Current problems in diagnostic radiology最新文献

Ultimate frisbee related injury patterns: A decade long institutional experience. 极限飞盘相关的伤害模式：长达十年的机构经验。

Current problems in diagnostic radiology Pub Date : 2025-06-30 DOI: 10.1067/j.cpradiol.2025.06.011

Matthew Coulter, Brian Zhang, Jayesh Gupta, Shaun Johnson, Nathan Amann, Navid Faraji

{"title":"Ultimate frisbee related injury patterns: A decade long institutional experience.","authors":"Matthew Coulter, Brian Zhang, Jayesh Gupta, Shaun Johnson, Nathan Amann, Navid Faraji","doi":"10.1067/j.cpradiol.2025.06.011","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.011","url":null,"abstract":"Objective: The primary outcome of this investigation was to describe the frequency and types of ultimate frisbee-related injuries at a single institution over an 11-year period. The secondary outcomes were to report rates of radiographic utilization and surgical intervention.Materials and methods: TriNetX was utilized to identify patients with ultimate-frisbee related injuries from 2010 to 2021 at a single institution. Injured body parts were recorded and further classified by type of injury. Imaging utilization, including plain radiograph, computed tomography (CT), and magnetic resonance imaging (MRI) were recorded. Rate of subsequent surgery was also recorded.Results: A total of 187 distinct injury encounters were identified. The most common anatomic regions injured were the knee (23.5 %), shoulder (14.8 %), and ankle (12.2 %). Among knee injuries, anterior cruciate ligament (ACL) tear was the most common type of injury (20.5 %). Sprains were the most common type of injury to the shoulder (34.5 %) and the ankle (64 %). 71.1 % of patients were imaged with radiographs, 16.6 % were imaged with MRI, and 3.7 % of patients were imaged with CT. Additionally, 14.4 % of patients required surgery due to their ultimate frisbee-related injury.Conclusion: As ultimate frisbee increases in popularity among the general population so does the incidence of ultimate-related injuries. Although these injuries have many similarities with those associated with other non-contact team sports, knowledge of the gameplay and commonly associated injury patterns is integral to initiating effective treatment and management of these injuries.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602629","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

Imaging in Pott's spine: A review of typical and atypical imaging features and diagnostic challenges. 波特脊柱影像学：典型和非典型影像学特征和诊断挑战的综述。

Current problems in diagnostic radiology Pub Date : 2025-06-30 DOI: 10.1067/j.cpradiol.2025.06.010

Dr Rashmi Dixit, Dr Sonali Garg, Dr Gaurav Shanker Pradhan

{"title":"Imaging in Pott's spine: A review of typical and atypical imaging features and diagnostic challenges.","authors":"Dr Rashmi Dixit, Dr Sonali Garg, Dr Gaurav Shanker Pradhan","doi":"10.1067/j.cpradiol.2025.06.010","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.010","url":null,"abstract":"Pott's spine is associated with high morbidity, long-term disabling sequelae and even mortality. The classical paradiscal form, where there is destruction of end plates of adjacent 2-3 vertebral bodies along with intervening disc involvement and associated paravertebral abscess is well recognized. However, due to its varied clinical and radiological presentations, it remains a diagnostic challenge often resulting in delay in diagnosis. This is especially true of countries where tuberculosis has been almost eliminated but now are witnessing increase in incidence both due to immigration and HIV infection. Overlooking tuberculosis as a differential diagnostic consideration is very likely when the radiological presentation is not classical and consequent delay in diagnosis may have devastating consequences for the patient. In this review, we aim to describe various typical and atypical imaging findings of Pott's spine with special emphasis on atypical presentations including single vertebral body involvement, isolated posterior element involvement, intraspinal epidural abscess without vertebral involvement and skip lesions along with differential diagnostic considerations like metastases, fractures and spinal infections. The major focus is on magnetic resonance imaging findings which is the imaging modality of choice in patients presenting with neurological symptoms referable to the spine. Radiographic and Computed tomography findings are also discussed in brief. We also describe treatment and post treatment imaging in brief. Radiologists need to be aware of these atypical presentations as they may be the first to raise the possibility of tuberculosis which can avoid disabling long term sequalae.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593221","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 hierarchy of hazard controls in clinical magnetic resonance safety: an analysis of the American College of Radiology Manual on MR Safety. 临床磁共振安全中的危害控制层次：美国放射学会磁共振安全手册分析。

Current problems in diagnostic radiology Pub Date : 2025-06-06 DOI: 10.1067/j.cpradiol.2025.06.007

Ives R Levesque, Véronique Fortier, Jorge Campos Pazmiño, Zaki Ahmed, Evan McNabb

{"title":"The hierarchy of hazard controls in clinical magnetic resonance safety: an analysis of the American College of Radiology Manual on MR Safety.","authors":"Ives R Levesque, Véronique Fortier, Jorge Campos Pazmiño, Zaki Ahmed, Evan McNabb","doi":"10.1067/j.cpradiol.2025.06.007","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.007","url":null,"abstract":"Objective: The purpose of this work was to critically assess safety guidance and practices in clinical magnetic resonance (MR) using the hierarchy of hazard controls (HHC).Methods: Publicly available, widely used guidance documents for MR safety practice were gathered. The most recent guidance, the American College of Radiology (ACR) MR Safety Manual (2024) was selected for detailed analysis. A 5-point scale was assigned to the various levels in the hierarchy of hazard controls, from Elimination (score=5, most effective) to Personal Protective Equipment (score=1, least effective). MR safety practices recommended in the ACR MR Safety Manual were surveyed and scored using the 5-point scale. The safety practices were grouped by category of hazard addressed (e.g. main field, radio-frequency field, gradient field).Results: Overall, Administrative Controls were the most common controls, followed by Engineering Controls. Controls within each hazard category featured a range of HHC scores, and all categories were predominantly served by Administrative Controls.Conclusion: The analysis presented in this work could serve as a tool to analyze choices made in the deployment of safety measures, to motivate decision- or policy-making, as a tool for assessment of MR safety programs, or as an approach to motivate future work in the design of hazard controls for MR.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287563","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

Data governance in radiology Part I: Overview of data management approaches to radiology. 放射学中的数据治理第一部分：放射学数据管理方法概述。

Current problems in diagnostic radiology Pub Date : 2025-06-06 DOI: 10.1067/j.cpradiol.2025.06.004

Chloe M Chhor, Surbhi Raichandani, Liam du Preez, Nicholas R Brandser, Joseph Fotos, Rahim S Jiwani, David Li, Prabhakar Shantha Rajiah, Jessica M Sin, Xuan V Nguyen

引用次数: 0

Improving patient safety education for radiology residents: Using a quality improvement approach. 提高放射科住院医师的患者安全教育：使用质量改进方法。

Current problems in diagnostic radiology Pub Date : 2025-06-06 DOI: 10.1067/j.cpradiol.2025.06.005

Chloe Reyes, Lisa M Ponce, Cathy L Hannafin, Jonathan A Flug, Meredith Fishleder, Nelly Tan

{"title":"Improving patient safety education for radiology residents: Using a quality improvement approach.","authors":"Chloe Reyes, Lisa M Ponce, Cathy L Hannafin, Jonathan A Flug, Meredith Fishleder, Nelly Tan","doi":"10.1067/j.cpradiol.2025.06.005","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.005","url":null,"abstract":"Background and objective: 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.Methods: 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.Results: 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.Discussion: 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.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","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}

引用次数: 0

Imaging in mastalgia: What, when and why? 乳房痛的影像学：什么，何时，为什么？

Current problems in diagnostic radiology Pub Date : 2025-06-05 DOI: 10.1067/j.cpradiol.2025.06.002

Divij Agarwal, Ekta Dhamija, Devipriya S, Smriti Hari

引用次数: 0

Age is more than just a number - Tailoring radiologic practice for the geriatric population. 年龄不仅仅是一个数字-为老年人群量身定制放射学实践。

Current problems in diagnostic radiology Pub Date : 2025-06-04 DOI: 10.1067/j.cpradiol.2025.06.003

Sirui Jiang, Kaustav Bera, Zachary A Ohs, Ifeanyi O Ekpunobi, Nami R Azar, Sree Harsha Tirumani, Nikhil H Ramaiya

{"title":"Age is more than just a number - Tailoring radiologic practice for the geriatric population.","authors":"Sirui Jiang, Kaustav Bera, Zachary A Ohs, Ifeanyi O Ekpunobi, Nami R Azar, Sree Harsha Tirumani, Nikhil H Ramaiya","doi":"10.1067/j.cpradiol.2025.06.003","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.003","url":null,"abstract":"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. 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. 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.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","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}

引用次数: 0

Ergonomic and prophylactic interventions for lower body work-related musculoskeletal disorders affecting diagnostic radiologists. 影响诊断放射科医生的下半身与工作有关的肌肉骨骼疾病的人体工程学和预防性干预。

Current problems in diagnostic radiology Pub Date : 2025-06-04 DOI: 10.1067/j.cpradiol.2025.06.006

Matthew Phillipi, Shayan Saeed, Kyle Sarton, Erwin Ho, Roozbeh Houshyar

{"title":"Ergonomic and prophylactic interventions for lower body work-related musculoskeletal disorders affecting diagnostic radiologists.","authors":"Matthew Phillipi, Shayan Saeed, Kyle Sarton, Erwin Ho, Roozbeh Houshyar","doi":"10.1067/j.cpradiol.2025.06.006","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.006","url":null,"abstract":"Background: The sedentary work environment experienced by radiologists makes them highly susceptible to ergonomic challenges. These issues may not only affect work efficiency and productivity but also their overall health and well-being.Objective: This review explores work-related musculoskeletal disorders (WMSDs) affecting the lower back, hips, knees, and legs in radiologists. Additionally, this paper examines potential prophylactic exercises and treatments for the injuries discussed.Methods: A comprehensive literature review was conducted on lower-body WMSDs among radiologists by analyzing studies related to ergonomic challenges experienced by sedentary office workers, who share similar risk factors. Topics were categorized into four groups: lower back, hips, legs, and knees. A variety of publications were also reviewed to suggest a broad range of possible interventions, including ergonomic modifications, specific exercises, and prophylactic and therapeutic regimens.Results: Lumbar spine stiffness and disk herniation were found to be the most common lower back WMSDs due to prolonged sitting. Limited passive hip extension may also contribute to the gradual development of hip osteoarthritis. Additionally, sedentary behavior has been associated with a higher prevalence of deep vein thrombosis and knee osteoarthritis. A wide range of therapeutic interventions, including effective ergonomic practices, stretching, resistance exercises, and aerobic workouts, may help prevent the development of these disorders or, at the very least, manage their symptoms.Conclusion: Diagnostic radiologists face a significant risk of lower-body ergonomic challenges due to their predominantly sedentary work habits. Addressing these issues through evidence-based interventions can enhance not only their comfort and productivity but also their long-term health.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295521","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

Data governance in radiology part II: Innovative opportunities for research, education, and clinical practice in radiology. 放射学数据治理第二部分：放射学研究、教育和临床实践的创新机会。

Current problems in diagnostic radiology Pub Date : 2025-06-04 DOI: 10.1067/j.cpradiol.2025.06.009

Chloe M Chhor, Surbhi Raichandani, Liam du Preez, Nicholas R Brandser, Joseph Fotos, Rahim S Jiwani, David Li, Prabhakar Shantha Rajiah, Jessica M Sin, Xuan V Nguyen

{"title":"Data governance in radiology part II: Innovative opportunities for research, education, and clinical practice in radiology.","authors":"Chloe M Chhor, Surbhi Raichandani, Liam du Preez, Nicholas R Brandser, Joseph Fotos, Rahim S Jiwani, David Li, Prabhakar Shantha Rajiah, Jessica M Sin, Xuan V Nguyen","doi":"10.1067/j.cpradiol.2025.06.009","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.009","url":null,"abstract":"Effective data governance has potential to enhance clinical radiology practice and facilitate radiologic research and education. This article will review specific topics in data governance relevant to radiology, with emphasis on innovative approaches and adaptations that may advance radiology in the near future. The potential value of radiology images and reports for AI and other research opportunities is discussed, as are mechanisms to facilitate radiologic data access and exchange, including federated data access to facilitate research or large-scale quality monitoring while preserving data privacy. Data governance also has application to radiology education, including limitations and privacy/confidentiality issues related to access by radiology learners. Innovative approaches to radiology report generation and other modifications to radiology workflow could add to radiologist efficiency and maximize accuracy or other quality measures of radiology data.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287562","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

Completeness and accuracy of malignancy history in abdominal CT order requisitions and final radiology reports. 腹部CT顺序申请和最终放射学报告中恶性病史的完整性和准确性。

Current problems in diagnostic radiology Pub Date : 2025-06-04 DOI: 10.1067/j.cpradiol.2025.06.008

Rebecca Driessen, Sadhna Nandwana, Farid Hajibonabi, Courtney Moreno, Amir Davarpanah, Patricia Balthazar

{"title":"Completeness and accuracy of malignancy history in abdominal CT order requisitions and final radiology reports.","authors":"Rebecca Driessen, Sadhna Nandwana, Farid Hajibonabi, Courtney Moreno, Amir Davarpanah, Patricia Balthazar","doi":"10.1067/j.cpradiol.2025.06.008","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.008","url":null,"abstract":"Purpose: To evaluate the prevalence of malignancy history documentation in CT abdomen or abdomen/pelvis (CT AP) order requisitions and inclusion in final radiology reports, when not included in the order requisition. Influence of exam type, radiologist subspecialty, and patient characteristics on documentation rates was evaluated.Methods: This retrospective cross-sectional study was conducted at a large academic healthcare system. All patients with a malignancy history who underwent CT AP from 1/1/23-1/31/23 were identified. Data were reviewed for malignancy documentation in both radiology order requisition and final reports, using multivariable logistic regression to assess documentation rates by patient setting and control for exam, radiologist, and patient covariates.Results: Among 1,858 CT APs, 51% included malignancy history in the order requisition, and 71.3% in the final report. Documentation was more likely in the order requisition in outpatient vs. emergency department (ED) settings (OR 10.5; p<0.001) and inpatient vs. ED (OR 1.51; p=0.050), younger patients (OR 0.98 per year; p<0.001), and those of non-Black race (Other race OR 2.06 and White OR 1.36, respectively; p<0.001 and p=0.011). Documentation in final radiology reports, when initially omitted in the order requisition, was more likely during business hours (OR 1.41; p=0.039), outpatient and inpatient settings (ORs 1.90 and 1.70, respectively; p-value 0.013 and p-value 0.019), with younger patients (OR 0.99; p=0.009), and less likely in White patients compared to Black (OR 0.50; p<0.001).Conclusion: Malignancy history is frequently omitted in initial CT AP order requisitions but is often added by radiologists in final reports, correlated with the imaging timing, setting, and patient demographics.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295520","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