Current Problems in Diagnostic Radiology最新文献_第8页

Factors associated with radiological misstaging of pancreatic ductal adenocarcinoma: A retrospective observational study 胰腺导管腺癌放射学误诊的相关因素：一项回顾性观察研究。

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-07 DOI: 10.1067/j.cpradiol.2024.03.001

Mohammad Yasrab MD , Sameer Thakker MD , Michael J. Wright MS , Taha Ahmed MD , Jin He MD, PhD , Christopher L. Wolfgang MD, PhD , Linda C. Chu MD , Matthew J. Weiss MD, MBA , Satomi Kawamoto MD , Pamela T. Johnson MD , Elliot K. Fishman MD , Ammar A. Javed MD

{"title":"Factors associated with radiological misstaging of pancreatic ductal adenocarcinoma: A retrospective observational study","authors":"Mohammad Yasrab MD , Sameer Thakker MD , Michael J. Wright MS , Taha Ahmed MD , Jin He MD, PhD , Christopher L. Wolfgang MD, PhD , Linda C. Chu MD , Matthew J. Weiss MD, MBA , Satomi Kawamoto MD , Pamela T. Johnson MD , Elliot K. Fishman MD , Ammar A. Javed MD","doi":"10.1067/j.cpradiol.2024.03.001","DOIUrl":"10.1067/j.cpradiol.2024.03.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Accurate staging of disease is vital in determining appropriate care for patients with pancreatic ductal adenocarcinoma (PDAC). It has been shown that the quality of scans and the experience of a radiologist can impact computed tomography (CT) based assessment of disease. The aim of the current study was to evaluate the impact of the rereading of outside hospital (OH) CT by an expert radiologist and a repeat pancreatic protocol CT (PPCT) on staging of disease.</p></div><div><h3>Methods</h3><p>Patients evaluated at the our institute's pancreatic multidisciplinary clinic (2006 to 2014) with OH scan and repeat PPCT performed within 30 days were included. In-house radiologists staged disease using OH scans and repeat PPCT, and factors associated with misstaging were determined.</p></div><div><h3>Results</h3><p>The study included 100 patients, with a median time between OH scan and PPCT of 19 days (IQR: 13–23 days.) Stage migration was mostly accounted for by upstaging of disease (58.8 % to 83.3 %) in all comparison groups. When OH scans were rereviewed, 21.5 % of the misstaging was due to missed metastases, however, when rereads were compared to the PPCT, occult metastases accounted for the majority of misstaged patients (62.5 %). Potential factors associated with misstaging were primarily related to imaging technique.</p></div><div><h3>Conclusion</h3><p>A repeat PPCT results in increased detection of metastatic disease that rereviews of OH scans may otherwise miss. Accessible insurance coverage for repeat PPCT imaging even within 30 days of an OH scan could help optimize delivery of care and alleviate burdens associated with misstaging.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 4","pages":"Pages 458-463"},"PeriodicalIF":1.4,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208683","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 conundrum of breast cancer mimics 乳腺癌拟态的难题。

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-07 DOI: 10.1067/j.cpradiol.2024.03.003

Veenu Singla , Malvika Gulati , Tulika Singh , Amanjit Bal , Cherring Tandup

引用次数: 0

Scanners, schedules, and statutes: A tale of trauma, policy, and profit 扫描仪、时间表和法规：创伤、政策和利润的故事。

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-07 DOI: 10.1067/j.cpradiol.2024.03.004

Robert Optican MD, MSHA , Richard Duszak MD

引用次数: 0

Adhesive capsulitis: Utility of magnetic resonance imaging as a primary diagnostic tool and clinical management support 粘连性囊炎：磁共振成像作为主要诊断工具和临床管理支持的实用性。

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-07 DOI: 10.1067/j.cpradiol.2024.03.005

Samer Soussahn MD , David Hu MD , Jared Durieux MS, MDS, MPH , Christos Kosmas MD , Navid Faraji MD

{"title":"Adhesive capsulitis: Utility of magnetic resonance imaging as a primary diagnostic tool and clinical management support","authors":"Samer Soussahn MD , David Hu MD , Jared Durieux MS, MDS, MPH , Christos Kosmas MD , Navid Faraji MD","doi":"10.1067/j.cpradiol.2024.03.005","DOIUrl":"10.1067/j.cpradiol.2024.03.005","url":null,"abstract":"<div><h3>Objective</h3><p>Adhesive capsulitis (AC) has traditionally been a clinical diagnosis characterized by progressive shoulder pain and decreased range of motion. Our aim is to examine the role of shoulder MRI in making the diagnosis of AC, and to identify the frequency of cases where MRI was the primary method in diagnosing AC amongst medical providers.</p></div><div><h3>Methods</h3><p>This was an anonymized retrospective analysis. Patients with positive MRI features suggestive for AC from 2015 to 2018 were included. Pre and post MRI clinical notes were assessed in order to ascertain the clinical suspicion of AC. A total of 117 cases were included for this study.</p></div><div><h3>Results</h3><p>Our results demonstrated the number of patients whose management were influenced by shoulder MRI. When all of the imaging parameters by MRI are taken into account by aggregate, there is a statistically significant difference (p-value < 0.01) with regards to orthopedists having their working diagnosis of AC confirmed by the MRI results as compared to the primary care physicians.</p></div><div><h3>Conclusion</h3><p>This study supports the role of shoulder MRI in the evaluation of AC. Not only does shoulder MRI assist ordering clinicians with providing additional evidence to support a suspected diagnosis of AC, but also plays a primary role in making the diagnosis of AC in cases in which it was not initially suspected, ultimately impacting management.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 4","pages":"Pages 464-469"},"PeriodicalIF":1.4,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121655","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

Hospital payment systems and physician reimbursement: A primer for radiology residents 医院支付系统和医生报销：放射科住院医师入门。

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-01 DOI: 10.1067/j.cpradiol.2023.10.019

Sishir Doddi BS , Sree Harsha Tirumani MD

{"title":"Hospital payment systems and physician reimbursement: A primer for radiology residents","authors":"Sishir Doddi BS , Sree Harsha Tirumani MD","doi":"10.1067/j.cpradiol.2023.10.019","DOIUrl":"10.1067/j.cpradiol.2023.10.019","url":null,"abstract":"<div><p>Prior to practicing independently, radiology trainees spend considerable time and energy to learn and understand the practice of radiology. However, upon graduation trainees are often deficient in understanding the business of hospitals and the structure of reimbursement. Specifically, the workflow of relative value units (RVUs) and its impact on practice of radiology after completing training. In this manuscript, we provide a resource for trainees to understand the workflow of physician reimbursement. This article includes information on the mixed model healthcare structure of the United States and two government programs that influence reimbursement: Diagnosis-Related Groups (DRG) and Hospital Value-Based Purchasing (HVBP) programs. Furthermore, we explain the method by which the Center of Medicare and Medicate Service's (CMS) reimburses physicians via the Medicare Physician Fee Schedule (MPFS) using the Resource Based Relative Value Scale. Understanding the structure of these payments along with the challenges and current landscape of radiology reimbursement will help new radiologists prior to seeking employment where reimbursements are integral to contract expectations.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 2","pages":"Pages 171-174"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S036301882300172X/pdfft?md5=120542fd59dbe7f4301a733fc3242998&pid=1-s2.0-S036301882300172X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61567057","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

10-year update to the combined 16-month nuclear medicine and diagnostic radiology residency: The NuRad pathway 为期 16 个月的核医学和放射诊断联合住院医师培训的 10 年更新：NuRad 途径

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-01 DOI: 10.1067/j.cpradiol.2024.01.001

Joshua Eichhorn, Natalie Phelan, Roopa Ram, Fathima Fujila Palot Manzil

{"title":"10-year update to the combined 16-month nuclear medicine and diagnostic radiology residency: The NuRad pathway","authors":"Joshua Eichhorn, Natalie Phelan, Roopa Ram, Fathima Fujila Palot Manzil","doi":"10.1067/j.cpradiol.2024.01.001","DOIUrl":"10.1067/j.cpradiol.2024.01.001","url":null,"abstract":"<div><h3>Background</h3><p><span>The decline in nuclear medicine (NM) residencies in the United States has led to a shortage of </span>NM physicians<span>. To help address this, a 16-month NM pathway for diagnostic radiology (DR) residents was developed in 2010. At the University of Arkansas for Medical Sciences, we matched our first resident into the NuRad (NM + DR) pathway in 2013. Despite our success, we remain one of only five programs in the United States that offers a combined training pathway through the National Resident Matching Program.</span></p></div><div><h3>Objectives</h3><p>Review our 10-year experience with the NuRad pathway at UAMS and highlight the key components and significance of the 16-month NM pathway.</p></div><div><h3>Methods</h3><p>Retrospective review of NRMP applicants to the DR and NuRad pathway from 2013 and 2023 at UAMS. Literature and website review of the educational structure of the 16-month NM pathway.</p></div><div><h3>Results</h3><p>We have seen significant increase in the number of applicants to the NuRad pathway at UAMS over the last 10 years with 184 applicants for 1 position in 2023, up from 18 applicants in 2013. Furthermore, we have seen an increase in the USMLE step scores for applicants during this time.</p></div><div><h3>Conclusions</h3><p>There is a growing need for NM trained physicians in the United States. Over the last 10 years, we have seen increasing interest in the NM 16-month pathway as a part of DR residency. A wider implementation of this combined training pathway is needed, if we are to realize its full potential.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 2","pages":"Pages 243-245"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139537066","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

Autoimmune disorders of the gastrointestinal tract: Review of radiological appearances 胃肠道自身免疫性疾病：放射学表现综述。

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-01 DOI: 10.1067/j.cpradiol.2023.10.002

Rajath Ramegowda , Manphool Singhal , Ajay Gulati , Jayanta Samanta , Harjeet Singh , Vishal Sharma , Aman Sharma , Pankaj Gupta M.D.

引用次数: 0

Clear cell carcinoma of the ovary: Clues for radiologists to perform a correct diagnosis 卵巢透明细胞癌：放射科医生进行正确诊断的线索。

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-01 DOI: 10.1067/j.cpradiol.2023.10.003

Susana Rodrigues , Miguel Braga , Ana Félix , Teresa Margarida Cunha

{"title":"Clear cell carcinoma of the ovary: Clues for radiologists to perform a correct diagnosis","authors":"Susana Rodrigues , Miguel Braga , Ana Félix , Teresa Margarida Cunha","doi":"10.1067/j.cpradiol.2023.10.003","DOIUrl":"10.1067/j.cpradiol.2023.10.003","url":null,"abstract":"<div><p><span>Ovarian clear cell carcinoma (OCCC) is an uncommon high-grade primary </span>epithelial ovarian cancer<span><span>, covering about 10-12 % of all ovarian malignancies. It has a strong association with </span>endometriosis.</span></p><p>OCCC diagnosis, at advanced stages, has an aggressive biological behaviour, and the therapeutic strategies for ovarian OCCC are somehow different from other ovarian carcinomas. Therefore, early diagnosis of these tumours is of extreme importance.</p><p>As some ovarian tumours<span> subtypes have distinguishing features, it is possible to differentiate them based on their imaging characteristics, which can guide patient management and help the clinicians and pathologists in their diagnosis.</span></p><p>A large mass on one side of the ovary that is mostly cystic, with a focal or multifocal irregular eccentric growing solid mural nodules or projections protruding into the cystic space, may suggest clear cell carcinoma of the ovary diagnosis. The solid nodules usually have an intermediate signal on T2-weighted images. The cystic component can be either single or multilocular, and the contents may contain protein or blood. CT scanning is still the preferred method for preoperative staging and postoperative restaging, and radiologists are crucial in identifying this type of tumour.</p><p>We reviewed the imaging files of patients with surgically proven clear cell carcinoma at the specimens, and our findings agree with previous studies. This paper aims to perform a comprehensive revision of OCCC's radiological and clinic-pathological features and assist radiologists in recognizing OCCC and narrowing down the possibilities of differential diagnosis.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 2","pages":"Pages 271-279"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490315","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

Multimodality imaging review of metastatic melanoma involving the breast 涉及乳腺的转移性黑色素瘤的多模式成像回顾

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-01 DOI: 10.1067/j.cpradiol.2024.01.002

Matthew Brodhead MD, MA , Ryan W. Woods MD, MPH , Amy M. Fowler MD, PhD , Madhuchhanda Roy MBBS, PhD , Heather Neuman MD , Alison Gegios MD

引用次数: 0

A perspective on how to optimize breast imaging rotations for medical students 透视如何优化医学生的乳腺成像轮转。

IF 1.4

Current Problems in Diagnostic Radiology Pub Date : 2024-03-01 DOI: 10.1067/j.cpradiol.2024.01.015

Asha A Bhatt MD , Tara L Henrichsen MD

引用次数: 0