical examination. If musculoskeletal damage is suspected, cervical spine x-rays should be obtained. An intervertebral disc calcification finding, in the absence of other radiological lesions should suggest pediatric intervertebral disc calcification. OBJECTIVE: To present a case of intervertebral disc calcification, a rare condition that must be considered in the differential diagnosis of torticollis and neck pain in childhood...
May 2015: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/26338069/percutaneous-ct-guided-needle-biopsies-of-musculoskeletal-tumors-a-5-year-analysis-of-non-diagnostic-biopsies
#11
Connie Y Chang, Ambrose J Huang, Miriam A Bredella, Martin Torriani, Elkan F Halpern, Daniel I Rosenthal, Dempsey S Springfield
OBJECTIVE: To study non-diagnostic CT-guided musculoskeletal biopsies and take steps to minimize them. Specifically we asked: (1) What malignant diagnoses have a higher non-diagnostic rate? (2) What factors of a non-diagnostic biopsy may warrant more aggressive pursuit? (3) Do intra-procedural frozen pathology (FP) or point-of-care (POC) cytology reduce the non-diagnostic biopsy rate? MATERIALS AND METHODS: This study was IRB-approved and HIPAA-compliant. We retrospectively reviewed 963 consecutive CT-guided musculoskeletal biopsies...
December 2015: Skeletal Radiology
https://www.readbyqxmd.com/read/26282389/musculoskeletal-medicine-is-underrepresented-in-the-american-medical-school-clinical-curriculum
#12
Benedict F DiGiovanni, Leigh T Sundem, Richard D Southgate, David R Lambert
BACKGROUND: Musculoskeletal (MSK) conditions are common, and their burden on the healthcare system is increasing as the general population ages. It is essential that medical students be well prepared to evaluate and treat MSK disorders in a confident manner as they enter the workforce. Recent studies and the American Association of Medical Colleges have raised concern that medical schools may not give sufficient instruction on this topic. Other authors have shown that preclinical instruction has increased over the past decade; however, it is unclear if required clinical instruction also has followed that trend...
April 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/25970368/effect-of-an-emergency-department-based-electronic-system-for-musculoskeletal-consultation-on-facilitating-care-for-common-injuries
#13
Simon C Mears, Hardin A Pantle, Edward S Bessman, Scott D Lifchez
Access to musculoskeletal consultation in the emergency department (ED) is a nationwide problem. In addition, consultation from a subspecialist may be delayed or may not be available, which can slow down the ED flow and reduce patient satisfaction. The purpose of this study was to review the 1-year results of a change in the authors' institutional practice to reduce subspecialty consultation for select musculoskeletal problems while still ensuring adequate patient follow-up in orthopedic or plastic surgery clinics for patients not seen by these services in the ED...
May 2015: Orthopedics
https://www.readbyqxmd.com/read/25923063/musculoskeletal-outcome-in-hemophilia-bleeds-joint-structure-and-function-activity-and-health-related-fitness
#14
Pradeep M Poonnoose, Janjaap van der Net
Treatment in hemophilia is designed to reduce bleed frequency, minimize joint damage, and maximize functional independence and quality of life. Therefore, success of a factor replacement protocol is usually gauged by its ability to produce near "normal joints"-without any significant pathology. The most commonly used outcome measurement tools are based on the radiological and clinical assessment of joint arthropathy. To improve the sensitivity to early changes, the clinical scores have been refined, and imaging based on magnetic resonance imaging and ultrasonography has been initiated...
November 2015: Seminars in Thrombosis and Hemostasis
https://www.readbyqxmd.com/read/25691401/diagnosis-and-treatment-of-ewing-sarcoma-of-the-bone-a-review-article
#15
REVIEW
Toshifumi Ozaki
Ewing sarcoma (ES) is rare in Japanese people, and only 30-40 patients develop the disease annually. To diagnose ES, molecular techniques that aim to detect characteristic fusion genes are commonly used in combination with conventional histological and immunohistochemical examinations. The treatment strategy for ES is characterized by multi-disciplinary collaboration between pediatric oncologists, medical oncologists, radiation oncologists, and orthopedic surgeons. In recent years, numerous large-scale national or international multi-institutional studies of ES have been performed...
March 2015: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/25647562/pattern-and-epidemiology-of-pediatric-musculoskeletal-injuries-in-kashmir-valley-a-retrospective-single-center-study-of-1467-patients
#16
Shahid Hussain, Tahir Dar, Asif Qayoom Beigh, Shabir Dhar, Humayun Ahad, Imtiyaz Hussain, Sharief Ahmad
This work aimed to study the pattern and epidemiology of pediatric musculoskeletal trauma and consequent morbidity in Kashmir Valley and compare the results with other studies and to formulate preventive measures and devise management strategies. This was a retrospective study of 1467 pediatric orthopedic trauma patients who presented to our hospital over a 3-year period between September 2005 and August 2008. Information was recorded in a prescribed proforma including the following: age, sex, mode of trauma, type of fracture/injury, radiological study, final diagnosis, intervention performed, and complications...
May 2015: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/24848843/adult-abdominal-hernias
#17
REVIEW
Kevin P Murphy, Owen J O'Connor, Michael M Maher
Educational Objectives and Key Points. 1. Given that abdominal hernias are a frequent imaging finding, radiologists not only are required to interpret the appearances of abdominal hernias but also should be comfortable with identifying associated complications and postrepair findings. 2. CT is the imaging modality of choice for the assessment of a known adult abdominal hernia in both elective and acute circumstances because of rapid acquisition, capability of multiplanar reconstruction, good spatial resolution, and anatomic depiction with excellent sensitivity for most complications...
June 2014: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/24806010/radiation-dosimetry-of-intraoperative-cone-beam-compared-with-conventional-ct-for-radiofrequency-ablation-of-osteoid-osteoma
#18
COMPARATIVE STUDY
Edward Y Cheng, Sameer M Naranje, E Russell Ritenour
BACKGROUND: Radiofrequency (RF) ablation is the standard of care for the surgical treatment of non-spinal osteoid osteoma and has greatly reduced morbidity associated with surgical excision. Precise placement of the RF ablation probe is necessary to avoid incomplete ablation. Limiting radiation exposure is especially advantageous in the pediatric population in whom osteoid osteoma frequently occurs. The aim of this study was to compare the radiation dosimetry and clinical outcomes among patients treated with RF ablation using three different localization techniques...
May 7, 2014: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/24389584/closed-manual-reduction-maneuver-of-atlantoaxial-rotatory-dislocation-in-pediatric-age
#19
Atilla Akbay, Burçak Bilginer, Nejat Akalan
PURPOSE: The purposes of this study were to characterize the clinical and radiological features of type 1 and type 2 atlantoaxial rotatory dislocations (AARD) and to evaluate the outcome of the manual reduction maneuver for these types of dislocations in pediatric patients. METHODS: This study considered 12 pediatric patients with AARD who were treated between January 2003 and March 2013. The diagnosis was established by clinical findings and 3D-CT. All of the patients were treated by closed manual reduction and then a cervical orthosis was performed...
June 2014: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/24347866/a-survey-of-musculoskeletal-and-aesthetic-abnormalities-after-thoracotomy-in-pediatric-patients
#20
Shasanka Shekhar Panda, Sandeep Agarwala, Veereshwar Bhatnagar, Sushil Kumar Kabra, Arvind Jayaswal, Ashu Seith Bhalla
OBJECTIVE: To study the incidence and type of musculoskeletal and aesthetic abnormalities after thoracotomy in children. MATERIALS AND METHODS: Children below 12 years of age who had undergone thoracotomy for any condition and have at least 2 years follow up were included in the study. Detailed assessment of the patients included: history and general examination, clinical examination of chest and musculoskeletal system, X-ray chest including bilateral shoulders [antero-posterior (AP), lateral, oblique], X-ray whole spine (AP, lateral, right and left side bending AP view)...
October 2013: Journal of Indian Association of Pediatric Surgeons
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