Current Problems in Diagnostic Radiology最新文献

{"title":"Comparison of sagittal angle of trigeminal nerve at porus trigeminus between responders and non-responders to microvascular decompression surgery in patients with trigeminal neuralgia","authors":"Shehbaz Ansari MD,&nbsp;Brian H. Mu MD,&nbsp;Eric R. Basappa MD,&nbsp;Melih Akyuz MD,&nbsp;Miral D. Jhaveri MD MBA,&nbsp;Santhosh Gaddikeri MD","doi":"10.1067/j.cpradiol.2025.05.003","DOIUrl":"10.1067/j.cpradiol.2025.05.003","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The sagittal angle of the trigeminal nerve at the porus trigeminus (SATNaPT) has been described as abnormally hyperacute in a subset of patients with trigeminal neuralgia and proposed as a potential marker for the likelihood of poor microvascular decompression (MVD) outcomes. The purpose of this study is to replicate these results and evaluate this hypothesized association by comparing the SATNaPT between MVD responders and non-responders.</div></div><div><h3>Materials and methods</h3><div>At a single institution, 80 patients with a clinical diagnosis of trigeminal neuralgia, surgical intervention with MVD, and available adequate high-resolution T2 imaging were identified. SATNaPT was measured between the cisternal segment of the trigeminal nerve and its uppermost branch in the Meckel cave by a blinded observer. These data were evaluated for normality of distribution and compared between responders and non-responders to MVD as well as between affected and unaffected sides. Non-response to MVD was defined as persistent pain requiring continuous medication postoperatively or progression to secondary interventions.</div></div><div><h3>Results</h3><div>There were 43 (52.5 %) responders and 39 (47.5 %) non-responders to MVD. Two patients had bilateral disease for 82 affected sides and 78 unaffected sides. The mean SATNaPT among responders was 150.5° (SD: ±10.6°), which was not significantly different (<em>p</em> = 0.21) from the 153.1° (SD: ±8.0°) mean angle in non-responders. Mean SATNaPT was not significantly different (<em>p</em> = 0.10) between the affected (mean: 151.7°, SD: ±9.5°) and the unaffected (mean: 153.1°, SD: ±10.0°) sides.</div></div><div><h3>Conclusions</h3><div>Our study did not replicate the bimodal distribution of the SATNaPT in cTN patients. No statistically significant difference was noted in the SATNaPT between responders and non-responders to MVD or between symptomatic and asymptomatic sides.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 585-589"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096405","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}

{"title":"Age is more than just a number – Tailoring radiologic practice for the geriatric population","authors":"Sirui Jiang MD PhD ,&nbsp;Kaustav Bera MD ,&nbsp;Zachary A Ohs DO ,&nbsp;Ifeanyi O Ekpunobi BS ,&nbsp;Nami R Azar MD ,&nbsp;Sree Harsha Tirumani MD ,&nbsp;Nikhil H Ramaiya MD","doi":"10.1067/j.cpradiol.2025.06.003","DOIUrl":"10.1067/j.cpradiol.2025.06.003","url":null,"abstract":"<div><div>The growing elderly population is transforming healthcare delivery, with radiology playing a central role in diagnosing and managing diseases in older adults. As patients age, they develop distinct imaging characteristics due to physiological changes and comorbidities, which can complicate diagnosis and treatment across radiologic subspecialties. This article explores key geriatric imaging considerations in neuroradiology, cardiothoracic, abdominopelvic, musculoskeletal, oncologic, and interventional radiology, emphasizing how each subspecialty faces unique challenges in distinguishing normal aging from pathology.</div><div>Despite progress in geriatric care across many medical disciplines, radiology has lagged in its adaptation—lacking specific training programs, imaging protocols, and geriatric-focused guidelines. This article calls for the integration of geriatric content into radiology curricula and the development of tailored imaging templates and multimodality strategies.</div><div>By aligning imaging approaches with the realities of aging physiology, radiologists can enhance diagnostic accuracy and clinical decision-making. Geriatric-specific radiologic frameworks are essential to optimizing outcomes, reducing diagnostic ambiguity, and meeting the complex needs of elderly patients. Advancing radiology practices in this direction will ensure that older adults receive more precise, personalized care and benefit from innovations in imaging science tailored to their demographic.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 529-542"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277126","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}

{"title":"Radiological insights into pediatric undernutrition: Early detection, complications, and a structured evaluation approach","authors":"Ishan Kumar MBBS, MD, DNB ,&nbsp;Ashish Verma MBBS, DNB, PhD ,&nbsp;Priyanka Aggarwal MBBS, MD ,&nbsp;Nidhi Yadav MBBS, MD ,&nbsp;Karan Kukreja MBBS, MD ,&nbsp;Pramod Kumar Singh MBBS, MD","doi":"10.1067/j.cpradiol.2025.03.002","DOIUrl":"10.1067/j.cpradiol.2025.03.002","url":null,"abstract":"<div><div>Despite a decade of significant growth in economic conditions of South Asian countries, people continue to suffer from the pervading problem of malnutrition. High prevalence of child undernutrition despite unprecedented economic growth in these nations have a multifactorial etiology including fetal malnutrition and status of women, inadequate feeding practices in infant and young child, poor household sanitation and untargeted health schemes. The diagnosis and management of malnutrition and its various complications require a multidisciplinary approach and radiologists have a potentially important, albeit currently underutilized, role in early detection, identifying the other clinical mimics such as endocrinal and genetic disorders, and detection of key complications. In this review, we apprise the radiological aspects of PEM and micro-nutritional deficiency and their complications. We also provide a comprehensive structured evaluation scheme for evaluation of a suspected malnourished child.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 616-626"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702547","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}

{"title":"Quality improvement project: Patient-centered breast imaging letters","authors":"Jada Hislop MD ,&nbsp;Jasmine Locklin MD ,&nbsp;Chris Ho MD ,&nbsp;Elizabeth A. Krupinski PhD ,&nbsp;Charnaye R. Bosley ,&nbsp;Timothy Arleo MD ,&nbsp;Nadja Kadom MD","doi":"10.1067/j.cpradiol.2025.04.015","DOIUrl":"10.1067/j.cpradiol.2025.04.015","url":null,"abstract":"<div><h3>Purpose</h3><div>Assess patient-centered revisions to our institution’s screening mammography letters for BIRADS-0 and BIRADS-0 dense breast employing existing validated readability and usability rating instruments.</div></div><div><h3>Methods/approach</h3><div>Cross-sectional analysis of two different mammography recall letters used by our institution revised to be patient-centered: the mammography recall letter (BIRADS 0) and the recall letter for patients with dense breasts (BIRADS 0-DB). During the editorial stage, we used chat GPT v3.5 and the Flesch-Kincaid grade level (FKGL). After updates to the layout and addition of visuals, the letters were rated by professional subject-matter experts (SME) for understandability and actionability using the Patient Education Materials Assessment Tool (PEMAT). The letters were then evaluated by patients for comprehensibility, utility, and design using the Consumer Information Rating Form (CIRF). Descriptive statistics were calculated for each assessment.</div></div><div><h3>Results</h3><div>Baseline BI-RADS 0 and BI-RADS 0-DB letter FKGL levels were 11.9 and 10.7, respectively; after iterative revision the FKGL were 6.7 and 5.8, respectively. PEMAT ratings for understandability for the BI-RADS 0 recall letter improved from 41 to 90 % after the revision, and for actionability improved from 50 to 88 %. The understandability for the revised BI-RADS 0-DB letter improved from 46 to 85 % and actionability improved from 44 to 73 %. CIRF ratings indicated significant value for the added images in the BIRADS-0-DB letter.</div></div><div><h3>Conclusion</h3><div>Use of validated and established assessment tools confirmed that our new breast imaging letters were improved in terms of readability, understandability/comprehensibility, actionability, utility, and design. The process now serves as a pipeline for future revisions to documents that our department is sharing with patients</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 608-615"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000560","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}

{"title":"Data governance in radiology Part I: Overview of data management approaches to radiology","authors":"Chloe M. Chhor MD ,&nbsp;Surbhi Raichandani MD ,&nbsp;Liam du Preez MD ,&nbsp;Nicholas R. Brandser BS ,&nbsp;Joseph Fotos MD ,&nbsp;Rahim S. Jiwani MS ,&nbsp;David Li MD ,&nbsp;Prabhakar Shantha Rajiah MBBS, MD, FRCR ,&nbsp;Jessica M. Sin MD, PhD ,&nbsp;Xuan V. Nguyen MD PhD","doi":"10.1067/j.cpradiol.2025.06.004","DOIUrl":"10.1067/j.cpradiol.2025.06.004","url":null,"abstract":"<div><div>Each year, the healthcare industry generates a substantial amount of data, and radiology stands out as a medical specialty that often produces significant volumes of data. This is due to the large amount of data contained within imaging studies such CT scans, MRIs, and radiographs. As the demand for imaging services grows, practices encounter more patients and perform more scans, leading to an ever-growing volume of generated data. To sustain the growing volume of data and to adhere to data privacy regulations, radiology groups require a thoughtfully designed data governance program to oversee data availability, usability, integrity, and security. Data governance, when effectively implemented, safeguards the consistency and trustworthiness of data, reducing risk of misuse. This review summarizes various concepts and practices related to data governance in radiology.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 554-561"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287561","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}

{"title":"Level up your radiology case conferences: Preparing residents for success in oral board examinations using gamification","authors":"Alexander Antigua Made BA ,&nbsp;Mahan Mathur MD","doi":"10.1067/j.cpradiol.2025.04.006","DOIUrl":"10.1067/j.cpradiol.2025.04.006","url":null,"abstract":"<div><div>The American Board of Radiology's new Diagnostic Radiology Oral Examination emphasizes clinical decision-making, communication, and critical thinking. Traditional \"hot seat\" case conferences remain a valuable way to prepare residents for these requirements. Incorporating game-based formats into these case conferences, such as “Who Wants to Be a Millionaire?”, “Jeopardy!”, “Family Feud,” and “Kahoot!”, can make learning more dynamic and interactive. This review provides practical strategies for integrating these methods into radiology case conferences to enhance resident training and engagement.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 579-584"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038672","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}

{"title":"Improving patient safety education for radiology residents: Using a quality improvement approach","authors":"Chloe Reyes (Student) ,&nbsp;Lisa M. Ponce MS, RT(R) ,&nbsp;Cathy L. Hannafin MBA/HCM, RN, CPHQ ,&nbsp;Jonathan A. Flug MD, MBA ,&nbsp;Meredith Fishleder (Student) ,&nbsp;Nelly Tan MD","doi":"10.1067/j.cpradiol.2025.06.005","DOIUrl":"10.1067/j.cpradiol.2025.06.005","url":null,"abstract":"<div><h3>Background and Objective</h3><div>The 2021-2022 Accreditation Council for Graduate Medical Education (ACGME) survey of radiology residents at our institution showed a level of participation in safety event investigations that was below ACGME compliance standards. We undertook a quality improvement (QI) project that aimed to increase resident participation in safety event root cause analysis (RCA) and action planning, as well as to enhance the QI training experience for radiology residents.</div></div><div><h3>Methods</h3><div>A team of residents, program leaders, and radiology QI professionals applied the DMAIC (Define, Measure, Analyze, Improve, Control) methodology to identify root causes of low resident participation in safety event investigations.</div></div><div><h3>Results</h3><div>We designed and implemented targeted interventions that aimed to restore compliance with ACGME standards. Interventions included integrating first-year residents into the Radiology Quality Oversight Committee, improving safety event reporting education, clarifying terminology used in ACGME survey questions, and incorporating simulated RCA events. The subsequent ACGME survey showed that our QI initiative led to a 33% increase in resident participation in safety event investigations without compromising the balance between education and patient care.</div></div><div><h3>Discussion</h3><div>Addressing the observed decline through structured QI initiatives not only restored compliance with ACGME standards but also strengthened the overall educational experience for residents. This project underscores the critical role of targeted interventions in maintaining high levels of resident engagement in patient safety activities.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 568-573"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295524","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}

{"title":"Take your PIC (Program Improvement Committee): The benefits of a resident-run initiative to improve graduate medical education","authors":"Samantha Pfiffner B.S. ,&nbsp;Michael Burcescu M.D. ,&nbsp;Arif Musa M.D. ,&nbsp;Hamed Kordbacheh M.D. ,&nbsp;Alhassan Alhasson M.D. ,&nbsp;Gulcin Altinok M.D. ,&nbsp;Lisa Dillon Ph.D. ,&nbsp;Ali Harb M.D.","doi":"10.1067/j.cpradiol.2025.01.011","DOIUrl":"10.1067/j.cpradiol.2025.01.011","url":null,"abstract":"<div><div>The evolving landscape of graduate medical education (GME) necessitates innovative approaches to residency program evaluation and improvement. At Detroit Medical Center/Wayne State University, a novel resident-led Program Improvement Committee (PIC) was established in June 2022 within the Diagnostic Radiology Residency Program. The PIC serves as a flexible, resident-driven structure designed to enhance engagement, provide continuous feedback, and implement actionable solutions in collaboration with residency leadership. Unlike traditional Program Evaluation Committees (PECs) and Clinical Competency Committees (CCCs), the PIC promotes a more democratized approach, empowering residents to take ownership of their training. By convening monthly and fostering fluid subcommittees, the PIC has successfully driven initiatives including increased research engagement, mentorship programs, social media enhancement, and system-level improvements such as the establishment of a dedicated WiFi network for hospital employees. The PIC represents a paradigm shift in residency enhancement, offering a responsive, adaptable mechanism for fostering innovation, inclusivity, and collaboration. Further research is needed to evaluate its broader impact, but the PIC has the potential to revolutionize residency training and improve medical education.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 546-549"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061663","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}

{"title":"Responding to daily volume surges in real time in an academic setting: the “Ad Hoc” shift","authors":"Dana Alkhulaifat ,&nbsp;Ethan Larsen ,&nbsp;Cassie Solomon ,&nbsp;David M. Biko ,&nbsp;Sudha A. Anupindi ,&nbsp;Hansel Otero","doi":"10.1067/j.cpradiol.2025.01.008","DOIUrl":"10.1067/j.cpradiol.2025.01.008","url":null,"abstract":"<div><div>Staffing shortages and increased radiology study volumes have led to higher workloads and increased rates of burnout among pediatric radiologists. These conditions are exacerbated by daily fluctuations in study volumes which can occur due to a plethora of reasons and can often be unpredictable. Current solutions involve increasing staffing numbers and offsetting certain specialized studies to other subspecialties. However, these solutions can be costly and impractical. Therefore, we devised a dynamic, flexible two-hour shift called the <em>Ad Hoc shift</em> in which a designated pediatric radiologist dubbed as the “maestro” assesses the body division workflow in real-time and decides whether to recruit additional radiologists during high study volumes. In this paper, we discuss the protocol of the proposed <em>Ad Hoc shift</em>, along with preliminary results from our institution after a year of implementation. Additionally, we discuss its advantages and address some considerations that may arise during the implementation process.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 550-553"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076718","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}

{"title":"Implementing a competency based medical education curriculum in diagnostic radiology: Challenges and Pearls of Wisdom","authors":"Christina Rogoza ,&nbsp;Sijyl Fasih ,&nbsp;Benjamin Y.M. Kwan","doi":"10.1067/j.cpradiol.2025.01.012","DOIUrl":"10.1067/j.cpradiol.2025.01.012","url":null,"abstract":"<div><div>In 2014, The Royal College of Physicians and Surgeons of Canada (RCPSC) began a national initiative to rollout Competency-Based Medical Education (CBME) for all postgraduate medical programs. This represents a paradigm shift in the approach to resident training and transformative changes on many levels.</div><div>In 2017, the department of Diagnostic Radiology at Queen's University became an early adopter of the CBME training model. The department began curricular planning using program specific Entrustable Professional Activities (EPAs), milestones based on the CanMeds roles, and an assessment framework. Associated processes were created to support implementation, with formation of a new competence committee, structure and process for academic advisors, and faculty development. In July 2018, the model was implemented using an electronic portfolio system, Elentra. In July 2022, the RCPSC launched the national implementation of their CBME CBD model, which was implemented for the incoming cohorts in the department of Diagnostic Radiology.</div><div>Drawing from CBME implementation in the department of Diagnostic Radiology at Queen's University, we highlight the challenges encountered at our institution, methods for addressing these challenges, and corresponding outcomes. From our experience, we aim to provide a roadmap for the reader that will aid in planning for CBME implementation at other institutions.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 543-545"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191541","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}