Emergency Radiology最新文献_第9页

Multifocal emphysematous osteomyelitis, a do not miss diagnosis for the emergency radiologist: a case report with literature review. 多灶性气肿性骨髓炎，急诊放射科医生的不容错过的诊断：病例报告与文献综述。

IF 2.2

Emergency Radiology Pub Date : 2024-04-01 Epub Date: 2024-01-25 DOI: 10.1007/s10140-024-02203-7

Debajyoti Saha, Ryan Tai, Vaishali Kapare, Ganesh Joshi

引用次数: 0

Expanded experience with cardiovascular black blood cinematic rendering. 心血管黑血电影渲染的扩展体验。

IF 2.2

Emergency Radiology Pub Date : 2024-04-01 Epub Date: 2024-02-16 DOI: 10.1007/s10140-024-02209-1

Claire Brookmeyer, Linda C Chu, Steven P Rowe, Elliot K Fishman

引用次数: 0

"Rule out appendicitis": a Canadian emergency radiology perspective on medicolegal risks, imaging pitfalls, and strategies to improve care. "排除阑尾炎"：加拿大急诊放射科对医疗法律风险、成像陷阱和改善护理策略的看法。

IF 2.2

Emergency Radiology Pub Date : 2024-04-01 Epub Date: 2024-02-16 DOI: 10.1007/s10140-024-02214-4

Lee Treanor, Anne Drury, Csilla Egri, Sarah Barrett

引用次数: 0

Diagnostic performance of spectral Doppler in acute appendicitis with an equivocal Alvarado score. 频谱多普勒对阿尔瓦拉多评分不明确的急性阑尾炎的诊断性能。

IF 2.2

Emergency Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-19 DOI: 10.1007/s10140-024-02220-6

Reham Abd El-Aleem, Abdelrahman A Abd Allah, Mahmoud Refaat Shehata, Gehan S Seifeldein, Sara M Hassanein

引用次数: 0

Radiology resident competency in detecting basilar artery occlusion: a simulation-based assessment. 放射科住院医师检测基底动脉闭塞的能力:基于模拟的评估。

IF 1.7

Emergency Radiology Pub Date : 2024-02-01 Epub Date: 2023-11-23 DOI: 10.1007/s10140-023-02189-8

Abheek G Raviprasad, Kevin Pierre, Scott A McGaugh, Isabella E Amador, Ulysse G McCann, Roberta M Slater, Christopher L Sistrom, Brandon Lucke-Wold, Shyamsunder Sabat, Dhanashree A Rajderkar, Priya G Sharma, Anthony A Mancuso

{"title":"Radiology resident competency in detecting basilar artery occlusion: a simulation-based assessment.","authors":"Abheek G Raviprasad, Kevin Pierre, Scott A McGaugh, Isabella E Amador, Ulysse G McCann, Roberta M Slater, Christopher L Sistrom, Brandon Lucke-Wold, Shyamsunder Sabat, Dhanashree A Rajderkar, Priya G Sharma, Anthony A Mancuso","doi":"10.1007/s10140-023-02189-8","DOIUrl":"10.1007/s10140-023-02189-8","url":null,"abstract":"Purpose: Basilar artery strokes are rare but can have characteristic imaging findings that can often be overlooked. This retrospective study aims to assess radiology residents' ability to identify CT imaging findings of basilar artery occlusion in a simulated call environment.Methods: The Wisdom in Diagnostic Imaging Emergent/Critical Care Radiology Simulation (WIDI SIM)-a tested and reliable computer-aided emergency imaging simulation-was employed to assess resident readiness for independent radiology call. The simulations include 65 cases of varying complexity, including normal studies, with one case specifically assessing basilar artery stroke. Residents were presented with a single, unique case of basilar artery occlusion in two separate years of testing and were only provided with non-contrast CT images. Residents' free text responses were manually scored by faculty members using a standardized grading rubric, with errors subsequently classified by type.Results: A total of 454 radiology residents were tested in two separate years on the imaging findings of basilar artery occlusion using the Wisdom in Diagnostic Imaging simulation web-based testing platform. Basilar artery occlusion was consistently underdiagnosed by radiology residents being tested for call readiness irrespective of the numbers of years in training. On average, only 14% of radiology residents were able to correctly identify basilar artery occlusion on non-contrast CT.Conclusions: Our findings underscore a potential gap in radiology residency training related to the detection of basilar artery occlusion, highlighting the potential need for increased educational efforts in this area.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138294931","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

Help, I've been sued! Demystifying the steps of malpractice litigation for the emergency radiologist. 救命，我被起诉了!为急诊放射科医生揭秘医疗事故诉讼的步骤。

IF 1.7

Emergency Radiology Pub Date : 2024-02-01 Epub Date: 2023-11-25 DOI: 10.1007/s10140-023-02190-1

Jonathan L Mezrich

引用次数: 0

A pictorial review of scrotal and penile pathology on computed tomography. 阴囊和阴茎病理计算机断层扫描图解回顾。

IF 1.7

Emergency Radiology Pub Date : 2024-02-01 Epub Date: 2024-01-09 DOI: 10.1007/s10140-023-02198-7

Johannes Gossner

引用次数: 0

Enhancing diagnostic precision for acute chest syndrome in sickle cell disease: insights from dual-energy CT lung perfusion mapping. 提高镰状细胞病急性胸部综合征的诊断精确度：双能 CT 肺灌注绘图的启示。

IF 1.7

Emergency Radiology Pub Date : 2024-02-01 Epub Date: 2024-01-15 DOI: 10.1007/s10140-024-02200-w

Jordan H Chamberlin, Alexis Ogbonna, Sameer Abrol, Dhruw Maisuria, Emily Miller, Aaron McGuire, Heather Knight, Jim O'Doherty, Dhiraj Baruah, U Joseph Schoepf, Reginald F Munden, Ismail M Kabakus

{"title":"Enhancing diagnostic precision for acute chest syndrome in sickle cell disease: insights from dual-energy CT lung perfusion mapping.","authors":"Jordan H Chamberlin, Alexis Ogbonna, Sameer Abrol, Dhruw Maisuria, Emily Miller, Aaron McGuire, Heather Knight, Jim O'Doherty, Dhiraj Baruah, U Joseph Schoepf, Reginald F Munden, Ismail M Kabakus","doi":"10.1007/s10140-024-02200-w","DOIUrl":"10.1007/s10140-024-02200-w","url":null,"abstract":"Purpose: Acute chest syndrome (ACS) is secondary to occlusion of the pulmonary vasculature and a potentially life-threatening complication of sickle cell disease (SCD). Dual-energy CT (DECT) iodine perfusion map reconstructions can provide a method to visualize and quantify the extent of pulmonary microthrombi.Methods: A total of 102 patients with sickle cell disease who underwent DECT CTPA with perfusion were retrospectively identified. The presence or absence of airspace opacities, segmental perfusion defects, and acute or chronic pulmonary emboli was noted. The number of segmental perfusion defects between patients with and without acute chest syndrome was compared. Sub-analyses were performed to investigate robustness.Results: Of the 102 patients, 68 were clinically determined to not have ACS and 34 were determined to have ACS by clinical criteria. Of the patients with ACS, 82.4% were found to have perfusion defects with a median of 2 perfusion defects per patient. The presence of any or new perfusion defects was significantly associated with the diagnosis of ACS (P = 0.005 and < 0.001, respectively). Excluding patients with pulmonary embolism, 79% of patients with ACS had old or new perfusion defects, and the specificity for new perfusion defects was 87%, higher than consolidation/ground glass opacities (80%).Conclusion: DECT iodine map has the capability to depict microthrombi as perfusion defects. The presence of segmental perfusion defects on dual-energy CT maps was found to be associated with ACS with potential for improved specificity and reclassification.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466316","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

Prevalence of SIRS with primary epiploic appendagitis. 原发性网膜阑尾炎伴SIRS的发生率。

IF 1.7

Emergency Radiology Pub Date : 2024-02-01 Epub Date: 2023-12-05 DOI: 10.1007/s10140-023-02191-0

Julian Wong, Kenneth K Lau

{"title":"Prevalence of SIRS with primary epiploic appendagitis.","authors":"Julian Wong, Kenneth K Lau","doi":"10.1007/s10140-023-02191-0","DOIUrl":"10.1007/s10140-023-02191-0","url":null,"abstract":"Purpose: Primary epiploic appendagitis (PEA) is not an uncommon cause of abdominal pain. The systemic inflammatory response syndrome (SIRS) criteria have high sensitivity for early detection of inflammation and infection. To date, there is limited data about the association between SIRS and PEA. The aims of this retrospective study were to evaluate the prevalence of SIRS response and its clinical relevance in patients diagnosed with PEA within a large tertiary hospital network.Methods: A retrospective study was performed on all consecutive adult patients who presented to four major emergency departments with CT-confirmed PEA from 01 January 2022 to 27 March 2023. The fulfilment of SIRS criteria, hospital admission rate and treatments provided were analysed for these patients.Results: Seventy-three patients had CT-confirmed PEA. Seventeen patients (23.2%) with PEA were SIRS positive. The hospital admission rate in the SIRS group trended higher than the non-SIRS group (odds ratio of 2.51, 95% CI (0.75, 8.39)). The odds of having an associated radiological comorbidity unrelated to PEA were 18.7 times higher in the SIRS positive group. Fifty-seven (78%) patients were discharged home, and 16 (22%) patients were admitted into hospital. Nearly all patients were treated conservatively (98.6%).Conclusion: PEA patients with SIRS response trend towards a higher hospital admission rate and are significantly more likely to have other radiological comorbidities than non-SIRS patients. It is important to look for other pathological conditions in a SIRS positive patient with a CT-diagnosis of PEA.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138482190","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

Utilization of point-of-care ultrasound to evaluate for enterovesical fistula. 即时超声在小肠瘘诊断中的应用。

IF 1.7

Emergency Radiology Pub Date : 2024-02-01 Epub Date: 2023-11-30 DOI: 10.1007/s10140-023-02192-z

Alexander X VanFleet, Zoe Kinkead, Jeannez Daniel, Charlotte Derr

{"title":"Utilization of point-of-care ultrasound to evaluate for enterovesical fistula.","authors":"Alexander X VanFleet, Zoe Kinkead, Jeannez Daniel, Charlotte Derr","doi":"10.1007/s10140-023-02192-z","DOIUrl":"10.1007/s10140-023-02192-z","url":null,"abstract":"Enterovesical fistula formation is a relatively rare disease process although a common complication for patients with inflammatory bowel disease (IBD), notably Crohn's disease. Enterovesical fistulas most commonly arise from diverticulitis (65-80%), cancer (10-20%), or Crohn's disease (5-7%). An increasing amount of evidence supports the use of ultrasonography as the primary imaging method for the monitoring of complications in individuals with a documented history of IBD. Our case report presents a 30-year-old female with a history of Crohn's disease who presented to the Emergency Department with concern for possible enterovesical fistula formation. Using bedside gray-scale ultrasonography, a fistulous tract clearly visualizing air bubbles and fecal matter actively moving from bowel to the bladder through the fistula was visualized confirming the diagnosis of an enterovesical fistula. While CT imaging is instrumental in identifying mural and extramural complications of IBD, performing ultrasonography in patients with IBD serves as an efficient, inexpensive, and noninvasive diagnostic aid for the diagnosis of enterovesical fistula.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458667","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