journal
Journals Current Problems in Diagnostic...

Current Problems in Diagnostic Radiology

https://read.qxmd.com/read/37722979/radiology-e-consults-reinterpretation-of-outside-ct-and-mri-exams-to-improve-quality-reduce-unneeded-imaging-and-lower-costs
#1
JOURNAL ARTICLE
Scott F Cameron, Rebecca K Schwartz
OBJECTIVE: Advanced imaging examinations commonly uncover incidental findings. Without access to prior imaging that is external to their healthcare system, radiologists may struggle to assess the significance of these findings. This can lead to unnecessary imaging follow-up recommendations and management uncertainty. We created a program to facilitate outside advanced imaging reinterpretation in the context of both internal and external prior imaging, resulting in more complete and accurate follow-up recommendations...
August 29, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37718183/do-dictation-privileges-add-value-to-radiology-electives-if-medical-students-have-access-to-online-modules
#2
JOURNAL ARTICLE
Katie M Harris, Angus Hartery
RATIONALE AND OBJECTIVES: Traditional in-person medical student radiology electives are predominantly observerships. However, during the COVID-19 restrictions, many schools across Canada and the United States moved their radiology electives to an online format with great success. To the best of our knowledge, an evaluation of student experiences at a site where the 2-week on-site elective has both dictation privileges and an online component has not been completed. MATERIALS AND METHODS: We analyzed the pre- and post-test data from the online component of a radiology elective, retrieved the total number of dictation reports, and reviewed qualitative student feedback to gauge student engagement and learning...
August 29, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37718184/financial-impact-of-imaging-examination-site-of-service-in-the-medicare-population
#3
JOURNAL ARTICLE
Brian P Triana, Tristan Chari, Dylan Muench, Roy Colglazier, Emily Vinson, Jay Willhite, Charles Y Kim, Jon G Martin, Jennifer Hemingway, Danny R Hughes, David Rosman, Richard Duszak, Robert French
PURPOSE: The financial sustainability of the US healthcare system is a growing concern in an environment of declining reimbursement and rising costs. Variable Centers for Medicare and Medicaid (CMS) reimbursement and denial rates for specific imaging examinations exist across sites of service, adding complexity to financial planning for healthcare organizations. Understanding the financial implications of site of service in existing CMS reimbursement for imaging may be of strategic importance for organizations going forward...
August 28, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37704485/why-start-now-retrospective-study-evaluating-baseline-screening-mammography-in-patients-age-60-and-older
#4
JOURNAL ARTICLE
Angela Y Chieh, Joseph G Willis, Caleb M Carroll, Alisa A Mobley, Yufeng Li, Mei Li, Stefanie Woodard
PURPOSE: Extensive data exist regarding the importance of baseline mammography and screening recommendations in the age range of 40-50 years old, however, less is known about women who start screening at age 60. The purpose of this retrospective study is to assess the characteristics and outcomes of women aged 60 years and older presenting for baseline mammographic screening. METHODS: This is an IRB-approved single institution retrospective review of data from patients aged 60+ receiving baseline screening mammograms between 2010 and 2022 was obtained...
August 27, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37716856/development-implementation-and-assessment-of-a-quality-research-education-and-wellness-qrew-professional-development-lecture-series-for-radiology-faculty
#5
JOURNAL ARTICLE
Leslie K Lee, Daniel A T Souza, Krista E Suarez-Weiss, Stuart G Silverman, Atul B Shinagare, Shanna A Matalon
RATIONALE AND OBJECTIVES: Professional development is important to academic radiologists. We developed, implemented, and assessed an internal professional development lecture series focusing on the non-interpretative themes of Quality, Research, Education, and Wellness (QREW). MATERIALS AND METHODS: The faculty of a 29-member abdominal radiology division at an academic hospital were invited to deliver 1-hour virtual lectures on noninterpretative topics to division colleagues...
August 26, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37704488/radiology-resident-diagnostic-in-training-exam-scores-impact-of-subspecialty-imaging-volume-and-rotation-scheduling
#6
JOURNAL ARTICLE
Neo Poyiadji, Chad Klochko, Brent Griffith
PURPOSE: To determine the relationship between resident imaging volumes and number of subspecialty rotations with Diagnostic Radiology In-Training (DXIT) subspecialty scores. METHODS: DXIT-scaled subspecialty scores from a single large diagnostic radiology training program from 2014 to 2020 were obtained. The cumulative number of imaging studies dictated by each resident and specific rotations were mapped to each subspecialty for each year of training. DXIT subspecialty scores were compared against the total subspecialty imaging volume and the total number of rotations in a subspecialty for each resident year...
August 26, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37704487/prevalence-of-one-off-events-in-radiology-implications-for-radiology-in-episode-based-alternative-payment-models
#7
JOURNAL ARTICLE
Eric W Christensen, Casey E Pelzl, Elizabeth Y Rula, Lauren P Nicola, Gregory N Nicola
OBJECTIVE: As reimbursement mechanisms become more value-based, there are questions about the applicability of these mechanisms for nonepisodic care, particularly care provided by nonpatient-facing specialists, for example, radiologists. Accordingly, this study examined the prevalence of nonepisodic care-one-off events-in diagnostic radiology. METHODS: We conducted a multiyear (2015-2019) retrospective study of diagnostic imaging using a large commercial payer database including commercial insurance and Medicare Advantage...
August 26, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37704486/concordance-of-mri-with-pathology-for-primary-staging-of-rectal-cancer-in-routine-clinical-practice-a-single-institution-experience
#8
JOURNAL ARTICLE
Elias G Kikano, Shanna A Matalon, Mahsa Eskian, Leslie Lee, Nelya Melnitchouk, Ron Bleday, Ramin Khorasani
PURPOSE: MRI is the preferred imaging modality for primary staging of rectal cancer, used to guide treatment. Patients identified with clinical stage I disease receive upfront surgical resection; those with clinical stage II or greater undergo upfront neoadjuvant therapy. Although clinical under-/over-staging may have consequences for patients and presents opportunities for organ preservation, the correlation between clinical and pathologic staging in routine clinical practice within a single institute has not been fully established...
August 26, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37690966/enhancing-radiology-education-with-a-case-based-intro-to-radiology-on-the-uf-widi-e-learning-platform
#9
JOURNAL ARTICLE
Kevin Pierre, Roberta Slater, Abheek Raviprasad, Ian Griffin, Jay Talati, Michael Mathelier, Christopher Sistrom, Anthony Mancuso, Shyamsunder Sabat
RATIONALE AND OBJECTIVES: This study explores the implementation and efficacy of an online, interactive, case-based radiology education tool, Wisdom in Diagnostic Imaging (WIDI) Case-Based Intro to Radiology (CBIR). We hypothesize that the WIDI CBIR platform would enhance radiology teaching, foster critical thinking, and provide a comprehensive curriculum in imaging interpretation and utilization. MATERIALS AND METHODS: A focus group consisting of 1 undergraduate, 7 medical students, 9 physician assistant students, and 3 PhD students participated in this study...
August 26, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37690968/-are-they-listening-and-do-they-find-it-useful-evaluation-of-mid-rotation-formative-subjective-and-objective-feedback-to-radiology-trainees
#10
JOURNAL ARTICLE
Stephen M Tang, Jared C Durieux, Navid Faraji, Inas Mohamed, Michael Wien, Ameya P Nayate
BACKGROUND: Residents commonly receive only end-of-rotation evaluations and thus are often unaware of their progress during a rotation. In 2021, our neuroradiology section instituted mid-rotation feedback in which rotating residents received formative subjective and objective feedback. The purpose of this study was to describe our feedback method and to evaluate if residents found it helpful. METHODS: Radiology residents rotate 3-4 times on the neuroradiology service for 1-month blocks...
August 25, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37690967/striving-to-be-of-value-building-a-virtual-radiology-consult-service-for-patients
#11
JOURNAL ARTICLE
Colbey W Freeman, Sophia O'Brien, Dayna Levin, Tessa Cook
PURPOSE: Direct interactions between patients and diagnostic radiologists are uncommon, but recent medicolegal developments in the United States may increase patient interest in communicating directly with radiologists. Patient participation rates in prior attempts at direct radiology consultation vary widely in the literature. Our objective was to design and build a virtual radiology consult service for a subset of patients undergoing lung cancer screening CTs to enable communication between patients and radiologists regarding imaging results and radiology recommendations...
August 25, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37684187/finding-relief-loan-forgiveness-for-unmatched-medical-graduates-can-save-lives
#12
LETTER
Jonathan H Shipley
No abstract text is available yet for this article.
August 25, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37679227/anki-flashcards-for-radiology-education
#13
JOURNAL ARTICLE
Emma Toth, Harman Araich, Sahil Patel, Arun Murugesan, Puneet Bhargava, Navid Faraji
From online textbooks to educational social media posts, digital learning tools are transforming medical education. Spaced repetition programs are a popular tool, with 70% of first-year medical students reporting using the free, open-source flashcard application Anki.1 The Anki program pairs active recall and spaced repetition learning principles with a simple but versatile user interface.2 Spaced repetition flashcard programs such as Anki are uniquely suited to radiology education because they strengthen image-based recall, a necessary skill for radiology trainees to develop...
August 16, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37495482/dmaic-quality-improvement-project-to-reduce-specimen-related-safety-events-in-ultrasound
#14
JOURNAL ARTICLE
Cathy Hannafin, Lisa Ponce, Nirvikar Dahiya, Charles Utecht, Dyan DeYoung, Jonathan Flug
No abstract text is available yet for this article.
July 11, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37495483/good-gone-bad-complications-of-chemotherapy-immunotherapy-and-radiotherapy-on-the-cns
#15
REVIEW
Kushanth S Mallikarjun, Rami W Eldaya, Michelle M Miller-Thomas, Hilary L Orlowski, Matthew S Parsons
With recent advancements in cancer therapy, especially immunotherapy, overall survival of many cancers has increased and patient toxicity has been reduced. However, many complications of traditional cancer therapy are still prevalent and complications of novel therapies are just beginning to appear. The neuroradiologist may be the first to visualize signs of these complications on imaging. This article describes the notable imaging findings of several unique and characteristic complications of CNS cancer therapy, including toxicities of chemotherapies, immunotherapies, and radiotherapy...
July 7, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37442704/pharmaceutical-industry-payments-to-diagnostic-radiologists
#16
JOURNAL ARTICLE
Sishir Doddi, Sree Harsha Tirumani
The Physician Payments Sunshine Act 2010 (PPSA) mandates that all industry payments to physicians be publicly recorded in order to increase transparency of industry-physician relationships. To assess industry relationships with diagnostic radiologists (DR), and to compare these relationships with those of oncology, a more directly medicine related field. We queried the Open payments database to collect industry payments data for both DR and oncology. Data was analyzed using IBM SPSS software, significance is set at P < 0...
July 7, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37455202/trends-in-diagnostic-imaging-by-nonphysician-practitioners-and-associations-with-urbanicity-and-scope-of-practice-authority
#17
JOURNAL ARTICLE
Casey E Pelzl, Elizabeth Y Rula, Richard Duszak, Eric W Christensen
OBJECTIVE: We aimed to assess the changing share of diagnostic imaging billed by NPPs and how such changes differ by urbanicity within the context of scope-of-practice (SOP) regulations and legislation. METHODS: This retrospective cohort study used patient claims for diagnostic imaging studies spanning 2016-2020 from Optum Clinformatics Datamart datasets. Multivariable modeling determined the odds of patients receiving NPP-interpreted vs physician-interpreted imaging...
July 5, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37453864/imaging-features-of-gastrointestinal-neoplasms-complicating-inflammatory-bowel-diseases
#18
REVIEW
Lilyane Saleh, Hussein Jaffer, Dilkash Kajal, Richard Kirsch, Nasir Jaffer
Inflammatory bowel diseases (IBD) are chronic inflammatory diseases affecting the gastrointestinal (GI) tract. Patients with IBD, besides other non-neoplastic complications, are also at increased risk of GI malignancies such as colorectal cancer, small bowel adenocarcinoma and lymphoma. The principal purpose of imaging in patients with IBD to assess complications and to stage a clinically known cancer. In addition, the goal of imaging has expanded to include the diagnosis of GI malignancies in clinical situations where colonoscopy cannot be performed or is incomplete...
July 5, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37500297/imaging-guide-to-inner-ear-malformations-an-illustrative-review
#19
REVIEW
Fang Frank Yu, Fabricio Stewan Feltrin, Girish Bathla, Karuna Raj, Amit Agarwal, Wan-Ching Lee, Timothy Booth, Achint Singh
Inner ear malformation (IEM) with associated sensoryneural hearing loss (SNHL) is a major cause of childhood disability. Computed tomography (CT) and magnetic resonance imaging (MRI) imaging play important and often complementary roles in diagnosing underlying structural abnormalities and surgical planning allows for direct visualization of the cochlear nerve and is the preferred imaging modality prior to cochlear implantation. CT is helpful to assess osseous anatomy and when evaluating children with mixed hearing loss or syndromic associations...
July 4, 2023: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/37487935/the-unspoken-rule-of-applying-to-medical-school-have-financially-stable-parents
#20
LETTER
Jonathan H Shipley, Christian Hardoy
No abstract text is available yet for this article.
July 4, 2023: Current Problems in Diagnostic Radiology
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