Emergency Radiology最新文献

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Reply to the letter to the editor: the diagnostic performance of automatic B-lines detection for evaluating pulmonary edema in the ER among novice POCUS practitioners. 回复编者:自动b线检测在POCUS新手急诊室肺水肿评估中的诊断性能
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-03-18 DOI: 10.1007/s10140-025-02331-8
Kamonwon Ienghong, Lap Woon Cheung, Dhanu Gaysonsiri, Korakot Apiratwarakul
{"title":"Reply to the letter to the editor: the diagnostic performance of automatic B-lines detection for evaluating pulmonary edema in the ER among novice POCUS practitioners.","authors":"Kamonwon Ienghong, Lap Woon Cheung, Dhanu Gaysonsiri, Korakot Apiratwarakul","doi":"10.1007/s10140-025-02331-8","DOIUrl":"10.1007/s10140-025-02331-8","url":null,"abstract":"","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"303-304"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The diagnostic performance of automatic B-lines detection for evaluating pulmonary edema in the emergency department among novice point-of-care ultrasound practitioners. 自动b线检测的诊断性能评估肺水肿在急诊新手护理点超声从业人员。
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-02-14 DOI: 10.1007/s10140-025-02319-4
Kamonwon Ienghong, Lap Woon Cheung, Dhanu Gaysonsiri, Korakot Apiratwarakul
{"title":"The diagnostic performance of automatic B-lines detection for evaluating pulmonary edema in the emergency department among novice point-of-care ultrasound practitioners.","authors":"Kamonwon Ienghong, Lap Woon Cheung, Dhanu Gaysonsiri, Korakot Apiratwarakul","doi":"10.1007/s10140-025-02319-4","DOIUrl":"10.1007/s10140-025-02319-4","url":null,"abstract":"<p><strong>Purpose: </strong>B-lines in lung ultrasound have been a critical clue for detecting pulmonary edema. However, distinguishing B-lines from other artifacts is a challenge, especially for novice point of care ultrasound (POCUS) practitioners. This study aimed to determine the efficacy of automatic detection of B-lines using artificial intelligence (Auto B-lines) for detecting pulmonary edema.</p><p><strong>Methods: </strong>A retrospective study was conducted on dyspnea patients treated at the emergency department between January 2023 and June 2024. Ultrasound documentation and electronic emergency department medical records were evaluated for sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio of auto B-lines in detection of pulmonary edema.</p><p><strong>Results: </strong>Sixty-six patients with a final diagnosis of pulmonary edema were enrolled, with 54.68% having positive B-lines in lung ultrasound. Auto B-lines had 95.6% sensitivity (95% confidence interval [CI]: 0.92-0.98) and 77.2% specificity (95% CI: 0.74-0.80). Physicians demonstrated 82.7% sensitivity (95% CI: 0.79-0.97) and 63.09% sensitivity (95% CI: 0.58-0.69).</p><p><strong>Conclusion: </strong>The auto B-lines were highly sensitive in diagnosing pulmonary edema in novice POCUS practitioners. The clinical integration of physicians and artificial intelligence enhances diagnostic capabilities.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"241-246"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11976347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the utility of chest x-rays for non-traumatic chest pain in Australia- a retrospective cohort study. 评估胸部 X 射线对澳大利亚非创伤性胸痛的实用性--一项回顾性队列研究。
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-03-15 DOI: 10.1007/s10140-025-02329-2
Alex Lin, Dinesh Varma, Biswadev Mitra
{"title":"Evaluating the utility of chest x-rays for non-traumatic chest pain in Australia- a retrospective cohort study.","authors":"Alex Lin, Dinesh Varma, Biswadev Mitra","doi":"10.1007/s10140-025-02329-2","DOIUrl":"10.1007/s10140-025-02329-2","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to quantify the proportion of chest x-rays (CXRs) for non-traumatic chest pain (NTCP) in the emergency department (ED) that were abnormal and assess the clinical significance of these abnormalities. We also aimed to explore the variables associated with abnormal and clinically significant abnormal CXRs, to predict a population where CXRs can be safely avoided.</p><p><strong>Methods: </strong>A single center retrospective cohort study was conducted including all adult patients presenting to a single ED with NTCP between 01 Jan 2022 and 31 Dec 2022. We categorized the CXRs into abnormal, or normal as reported by a radiologist. Abnormalities were categorized to be clinically significant based on potential or actual changes in patient management. The association of patient demographics, presenting vital signs, and clinical characteristics with clinically significant abnormalities were explored using multivariable logistic regression analysis.</p><p><strong>Results: </strong>There were 3,419 eligible patient encounters included for analysis. Of these, 746 (21.8%; 95%CI: 20.4-23.2%) CXRs had at least one abnormality detected. There were 218 (6.4%; 95%CI: 6.1-7.9%) CXRs deemed to have clinically significant abnormalities. Age categories of 50-64 years (aOR 1.64; 95%CI 1.04-2.60), and age > 64 years (aOR 2.32; 95%CI: 1.51-3.57), history of congestive heart failure (CHF) (aOR 1.86; 95%CI: 1.08-3.21), smoking (aOR 1.27; 95%CI: 1.04-1.57), hemoptysis (aOR 6.69; 95%CI: 1.92-23.33), diminished lung sounds (aOR 4.87; 95%CI:2.95-8.05), rales (aOR 4.49; 95%CI: 2.82-7.15), and abnormal oxygen saturations (aOR 1.98; 95%CI: 1.40-2.79) were associated with clinically significant abnormalities on CXRs. In the absence of these variables, 1.4% (95%CI: 0.6-2.6%) of CXRs were abnormal with clinical significance.</p><p><strong>Conclusions: </strong>CXRs have a relatively high yield of abnormalities among patients with NTCP. However, some CXRs could be safely avoided in the absence of variables associated with clinically significant abnormalities. Further validation of these clinical characteristics is required before translation to clinical practice.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"195-202"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11976831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overnight emergency radiologist coverage model with preserved resident autonomy: impact on report turnaround times and resident experience. 保留居民自主权的夜间急诊放射科医生覆盖模式:对报告周转时间和居民经验的影响。
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-03-17 DOI: 10.1007/s10140-025-02330-9
Rawan Abu Mughli, Deyvison T Baia Medeiros, Róisín MacDermott, Jacques du Plessis, Abdelazim M E Mohammed, Jason A Robins, Sadia R Qamar, Michael E O'Keeffe, Rajesh Bhayana, Masoom A Haider, Ferco H Berger
{"title":"Overnight emergency radiologist coverage model with preserved resident autonomy: impact on report turnaround times and resident experience.","authors":"Rawan Abu Mughli, Deyvison T Baia Medeiros, Róisín MacDermott, Jacques du Plessis, Abdelazim M E Mohammed, Jason A Robins, Sadia R Qamar, Michael E O'Keeffe, Rajesh Bhayana, Masoom A Haider, Ferco H Berger","doi":"10.1007/s10140-025-02330-9","DOIUrl":"10.1007/s10140-025-02330-9","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of overnight in-house emergency radiologist coverage on turnaround time (TAT) for emergent imaging of ED and inpatients, during the night and following morning, in a coverage model tailored to preserving resident autonomy.</p><p><strong>Methods: </strong>Retrospective analysis of TAT for all emergent imaging of ED and inpatients at an academic Level-1 trauma center from September 2015 to August 2019, two years before and after changing coverage model. Median and 90th percentile were assessed for overnight (22:00-07:00 h.) and morning (07:00-10:00 h.) emergent imaging TAT for both the 'First report' and 'Final report'. Statistical significance of TAT changes between study years was assessed with quantile regression. Trainee report volumes and their rotation evaluations were assessed.</p><p><strong>Results: </strong>128,433 emergent ED and inpatient imaging studies (82,482 overnight and 45,951 morning) were included; 40,136 CTs, 83,993 X-rays, 2018 US and 2286 MRIs. Imaging volumes increased over time. Except 90th percentile MRI First report TAT, all overnight TAT metrics statistically significantly improved with the new coverage model. For example, ED CT median Final report TAT decreased from 8.45 h to 1.38 h. Morning imaging showed statistically significant reduction for all TATs, except for MRI TATs and 90th percentile US Final report TAT. For example, ED CT median Final report TAT decreased from 1.56 h to 1.19 h. Absolute imaging volume reported by trainees increased by 14% in the 4-year period and weighted average rotation evaluation on a 5-point scale was 3.9 in the post-implementation cohort.</p><p><strong>Conclusion: </strong>Introduction of a tailored in-house overnight emergency radiologist coverage model can preserve resident autonomy and productivity while achieving statistically significant reduction of emergent imaging report turnaround time for emergent imaging overnight and the following morning. It may help mitigate ED overcrowding while preserving trainee educational experience.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"203-215"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computed tomography imaging findings in head injury victims of conflict in Northern Ethiopia treated at the University of Gondar comprehensive specialized hospital. 贡达尔大学综合专科医院治疗的埃塞俄比亚北部冲突中头部受伤受害者的计算机断层扫描成像结果。
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-03-07 DOI: 10.1007/s10140-025-02325-6
Abdulfatah Workicho Mustafa, Yonathan Gebrewold, Mehammed Adem Getnet, China Tolessa Sedi, Aman Edao Bime, Salhadin Mohammed
{"title":"Computed tomography imaging findings in head injury victims of conflict in Northern Ethiopia treated at the University of Gondar comprehensive specialized hospital.","authors":"Abdulfatah Workicho Mustafa, Yonathan Gebrewold, Mehammed Adem Getnet, China Tolessa Sedi, Aman Edao Bime, Salhadin Mohammed","doi":"10.1007/s10140-025-02325-6","DOIUrl":"10.1007/s10140-025-02325-6","url":null,"abstract":"<p><strong>Background: </strong>Head injuries pose a major global health issue, especially among young adults in developing countries. Data on head trauma patterns in conflict situations is scarce, and computed tomography (CT) is the main imaging method for evaluating acute head injuries.</p><p><strong>Objectives: </strong>This study aimed to assess the CT scan patterns of traumatic head injury among northern Ethiopian victims of war who were treated at the University of Gondar Comprehensive Specialized Hospital during the armed conflict in 2020 and 2021.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 76 cases of traumatic head injury who underwent CT scans from November 1, 2020, to January 30, 2021, at the Department of Radiology. Data regarding age, sex, mechanism of injury, and CT scan findings were collected and analyzed.</p><p><strong>Results: </strong>A total of 76 patients were assessed, with 73 (96.1%) being males and a male-to-female ratio of 24:1. Ages ranged from 19 to 48 years, with the most affected group being ≤ 29 years (44 or 57.9%). Common head injury mechanisms included bullets (50%), blunt trauma (26%), and blasts (21%). Abnormal CT findings were noted in 60 cases (78.95%), with the most common findings being skull fractures (64.5%), cerebral contusions (33%), and metallic foreign bodies (36%). Scalp and brain hematoma, presence of soft tissue foreign body, pneumocephalus, and subfalcine herniation exhibited a statistically significant correlation with bullet injuries (p-value < 0.05).</p><p><strong>Conclusion: </strong>This study found a high rate of abnormal CT scans mainly involving young males as the primary victims of traumatic head injuries in war-affected areas of Northern Ethiopia. The leading causes were bullet injuries, with common CT scan findings including skull fractures and cerebral contusions, many requiring immediate intervention. The high rate of abnormal CT scans in these patients underscores the need to improve access to CT scans in conflict-affected areas.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"185-194"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forecasting trends of rising emergency department chest imaging using machine learning. 使用机器学习预测急诊科胸部成像的上升趋势。
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-03-08 DOI: 10.1007/s10140-025-02328-3
Sishir Doddi, Oscar Salichs, Shruthi Karthika Varier, Ashish Khandelwal, Satheesh Krishna Jeyaraj, Sree Harsha Tirumani
{"title":"Forecasting trends of rising emergency department chest imaging using machine learning.","authors":"Sishir Doddi, Oscar Salichs, Shruthi Karthika Varier, Ashish Khandelwal, Satheesh Krishna Jeyaraj, Sree Harsha Tirumani","doi":"10.1007/s10140-025-02328-3","DOIUrl":"10.1007/s10140-025-02328-3","url":null,"abstract":"<p><strong>Introduction: </strong>Imaging studies in the acute care setting, such as the emergency room, have been increasing. In this report, we use the Centers for Medicare and Medicaid services (CMS) database to assess trends in ED chest CT and chest CTA imaging in ED from 2010 to 2021. In addition, we forecast the utilization of these imaging modalities until 2030 to predict volume of studies using machine learning models.</p><p><strong>Methods: </strong>CMS data regarding volume of procedures from 2010 to 2021 for CPT Codes: Chest CT: 71,250, 71,260, 71,270; and Chest CTA 71,275 was obtained. IBM SPSS Statistical Software was used to assess compound annual growth rate (CAGR) to identify trends in ED center (ED) imaging. For predictive time series forecast, and autoregressive integrated moving average (ARIMA) model was constructed using R Studio statistical software. Ljung-Box test was used to check the model's residuals.</p><p><strong>Results: </strong>Chest CT imaging in the ED setting has steadily increased from 273,063 in 2010 to 540,047 in 2021. Chest CTA imaging also saw an increase from 175,554 in 2010 to 705,727 in 2021. ED Chest CT imaging has increased from 2010 to 2021 with a CAGR of 7.5% (p < 0.001). Similarly, chest CTA imaging has also increased during this period with an average CAGR or 13.0% (p < 0.001). The ARIMA model forecast for ED CT chest imaging predicts a continued increase in volume of CT imaging reaching 614,995 in 2024 and 760,851 in 2030. Chest CTA is predicted to have an even higher increase up to 850,320 in 2024 and 1,139,505 in 2030 assuming the trend observed over the past decade is consistent.</p><p><strong>Conclusion: </strong>From 2010 to 2021, we found an increasing trend in ED chest CT and CTA imaging with forecast predicting volume up to twice of volume in 2030 compared to a decade ago. Understanding the anticipated volumes of forthcoming ED imaging can aid in planning hospital infrastructure, personnel, and funding amongst other required healthcare resources. It is important to consider that while imaging holds a significant role in patient care, inappropriate utilization can result in unnecessary radiation exposure, prolonged wait times, and an increase in burden of healthcare resources.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"247-253"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transient enhancement of chronic subdural hematomas: a clinical report of a mimic of acute intracranial hemorrhage. 慢性硬膜下血肿的一过性增强:模仿急性颅内出血的临床报告。
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-02-28 DOI: 10.1007/s10140-025-02324-7
Boniface Yarabe, Evan G Stein
{"title":"Transient enhancement of chronic subdural hematomas: a clinical report of a mimic of acute intracranial hemorrhage.","authors":"Boniface Yarabe, Evan G Stein","doi":"10.1007/s10140-025-02324-7","DOIUrl":"10.1007/s10140-025-02324-7","url":null,"abstract":"<p><strong>Background: </strong>The incidence of chronic subdural hematomas (cSDHs) is rising, leading to an increased reliance on imaging for diagnosis and management. CT imaging is commonly used in the evaluation of these patients, but transient enhancement of chronic subdural collections can mimic acute-on-chronic subdural hematomas, potentially leading to misdiagnosis.</p><p><strong>Objective: </strong>To describe cases of transient enhancement of cSDHs after contrast administration.</p><p><strong>Methods: </strong>A case series of three patients with pre-existing cSDHs was analyzed. One patient underwent middle meningeal artery embolization (MME), and two patients received contrast-enhanced CT (CECT) for other indications. Changes in subdural collection attenuation were assessed on serial imaging.</p><p><strong>Results: </strong>These three patients with cSDH demonstrated transient enhancement of their subdural collections, which could be mistaken for acute or acute-on-chronic hemorrhage. Recognition of this pattern is critical to avoid misinterpretation, unnecessary radiation exposure, excessive healthcare utilization, and potentially invasive procedures.</p><p><strong>Conclusion: </strong>Awareness of transient enhancement in chronic subdural collections on CECT is essential for accurate diagnosis. Differentiating this benign imaging artifact from true hemorrhage can prevent unnecessary interventions and optimize patient care.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"297-301"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detectability of acute ischemic stroke with thin (3 mm) axial versus thin (3 mm) coronal diffusion-weighted imaging in patients presenting to the emergency department with acute dizziness. 急性缺血性脑卒中在急诊科出现急性头晕患者的薄(3mm)轴向与薄(3mm)冠状扩散加权成像的检出率
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-03-07 DOI: 10.1007/s10140-025-02327-4
Richard J Lozano, Faryal Shareef, Anish Neupane, Zaid Siddique, Rudra Joshi, Luca Pasquini, Long H Tu, Amit Mahajan
{"title":"Detectability of acute ischemic stroke with thin (3 mm) axial versus thin (3 mm) coronal diffusion-weighted imaging in patients presenting to the emergency department with acute dizziness.","authors":"Richard J Lozano, Faryal Shareef, Anish Neupane, Zaid Siddique, Rudra Joshi, Luca Pasquini, Long H Tu, Amit Mahajan","doi":"10.1007/s10140-025-02327-4","DOIUrl":"10.1007/s10140-025-02327-4","url":null,"abstract":"<p><strong>Background and purpose: </strong>Ischemic strokes can cause vertigo, particularly when involving the posterior circulation of the brain. Prior research has suggested that thin-section (3 mm) axial or coronal DWI may improve the detection of ischemic stroke compared to thick (5 mm) DWI. However, relative sensitivity of differing thin DWI sequences is unknown. In this retrospective cohort study, we compare the sensitivity of thin coronal DWI and thin axial DWI in detection of brain ischemia.</p><p><strong>Materials and methods: </strong>Retrospective study at a single institution (2/18/2020-8/31/2023) of patients who presented to the emergency department with vertigo/dizziness and underwent an abbreviated MRI protocol (3 mm axial DWI, 3 mm coronal DWI, axial FLAIR, and axial SWI). For each case with an ischemic lesion, the visibility of infarct on thin axial and coronal DWIs was rated; location and size were also recorded. Visibility on either sequence was considered the reference standard. Sensitivity was compared with McNemar's test.</p><p><strong>Results: </strong>615 abbreviated MRI examinations were performed; 24/615 (3.9%) had an ischemic lesion (15 cerebral, 7 brainstem, 13 cerebellar). 24 of these MRI examinations with ischemic lesions were performed using 3 mm axial MRI and on 3T MRI. All lesions (24/24) were visible on thin axial DWI (100% sensitivity, 95% CI: 0.95-1.00). Fewer lesions (20/24) were seen on thin coronal DWI (83% sensitivity, 95% CI: 0.72-0.91). The difference in sensitivity was statistically significant (p = 0.0374). Lesions not visible on coronal DWI were 2-8 mm in size, the largest in the middle cerebellar peduncle.</p><p><strong>Conclusions: </strong>Thin coronal DWI may not improve additional diagnostic utility beyond thin axial DWI for the detection of ischemia in patients with dizziness. When designing protocols tailored for stroke detection (particularly in the posterior circulation), replacing conventional (5 mm) DWI with thin (3 mm) axial DWI may be preferable to adding a thin coronal sequence.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"225-231"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: Hematuria in the ER patient: optimizing detection of upper tract urothelial cancer - A pictorial essay. 更正:血尿在急诊病人:优化检测上尿路上皮癌-一篇图画论文。
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 DOI: 10.1007/s10140-025-02313-w
Mohammad Yasrab, Charles K Crawford, Linda C Chu, Satomi Kawamoto, Elliot K Fishman
{"title":"Correction to: Hematuria in the ER patient: optimizing detection of upper tract urothelial cancer - A pictorial essay.","authors":"Mohammad Yasrab, Charles K Crawford, Linda C Chu, Satomi Kawamoto, Elliot K Fishman","doi":"10.1007/s10140-025-02313-w","DOIUrl":"10.1007/s10140-025-02313-w","url":null,"abstract":"","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"307"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The UTAMI score: a chest x-ray-based tool for predicting ICU admission in ARDS of pneumonia patients. UTAMI评分:一种基于胸部X光片的工具,用于预测肺炎 ARDS 患者入住 ICU 的情况。
IF 1.7
Emergency Radiology Pub Date : 2025-04-01 Epub Date: 2025-02-22 DOI: 10.1007/s10140-025-02315-8
Utami Purbasari, Nurhayati Adnan Prihartono, Helda, Budhi Antariksa, Rusli Muljadi, Rahmad Mulyadi, Agnes Nina Eureka
{"title":"The UTAMI score: a chest x-ray-based tool for predicting ICU admission in ARDS of pneumonia patients.","authors":"Utami Purbasari, Nurhayati Adnan Prihartono, Helda, Budhi Antariksa, Rusli Muljadi, Rahmad Mulyadi, Agnes Nina Eureka","doi":"10.1007/s10140-025-02315-8","DOIUrl":"10.1007/s10140-025-02315-8","url":null,"abstract":"<p><strong>Purpose: </strong>This study proposes and evaluates the Universal Thorax ARDS Modification Index (UTAMI), a new method based on chest x-ray findings, for rapid ICU admission prediction in pneumonia with ARDS. Clinical and laboratory variables are analyzed to find potential predictors.</p><p><strong>Method: </strong>A cross-sectional study at Fatmawati Central General Hospital (2022-2023) compared the diagnostic accuracy of UTAMI method against the gold standard for ARDS diagnosis; Berlin Definition. We analyzed 318 patients' data that were hospitalized for pneumonia. Clinical and laboratory predictors of ARDS were also analyzed.</p><p><strong>Results: </strong>Neutrophil levels, CRP, D-dimer, oxygen saturation, and respiratory rate can predict ARDS diagnosis according to the Berlin Definition. The patient cohort showed that those with moderate-severe ARDS were admitted to the ICU. With ARDS categorized as ARDS requiring ICU admission (ARDS ICU) and ARDS not requiring ICU admission, the UTAMI method requires only history of coronary artery disease (CAD), CRP, and oxygen saturation as key predictors. CRP was a predictor in both the Berlin Definition (PR 1.28) and the UTAMI method (PR 1.71). In the AUROC test, the Berlin Definition distinguished moderate-severe ARDS with 81.2% accuracy using chest radiographs, clinical and laboratory values. The UTAMI method, based solely on chest radiographs achieved 79.6% accuracy, showing fair discrimination against the gold standard.</p><p><strong>Conclusion: </strong>UTAMI Score is a viable tool for predicting the risk of ARDS in pneumonia. Utilizing UTAMI method, ARDS can be predicted using only chest radiograph, making it easier for clinicians to be alerted earlier. Predicting ARDS ICU from UTAMI method requires only 3 variables; CAD comorbid, laboratory CRP and peripheral oxygen saturation.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":"173-184"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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