journal
Journals Current Problems in Diagnostic...

Current Problems in Diagnostic Radiology

https://read.qxmd.com/read/38604880/private-equity-in-radiology-why-aren-t-we-more-concerned
#1
JOURNAL ARTICLE
Leah Davis, Sharon D'Souza
There has been recent scrutiny of private equity involvement in the healthcare market by federal and state governmental agencies who are concerned about the corporatization and financialization of healthcare in the United States. Data is emerging that patient costs increase, quality of healthcare decreases, physician autonomy decreases, and physician burnout and moral injury increases when corporate interests like private equity enter the medical market. Like other medical specialties, the field of radiology has been affected by corporatization and radiologists should understand how private equity interests may affect individual radiologists and the radiology workforce on a larger scale...
April 1, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38553349/non-operating-room-anesthesia-workflow-nora-implementation-to-improve-start-times-in-interventional-radiology
#2
JOURNAL ARTICLE
Justin S Routman, Benjamin K Tran, Brooke R Vining, Aliaksei Salei, Andrew J Gunn, Junaid Raja, Junjian Huang
BACKGROUND: Non-OR Anesthesia (NORA) is rapidly becoming standard in many high-volume institutions and efficiency in these spaces has yet to be optimized. On-time first start percentage has been suggested to correlate with more efficient flow, and this correlation is established within the surgical space. PURPOSE: To investigate the effects of timetable targets on first case on-time first start percentage within a NORA setting. MATERIALS AND METHODS: A retrospective study of anesthesia-supported first start cases from October 2022 to April 2023 was performed to analyze the effect of timetable targets on on-time first-case starts for planned cases...
March 13, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38514284/work-related-musculoskeletal-disorders-affecting-diagnostic-radiologists-and-prophylactic-physical-therapy-regimen
#3
REVIEW
Erwin Ho, Julia Tran, Cameron Fateri, Christopher Sahagian, Kyle Sarton, Justin Glavis-Bloom, Roozbeh Houshyar
The shift from film to PACS in reading rooms, coupled with escalating case volumes, exposes radiologists to the issues of the modern computer workstation including computer work posture and work-related musculoskeletal disorders (WMSD). Common WMSDs affecting the neck and upper extremities include cervical myofascial pain, shoulder tendonitis, lateral epicondylitis, carpal tunnel syndrome, and cubital tunnel syndrome. This review examines each pathology along with its pathogenesis, clinical features, physical exam findings, and potential risk factors...
March 9, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38508976/radiology-advocacy-promoting-collaboration-between-trainees-and-professional-societies
#4
JOURNAL ARTICLE
Michael X Jin, Ali Z Kidwai, Matthew J Wu, James Frageau, Kevin Tan, Graham Keir, Emmanuel Jnr Amoateng, Kimberly Feigin
From mammographic screening guidelines to resident work hour regulations, public policy affects every aspect of the practice of radiology and ultimately determines how radiological care is delivered to patients. Shaping public policy through advocacy is therefore critical to ensure patient access to equitable, high-quality radiological care. In advocacy, individual practicing radiologists and radiology trainees can increase the scope of their influence by collaborating with professional radiology societies...
March 9, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38508977/streaming-success-harnessing-social-media-for-dynamic-radiology-education
#5
JOURNAL ARTICLE
Nadja Kadom, Ryan B Peterson
Social media are increasingly used as tools in radiologists education. This article describes features that aid with the selection of SM platforms, and how to emulate educator roles in the digital world. In addition, we summarize best practices regarding curating and delivering stellar content, building a SM brand, and rules of professionalism when using SM in radiology education.
March 8, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38503598/academic-radiology-department-subspeciality-organization-fellowship-offerings-a-hodgepodge
#6
JOURNAL ARTICLE
Easton Neitzel, Shivraj Grewal, Manroop Kaur, Zachary Sitton, Paul Kang, Eric van Sonnenberg
INTRODUCTION: As opportunities for radiologists to subspecialize have increased, many avenues to organize Radiology department subspecialties exist. This study seeks to determine how academic U.S. Radiology departments structure themselves with respect to subspecialty divisions/sections, as there are no current standards for how Radiology departments are subdivided. Additionally, the extent of Radiology fellowships offered are assessed. The websites of academic U.S. Radiology departments, a highly influential source of information, were analyzed to perform this study...
March 8, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38480060/the-effect-of-gadolinium-based-intravenous-contrast-in-the-initial-characterization-of-musculoskeletal-soft-tissue-tumors
#7
JOURNAL ARTICLE
Jonathan Wehrend, David Gimarc, Zachary R Ashwell, Alexandria Jensen, Nancy Major, Corey K Ho
OBJECTIVE: To determine if gadolinium-based contrast agents increase the sensitivity, specificity or reader confidence of malignant potential in musculoskeletal soft tissue tumors. METHODS: Pre- and post-contrast MRI studies from 87 patients were read by three independent radiologists of different experience. Readers noted malignant potential and confidence in their diagnosis based on pre-contrast and post-contrast MRI studies. Statistical models assessed for agreement between MRI reader diagnosis and pathologic results as well as analyzing effects of contrast on reader confidence...
March 8, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38522966/factors-associated-with-radiological-misstaging-of-pancreatic-ductal-adenocarcinoma-a-retrospective-observational-study
#8
JOURNAL ARTICLE
Mohammad Yasrab, Sameer Thakker, Michael J Wright, Taha Ahmed, Jin He, Christopher L Wolfgang, Linda C Chu, Matthew J Weiss, Satomi Kawamoto, Pamela T Johnson, Elliot K Fishman, Ammar A Javed
PURPOSE: Accurate staging of disease is vital in determining appropriate care for patients with pancreatic ductal adenocarcinoma (PDAC). It has been shown that the quality of scans and the experience of a radiologist can impact computed tomography (CT) based assessment of disease. The aim of the current study was to evaluate the impact of the rereading of outside hospital (OH) CT by an expert radiologist and a repeat pancreatic protocol CT (PPCT) on staging of disease. METHODS: Patients evaluated at the our institute's pancreatic multidisciplinary clinic (2006 to 2014) with OH scan and repeat PPCT performed within 30 days were included...
March 7, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38494382/the-conundrum-of-breast-cancer-mimics
#9
REVIEW
Veenu Singla, Malvika Gulati, Tulika Singh, Amanjit Bal, Cherring Tandup
The BIRADS lexicon ensures a standard reporting terminology in breast imaging and serves as a means of smooth communication between the radiologist and the referring physician. BIRADS assessment categories 4 and 5 warrant a biopsy to rule out underlying malignancy. However, a substantial number of cases in these categories sometimes turn out to be benign on biopsy. These benign mimics encompass inflammatory, sclerosing, neoplastic and a few other miscellaneous conditions. Awareness of these various mimics of breast cancer can equip the radiologist to handle these apparent cases of radiologic-pathological (rad-path) discordance better, guide overall patient management, avoiding inadvertent excisional biopsies and help alleviate patient anxiety and confusion...
March 7, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38480061/adhesive-capsulitis-utility-of-magnetic-resonance-imaging-as-a-primary-diagnostic-tool-and-clinical-management-support
#10
JOURNAL ARTICLE
Samer Soussahn, David Hu, Jared Durieux, Christos Kosmas, Navid Faraji
OBJECTIVE: Adhesive capsulitis (AC) has traditionally been a clinical diagnosis characterized by progressive shoulder pain and decreased range of motion. Our aim is to examine the role of shoulder MRI in making the diagnosis of AC, and to identify the frequency of cases where MRI was the primary method in diagnosing AC amongst medical providers. METHODS: This was an anonymized retrospective analysis. Patients with positive MRI features suggestive for AC from 2015 to 2018 were included...
March 7, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38461098/scanners-schedules-and-statutes-a-tale-of-trauma-policy-and-profit
#11
JOURNAL ARTICLE
Robert Optican, Richard Duszak
EMTALA (Emergency Medicine Treatment and Labor Act) is an important federal mandate intended to improve access to emergency medical services for patients regardless of financial means. The act imposes strict guidelines on emergency departments, associated referral specialists, and ancillary services. Radiology departments must comply with all ETMALA requirements to avoid potentially incapacitating penalties to their institutions.
March 7, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38341368/imaging-review-of-the-atypical-spinal-epidural-space-pathologies
#12
REVIEW
Pokhraj Prakashchandra Suthar, Merve Ozen, Shelly Bhanot, Sumeet G Dua
Pathologies affecting the spinal epidural space (SES) comprise various abnormalities. However, they all have the potential to cause thecal sac narrowing or spinal cord compression. In this review, we group these pathologies into degenerative, infective, neoplastic, vascular, traumatic, and others, focusing on their imaging features. Degenerative pathologies of the SES range from disc to facet disease, with a particular emphasis on the less common degenerative pathologies in this review. Infective pathologies affecting the epidural space include spondylodiscitis and associated epidural phlegmon and abscess...
February 1, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38267343/comparing-magnetic-resonance-imaging-and-ultrasound-in-the-clinical-evaluation-of-fibroids-prior-to-uterine-artery-embolization
#13
JOURNAL ARTICLE
Alexis M Medema, Nicole C Zanolli, Brendan Cline, Waleska Pabon-Ramos, Jonathan G Martin
PURPOSE: Uterine artery embolization has become established as a frontline treatment for uterine leiomyomata. In planning embolization, preprocedural imaging can further characterize pathology and anatomy, but it may also reveal coexisting diagnoses that have the potential to change clinical management. The purpose of this study is to compare the diagnostic outcomes of ultrasound and MRI performed for patients prior to undergoing embolization. METHODS: The study cohort consisted of 199 patients who underwent uterine artery embolization at a single academic institution between 2013 and 2018...
January 21, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38309990/the-diagnostic-utility-of-computed-tomography-scans-performed-for-febrile-neutropenia-in-a-single-centre
#14
JOURNAL ARTICLE
Victor K O Chang, Ee Shern Liang, Paul Schmidt
BACKGROUND: Computed tomography (CT) imaging has become a first line investigation for most cases of febrile neutropenia (FN) which can be the only sign of infection in oncology patients undergoing active chemotherapy and bone marrow transplants. The utility of routine non-targeted imaging remains unclear. OBJECTIVE: To assess and compare the diagnostic rate between targeted, non-targeted and pan-scan CT in identifying an acute source of infection in adult oncology patients with FN...
January 20, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38307731/multimodality-imaging-review-of-metastatic-melanoma-involving-the-breast
#15
REVIEW
Matthew Brodhead, Ryan W Woods, Amy M Fowler, Madhuchhanda Roy, Heather Neuman, Alison Gegios
Melanoma is among the most commonly reported non-mammary primary tumors to metastasize to the breast. Unfortunately, evidence of melanoma metastasis to any site portends a poor prognosis. Imaging studies can be useful in the early detection of metastatic melanoma which is essential for appropriate management of this disease. There have been very few previous studies on the imaging findings of metastatic melanoma especially across multiple imaging modalities. This review aims to describe these imaging features seen on mammography, ultrasound, magnetic resonance imaging (MRI) and fluorodeoxyglucose-positron emission tomography computed tomography (FDG PET/CT) using three case examples...
January 20, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38302303/deep-learning-for-computer-aided-abnormalities-classification-in-digital-mammogram-a-data-centric-perspective
#16
REVIEW
Vineela Nalla, Seyedamin Pouriyeh, Reza M Parizi, Hari Trivedi, Quan Z Sheng, Inchan Hwang, Laleh Seyyed-Kalantari, MinJae Woo
Breast cancer is the most common type of cancer in women, and early abnormality detection using mammography can significantly improve breast cancer survival rates. Diverse datasets are required to improve the training and validation of deep learning (DL) systems for autonomous breast cancer diagnosis. However, only a small number of mammography datasets are publicly available. This constraint has created challenges when comparing different DL models using the same dataset. The primary contribution of this study is the comprehensive description of a selection of currently available public mammography datasets...
January 20, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38272751/radiology-trainee-retirement-programs-options-and-participation
#17
JOURNAL ARTICLE
Mona Shahriari, Mina Hesami, Yuval D Bar-Or, Zeinab Davoudmanesh, Brian Franck, David M Yousem
BACKGROUND: Financial security and retirement planning are essential for all medical professionals including radiology residents. Given the available discretionary income during residency it is crucial to have insights into investment. We aimed to assess the prevalence of retirement plans offered to radiology residents, the available choices, and their degree of participation. METHODS: Two surveys were created using Qualtrics platform, one targeting program directors and another one oriented to radiology residents with items focused on demographic, financial status, offered plans, and participation...
January 20, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38262798/total-spine-mri-for-the-preoperative-evaluation-of-adolescent-idiopathic-scoliosis-part-2-spinal-cord-tumors-dysraphisms-diastematomyelia-and-vertebral-anomalies
#18
REVIEW
Hyojeong Lee, Fatima Janjua, Ahmed Ragab, Jay Moran, Andrew Haims, Daniel Rubio, Dominick Tuason, Jack Porrino
Adolescent idiopathic scoliosis is a commonly encountered condition often diagnosed on screening examination. Underlying, asymptomatic neural axis abnormalities may be present at the time of diagnosis. At certain institutions, total spine MRI is obtained preoperatively to identify these abnormalities. We provide a framework for the radiologist to follow while interpreting these studies. In part 1, we discuss Arnold Chiari malformations, syringomyelia, and the tethered cord. In part 2, we focus on spinal cord tumors, dysraphisms, to include diastematomyelia, and vertebral anomalies...
January 20, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38365458/clinical-implementation-of-cinematic-rendering
#19
REVIEW
Claire Brookmeyer, Linda C Chu, Steven P Rowe, Elliot K Fishman
Cinematic rendering is a recently developed photorealistic display technique for standard volumetric data sets. It has broad-reaching applications in cardiovascular, musculoskeletal, abdominopelvic, and thoracic imaging. It has been used for surgical planning and has emerging use in educational settings. We review the logistics of performing this post-processing step and its integration into existing workflow.
January 19, 2024: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/38336590/synergy-between-formal-and-informal-education
#20
JOURNAL ARTICLE
Abigail E Beard, Yo Sup Kim, Richard B Gunderman
The informal components of education can shape a person's capacity to contribute. Such informal components might include cultural backgrounds, work experiences, and extracurricular pursuits. To appreciate the synergy between formal and informal education it can be helpful to explore a particular case of someone who actually combined the two to make the whole more than the sum of its parts.
January 19, 2024: Current Problems in Diagnostic Radiology
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