Journal of the American College of Radiology : JACR最新文献_第4页

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Altered Mental Status, Coma, Delirium, and Psychosis: 2024 Update. 对患者友好的ACR适宜性标准总结：精神状态改变、昏迷、谵妄和精神病：2024年更新。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-26 DOI: 10.1016/j.jacr.2024.11.019

Giorgia Villa, Orit Ariel Glenn

引用次数: 0

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Liver Lesion-Initial Characterization. 对患者友好的ACR适宜性标准总结®：肝脏病变-初始特征。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-26 DOI: 10.1016/j.jacr.2024.11.016

Corey Feuer, Saadiya Sehareen

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Patient-Friendly Summary of the ACR Appropriateness Criteria®: Radiologic Management of Portal Hypertension. ACR适宜性标准的患者友好总结：门静脉高压的放射学管理。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-26 DOI: 10.1016/j.jacr.2024.11.017

Corey Feuer, Sherry S Wang

引用次数: 0

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Acute Pancreatitis. ACR适宜性标准的患者友好总结：急性胰腺炎。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-26 DOI: 10.1016/j.jacr.2024.11.015

Jeshwanth Mohan, Saadiya Sehareen

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Patient-Friendly Summary of the ACR Appropriateness Criteria®: Nonvariceal Upper Gastrointestinal Bleeding. 对患者友好的ACR适宜性标准总结：非静脉曲张上消化道出血。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-26 DOI: 10.1016/j.jacr.2024.11.012

Naomi Hoffer, Sharon D'Souza

引用次数: 0

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Clinically Suspected Vascular Malformation of the Extremities. ACR适宜性标准的患者友好总结®：临床怀疑四肢血管畸形。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-26 DOI: 10.1016/j.jacr.2024.11.013

Grace O'Malley, Lynne M Koweek

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State-Level Medicaid Reimbursement and Imaging Utilization by Medicaid and Children's Health Insurance Program Patients. 医疗补助和儿童健康保险计划患者的州级医疗补助报销和成像利用。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-25 DOI: 10.1016/j.jacr.2024.10.009

Eric W Christensen, Alexandra R Drake, Neil C Davey, Elizabeth Y Rula

{"title":"State-Level Medicaid Reimbursement and Imaging Utilization by Medicaid and Children's Health Insurance Program Patients.","authors":"Eric W Christensen, Alexandra R Drake, Neil C Davey, Elizabeth Y Rula","doi":"10.1016/j.jacr.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.jacr.2024.10.009","url":null,"abstract":"Purpose: To determine if relative Medicaid-to-Medicare reimbursement rates are associated with patient imaging utilization.Methods: This cross-sectional study estimated the association of diagnostic imaging utilization with the state-level Medicaid-to-Medicare reimbursement ratio (MMRR) of professional payments. State-specific reimbursement ratios were computed for each imaging modality. Logistic regression was used to estimate the likelihood of having imaging, and gamma regression was used to estimate the average number of imaging studies for those with imaging. These models were performed for each gender-modality combination controlling for patient characteristics.Results: Among 48,835,765 Medicaid patients, 54.3% were women. The median MMRR was 0.82 (interquartile range [IQR]: 0.73-0.94) for CT, 0.87 (IQR: 0.76-1.01) for MR, 0.76 (IQR: 0.69-0.99) for nuclear medicine (NM), 0.85 (IQR: 0.73-1.09) for ultrasound, and 0.82 (IQR: 0.74-0.97) for radiography or fluoroscopy (XR). The probability of having imaging was 25.9% for CT, 25.9% for MR, 21.4% for ultrasound, and 31.8% for XR higher at 75th percentile of the MMRR distribution compared with the 25th percentile (P < .001). For those with imaging, the mean number of imaging studies received was associated with 5.7% fewer studies for NM at the 75th percentile compared with the 25th percentile (P < .001), although there was no difference for other modalities.Conclusions: Medicaid payments are related to imaging utilization. A higher MMRR is associated with a substantially increased likelihood of Medicaid patients receiving CT, MR, ultrasound, and XR imaging but no difference in the amount of imaging studies received for those with imaging for these modalities.","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873610","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

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Radiologic Management of Lower Gastrointestinal Tract Bleeding. ACR 适宜性标准®患者友好型摘要：下消化道出血的放射治疗。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-23 DOI: 10.1016/j.jacr.2024.11.011

Jeshwanth Mohan, Shari T Jawetz

引用次数: 0

Incidental Detection of Previously Unknown Strokes on Head CT Examinations: An Untapped Opportunity for Secondary Prevention. 在头部 CT 检查中偶然发现之前未知的脑卒中：二次预防中一个尚未开发的机会

Journal of the American College of Radiology : JACR Pub Date : 2024-11-19 DOI: 10.1016/j.jacr.2024.11.010

Carys L Kenny-Howell, Irene Dixe de Oliveira Santo, Charles Wira, Adam de Havenon, Long H Tu

{"title":"Incidental Detection of Previously Unknown Strokes on Head CT Examinations: An Untapped Opportunity for Secondary Prevention.","authors":"Carys L Kenny-Howell, Irene Dixe de Oliveira Santo, Charles Wira, Adam de Havenon, Long H Tu","doi":"10.1016/j.jacr.2024.11.010","DOIUrl":"10.1016/j.jacr.2024.11.010","url":null,"abstract":"Background: The incidental discovery of previously unknown strokes on neuroimaging is an opportunity to implement secondary prevention, reducing the risk of recurrent strokes by up to 80%.Objective: To evaluate the prevalence of previously unknown strokes on emergency department (ED) head CT imaging and identify associated patient and imaging factors.Methods: Retrospective study of adult patients receiving head CT (age ≥ 18 years) at three EDs between July and December 2023. Old strokes on CT imaging were categorized as previously known or unknown. Patient and imaging factors associated with unknown strokes were assessed via univariable regression, multivariable regression, and decision tree analysis.Results: In 21,985 ED encounters with head CT, 869 (4.0%) examinations demonstrated an old stroke (mean age, 74.4 years ± 14.0 [SD]), of which 372 (43%; 1.7% of all CTs) were unknown. Univariable analysis showed that unknown strokes were associated with greater age (odds ratio [OR], 1.03; 95% confidence interval [CI]: 1.02-1.04; P < .001), a single site of old stroke (OR, 2.7; 95% CI: 2.06-3.58; P and < .001), smaller strokes (OR, 1.8, 95% CI: 1.6-2.0, P < .001), as well as gangliocapsular (OR, 2.8; 95% CI: 1.9-4.0; P < .001) and cerebellar location (OR, 2.1; 95% CI: 1.4-3.2; P < .001). Results of further analyses corroborated those of the univariable regression.Conclusion: More than a third of old strokes on head CT imaging are unknown to patients and clinicians. Capturing this opportunity for secondary prevention could benefit 100,000 to 200,000 patients per year in the United States, based on trends in ED care.","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689637","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

Impact of Deep Learning-Based Computer-Aided Detection and Electronic Notification System for Pneumothorax on Time to Treatment: Clinical Implementation. 基于深度学习的气胸计算机辅助检测和电子通知系统对治疗时间的影响：临床实施。

Journal of the American College of Radiology : JACR Pub Date : 2024-11-19 DOI: 10.1016/j.jacr.2024.11.009

Si Nae Oh, Hyungkook Yang, Chun Kyon Lee, Sang-Hoon Park, Chang Hoon Han, Ho Heo, Young Sung Kim

{"title":"Impact of Deep Learning-Based Computer-Aided Detection and Electronic Notification System for Pneumothorax on Time to Treatment: Clinical Implementation.","authors":"Si Nae Oh, Hyungkook Yang, Chun Kyon Lee, Sang-Hoon Park, Chang Hoon Han, Ho Heo, Young Sung Kim","doi":"10.1016/j.jacr.2024.11.009","DOIUrl":"10.1016/j.jacr.2024.11.009","url":null,"abstract":"Objective: To assess whether the implementation of deep learning (DL) computer-aided detection (CAD) that screens for suspected pneumothorax (PTX) on chest radiography (CXR) combined with an electronic notification system (ENS) that simultaneously alerts both the radiologist and the referring clinician would affect time to treatment (TTT) in a real-world clinical practice.Methods: In May 2022, a commercial DL-based CAD and ENS was introduced for all CXRs at an 818-bed general hospital, with 33 attending doctors and their residents using ENS, while 155 others used only CAD. We used difference-in-differences estimates to compare TTT between the CAD and ENS group and the CAD-only group for the period from January 2018 to April 2022 and from May 2022 to April 2023.Results: A total of 603,028 CXRs from 140,841 unique patients were included, with a PTX prevalence of 2.0%. There was a significant reduction in TTT for supplemental oxygen therapy for the CAD and ENS group compared with the CAD-only group in the postimplementation period (-143.8 min; 95% confidence interval [CI], -277.8 to -9.9; P = .035). However, there was no significant difference in TTT for other treatments, including aspiration or tube thoracostomy (14.4 min; 95% CI, -35.0 to 63.9) and consultation with the thoracic and cardiovascular surgery department (86.3 min; 95% CI, -175.1 to 347.6).Conclusion: The introduction of a DL-based CAD and ENS reduced the time to initiate oxygen supplementation for patients with PTX.","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683730","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