Journal of Clinical Imaging Science最新文献

{"title":"Hypervascular nodular hepatic involvement in multiple myeloma: A case report.","authors":"Yeong Ju Han,&nbsp;Mihyun Park","doi":"10.25259/JCIS_60_2023","DOIUrl":"10.25259/JCIS_60_2023","url":null,"abstract":"<p><p>Multiple myeloma (MM) presenting as multiple hypervascular nodular hepatic infiltration is rare. We report a case of liver involvement of MM in 62-year-old woman presenting as multiple hepatic nodules with arterial enhancement and delayed washout. As in our case, the inclusion of MM in the differential diagnosis of multiple hypervascular hepatic nodules should be considered despite of its rarity.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"29"},"PeriodicalIF":0.9,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/8c/JCIS-13-29.PMC10559554.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146174","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}

{"title":"Quality assurance for magnetic resonance angiography of the chest in patients suspected of pulmonary embolism during iodinated contrast shortage in the emergency department setting.","authors":"Anmol Singh,&nbsp;Mauricio Hernandez,&nbsp;Luis Fernando Calimano-Ramirez,&nbsp;Kazim Z Gumus,&nbsp;Wanda Marfori,&nbsp;Joanna W Kee-Sampson,&nbsp;Chandana Lall,&nbsp;Dheeraj R Gopireddy","doi":"10.25259/JCIS_3_2023","DOIUrl":"10.25259/JCIS_3_2023","url":null,"abstract":"<p><strong>Objectives: </strong>COVID-19 lockdowns resulted in a global shortage of iodinated contrast media. Therefore, alternative imaging protocols were devised to evaluate patients arriving to the emergency department (ED) with suspicion of pulmonary embolism (PE). This quality assurance (QA) aims to compare diagnostic potential between alternative magnetic resonance angiography (MRA) protocol over the gold standard computed tomography angiography (CTA) by evaluating MRA imaging quality, scanner type/imaging sequence, and any risk of misdiagnosis in patients with symptoms of PE.</p><p><strong>Material and methods: </strong>This retrospective study compromised of 55 patients who arrived to ED and underwent MRA of the chest for suspicion of PE during the months of May to June 2022. Data regarding their chief complaints, imaging sequence, and MRA results were collected. Two fellowship-trained faculty radiologists reviewed the MRA scans of the patients and scored the quality using a Likert scale.</p><p><strong>Results: </strong>Two patients were positive for PE and 53 patients showed negative results. Regarding the scan quality issues, motion was noted in 80% of the 55 studies that we reviewed. Significant associations (<i>P</i> < 0.009) between Likert scale scores and initial complaint category were found. The characteristic symptoms associated with suspicion of PE, namely, shortness of breath, chest pain, and cough were distributed among the 1 and 2 categories, reflecting the most optimal vessel opacification scores. We found no risk of misdiagnosis after reviewing the electronic medical record for follow-up appointments within 6 months of ED visit.</p><p><strong>Conclusion: </strong>Patients were screened for PE with MRA as an alternative imaging tool during times of contrast shortage. Further, evaluation of MRA with CTA, side by side, in a larger patient population is required to increase the validity of our QA study.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"28"},"PeriodicalIF":0.9,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ea/93/JCIS-13-28.PMC10559390.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41134120","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}

{"title":"Peripheral stent-graft for the management of an ulnar artery pseudoaneurysm.","authors":"Shivam Khatri,&nbsp;Steven Epstein,&nbsp;Simon Kashfi","doi":"10.25259/JCIS_80_2023","DOIUrl":"10.25259/JCIS_80_2023","url":null,"abstract":"<p><p>Penetrating injury can cause pseudoaneurysm which can then affect nerve compression. Although rare, penetrating injuries leading to ulnar artery pseudoaneurysm (UAP) are implicated slightly more frequently than other upper extremity arterial segments. Manual compression, thrombin injections, and surgical reconstruction are typically chosen to effect repair. Conversely, peripheral stent-graft implantation has rarely been reported as an option to exclude upper extremity pseudoaneurysm. We describe a case of a 25-year-old male who was stabbed, presented with signs of ulnar nerve compression, and in whom UAP was instead discovered and treated by stent-graft deployment.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"27"},"PeriodicalIF":0.9,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/10/JCIS-13-27.PMC10559374.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41118236","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}

{"title":"Complications with the use of Angio-Seal vascular closure device and their management.","authors":"Mohd Shariq,&nbsp;Krishna Prasad Bellam Premnath,&nbsp;Ahmed Tarek Saleh,&nbsp;Julian Coker","doi":"10.25259/JCIS_68_2023","DOIUrl":"10.25259/JCIS_68_2023","url":null,"abstract":"<p><p>Vascular closure devices (VCDs) are being increasingly used for achieving hemostasis after diagnostic and therapeutic endovascular procedures. Although uncommon, complications may be encountered which are associated with the use of these VCDs. We report four cases where the use of Angio-Seal (Terumo, Somerset, New Jersey, USA) was followed by complications. Three cases presented with acute limb ischemia, among them, two patients had arterial occlusion at the vascular access site and one patient had embolization of the footplate anchor of the closure device. One case presented with pseudoaneurysm at the common femoral artery access site along with occlusion at origin of the superficial femoral artery. We have described the mechanism in which these complications occur and the successful management of these cases preventing potential amputation and limb loss. The risk factors which increase the risk of complications with the use of Angio-Seal VCD were reviewed and the strategy to avoid these complications with particular emphasis on the utility of ultrasound when using Angio-Seal VCD is discussed. A strategy to manage these complications has been discussed while deciding on endovascular management or surgical management, especially in patients with challenging presentation and those with multiple comorbidities making them at very high risk for surgery.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"26"},"PeriodicalIF":0.9,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/10/JCIS-13-26.PMC10559466.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41115432","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}

{"title":"A comparison of balloon-assisted versus dilator in percutaneous gastrostomy tube placement.","authors":"Sean Lee,&nbsp;Abheek Ghosh,&nbsp;Aislynn Raymond,&nbsp;Nabeel M Akhter","doi":"10.25259/JCIS_55_2023","DOIUrl":"10.25259/JCIS_55_2023","url":null,"abstract":"<p><strong>Objectives: </strong>This study assesses the safety and efficacy of balloon-assisted gastrostomy (BAG) compared to conventional techniques using dilators.</p><p><strong>Material and methods: </strong>A single-center retrospective review of all fluoroscopically-guided percutaneous gastrostomy tube insertions from July 2017 to September 2020 was performed. Two hundred and seventy-three patients were included in this study, with 183 patients and 90 patients in the BAG and dilator groups, respectively. Fluoroscopy time, peak radiation dose, pain management, days to interventional radiology (IR) reconsultation, and post-operative complications (major and minor) for each procedure were reviewed to evaluate for statistical differences.</p><p><strong>Results: </strong>There were shorter fluoroscopy times (5.13 min vs. 7.05 min, <i>P</i> = 0.059) and a significantly lower radiation use (Avg = 102.13 mGy vs. 146.98 mGy, <i>P</i> < 0.05) in the BAG group. The BAG group required significantly lower operating time (41 min vs. 48 min, <i>P</i> < 0.01) and received lower pain management (fentanyl 75 mcg and midazolam 1.5 mg, <i>P</i> < 0.001). The mean days to IR reconsultation for the BAG group was greater (29 days vs. 26 days, <i>P</i> = 0.38). The overall rate of minor complications (grades 1 and 2, according to the CIRSE classification system) was higher in the dilator group (39% vs. 35% in BAG group, <i>P</i> = 0.53). No major complications were reported in either group.</p><p><strong>Conclusion: </strong>BAG is a safe and efficient technique for percutaneous gastrostomy tube placement. BAG patients required significantly lesser radiation, OR time, post-operative pain management, and recorded lower postoperative complications compared to their counterparts in gastrostomies utilizing dilators.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"25"},"PeriodicalIF":0.9,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2e/06/JCIS-13-25.PMC10559364.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41128267","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}

{"title":"Imaging of penetrating vascular trauma of the body and extremities secondary to ballistic and stab wounds.","authors":"Dheeraj Reddy Gopireddy, Joanna W Kee-Sampson, Sai Swarupa Reddy Vulasala, Rachel Stein, Sindhu Kumar, Mayur Virarkar","doi":"10.25259/JCIS_99_2022","DOIUrl":"10.25259/JCIS_99_2022","url":null,"abstract":"<p><p>In the United States, gunshot wounds (GSWs) have become a critical public health concern with substantial annual morbidity, disability, and mortality. Vascular injuries associated with GSW may pose a clinical challenge to the physicians in the emergency department. Patients demonstrating hard signs require immediate intervention, whereas patients with soft signs can undergo further diagnostic testing for better injury delineation. Although digital subtraction angiography is the gold standard modality to assess vascular injuries, non-invasive techniques such as Doppler ultrasound, computed tomography angiography, and magnetic resonance angiography have evolved as appropriate alternatives. This article discusses penetrating bodily vascular injuries, specifically ballistic and stab wounds, and the corresponding radiological presentations.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"1"},"PeriodicalIF":1.1,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/66/JCIS-13-1.PMC9899476.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9244000","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}

{"title":"Metrics-driven successful strategy by emergency and radiology driven task force to mitigate global CT contrast media shortage in a safety net hospital.","authors":"Dheeraj Reddy Gopireddy,&nbsp;Mayur Virarkar,&nbsp;Sai Swarupa Reddy Vulasala,&nbsp;David Caro,&nbsp;Ashley Norse,&nbsp;Dinesh Rao","doi":"10.25259/JCIS_116_2022","DOIUrl":"https://doi.org/10.25259/JCIS_116_2022","url":null,"abstract":"<p><p>Iodinated contrast media (ICM) shortages and secondary supply chain problems due to Coronavirus Disease lockdowns in China significantly impacted radiology operations nationwide. The lack of ICM necessitated operational workflow changes designed to ration contrast use, particularly in the hospital setting. In this manuscript, we share our strategic methods with advanced process/outcome metrics to monitor the effectiveness of our strategy under a coordinated multidisciplinary team effort. Alternate studies such as substituting magnetic resonance angiography for computed tomographic angiography for emergency department patients were studied to measure the suitability of these examinations for specific diagnoses. This article presents readers with a comprehensive crisis management strategy deployed at our institution, emphasizing various options with a limited ICM supply, and minimizing the impact on clinical care.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"2"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/31/JCIS-13-2.PMC9899449.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243998","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}

{"title":"Cross-sectional imaging evaluation of atypical and uncommon extra-nodal head and neck Non-Hodgkin lymphoma: Case series.","authors":"Esmat M Mahmoud,&nbsp;Emily Howard,&nbsp;Humera Ahsan,&nbsp;Joseph P Cousins,&nbsp;Ayman Nada","doi":"10.25259/JCIS_134_2022","DOIUrl":"https://doi.org/10.25259/JCIS_134_2022","url":null,"abstract":"<p><p>Extra-nodal Non-Hodgkin lymphoma (ENHL) of the head and neck is not uncommon and has variable clinical and imaging presentations. It represents about 25% of extra-nodal lymphomas. In addition, lymphoma is the third most common malignancy of the head and neck just after squamous cell carcinoma (SCC) and salivary gland neoplasms. Unlike SCC, ENHL usually presents as a well-defined mass in the oral cavity, along the pharyngeal mucosa, sinonasal cavity, orbit, and other different neck spaces. One of the common presentations of ENHL is the glandular type which can arise within the salivary or thyroid glands as marginal zone non-Hodgkin lymphoma. ENHL can infiltrate the bone resembling high grade osseous malignancies. Rarely, ENHL can present as perineural spread without definitive mass and manifest clinically with several neuropathies. In this case series, we presented different imaging features and presentation of ENHL of the head and neck. The knowledge of various presentations of ENHL of the head and neck can help early diagnosis and prompt management of these patients' population.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"6"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/6c/JCIS-13-6.PMC9899482.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10676306","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}

{"title":"Expanding influence: Journal of clinical imaging science in the competitive world of radiology.","authors":"Vikram Dogra","doi":"10.25259/JCIS_71_2023","DOIUrl":"https://doi.org/10.25259/JCIS_71_2023","url":null,"abstract":"","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"21"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/17/JCIS-13-21.PMC10408610.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9966917","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}

{"title":"Intraperitoneal anatomy with the aid of pathologic fluid and gas: An imaging pictorial review.","authors":"Matthew Montanarella,&nbsp;Kimberly Boldig,&nbsp;Mayur Virarkar,&nbsp;Sindhu Kumar,&nbsp;Sherif Elsherif,&nbsp;Chandana Lall,&nbsp;Dheeraj Reddy Gopireddy","doi":"10.25259/JCIS_29_2023","DOIUrl":"https://doi.org/10.25259/JCIS_29_2023","url":null,"abstract":"<p><p>The peritoneum is a large serosal membrane enveloping the abdomen and pelvic organs and forming the peritoneal cavity. This complex relationship forms many named abdominopelvic spaces, which are frequently involved in infectious, inflammatory, neoplastic, and traumatic pathologies. The knowledge of this anatomy is essential to the radiologist to localize and describe the extent of the disease accurately. This manuscript provides a comprehensive pictorial review of the peritoneal anatomy to describe pathologic fluid and gas.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"13"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/cc/JCIS-13-13.PMC10246409.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964495","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}