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https://www.readbyqxmd.com/read/28356198/prevalence-of-unanticipated-events-associated-with-mri-examinations-a-benchmark-for-mri-quality-safety-and-patient-experience
#1
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/28342777/teaching-and-assessing-professionalism-in-radiology-resident-education
#2
REVIEW
Aine Marie Kelly, Larry D Gruppen, Patricia B Mullan
Radiologists in teaching hospitals and in practices with residents rotating through are involved in the education of their residents. The Accreditation Council for Graduate Medical Education requires evidence that trainees are taught and demonstrate competency not only in medical knowledge and in patient care-the historic focus of radiology education-but also in the so-called non-interpretative core competencies, which include professionalism and interpersonal skills. In addition to accreditation agencies, the prominent assessment practices represented by the American Board of Radiology core and certifying examinations for trainees, as well as Maintenance of Certification for practitioners, are planning to feature more non-interpretative competency assessment, including professionalism to a greater extent...
March 22, 2017: Academic Radiology
https://www.readbyqxmd.com/read/28280932/bits-and-bytes-the-future-of-radiology-lies-in-informatics-and-information-technology
#3
James A Brink, Ronald L Arenson, Thomas M Grist, Jonathan S Lewin, Dieter Enzmann
Advances in informatics and information technology are sure to alter the practice of medical imaging and image-guided therapies substantially over the next decade. Each element of the imaging continuum will be affected by substantial increases in computing capacity coincident with the seamless integration of digital technology into our society at large. This article focuses primarily on areas where this IT transformation is likely to have a profound effect on the practice of radiology. KEY POINTS: • Clinical decision support ensures consistent and appropriate resource utilization...
March 9, 2017: European Radiology
https://www.readbyqxmd.com/read/28181109/a-retrospective-review-of-farm-injuries-presenting-to-an-irish-hospital-emergency-department-in-2013
#4
A Abdulkarim, P Carroll, P Coffey, E Sheehan
BACKGROUND: The agricultural and equestrian businesses are an important source of employment in the Midlands. This is a retrospective study examining the demographics, characteristics, and outcomes of agricultural and equestrian related injuries presenting to the Midland Regional Hospital, Tullamore, Co. Offaly. There were a total of 30,700 attendances to the Emergency Department for 2013. AIMS: This study is an epidemiological review of agricultural injuries, their mechanisms, and consequences presenting to a rural regional hospital over a 1 year period...
February 8, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28152935/optimizing-the-collection-and-reporting-of-wait-time-data
#5
Deanna Langer, Melissa Kaan, Jonathan Norton, Brian Ho, Ann Thomas, Julian Dobranowski
121 Background: Wait times for critical interventional radiology (IR) procedures have long been reported as barriers to access for cancer patients. Wait times have been difficult to measure in the province of Ontario as no mechanisms exist to capture IR data. Three individual programs at Cancer Care Ontario (CCO) began collection of CT-guided biopsies wait time data, with nuances dependent on program area of focus. The Cancer Imaging Program collects appointment availability for lung biopsies through a monthly email survey...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28131087/emergency-color-doppler-sonography-of-the-extremity-artery-a-pictorial-essay
#6
Kevin Mennitt, Madhvi Deol, Jing Gao
Arterial color duplex sonography (CDUS) of the extremities is routinely analyzed in the field of emergency radiology. A retrospective review of 500 consecutive arterial CDUS extremity studies was performed in our emergency department. Abnormal CDUS examinations were classified into two groups according to their primary etiology: 1) traumatic arterial injuries (accidents or post-operative complications) and 2) acute arterial ischemia (thrombosis or embolism outside of the setting of acute trauma). This article reviews common CDUS imaging findings in a busy emergency radiology division including traumatic pseudoaneurysm, secondary pseudoaneurysm, arteriovenous fistula, acute ischemic arterial disease and chronic peripheral arterial disease...
January 15, 2017: Clinical Imaging
https://www.readbyqxmd.com/read/28069160/implementing-lung-cancer-screening-the-us-experience
#7
REVIEW
D R Aberle
The reduced lung cancer mortality observed with low-dose computed tomography (LDCT) screening in the National Lung Screening Trial (NLST) has led to annual screening in the United States as a covered benefit by both private insurers and the federal health insurance programme, the Centers for Medicare and Medicaid Services. Reimbursement for screening requires data submission to a federal registry on all individuals, whether privately or federally insured. Data must document individual patient eligibility as well as shared decision-making regarding the benefits and risks of LDCT screening, smoking cessation counselling, and the importance of annual screening...
May 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28048837/mo-de-202-01-image-guided-focused-ultrasound-surgery-and-therapy
#8
K Farahani
At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048186/mo-de-202-02-advances-in-image-registration-and-reconstruction-for-image-guided-neurosurgery
#9
J Siewerdsen
At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047534/mo-de-202-03-image-guided-surgery-and-interventions-in-the-advanced-multimodality-image-guided-operating-amigo-suite
#10
T Kapur
At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046879/mo-de-202-04-multimodality-image-guided-surgery-and-intervention-for-the-rest-of-us
#11
R Shekhar
At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046773/mo-de-202-00-image-guided-interventions-advances-in-intraoperative-imaging-guidance-and-an-emerging-role-for-medical-physics-in-surgery
#12
Jeffrey Siewerdsen
At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/27929667/optimizing-mri-logistics-focused-process-improvements-can-increase-throughput-in-an-academic-radiology-department
#13
Jeremy J O'Brien, Jeremy Stormann, Kelli Roche, Ines Cabral-Goncalves, Annamarie Monks, Donna Hallett, Koenraad J Mortele
OBJECTIVE: The purpose of this study was to describe and evaluate the effect of focused process improvements on protocol selection and scheduling in the MRI division of a busy academic medical center, as measured by examination and room times, magnet fill rate, and potential revenue increases and cost savings to the department. MATERIALS AND METHODS: Focused process improvements, led by a multidisciplinary team at a large academic medical center, were directed at streamlining MRI protocols and optimizing matching protocol ordering to scheduling while maintaining or improving image quality...
February 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27720390/succession-planning-and-management-the-backbone-of-the-radiology-group-s%C3%A2-future
#14
E Michael Donner, Daniel Gridley, Sidney Ulreich, Edward I Bluth
The transition of leadership within radiology practices is often not a planned replacement process with formal development of potential future leaders. To ensure their ongoing success, however, practices need to develop comprehensive succession plans that include a robust developmental program for potential leaders consisting of mentoring, coaching, structured socialization, 360-degree feedback, developmental stretch assignments, job rotation, and formal education. Succession planning and leadership development will be necessary in the future for a practice to be successful in its business relationships and to be financially viable...
January 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27623691/emergency-radiology-and-mass-casualty-incidents-report-of-a-mass-casualty-incident-at-a-level-1-trauma-center
#15
Ferdia Bolster, Ken Linnau, Steve Mitchell, Eric Roberge, Quynh Nguyen, Jeffrey Robinson, Bruce Lehnert, Joel Gross
The aims of this article are to describe the events of a recent mass casualty incident (MCI) at our level 1 trauma center and to describe the radiology response to the event. We also describe the findings and recommendations of our radiology department after-action review. An MCI activation was triggered after an amphibious military vehicle, repurposed for tourist activities, carrying 37 passengers, collided with a charter bus carrying 45 passengers on a busy highway bridge in Seattle, WA, USA. There were 4 deaths at the scene, and 51 patients were transferred to local hospitals following prehospital scene triage...
February 2017: Emergency Radiology
https://www.readbyqxmd.com/read/27494317/sorbent-materials-for-rapid-remediation-of-wash-water-during-radiological-event-relief
#16
William C Jolin, Michael Kaminski
Procedures for removing harmful radiation from interior and exterior surfaces of homes and businesses after a nuclear or radiological disaster may generate large volumes of radiologically contaminated waste water. Rather than releasing this waste water to potentially contaminate surrounding areas, it is preferable to treat it onsite. Retention barrels are a viable option because of their simplicity in preparation and availability of possible sorbent materials. This study investigated the use of aluminosilicate clay minerals as sorbent materials to retain (137)Cs, (85)Sr, and (152)Eu...
November 2016: Chemosphere
https://www.readbyqxmd.com/read/27317374/marketing-a-radiology-practice
#17
David C Levin, Vijay M Rao, Adam E Flanders, Baskaran Sundaram, Margaret Colarossi
In addition to being a profession, the practice of radiology is a business, and marketing is an important part of that business. There are many facets to marketing a radiology practice. The authors present a number of ideas on how to go about doing this. Some marketing methods can be directed to both patients and referring physicians. Others should be directed just to patients, while still others should be directed just to referring physicians. Aside from marketing, many of them provide value to both target audiences...
October 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27192658/multiple-human-papilloma-virus-16-infection-presenting-as-various-skin-lesions
#18
Hwan Jun Choi, Jun Ho Lee
The 53-year-old woman admitted with multiple persistent, progressive, slightly raised, red, and crusted plague form masses that suddenly occurred on left thumb, both upper and lower extremity about 10 years ago. There was no induration in the lesion or in its surrounding skin. There was no unusual opinion on a radiologic test and family history. And she had no history of working in the business related to any chemical product such as arsenic or tar which was carcinogen. The patient has had total hysterectomy to treat uterine myoma 10 years ago...
June 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27111573/clinical-genetic-and-radiological-features-of-extrapyramidal-movement-disorders-in-mitochondrial-disease
#19
Mika H Martikainen, Yi Shiau Ng, Gráinne S Gorman, Charlotte L Alston, Emma L Blakely, Andrew M Schaefer, Patrick F Chinnery, David J Burn, Robert W Taylor, Robert McFarland, Doug M Turnbull
IMPORTANCE: Extrapyramidal movement disorders associated with mitochondrial disease are difficult to treat and can lead to considerable disability. Moreover, potential new treatment trials on the horizon highlight the importance of genotype-phenotype associations and deep phenotyping of the movement disorders related to mitochondrial disease. OBJECTIVE: To describe the phenotype, genetic etiology, and investigation of extrapyramidal movement disorders in a large and well-defined mitochondrial disease cohort...
June 1, 2016: JAMA Neurology
https://www.readbyqxmd.com/read/27079568/rvus-sgr-ruc-and-alphabet-soup-utility-of-an-ipad-app-to-teach-healthcare-economics
#20
Ana P Lourenco, Grayson L Baird, Mark Ashkan, Priscilla J Slanetz
RATIONALE AND OBJECTIVES: This study aimed to evaluate the effectiveness of an iPad app for teaching healthcare economics milestones. MATERIALS AND METHODS: Institutional review board-approved, Health Insurance Portability and Accountability Act-compliant survey assessment of radiology residents' knowledge of healthcare economics before and following review of the Healthcare Economics iPad app was undertaken at two residencies. Residents received an electronic link to the pre survey, answered 13 general knowledge questions, rated their knowledge of healthcare economics milestones, and reported any prior economics/business background...
July 2016: Academic Radiology
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