Jordan Bozer, Kevin Peng, Melissa Magyer, Marilyn Niedermeier, Mina S Makary
RATIONALE AND OBJECTIVES: The aim of this study was to examine the impact of an educational website on patient understanding of Interventional Radiology (IR). MATERIAL AND METHODS: An informational website with descriptions and images of 12 common IR procedures was developed with the aim of educating patients. One hundred patients referred to a large, academic institution were randomly selected to participate. Anonymous 11-question, 5-point Likert-scale assessments were administered before and after engaging with the educational website...
November 19, 2023: Clinical Imaging
M Ait Idir, J M Trinh, A Chanson, J Salleron, P Henrot
OBJECTIVES: To evaluate the impact of systematic dynamic maneuvers during CT scan on the T-staging of head and neck cancer (HNC). MATERIALS AND METHODS: CT scans from the initial workup of 443 consecutive patients treated for HNC in our institution were retrospectively analyzed. CT scans were performed in both expert centers (comprehensive cancer center and university hospital) and non-expert centers. We noted whether dynamic maneuvers (DM) were performed, in 3 categories, namely: DM not done (DMND), done and inadequate (DMDI), done and adequate (DMDA)...
November 18, 2023: Clinical Imaging
Mads Barloese, Claus Leth Petersen
RATIONALE AND OBJECTIVES: There is universal interest in increasing sustainability in health care, including in imaging. We studied and characterized energy consumption in a representative imaging department in Denmark to identify and quantify the effect of specific optimizations. METHODS: Protocols and energy parameters for the three main scanner modalities along with supportive systems and workflows were monitored and scrutinized. Potential savings were measured and/or calculated...
November 17, 2023: Clinical Imaging
Siavash Zamirpour, Marko T Boskovski, James P Pirruccello, William A Pace, Alan E Hubbard, Joseph R Leach, Liang Ge, Elaine E Tseng
PURPOSE: Diameter-based guidelines for prophylactic repair of ascending aortic aneurysms have led to routine aortic evaluation in chest imaging. Despite sex differences in aneurysm outcomes, there is little understanding of sex-specific aortic growth rates. Our objective was to evaluate sex-specific temporal changes in radiologist-reported aortic size as well as sex differences in aortic reporting. METHOD: In this cohort study, we queried radiology reports of chest computed tomography or magnetic resonance imaging at an academic medical center from 1994 to 2022, excluding type A dissection...
November 16, 2023: Clinical Imaging
A Sailer, K Fitzgerald, J F B Chick, D S Shin, E J Monroe
Infant femoral arterial access is an essential part of interventional procedures, hemodynamic monitoring, and support of critically ill patients. Due to small luminal diameter, superficial location, mobility, and increased risk of vasospasm, dissection, and thrombosis, femoral artery access in the infant is a technically demanding procedure. The purpose of this manuscript is to describe an approach to successful common femoral arterial access and arteriography in infants including common pearls and pitfalls...
November 16, 2023: Clinical Imaging
Kimberly Lovie Murdaugh, Heather Florescue
Although 60.5 % of clinically unexplained stillbirths can be attributed to placental insufficiency and/or fetal growth restriction, clinicians rarely calculate estimated placental volume (EPV). We present a scenario in which EPV was used to inform patient care of a 28-year-old with decreased fetal movement at 32 weeks and 1 day gestation. Although estimated fetal weight (EFW), amniotic fluid index (AFI), and nonstress test (NST) were normal, EPV was low (<0.1st percentile), which prompted more frequent patient follow-up...
November 14, 2023: Clinical Imaging
Apurva Bonde, Alice W Fung, Skye C Mayo, Peter Li, Brett S Walker, Sriram Jaganathan, Nadine Mallak, Elena K Korngold
Hepatic arterial infusion (HAI) pumps are used to deliver liver-directed therapy by allowing the administration of selective chemotherapy to the liver via a catheter implanted most commonly into the gastroduodenal artery connected to a subcutaneous pump. This selective administration helps maximize the chemotherapeutic effect within the hepatic tumors while minimizing systemic toxicity. While HAI therapy has primarily been used to treat liver-only metastatic colorectal cancer, the indications have expanded to other malignancies, including intrahepatic cholangiocarcinoma...
November 11, 2023: Clinical Imaging
Tao Han, Changyou Long, Xianwang Liu, Yuting Zhang, Bin Zhang, Liangna Deng, Mengyuan Jing, Junlin Zhou
PURPOSE: To investigate the role of apparent diffusion coefficient (ADC) histogram analysis in differentiating fibroblastic meningiomas (FM) from non-fibroblastic WHO grade 1 meningiomas (nFM). METHODS: This retrospective study analyzed the histopathological and diagnostic imaging data of 220 patients with histopathologically confirmed FM and nFM. The whole tumors were delineated on axial ADC images, and histogram parameters (mean, variance, skewness, kurtosis, as well as the 1st, 10th, 50th, 90th, and 99th percentile ADC [ADCp1, ADCp10, ADCp50, ADCp90, and ADCp99, respectively]) were obtained...
November 11, 2023: Clinical Imaging
Monica Miranda-Schaeubinger, Hermon Miliard Derbew, Alexandra Ramirez, Maretta Smith, Mohammad Jalloul, Savvas Andronikou, Hansel J Otero
BACKGROUND: Chest radiographs (CXR) for tuberculosis (TB) screening in children are valuable in high-burden settings. However, less certain in low prevalence contexts. In the United States, positive PPD is sufficient to treat for "latent" TB, or TB infection in asymptomatic patients. OBJECTIVE: We sought to determine frequency of abnormal CXR findings after a positive purified protein derivative (PPD) test at a tertiary pediatric center in the United States. METHOD: A retrospective evaluation was conducted of patients (0-18 years) with a CXR after a positive PPD (e...
November 10, 2023: Clinical Imaging
Huseyin Bilgin, Ercan Ayaz
PURPOSE: Our aim is the early detection of mucopolysaccharidosis (MPS) by examining the radiographs taken for reasons other than a metabolic disease, such as infection, trauma, and short stature. METHODS: The radiographs of children who applied to outpatient and emergency clinics in our hospital between 01/01/2022 and 31/12/2022 were examined by a pediatric radiologist retrospectively without knowledge of patient information. The MPS enzyme panel and urine glycosaminoglycan analysis were performed in patients having dysostosis multiplex on radiographs...
November 10, 2023: Clinical Imaging
Jaime D Lewis, Abigail Groszkiewicz, Leah Hefelfinger, Alexander Doherty, Alyssa Foringer, Elizabeth Shaughnessy, Alicia Heelan, Ann L Brown
PURPOSE: Bleeding is a well-known risk of percutaneous breast biopsy, frequently controlled with manual pressure. However, significant bleeding complications may require further evaluation or intervention. Our objectives were to assess the rate, type, and periprocedural management of significant bleeding following percutaneous breast biopsy and to evaluate the success of any interventions. METHODS: We retrospectively reviewed percutaneous breast biopsies at our institution over a 10-year period with documented post-biopsy bleeding complications in radiology reports...
November 10, 2023: Clinical Imaging
Mark McArthur, Maitraya Patel
Various infectious and inflammatory diseases affect the genitourinary system. This paper provides a review of multiple common and uncommon infectious and inflammatory conditions affecting the genitourinary system and some associated complications. These include acute infectious cystitis, emphysematous cystitis, acute pyelonephritis, emphysematous pyelonephritis, renal and perinephric abscesses, pyonephrosis, xanthogranulomatous pyelonephritis, epididymo-orchitis, vasitis, prostatitis, pelvic inflammatory disease, renal hydatid infection, renal tuberculosis, actinomycosis, Erdheim-Chester Disease, IgG4-Related Kidney Disease, urethritis and urethral strictures, ureteritis cystica, and genitourinary fistulas...
October 26, 2023: Clinical Imaging
Hilda H Tso, Candace Y White, Jay R Parikh
Physician burnout continues to be a challenge in addressing radiologist wellness. The stressors contributing to breast radiologist burnout are distinctive due to the unique work environments of a breast center. The intimate nature of a subspecialized team of radiologist(s) and technologists at an imaging center may result in interpersonal challenges such as a disruptive technologist. It is important to address the stressors to mitigate the increasing burnout affecting breast radiologists. This article raises awareness among radiologists and administrators and provides strategies to breast centers and breast radiologists for guidance on dealing with a disruptive technologist...
October 18, 2023: Clinical Imaging
Dheeman Futela, Suryansh Bajaj, Mihir Khunte, Xiao Wu, Seyedmehdi Payabvash, Dheeraj Gandhi, Ajay Malhotra
No abstract text is available yet for this article.
October 16, 2023: Clinical Imaging
Taylor A Guth, Asha A Bhatt
Milk of calcium (MOC) is a term used for sedimented calcifications within small cysts (Milk of Calcium - an overview|ScienceDirect Topics, n.d.). MOC in the breast is a benign entity and present in 4-6% of women that undergo diagnostic mammography (Park et al., 2008).2 Calcium particles within cysts produce 'teacup'-shaped calcifications on true lateral views, and smudged calcifications on craniocaudal (CC) views (Veloso Gomes et al., n.d.).3 On the CC projection, the calcifications will have a cloudlike or smudgy appearance like tea leaves in the bottom of a teacup (Milk of Calcium - an overview|ScienceDirect Topics, n...
October 14, 2023: Clinical Imaging
Joanna G Escalon, Anna J Podolanczuk, Kerri I Aronson, Alan C Legasto, James F Gruden, David A Lynch, Leena Rachid, Yana Rabkova, Sharon Steinberger
PURPOSE: Interstitial lung abnormality (ILA) is a common finding on chest CTs and is associated with higher all-cause mortality. The 2020 Fleischner Society position paper standardized the terminology and definition of ILA. Despite these published guidelines, the extent to which radiologists use this term is unknown. We evaluated practice patterns for identification of ILAs among radiologists at a tertiary academic medical center. METHODS: In this retrospective review, we identified 157 radiology reports between January 1, 2010 through December 31, 2021 containing the phrase "interstitial lung abnormality" or "interstitial abnormality"...
October 14, 2023: Clinical Imaging
Jordan H Chamberlin, Carter D Smith, Dhruw Maisuria, Joe Parrish, Elizabeth van Swol, Eugene Mah, Tilman Emrich, U Joseph Schoepf, Akos Varga-Szemes, Jim O'Doherty, Reginald F Munden, Sameer V Tipnis, Dhiraj Baruah, Ismail M Kabakus
PURPOSE: Photon-counting-detector computed tomography (PCD-CT) offers enhanced noise reduction, spatial resolution, and image quality in comparison to energy-integrated-detectors CT (EID-CT). These hypothesized improvements were compared using PCD-CT ultra-high (UHR) and standard-resolution (SR) scan-modes. METHODS: Phantom scans were obtained with both EID-CT and PCD-CT (UHR, SR) on an adult body-phantom. Radiation dose was measured and noise levels were compared at a minimum achievable slice thickness of 0...
October 14, 2023: Clinical Imaging
Apurva A Bonde, Mayur Virarkar, Mohd Zahid, Sriram Jaganathan, Manuel J Menendez, Luis Calimano, Bryan R Foster, Danielle Fritze, Courtney L Thomas, Pankaj Gupta
Radiologists across many imaging modalities commonly encounter gallbladder adenomyomatosis. The classic imaging appearances of gallbladder adenomyomatosis are well described and confirm benignity. However, in clinical practice, adenomyomatosis can be challenging to differentiate from other gallbladder pathologies that require cholecystectomy. In this article, we describe the common and uncommon appearances of gallbladder adenomyomatosis on multimodality imaging, helping differentiate adenomyomatosis from non-benign gallbladder abnormalities...
October 13, 2023: Clinical Imaging
Pierre Boerkoel, Tyler D Yan, Ali Abbas, Blake Jamieson, Faisal Khosa, Charlotte J Yong-Hing
PURPOSE: Despite nearly a quarter of Canadians and Americans reported to be living with a disability, persons with disabilities continue to face both physical and cultural barriers with respect to careers in medicine. Equity, diversity, and inclusion (EDI) statements can act as a first step in deconstruction of these cultural barriers. However, when compared to other EDI initiatives focused on gender, race, and ethnicity, persons with disabilities receive little attention. METHODS: We conducted a cross-sectional analysis of all radiology residency program websites in Canada and the United States (US)...
October 13, 2023: Clinical Imaging
Ines Ben Alaya, Hela Limam, Tarek Kraiem
BACKGROUND: The selection of appropriate treatments for Acute Ischemic Stroke (AIS), including Intravenous (IV) tissue plasminogen activator (tPA) and Mechanical thrombectomy, is a critical aspect of clinical decision-making. Timely treatment is essential, with recommended administration of therapies within 4.5 h of symptom onset. However, patients with unknown Time Since Stroke (TSS), are often excluded from thrombolysis, even if the stroke onset exceeds 6 h. Current clinical guidelines propose using multimodal Magnetic Resonance Imaging (MRI) to assess various mismatches...
October 12, 2023: Clinical Imaging
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