Current problems in diagnostic radiology最新文献_第5页

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

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

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

Identifying radiologically significant incidental breast lesions on chest CT: The added value of artificial intelligence. 识别胸部CT上具有放射学意义的偶发乳腺病变：人工智能的附加价值。

Current problems in diagnostic radiology Pub Date : 2025-06-03 DOI: 10.1067/j.cpradiol.2025.06.001

Sarah P Thomas, Benjamin Wildman-Tobriner, Lasya Daggumati, Lawrence Ngo, Jacob Johnson, Kevin R Kalisz, Hongyi Zhang, Tyler J Fraum

{"title":"Identifying radiologically significant incidental breast lesions on chest CT: The added value of artificial intelligence.","authors":"Sarah P Thomas, Benjamin Wildman-Tobriner, Lasya Daggumati, Lawrence Ngo, Jacob Johnson, Kevin R Kalisz, Hongyi Zhang, Tyler J Fraum","doi":"10.1067/j.cpradiol.2025.06.001","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.06.001","url":null,"abstract":"Background: Breast lesions are a common but often missed incidental finding. We evaluated whether artificial intelligence (AI) algorithms can efficiently detect radiologically significant incidental breast lesions (RSIBLs) missed by original interpreting radiologists (OIRs) on chest CT examinations.Methods: This retrospective multi-institutional study analyzed chest CT examinations performed in June 2017 by a national teleradiology practice. Visual classifier (VC) and natural language processing (NLP) algorithms flagged potential RSIBLs, which were reviewed independently by two primary readers; disagreements were adjudicated by a third reader. Sizes and margins of confirmed RSIBLs were evaluated similarly. Differences in size and margin obscuration between RSIBLs missed versus identified by OIRs were statistically assessed (alpha, 0.05). A workflow efficiency analysis was performed.Results: 3279 of 3541 examinations (92.6 %) were marked negative by both algorithms (i.e., VC-/NLP-) and not reviewed. The two primary readers assessed 262 examinations for RSIBLs, with substantial agreement (kappa, 0.77). After adjudication, 76 RSIBLs were confirmed (73 females, 3 males). Compared with the OIRs, the VC algorithm identified more RSIBLs (90.8 % [69/76] vs 39.5 % [30/76]) though with more false positives (67.9 % [178/262] vs. 3.4 % [9/262]). Among the OIRs, missed RSIBLs had smaller diameters than identified RSIBLs (1.4 cm vs. 3.0 cm; P < 0.001). Our reader workflow reduced the number of images viewed by 97.3 % relative to a hypothetical full double-read approach.Conclusion: An AI-based approach enhanced RSIBL detection rates. Although the AI-based approach also increased the number of false positives, our targeted review process allowed for efficient detection of missed RSIBLs.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295522","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

CT imaging of pulmonary artery aneurysms in the emergency department - What you need to know. 急诊科肺动脉动脉瘤的CT成像-你需要知道的

Current problems in diagnostic radiology Pub Date : 2025-05-17 DOI: 10.1067/j.cpradiol.2025.05.004

Mohammad Yasrab, Charles K Crawford, Elliot K Fishman, Satomi Kawamoto

{"title":"CT imaging of pulmonary artery aneurysms in the emergency department - What you need to know.","authors":"Mohammad Yasrab, Charles K Crawford, Elliot K Fishman, Satomi Kawamoto","doi":"10.1067/j.cpradiol.2025.05.004","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.05.004","url":null,"abstract":"Pulmonary artery (PA) aneurysms are rare vascular abnormalities with potentially life-threatening complications such as rupture, massive hemoptysis, and pulmonary infarction. These conditions are often asymptomatic and incidentally detected but can present with nonspecific symptoms like cough, dyspnea, or hemoptysis in an emergency setting. Multidetector CT pulmonary angiography (CTPA) has outshone traditional angiography, supplemented by advanced 3D post-processing techniques such as maximum intensity projection (MIP), volumetric rendering (VR), and cinematic rendering (CR) techniques, playing a pivotal role in diagnosis and management of PA aneurysms. This pictorial essay reviews eight cases of PA aneurysms and pseudoaneurysms, exploring their diverse etiologies, imaging findings, and the application of 3D imaging to enhance diagnostic confidence and procedural planning. Through these cases, we highlight the critical role of advanced imaging and post-processing reconstructions in the timely identification and treatment of these rare but high-risk vascular entities in the emergency setting.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145131","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 demographics on surveillance and survival in post-resection orthopedic Sarcoma patients. 人口统计学对骨科肉瘤术后患者监测和生存的影响。

Current problems in diagnostic radiology Pub Date : 2025-05-13 DOI: 10.1067/j.cpradiol.2025.05.002

Tristan Chari, Austin Leonard, Brian P Triana, Chad Cook, Elizabeth Sachs, Christian A Pean, Jon Martin, William Eward, Robert French

{"title":"Impact of demographics on surveillance and survival in post-resection orthopedic Sarcoma patients.","authors":"Tristan Chari, Austin Leonard, Brian P Triana, Chad Cook, Elizabeth Sachs, Christian A Pean, Jon Martin, William Eward, Robert French","doi":"10.1067/j.cpradiol.2025.05.002","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.05.002","url":null,"abstract":"Purpose: This study aims to evaluate the impact of race, socioeconomic deprivation, and insurance status on adherence to imaging surveillance within five years following the diagnosis and resection of sarcoma of the bone. It also examines how these factors relate to cancer-related mortality.Patients and methods: A retrospective cohort study evaluated the relationship between demographics and surveillance imaging adherence among primary bone tumor (PBT) patients at a single institution. Out of 128 patients diagnosed with and surgically managed for a PBT between 2013 and 2018, 91 were chosen for analysis after excluding for metastatic disease at the time of resection and insufficient surveillance data. Surveillance data was collected from patients who were monitored for five years post-resection or until metastasis occurred, with adherence to surveillance imaging protocols and survival assessed over this period.Results: The cohort comprised 91 patients (56 % male, 44 % female; 71 % White, 24 % Black or African American). Under-represented minority (URM) status was associated with 0.19 odds of receiving optimal imaging adherence (95 % CI [0.05, 0.71], P = .01). Furthermore, URM patients had 3.20 odds of mortality compared to White patients during the five-year follow-up (95 % CI [1.18, 8.67], P = .02).Conclusion: At our institution, URM patients demonstrate significantly lower adherence to imaging surveillance and higher mortality rates following primary sarcoma resection. These findings highlight the necessity for targeted interventions to address societal and health system factors that contribute to disparities in imaging adherence and survival among URM patients.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096408","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

Optimizing contrast enhanced mammography: A comprehensive review of artefacts, causes, and remedies. 优化造影剂增强乳房x光检查：人工制品，原因和补救措施的全面审查。

Current problems in diagnostic radiology Pub Date : 2025-05-07 DOI: 10.1067/j.cpradiol.2025.05.001

Dr Veenu Singla, Dr Dollphy Garg, Bhavith

引用次数: 0

Perceived wellness through the online lens: assessment of wellness resources in interventional radiology residency websites. 通过在线镜头感知健康：介入放射科住院医师网站健康资源评估。

Current problems in diagnostic radiology Pub Date : 2025-04-30 DOI: 10.1067/j.cpradiol.2025.04.012

Matthew D Viveiros, Abigail Buckley, Mina S Makary

{"title":"Perceived wellness through the online lens: assessment of wellness resources in interventional radiology residency websites.","authors":"Matthew D Viveiros, Abigail Buckley, Mina S Makary","doi":"10.1067/j.cpradiol.2025.04.012","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.04.012","url":null,"abstract":"Objective: To evaluate wellness across interventional radiology residency programs within the US through their online presence and to highlight areas of success and further improvement.Materials and methods: A systematic review was conducted of the websites specific to Interventional Radiology and Graduate Medical Education (GME) for all ACGME-accredited IR residency programs listed in the 2023-2024 ERAS. Data collection was based on 39 predetermined wellness criteria across five categories: general program characteristics, financial, work, personal, and social, which were evaluated for their presence or absence on each website.Results: Out of 169 total IR residency programs, 165 websites were analyzed. Key findings included a predominant male-to-female ratio, variable financial support offerings, and inconsistent representation of work and personal wellness features across websites. The most frequently included wellness aspects were city life, vacation days, insurance coverage, moonlighting, and mental health resources, while <50 % of programs adequately provided information on social events and elective opportunities.Conclusion: This study represents the first comprehensive online evaluation of wellness resources in IR residency programs, identifying significant variability and gaps in how programs present wellness-related information. While some areas demonstrate success, there is a crucial need for enhanced transparency and consistency across websites. Future research should develop standardized reporting and evaluation methods to better support the well-being and career development of residents, thereby improving the alignment between program offerings and the wellness needs of IR trainees. This foundational work sets the stage for ongoing improvements in the way residency programs communicate key aspects of wellness to prospective residents.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055563","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

Coronary computed tomography angiography without ECG leads; A feasibility study. 无心电图导联冠状动脉ct血管造影；可行性研究。

Current problems in diagnostic radiology Pub Date : 2025-04-29 DOI: 10.1067/j.cpradiol.2025.04.019

Brian Thomsen, Ali Nabipoor, Sanaz Asadian, Ingrid Reiser, Juan Cotella, Darin Okerlund, Melissa Challman, Luis Landeras, Hamid Chalian

{"title":"Coronary computed tomography angiography without ECG leads; A feasibility study.","authors":"Brian Thomsen, Ali Nabipoor, Sanaz Asadian, Ingrid Reiser, Juan Cotella, Darin Okerlund, Melissa Challman, Luis Landeras, Hamid Chalian","doi":"10.1067/j.cpradiol.2025.04.019","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.04.019","url":null,"abstract":"Background: Modern CT scanners with wide coverage and high temporal resolution have enabled robust coronary CT angiography (CCTA) with automated phase selection and motion correction algorithms, even at high heart rates and arrhythmia. We hypothesized that these advanced technologies may make it feasible to perform a CCTA without triggering from a patient's ECG signal.Methods: Forty-three subjects undergoing clinically indicated CCTA were prospectively enrolled. ECG-less CCTA data was acquired for approximately the whole cardiac cycle using a wide-coverage scanner with fast gantry rotation (Revolution Apex, GE HealthCare). Images were generated using seven sub-ranges of the acquired data and evaluated for motion artifact using a 6-point Likert scale by three experts.Results: The mean age of the study population was 62.0 ± 12.0 years; 51.2 % were male. The mean heart rate (HR) was 65.3 ± 9.0 beats per minute (bpm). Overall image quality (IQ) was higher with motion correction vs standard reconstruction (4.6 ± 0.66 vs 4.0 ± 0.95, p < 0.01). At HR ≤ 60 bpm, 61-70 bpm, ≥ 71 bpm, IQ scores were 4.9 ± 0.31, 4.5 ± 0.66, 4.4 ± 0.78, respectively. IQ from sub-ranges was similar to the reference of the study, reconstructed images from full-phase data, except in the cases where 1/4 of the scanned data was considered in HR ≤ 60 bpm and ≥ 71 bpm (4.3 ± 0.83, 4.6 ± 0.67 and 4.1 ± 0.96 respectively).Conclusion: CCTA without ECG leads on an advanced CT scanner is feasible. This approach could improve patient comfort, workflow efficiency, and access to CCTA.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045216","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

Quantitative and qualitative imaging in marijuana users and smokers. 大麻使用者和吸烟者的定量和定性成像。

Current problems in diagnostic radiology Pub Date : 2025-04-26 DOI: 10.1067/j.cpradiol.2025.04.002

Aparna Singh, Ozgu Alcali, Andetta R Hunsaker, Mark M Hammer

{"title":"Quantitative and qualitative imaging in marijuana users and smokers.","authors":"Aparna Singh, Ozgu Alcali, Andetta R Hunsaker, Mark M Hammer","doi":"10.1067/j.cpradiol.2025.04.002","DOIUrl":"https://doi.org/10.1067/j.cpradiol.2025.04.002","url":null,"abstract":"Objective: To evaluate the effect of marijuana use compared to cigarette smoking on imaging findings in the lungs.Methods: By searching the electronic medical record, we identified patients who were marijuana users who never smoked; current smokers; and non-marijuana never smokers, who underwent chest CT in our healthcare system in 2019. We generated a random sample of 100 marijuana users as well as 100 each age- and sex-matched controls from the current smoker and never-smoker groups. Patients with extensive airspace disease on CT were excluded. Quantitative CT analysis was performed to measure total lung volume (TLV). A thoracic radiologist reviewed chest CTs in a blinded fashion for the presence of emphysema, centrilobular ground glass opacities, mosaic attenuation, bronchial wall thickening, and coronary calcification.Results: Our study included 285 participants, comprising 89 non-smokers, 97 smokers, and 99 marijuana users. Despite propensity score matching, the marijuana user group was slightly younger than the smokers and non-smokers (mean age 59 versus 62 and 64 years, respectively, p = 0.04), with similar sex distribution across all groups. TLV was higher in smokers than marijuana users and non-smokers (p<.01 for both). By visual analysis, 62 % of smokers had emphysema versus 4 % of marijuana users (p<.001). Additionally, centrilobular ground glass opacities were more prevalent in smokers (15 %) than in marijuana users (2 %) (p = 0.0008). No significant difference was noted in the occurrence of mosaic attenuation between smokers and marijuana users. In terms of coronary artery calcification, more smokers had moderate to severe coronary artery calcifications compared to marijuana users (43 % versus 25 %, p = 0.01).Conclusion: While emphysema and hyperinflation were common in smokers, they were rare in marijuana users.","PeriodicalId":93969,"journal":{"name":"Current problems in diagnostic radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059973","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