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Patient Centered Radiology

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https://www.readbyqxmd.com/read/29042471/measuring-patient-perception-of-quality-in-a-radiology-department-by-adapting-a-standardized-industry-proven-tool
#1
Farouk Dako, Rick Wray, Omer Awan, Rathan M Subramaniam
Introduction: Our study quantitatively measures patient perception of quality and satisfaction in a PET-CT center at the point of care using a psychometrically validated questionnaire, SERVPERF, to guide subsequent quality improvement interventions. SERVPERF is a survey instrument that captures service quality by measuring performance of various services. It has demonstrated reliability and validity across various industries including healthcare, banking, transportation, telecommunication and higher education...
October 17, 2017: Journal of Nuclear Medicine Technology
https://www.readbyqxmd.com/read/29042170/safety-of-ct-guided-bone-marrow-biopsy-in-thrombocytopenic-patients-a-retrospective-review
#2
Bo Liu, Joseph Limback, Melissa Kendall, Michael Valente, Jamil Armaly, Vincent Grekoski, Alex Pinizzotto, Jeremy Burt, Thomas J Ward
PURPOSE: To test the hypothesis that computed tomography (CT)-guided bone marrow biopsy in patients with a platelet count between 20,000/uL and 50,000/uL is safe and that preprocedure platelet transfusion is unnecessary. MATERIALS AND METHODS: This single-center retrospective study included bone marrow biopsies performed between May 2009 and May 2016. The study population included 981 patients-age range, 15-93 years; average age, 57 years; 505 (51.5%) men; and 476 (48...
October 14, 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29038903/-nontuberculous-mycobacteria-in-sputum-recommendations-for-diagnosis-and-treatment
#3
REVIEW
J Rademacher
Pulmonary diseases caused by nontuberculous mycobacteria (NTM) have increased over the last years and decades in Germany and also worldwide. Because the disease is more frequent in patients with immunodeficiencies and chronic respiratory diseases, e.g. bronchiectasis, advanced chronic obstructive lung disease (COPD) and cystic fibrosis (CF), an infection with mycobacteria should always be considered in this patient group. The detection in sputum alone is not an indication for treatment but the correct diagnosis should be based on the appropriate clinical symptoms as well as radiological and microbiological criteria...
October 16, 2017: Der Internist
https://www.readbyqxmd.com/read/29037973/comparison-of-anterior-posterior-vertebral-column-resection-versus-anterior-posterior-spinal-fusion-for-severe-and-rigid-scoliosis
#4
Chunguang Zhou, Limin Liu, Yueming Song, Ganjun Feng, Xi Yang, Lei Wang
BACKGROUND CONTEXT: Many different correction methods have been reported to treat severe and rigid scoliosis. In the past, anterior/posterior spinal fusion (APSF), which included an anterior release followed by posterior instrumented fusion was widely applied. In recent years, anterior/posterior vertebral column resection (APVCR) is used to treat severe and rigid scoliosis. PURPOSE: To compare the clinical results of APSF and APVCR for severe and rigid scoliosis...
October 13, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29032885/the-subtle-connection-between-development-of-cardiac-implantable-electrical-device-infection-and-survival-after-complete-system-removal-an-observational-prospective-multicenter-study
#5
Igor Diemberger, Federico Migliore, Mauro Biffi, Alberto Cipriani, Emanuele Bertaglia, Stefano Lorenzetti, Giulia Massaro, Gaia Tanzarella, Giuseppe Boriani
BACKGROUND: Despite the improvements in transvenous lead extraction (TLE), patients with cardiac implantable device related infection (CIEDI) have a poor prognosis at long term. We explored the possible role of factors associated with development of CIEDI as predictors of post-TLE survival. METHODS: We performed a multi-center prospective observational study in a population of consecutive patients referred for TLE for CIEDI. We adopted a previously developed 10-point scale for CIEDI risk stratification and assessed its performance in predicting post-TLE survival...
October 9, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/29029771/-therapeutic-itinerary-and-radiological-features-of-positive-microscopy-tuberculosis-patients-at-centre-hospitalier-national-universitaire-de-fann-chnuf-dakar
#6
U D Kombila, E H M Ndiaye, M Fafa Cisse, N F Diouf, J M Sagne, S Dia, S Kone, Y D Kane, N O Toure
INTRODUCTION: The long diagnostic delay is responsible for the extension of radiological lesions and spread of TB in the community. These radiological lesions can leave significant scars responsible for respiratory disability. OBJECTIVE: The aim of the study is to characterize radiologic features according to tuberculosis diagnostic delay. METHODS: We conducted a prospective cross-sectional study, about 66 patients with positive sputum. RESULTS: The average diagnostic delay was 16 (±15) weeks; whether 22 (±14...
October 10, 2017: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/29026982/severe-hemoptysis-associated-with-bacterial-pulmonary-infection-clinical-features-significance-of-parenchymal-necrosis-and-outcome
#7
Guillaume Carteaux, Damien Contou, Guillaume Voiriot, Antoine Khalil, Marie-France Carette, Martine Antoine, Antoine Parrot, Muriel Fartoukh
PURPOSE: Severe hemoptysis (SH) associated with non-tuberculosis bacterial lower respiratory tract infection (LRTI) is poorly described, and the efficacy of the usual decision-making process is unknown. This study aimed at describing the clinical, radiological patterns, mechanism, and microbiological spectrum of SH related to bacterial LRTI, and assessing whether the severity of hemoptysis and the results of usual therapeutic strategy are influenced by the presence of parenchymal necrosis...
October 12, 2017: Lung
https://www.readbyqxmd.com/read/29026468/awareness-and-knowledge-of-ionizing-radiation-risks-between-prescribed-and-self-presenting-patients-for-common-diagnostic-radiological-procedures-in-bahrain
#8
Adel Al-Mallah, Asokan G Vaithinathan, Mahdi Al-Sehlawi, Mariam Al-Mannai
OBJECTIVES: Between 20 to 50% of medical imaging examinations are considered inappropriate, and unnecessary ionizing radiation exposures may lead to cancer. We hypothesized that Bahraini patients who self-present for ionizing radiation procedures are not aware of, and lack the requisite knowledge of, the inherent risks associated with their use than patients prescribed for diagnostic purposes. We attempted to examine and compare the awareness and knowledge of the associated risks of ionizing radiation in common diagnostic radiological procedures between prescribed and self-presenting patients in Bahrain...
September 2017: Oman Medical Journal
https://www.readbyqxmd.com/read/29023149/benign-posttraumatic-pseudopneumoperitoneum
#9
Stephen S Currin, Cameron D A Simmers, Gregory P Tarr, Gregory J Harkness, S Ali Mirjalili
OBJECTIVE: The objective of our study was to retrospectively determine the anatomic distribution of chest wall ectopic gas resembling pneumoperitoneum (i.e., pseudopneumoperitoneum) and its relationship with trauma mechanisms and clinical outcomes using CT. MATERIALS AND METHODS: Investigators from two separate trauma referral centers screened 492 chest, abdomen, and pelvis CT examinations of patients who had sustained any form of trauma between 2010 and 2015. After excluding 186 patients with recognized causes of ectopic gas, 306 patients (211 men and 95 women; mean age, 44...
October 12, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29016446/incidence-and-risk-factors-of-acute-pancreatitis-following-scoliosis-surgery-a-prospective-study
#10
Fan Feng, Haining Tan, Xingye Li, Yi Qiao, Chong Chen, Youxi Lin, Zheng Li, Jianxiong Shen
STUDY DESIGN: A prospective study. OBJECTIVE: To investigate the incidence and risk factors of acute pancreatitis after scoliosis surgery. SUMMARY OF BACKGROUND DATA: Pancreatitis has been recognized as a possible complication of extra-abdominal surgeries. However, there were few reports on the incidence and risk factors of acute pancreatitis following scoliosis surgery. METHODS: A prospective clinical study was performed at our center from September 2014 to October 2015...
October 9, 2017: Spine
https://www.readbyqxmd.com/read/28991707/tumefactive-demyelinating-lesions-of-15-patients-clinico-radiological-features-management-and-review-of-the-literature
#11
Pedro Sánchez, Virginia Meca-Lallana, Antonio Barbosa, Rafael Manzanares, Itziar Palmí, José Vivancos
BACKGROUND AND OBJECTIVE: Tumefactive demyelinating lesions (TDLs) are large inflammatory lesions that can mimic tumors or other space-occupying lesions. Differential diagnosis and management of these lesions remain challenging for neurologists. We aim to review the clinico-radiological features of patients with TDLs, as well as their management. METHODS: We performed a retrospective review of cases of TDLs treated in our center from January 2010 to February 2017...
October 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28991079/peritoneal-involvement-is-more-common-than-nodal-involvement-in-patients-with-high-grade-appendix-tumors-who-are-undergoing-prophylactic-cytoreductive-surgery-and-hyperthermic-intraperitoneal-chemotherapy
#12
Akash Mehta, Rohin Mittal, Kandiah Chandrakumaran, Norman Carr, Sanjeev Dayal, Faheez Mohamed, Brendan Moran, Tom Cecil
BACKGROUND: Right hemicolectomy is routinely recommended in patients with histologic findings of high-grade appendix tumors after appendicectomy. Undetected peritoneal disease may be encountered at surgery. In high-grade appendix tumors with disease detected radiologically, complete cytoreduction may not be possible and outcomes poor. For these reasons, we adopted a policy of prophylactic cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. OBJECTIVE: The purpose of this study was to quantify the rates of peritoneal and nodal metastatic disease in patients with high-grade appendix tumors without obvious metastatic disease and to report the long-term outcomes of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in these patients...
November 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28988710/do-interventions-intended-to-increase-female-medical-student-interest-in-radiology-work-preliminary-findings
#13
Elizabeth D Yuan, Joseph Makris, Carolynn M DeBenedectis
PURPOSE: The purpose of this study is to share the preliminary findings after initiation of interventions at the medical school level, which have been suggested by the literature to increase female medical student interest in radiology at one institution. Additionally, the paper provides discussion of how to better future interventions for increasing female medical student interest. METHODS: Interventions to increase medical student exposure to radiology were implemented at the University of Massachusetts Medical School in 2012...
September 12, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28987827/surgical-management-of-giant-intracranial-meningioma-operative-nuances-challenges-and-outcome
#14
Vinayak Narayan, Shyamal C Bir, Nasser Mohammed, Amey R Savardekar, Devi Prasad Patra, Anil Nanda
INTRODUCTION: The giant intracranial meningioma [GIM] constitutes a different spectrum of brain tumors which invade the vital neurovascular structures and makes the primary mode of treatment, surgery, a technically challenging one. The surgery of GIM is unique due to its large size, prominent vascularity, entangling and limited visualisation of various neurovascular structures and severe cerebral edema. The study reports the authors surgical experience of 80 GIM cases, the operative challenges and surgical outcome...
October 5, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28984806/petrous-apex-cholesterol-granulomas-outcomes-complications-and-hearing-results-from-surgical-and-wait-and-scan-management
#15
Golda Grinblat, Ashish Vashishth, Francesco Galetti, Antonio Caruso, Mario Sanna
OBJECTIVE: 1. To analyze the surgical outcomes in the management of petrous apex cholesterol granulomas (PACG) with a brief literature review.2. To evaluate the importance of wait-and-scan management option. STUDY DESIGN: Retrospective review. SETTING: Quaternary referral center for otology and skull base surgery. SUBJECTS AND METHODS: Charts of 55 patients with at least 12 months of follow-up were analyzed for demographic, clinical, audiometric, and radiological features...
October 4, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28984521/idiopathic-intracranial-hypertension-120-day-clinical-radiological-and-manometric-outcomes-after-stent-insertion-into-the-dural-venous-sinus
#16
Hasan Asif, Claudia L Craven, Almas H Siddiqui, Syed N Shah, Samir A Matloob, Lewis Thorne, Fergus Robertson, Laurence D Watkins, Ahmed K Toma
OBJECTIVE Idiopathic intracranial hypertension (IIH) is commonly associated with venous sinus stenosis. In recent years, transvenous dural venous sinus stent (DVSS) insertion has emerged as a potential therapy for resistant cases. However, there remains considerable uncertainty over the safety and efficacy of this procedure, in particular the incidence of intraprocedural and delayed complications and in the longevity of sinus patency, pressure gradient obliteration, and therapeutic clinical outcome. The aim of this study was to determine clinical, radiological, and manometric outcomes at 3-4 months after DVSS in this treated IIH cohort...
October 6, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28983213/humeral-lengthening-with-the-precice-magnetic-lengthening-nail
#17
Ahmed I Hammouda, Shawn C Standard, S Robert Rozbruch, John E Herzenberg
BACKGROUND: Different types of external fixators have been used for humeral lengthening with successful outcomes reported in literature. Motorized intramedullary (IM) lengthening nails have been developed as an alternative to external fixators for long bone lengthening in the lower extremity. QUESTIONS/PURPOSES: This case series reports on using the new technology of IM lengthening nails for humeral lengthening. We assessed the radiological healing and functional outcomes after using the PRECICE IM nail for humeral lengthening...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28975117/clinical-practice-and-outcomes-in-advanced-gastrointestinal-stromal-tumor-experience-from-an-indian-tertiary-care-center
#18
Subhadeep Bose, Anant Ramaswamy, Arvind Sahu, Omshree Shetty, Saurabh S Zanwar, Jimmy Mirani, Chaitali Nashikkar, Vikas Ostwal
BACKGROUND: Management of advanced Gastrointestinal stromal tumors (GIST) has been revolutionized with the use of Imatinib guided by mutation analysis. Data from India remains scarce. MATERIALS AND METHODS: Patients with metastatic GIST who were treated at Department of Gastro-intestinal & Hepaticopancreaticobiliary Oncology Unit at Tata Memorial Hospital, Mumbai between December, 2004 and December 2015 were included in the analysis. Clinical and radiological data was retrieved from stored medical records and charts...
July 2017: South Asian Journal of Cancer
https://www.readbyqxmd.com/read/28974857/a-phantom-study-on-fetal-dose-reducing-factors-in-pregnant-patients-with-breast-cancer-during-radiotherapy-treatment
#19
Akın Öğretici, Aydın Çakır, Uğur Akbaş, Canan Köksal, Ümmühan Kalafat, Makbule Tambaş, Hatice Bilge
PURPOSE: This study aims to investigate the factors that reduce fetal dose in pregnant patients with breast cancer throughout their radiation treatment. Two main factors in a standard radiation oncology center are considered as the treatment planning systems (TPSs) and simple shielding for intensity modulated radiation therapy technique. MATERIALS AND METHODS: TPS factor was evaluated with two different planning algorithms: Anisotropic analytical algorithm and Acuros XB (external beam)...
July 2017: Journal of Medical Physics
https://www.readbyqxmd.com/read/28974847/tubular-vs-profile-plate-in-peroneal-or-bimalleolar-fractures-is-there-a-real-difference-in-skin-complication-a-retrospective-study-in-three-level-i-trauma-center
#20
Rosario Petruccelli, Michele Bisaccia, Giuseppe Rinonapoli, Giuseppe Rollo, Luigi Meccariello, Gabriele Falzarano, Paolo Ceccarini, Olga Bisaccia, Marco Giaracuni, Auro Caraffa
INTRODUCTION: Not enough literature is available to evalute the wound complication rate of plates type in distal fibular fractures. AIM: The aim of our study was to compare wound complications of using a third tubular plate compared to LCP distal fibula plate. MATERIAL AND METHODS: This study is a retrospective single-centre study in which was performed plating of fibula in closed ankle fractures. 93 patients were included in our study and assigned in two groups, based on using of different implant : in group A 48 patients were treated with one-third tubular and in group B 45 patients were treated with LCP distal fibula plate...
August 2017: Medical Archives
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