1,442 results match your criteria Emergency radiology[Journal]


Sonographic assessment of musculoskeletal causes of calf pain and swelling.

Emerg Radiol 2019 Feb 13. Epub 2019 Feb 13.

Department of Diagnostic Radiology, Woodlands Health Campus, 2 Yishun Central 2, Tower E, Level 5, Singapore, 768024, Republic of Singapore.

Calf pain or swelling is a common presentation to the emergency department. The differential diagnoses are wide. Deep vein thrombosis (DVT) is often the first diagnosis to be excluded given its potentially fatal complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01680-5DOI Listing
February 2019

Neurosurgical complications: what the radiologist needs to know.

Emerg Radiol 2019 Feb 13. Epub 2019 Feb 13.

Harvard Medical School, Boston, MA, USA.

Visits to the emergency department by patients who have recently undergone neurosurgery are a common occurrence, and these patients frequently receive emergent cross-sectional head imaging in order to evaluate for complications. Different neurosurgical approaches may have typical postoperative imaging findings that can be confused with pathology. Furthermore, particular abnormal postoperative imaging findings may signal an evolving complication. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01672-5DOI Listing
February 2019
2 Reads

Augmenting Denver criteria yields increased BCVI detection, with screening showing markedly increased risk for subsequent ischemic stroke.

Emerg Radiol 2019 Feb 12. Epub 2019 Feb 12.

Department of Radiology, Karolinska Institute, Stockholm, Sweden.

Purpose: BCVI may lead to ischemic stroke, disability, and death, while being often initially clinically silent. Screening criteria for BCVI based on clinical findings and trauma mechanism have improved detection, with Denver criteria being most common. Up to 30% of patients do not meet BCVI screening criteria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01677-0DOI Listing
February 2019

"-Omas" presenting as "-itis": acute inflammatory presentations of common gastrointestinal neoplasms.

Emerg Radiol 2019 Feb 4. Epub 2019 Feb 4.

Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.

Oncologic emergencies have a high rate of morbidity and mortality. This review covers several scenarios of gastrointestinal malignancies presenting emergently as various acute abdominal pathologies. Radiologists should be familiar with the typical imaging findings, clinical presentations, and laboratory values which may suggest a background neoplasm, particularly when encountered in the context of an acute inflammatory state. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01678-zDOI Listing
February 2019
1 Read

An acute stroke CT imaging algorithm incorporating automated perfusion analysis.

Emerg Radiol 2019 Feb 1. Epub 2019 Feb 1.

Department of Radiology, Mater Misericordiae University Hospital, Whitty Building, North Circular Road, Dublin 7, Ireland.

In this paper, we propose a CT imaging algorithm for patients presenting with suspected acute stroke that incorporates automated CT perfusion (CTP) imaging. The algorithm details evaluation of the non-contrast CT (NCCT) for hemorrhage and acute ischemia, calculation of ASPECTS, with performance and interpretation of CTP if appropriate. In particular, we consider the key steps in expeditious interpretation of non-contrast CT and CT angiography in the context of suspected acute ischemic stroke. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01675-2DOI Listing
February 2019

A natural language processing algorithm to extract characteristics of subdural hematoma from head CT reports.

Emerg Radiol 2019 Jan 28. Epub 2019 Jan 28.

Center for Health Information Partnerships, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave., Chicago, IL, 60611, USA.

Purpose: Subdural hematoma (SDH) is the most common form of traumatic intracranial hemorrhage, and radiographic characteristics of SDH are predictive of complications and patient outcomes. We created a natural language processing (NLP) algorithm to extract structured data from cranial computed tomography (CT) scan reports for patients with SDH.

Methods: CT scan reports from patients with SDH were collected from a single center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01673-4DOI Listing
January 2019
1 Read

Terrible triad injuries of the elbow.

Emerg Radiol 2019 Jan 28. Epub 2019 Jan 28.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA.

Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons) that are best understood in the context of injury mechanism as well as the role and relevance of the various elbow stabilizers. The goals of this article are to review the pertinent anatomy, mechanism of injury, classification and imaging of terrible triad injuries of the elbow with brief descriptions of treatment, and complications of this complex injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01676-1DOI Listing
January 2019
2 Reads

Information availability on emergency radiology fellowship websites: current state and paths to improvement.

Emerg Radiol 2019 Jan 25. Epub 2019 Jan 25.

Department of Diagnostic Imaging, The Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI, 02903, USA.

Purpose: The purpose of this study is to detail the current state of the websites of each of the currently established emergency radiology fellowship programs within the USA, in terms of publicly available information. The goal of the project is to present data for emergency radiology fellowship programs to tailor that information to attract those most interested in the pursuit of an emergency radiology fellowship position.

Methods: Emergency radiology fellowship programs were identified using the American Society of Emergency Radiology website and recent published literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01674-3DOI Listing
January 2019
1 Read

Role of MDCT as an effective imaging tool in detection of complications amongst oncological patients in a tertiary care oncology institute.

Emerg Radiol 2019 Jan 21. Epub 2019 Jan 21.

Department of Radiology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.

Objectives: The objectives of the study are to evaluate the role of multidetector computed tomography (MDCT), its sensitivity and specificity in recognizing the complications related to oncology, and its treatment in patients with known malignancies and to determine how clinician's diagnosis, diagnostic dilemma, and management decisions are affected by the results of computed tomography (CT) in a tertiary care oncology setup.

Materials And Methods: A thorough retrospective search of the database of 1 year in the Department of Radiology was done at our tertiary oncology center, of patients who were diagnosed or suspected with complications associated with cancer. In addition, patients, in whom acute emergencies were detected by the MDCT, were also included as these were mostly part of the complications related to the malignancies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01671-6DOI Listing
January 2019
1 Read

Beyond appendicitis: ultrasound findings of acute bowel pathology.

Emerg Radiol 2019 Jan 19. Epub 2019 Jan 19.

Department of Radiology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

Bowel pathology is a common unexpected finding on routine abdominal and pelvic ultrasound. However, radiologists are often unfamiliar with the ultrasound appearance of the gastrointestinal tract due to the underutilization of ultrasound for bowel evaluation in the USA. The purpose of this article is to familiarize radiologists with the characteristic ultrasound features of a variety of bowel pathologies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01670-7DOI Listing
January 2019
1 Read

Correlation between a continent ileocecal valve and CT signs of severity in patients presenting with obstructive colonic cancer.

Emerg Radiol 2019 Jan 18. Epub 2019 Jan 18.

Department of Radiology, Besançon University Hospital, 3 boulevard Fleming, 25030, Besançon, France.

Objective: To study the association of a continent ileocecal valve and the degree of severity of the CT signs in patients presenting with large bowel obstruction due to colonic cancer.

Patients And Methods: Sixty-six patients undergoing emergency surgery for confirmed obstructive colonic cancer were included. The CT examinations were analyzed without consultation of the surgical results. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-01667-8
Publisher Site
http://dx.doi.org/10.1007/s10140-018-01667-8DOI Listing
January 2019
7 Reads

Gastric volvulus: unraveling the diagnosis with MPRs.

Emerg Radiol 2019 Jan 14. Epub 2019 Jan 14.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 N Caroline St, Room 4223, Baltimore, MD, 21287, USA.

Gastric volvulus is a rare entity with a spectrum of acute and chronic clinical presentations. Body radiologists must be cognizant of the subtypes of gastric volvulus and identify potential complications. Mortality can be high if unrecognized from gastric necrosis, perforation, and sepsis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01669-0DOI Listing
January 2019
3 Reads

Multimodality imaging of acute locoregional and systemic complications in the setting of assisted reproduction.

Emerg Radiol 2019 Jan 10. Epub 2019 Jan 10.

Department of Radiology, Henry Ford Hospital, Detroit, MI, USA.

Over the past 40 years since the first in vitro fertilization was performed, both the role of assisted reproductive technology (ART) in establishing viable pregnancy as well as the available treatment options have expanded enormously. Annually in the USA, nearly 2% of pregnancies now employ some form of ART assistance, with in vitro fertilization (IVF) being the most commonly utilized methodology. Both maternal and fetal risks are elevated in ART pregnancies, the latter including adverse outcome due to both increased gestational number as well as advanced maternal age. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-01665-w
Publisher Site
http://dx.doi.org/10.1007/s10140-018-01665-wDOI Listing
January 2019
6 Reads

CCTA in patients with positive troponin and low clinical suspicion for ACS: a useful diagnostic option to exclude obstructive CAD.

Emerg Radiol 2019 Jan 10. Epub 2019 Jan 10.

Radiology Department, Vancouver General Hospital, 889 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada.

Purpose: It is uncertain whether patients with elevated troponin and non-classical presentation of acute coronary syndrome (ACS) should receive coronary CT angiography (CCTA). A proportion of these patients will have no coronary artery disease (CAD) and would benefit from non-invasive investigations and expedited discharge. Objectives were to determine most common diagnoses and rate of ACS among patients with positive troponin and low clinical suspicion of ACS who received CCTA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-019-01668-1DOI Listing
January 2019
1 Read

Dental caries on CT in the ER population: prevalence and reporting practices.

Emerg Radiol 2019 Jan 7. Epub 2019 Jan 7.

Department of Radiology, University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT, 05401, USA.

Purpose: Although dental caries can be identified on CT and may be treatable, the literature provides little, if any, guidance on the responsibility of a neuroradiologist in reporting them. Untreated dental caries can impact diet and nutrition and can result in a variety of complications such as an odontogenic abscess, tooth loss, sinusitis, and dental pain, which can impact quality of life. The estimated prevalence of untreated dental caries in adults is 27%. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-01663-y
Publisher Site
http://dx.doi.org/10.1007/s10140-018-01663-yDOI Listing
January 2019
6 Reads

Bursal lipohematoma: a CT sign of full thickness rotator cuff tear in patients with proximal humerus fractures.

Emerg Radiol 2019 Jan 6. Epub 2019 Jan 6.

Temple University Hospital, Philadelphia, PA, USA.

Purpose: The main purpose of the study is to determine if the presence of a particular computed tomography (CT) imaging finding, a bursal lipohematoma, portends the presence of a concomitant rotator cuff tear (RCT) in patients with proximal humerus fractures by reviewing previous CTs.

Methods: Three hundred eighty-six CT scans were retrospectively reviewed by two board-certified radiologists to determine the presence of a proximal humerus fracture and to assess for the presence of a subacromial/subdeltoid or subcoracoid bursal hematoma. The medical record including operative documentation was then examined in the patients with proximal humerus fractures, with or without a concomitant bursal lipohematoma. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-01666-9
Publisher Site
http://dx.doi.org/10.1007/s10140-018-01666-9DOI Listing
January 2019
7 Reads

Digital tomosynthesis for detection of ingested foreign objects in the emergency department: a case of razor blade ingestion.

Emerg Radiol 2019 Jan 6. Epub 2019 Jan 6.

Department of Radiology, Harborview Medical Center, University of Washington, 325 9th Ave, Seattle, WA, 98104, USA.

A 46-year-old schizophrenic male presented to the emergency department (ED) after deliberate ingestion of an undetermined number of open razor blades. Abdominal radiograph revealed one razor blade but raised suspicion of a second blade which was subsequently confirmed by digital tomosynthesis (DTS), seen as two razor blades superimposed upon each other placed at slightly different angles. A careful search was made during endoscopy and the two razor blades were retrieved from the stomach and duodenum, respectively. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-01664-x
Publisher Site
http://dx.doi.org/10.1007/s10140-018-01664-xDOI Listing
January 2019
7 Reads

Imaging in neurointerventional stroke treatment: review of the recent trials and what your neurointerventionalist wants to know from emergency radiologists.

Emerg Radiol 2018 Dec 14. Epub 2018 Dec 14.

Department of Radiology and Biomedical Imaging, University of California San Francisco School of Medicine, 550 16th. Street, San Francisco, CA, 94158, USA.

Stroke is one of the leading causes of death and disability worldwide. Standard treatment for stroke is intravenous (IV) injection of tissue plasminogen activator (t-PA) rapidly after symptom onset. However, there are limitations of IV t-PA treatment, such as a short time window for administration and risk for hemorrhage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-01662-zDOI Listing
December 2018
1 Read

Evaluation of the proximal coronary arteries in suspected pulmonary embolism: diagnostic images in 51% of patients using non-gated, dual-source CT pulmonary angiography.

Emerg Radiol 2018 Dec 12. Epub 2018 Dec 12.

Radiology Department, Vancouver General Hospital, 889 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada.

Purpose: This retrospective study reports the frequency and severity of coronary artery motion on dual-source high-pitch (DSHP), conventional pitch single-source (SS), and dual-source dual-energy (DE) CT pulmonary angiography (CTPA) studies.

Methods: Two hundred eighty-eight consecutive patients underwent CTPA scans for suspected pulmonary embolism between September 1, 2013 and January 31, 2014. One hundred ninety-four at DSHP scans, 57 SS scans, and 37 DE scans were analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-01661-0DOI Listing
December 2018
2 Reads

The state of emergency radiology fellowships in North America and the development of a standardized curriculum.

Emerg Radiol 2019 Feb 29;26(1):53-58. Epub 2018 Nov 29.

Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University Midtown Hospital, 550 Peachtree Road, Atlanta, GA, 30308, USA.

Background And Objectives: The number of emergency radiology (ER) training programs in North America is small compared to the projected growth in demand for ER-trained radiologists. To date, there is no consensus-based training curriculum that sets a standard for all ER fellowship training programs. This study seeks to (1) identify the programmatic measures currently used in North American ER fellowship programs and (2) gather the perspectives of existing ER fellowship program directors (PD) and their recommendations for minimum and ideal curricular standards. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1657-0DOI Listing
February 2019
2 Reads

A simplified classification of proximal femoral fractures improves accuracy, confidence, and inter-reader agreement of hip fracture classification by radiology residents.

Emerg Radiol 2018 Nov 23. Epub 2018 Nov 23.

Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.

Purpose: To demonstrate the effect of teaching a simplified treatment-based classification of proximal femoral fractures on the accuracy, confidence, and inter-reader agreement of radiology residents. The authors hypothesize that these measures will improve after viewing an educational presentation.

Materials And Methods: Three radiology residents independently classified 100 operative proximal femoral fractures, both before and after viewing a 45-min educational video describing the simplified classification scheme, with a washout period of at least 12 weeks between sessions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1660-5DOI Listing
November 2018
9 Reads

Low-dose CT imaging of the acute abdomen using model-based iterative reconstruction: a prospective study.

Emerg Radiol 2018 Nov 17. Epub 2018 Nov 17.

Department of Radiology, Cork University Hospital, University College Cork, Cork, Ireland.

Objectives: Performance of a modified abdominopelvic CT protocol reconstructed using full iterative reconstruction (IR) was assessed for imaging patients presenting with acute abdominal symptoms.

Materials And Methods: Fifty-seven patients (17 male, 40 female; mean age of 56.5 ± 8 years) were prospectively studied. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1658-z
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1658-zDOI Listing
November 2018
9 Reads

Sonography in acute ocular pathology: a kaleidoscopic view.

Emerg Radiol 2018 Nov 16. Epub 2018 Nov 16.

Department of Radio-diagnosis, University College of Medical Sciences and GTB Hospital (University Of Delhi), Delhi, India.

Ocular emergencies contribute to a large proportion of ocular pathologies. These may even be organ-threatening diseases such as central retinal artery and vein occlusion or globe rupture. Conventional physical examination may not always be feasible in emergency situations but decision-making in time is critical in the interest of patient in few of these conditions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1655-2DOI Listing
November 2018
2 Reads

Emergency department imaging superusers.

Emerg Radiol 2018 Nov 15. Epub 2018 Nov 15.

Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.

Purpose: To identify and characterize the most frequent users of emergency department (ED) imaging.

Materials And Methods: All patients with at least one ED visit in 2016 across a four-hospital healthcare system were retrospectively identified and their ED imaging utilization characterized.

Results: Overall, 126,940 unique patients underwent 187,603 ED visits (mean 1. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1659-y
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1659-yDOI Listing
November 2018
9 Reads

High-pitch versus standard mode CT pulmonary angiography: a comparison of indeterminate studies.

Emerg Radiol 2018 Nov 13. Epub 2018 Nov 13.

Department of Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

Purpose: To compare the causes of indeterminate CT pulmonary angiograms using standard mode and high-pitch mode, and determine at what level of the pulmonary arterial tree studies were non-diagnostic.

Methods: IRB approval was obtained. A retrospective review of patients at our institution who underwent a CT pulmonary angiogram, between November 1, 2015 and February 10, 2016 was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1656-1DOI Listing
November 2018
2 Reads

Evaluation of image quality and radiation dose saving comparing knowledge model-based iterative reconstruction on 80-kV CT pulmonary angiography (CTPA) with hybrid iterative reconstruction on 100-kV CT.

Emerg Radiol 2018 Nov 10. Epub 2018 Nov 10.

School of Medicine, University of Milano-Bicocca, Via Cadore 48, 20900, Monza, MB, Italy.

Objectives: To evaluate dose reduction and image quality of 80-kV CT pulmonary angiography (CTPA) reconstructed with knowledge model-based iterative reconstruction (IMR), and compared with 100-kV CTPA with hybrid iterative reconstruction (iDose).

Materials And Methods: One hundred and fifty-one patients were prospectively investigated for pulmonary embolism; a study group of 76 patients underwent low-kV setting (80 kV, automated mAs) CTPA study, while a control group of 75 patients underwent standard CTPA protocol (100 kV; automated mAs); all patients were examined on 256 MDCT scanner (Philips iCTelite). Study group images were reconstructed using IMR while the control group ones with iDose. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1653-4
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1653-4DOI Listing
November 2018
13 Reads

Does including neck CTA in work-up of suspected intracranial hemorrhage add value?

Emerg Radiol 2018 Nov 5. Epub 2018 Nov 5.

Department of Neurosurgery, Massachusetts General Hospital, 55 Fruit Street, Gray 273B, Boston, MA, 02114, USA.

Purpose: Neck CT angiography (CTA) is frequently performed in conjunction with head CTA in patients presenting with clinical signs and symptoms concerning for acute intracranial hemorrhage, despite relatively low appropriateness (ACR Appropriateness Criteria 2-6). This decision is sometimes justified by suggesting that CTA neck findings are useful in planning subsequent catheter angiography.

Methods: We investigated the value of neck CTA in patients with suspected acute intracranial hemorrhage by reviewing 220 head and neck CTAs performed in our emergency room over a 24-month period for the indication of hemorrhage or headache. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1654-3
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1654-3DOI Listing
November 2018
9 Reads

What is the added sensitivity of non-lateral cervical spine radiographs in the evaluation of acute cervical spine trauma?

Emerg Radiol 2018 Nov 1. Epub 2018 Nov 1.

Department of Radiology and Biomedical Imaging, Yale School of Medicine, Yale University, 333 Cedar St, P.O. Box 208042, New Haven, CT, 06520-8042, USA.

Purpose: Plain radiography of the cervical spine is used as a screening test for trauma patients. We evaluated the diagnostic yield of performing anteroposterior (AP), odontoid, and oblique views in addition to the lateral view in the current era when radiographs are performed only on low-risk patients.

Methods: All imaging reports from cervical spine radiography studies on patients aged 18 years and older in the emergency room of a major academic medical center between November 22, 2003, and January 17, 2012, were retrospectively reviewed. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1652-5
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1652-5DOI Listing
November 2018
4 Reads

Breast ultrasound utilization in a safety net emergency department.

Emerg Radiol 2018 Oct 30. Epub 2018 Oct 30.

Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard MC 8896, Dallas, TX, 75390-8896, USA.

Purpose: The purpose of this study is to (1) assess the diagnostic yield of ultrasounds performed in the emergency department for suspected breast abscess and determine the rates of reimaging, discordance, and emergent intervention in a large, busy safety net hospital and (2) determine clinical factors significantly associated with abscess as a way to improve patient selection for emergent breast ultrasounds.

Methods: A total of 581 consecutive breast ultrasounds performed in the emergency department for suspected abscess over 15 months were retrospectively reviewed for imaging, demographics, laboratory data, and physical exam findings. Breast abscess was confirmed by combining imaging, clinical, and laboratory data. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1651-6
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1651-6DOI Listing
October 2018
23 Reads

An international survey to assess use of oral and rectal contrast in CT protocols for penetrating torso trauma.

Emerg Radiol 2018 Oct 21. Epub 2018 Oct 21.

Department of Radiology, McMaster University, Hamilton General Hospital, Hamilton, ON, Canada.

Purpose: There is controversy regarding the administration of oral and rectal contrast for CT performed to detect bowel injury in the context of penetrating torso trauma. Given the lack of published societal guidelines, our goal was to survey radiologists from the American Society of Emergency Radiology membership database to determine consensus on CT protocols for penetrating trauma.

Methods: With ethics board approval, an anonymous ten-question online survey was distributed via email to 589 radiologists in the American Society of Emergency Radiology (ASER) member database. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1650-7DOI Listing
October 2018
1 Read

Sonographic imaging of hand and wrist injuries: applications in the ER setting.

Emerg Radiol 2018 Oct 16. Epub 2018 Oct 16.

Department of Radiology, University Hospital, Cleveland, OH, USA.

Acute osseous and soft tissue injuries to the hand and wrist are a common cause for ER visitation. Though diagnostic assessment has historically remained the province of conventional radiography, CT and MRI, sonography is gaining increasing acceptance and utilization. Offering multiple inherent advantages as an imaging modality, ultrasonic assessment has proven its utility in the evaluation of ligamentous and tendinous carpal and digital injuries as well as infection and inflammation. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1649-0
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1649-0DOI Listing
October 2018
10 Reads

Impact of the Pediatric Emergency Care Applied Research Network (PECARN) guidelines on emergency department use of head computed tomography at a level I safety-net trauma center.

Emerg Radiol 2019 Feb 27;26(1):45-52. Epub 2018 Sep 27.

Department of Pediatrics, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY, 11554, USA.

Purpose: To evaluate whether the emergency department usage of head computed tomography (CT) on pediatric patients with minor head trauma changed after publication of the Pediatric Emergency Care Applied Research Network (PECARN) head CT guidelines and to identify risk factors associated with performing head CT on patients without a PECARN guideline indication.

Methods: This retrospective study included 484 patients 18 years of age or younger who presented to the emergency department with head injury and a total Glasgow Coma Scale score ≥ 14 between September 2005 and July 2014. Based on the guideline publication date of September 2009, the study cohort was stratified into pre-guideline and post-guideline groups. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1645-4
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1645-4DOI Listing
February 2019
2 Reads

Abdominopelvic bleed rate on admission CT correlates with mortality and transfusion needs in the setting of blunt pelvic fractures: a single institution pilot study.

Emerg Radiol 2019 Feb 26;26(1):37-44. Epub 2018 Sep 26.

Department of Radiology and Imaging Sciences, Indiana University School of Medicine, 550 N. University Blvd., Medical Sciences Building Room 0663, Indianapolis, IN, 46202, USA.

Purpose: The objectives of this study were to calculate the total volumetric rate of abdominopelvic bleeding in patients with acute pelvic fractures and examine the relationships between the bleeding rate, patient outcomes, and required patient interventions.

Methods: This was a retrospective cohort study which included 29 patients from a 4-year period (May 2013 to May 2017). Patients with acute pelvic fractures and active bleeding detected on CT with two phases of imaging were included. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1646-3
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1646-3DOI Listing
February 2019
2 Reads

Post-operative complications of craniotomy and craniectomy.

Emerg Radiol 2019 Feb 25;26(1):99-107. Epub 2018 Sep 25.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 648, Rochester, NY, 14642, USA.

Craniotomy and craniectomy are widely performed emergent neurosurgical procedures and are the prescribed treatment for a variety of conditions from trauma to cancer. It is vital for the emergency radiologist to be aware of expected neuroimaging findings in post-craniotomy and craniectomy patients in order to avoid false positives. It is just as necessary to be familiar with postsurgical complications in these patients to avoid delay in lifesaving treatment. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1647-2
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1647-2DOI Listing
February 2019
26 Reads

Correction to: Extracerebral anatomic blind spots in computed tomography (CT) head: a pictorial review of non-traumatic findings.

Emerg Radiol 2018 Dec;25(6):713

Changi General Hospital, 2 Simei Street 3, Simei, 529889, Singapore.

The original version of this article contains an error. The author name Raphael Shih Zhu Yiin was incorrectly listed as Raphael Shih Zhu Yin. The correct spelling is presented above. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1648-1DOI Listing
December 2018
12 Reads

Computed tomography for suspected pulmonary embolism results in a large number of non-significant incidental findings and follow-up investigations.

Emerg Radiol 2019 Feb 20;26(1):29-35. Epub 2018 Sep 20.

The Department of Emergency Medicine, Health Science North Research Institute, Northern Ontario School of Medicine, Thunder Bay, ON, Canada.

Introduction: Computed tomographic pulmonary angiograms (CTPAs) are often ordered to evaluate pulmonary embolism (PE) in the emergency department (ED). The increase use of CTPA has led to an increase in incidental findings, often of low clinical significance. Our objectives were to (1) assess the prevalence and clinical significance of incidental findings identified in patients evaluated with CTPAs for PE in the ED, (2) evaluate follow-up investigations for these incidental findings, and (3) assess the utility of routine chest X-rays done prior to CTPA. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1641-8
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1641-8DOI Listing
February 2019
2 Reads

3D CT cinematic rendering of mycotic aneurysms.

Emerg Radiol 2018 Dec 19;25(6):723-728. Epub 2018 Sep 19.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 600 N. Wolfe St., Baltimore, MD, 21287, USA.

Mycotic aneurysms are uncommon but emergent conditions in which infection of a vessel leads to a contained rupture. Progression to frank rupture, thrombosis, distal embolization, and death can occur. The widespread availability of computed tomography (CT) and its ability to obtain high-resolution, contrast-enhanced, volumetric images rapidly has made it the modality of choice for evaluating mycotic aneurysms. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1643-6
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1643-6DOI Listing
December 2018
4 Reads

Extracerebral anatomic blind spots in computed tomography (CT) head: a pictorial review of non-traumatic findings.

Emerg Radiol 2018 Dec 15;25(6):703-712. Epub 2018 Sep 15.

Changi General Hospital, 2 Simei Street 3, Simei, 529889, Singapore.

CT head has been increasingly performed in the Emergency Department for patients presented with trauma, acute neurological or psychological symptoms. Most of the emergency physicians and radiologists have undergone dedicated training and are capable of identifying and interpreting life-threatening cerebral pathologies. However, as most attention is directed to the brain, the extracerebral non-traumatic pathologies on CT head can easily be overlooked, and some of them harbour clinically significant pathologies. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1644-5
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1644-5DOI Listing
December 2018
16 Reads

Gender disparity in academic emergency radiology.

Emerg Radiol 2019 Feb 7;26(1):21-28. Epub 2018 Sep 7.

Department of Radiology, University of British Columbia, Vancouver, BC, Canada.

Objective: This study is intended to better understand how academic productivity and career advancement differs between men and women emergency radiologists in academic practices.

Materials And Methods: Parameters of academic achievement were measured, including number of citations, number of publications, and h-index, while also collecting information on academic and leadership ranking among emergency radiologists in North America.

Results: In emergency radiology, there are significantly fewer women than men (22. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1642-7DOI Listing
February 2019
20 Reads

Emergency Radiology: its first 25 years: accomplishments to celebrate.

Authors:
Ronald J Zagoria

Emerg Radiol 2018 Dec;25(6):613-614

Department of Radiology and Biomedical Imaging, University of California, San Francisco (UCSF), 505 Parnassus Avenue, Box 0628, San Francisco, CA, 94143, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1639-2DOI Listing
December 2018
1 Read

Use of ultrasonography for differentiation between bullae and pneumothorax.

Emerg Radiol 2019 Feb 3;26(1):15-19. Epub 2018 Sep 3.

School of Medicine Emergency Medicine Department, Ege University, Izmir, Turkey.

Purpose: Modern lung ultrasound (US) is mainly applied not only in critical care, emergency medicine, and trauma surgery, but also in pulmonary and internal medicine. In some cases, pneumothorax (PTX) distinguishes with bullous diseases. In this study, we aimed to discuss the success of US on detecting PTX versus bullae. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1640-9DOI Listing
February 2019
18 Reads

Diagnostic radiology resident perspectives on fellowship training and career interest in emergency radiology.

Emerg Radiol 2018 Dec 31;25(6):653-658. Epub 2018 Aug 31.

Division of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University Midtown Hospital, 550 Peachtree Road, Atlanta, GA, 30308, USA.

Purpose: (1) Evaluate radiology resident perception of emergency radiology (ER). (2) Identify potential barriers to pursuing fellowship training or a career in ER among radiology residents.

Materials And Methods: A 9-question digital survey was designed using Qualtrics Experience Management software (Qualtrics Inc. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1633-8DOI Listing
December 2018
1 Read

Placental abruption and hemorrhage-review of imaging appearance.

Emerg Radiol 2019 Feb 29;26(1):87-97. Epub 2018 Aug 29.

Department of Radiology, University of Washington Medical Center, 1959 NE pacific St., Seattle, WA, 98195, USA.

Placental and periplacental bleeding are common etiologies for antepartum bleeding. Placental abruption complicates approximately 1% of pregnancies and is associated with increased maternal, fetal, and neonatal morbidity and mortality. This article reviews the normal placental appearance on ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) and then discusses the different morphological appearance of placental and periplacental hematomas along with their mimics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1638-3DOI Listing
February 2019
14 Reads

Post-mortem computed tomography improves completeness of the trauma registry: a single institution experience.

Emerg Radiol 2019 Feb 29;26(1):5-13. Epub 2018 Aug 29.

Department of Radiology and Imaging Sciences, Division of Emergency Radiology, Indiana University School of Medicine and Indiana University Health Methodist Hospital, 1701 N. Senate Blvd, Room AG-176, Indianapolis, IN, 46202, USA.

Purpose: To describe our institutional experience with post-mortem computed tomography (PMCT) and its impact on decedent injury severity score (ISS) and to assess the adequacy of emergently placed support medical devices.

Methods: Over a 5-year period, patients who died at or soon after arrival and have physical exam findings inconsistent with death were candidates for inclusion. Whole body CT was performed without contrast with support medical devices left in place. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1637-4DOI Listing
February 2019
2 Reads

Percutaneous embolization of post traumatic splenic pseudoaneurysm.

Emerg Radiol 2018 Dec 28;25(6):719-722. Epub 2018 Aug 28.

Department of Radiology and Biomedical Imaging, University of California San Francisco, 185 Berry Street NW, Suite 350, Lobby 6, San Francisco, CA, 94107, USA.

Management of splenic pseudoaneurysms in hemodynamically stable patients has shifted toward nonoperative management, including watchful waiting and endovascular embolization. Standard of treatment does not include percutaneous embolization for splenic pseudoaneurysm repair. In this case report, we document a successful percutaneous embolization of a post traumatic splenic pseudoaneurysm with thrombin. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1636-5DOI Listing
December 2018
2 Reads

Early recurrence of ileocolic intussusception after successful air enema reduction: incidence and predisposing factors.

Emerg Radiol 2019 Feb 24;26(1):1-4. Epub 2018 Aug 24.

Department of Medical Imaging, Hadassah Medical Center, Hadassah Hebrew University, PO Box 24035, Mount Scopus, 91240, Jerusalem, Israel.

Purposes: Early recurrent ileocolic intussusception (RICI) is a rare event. We aimed to estimate the rate of RICI and identify predisposing factors for early recurrence for children treated in a tertiary-care academic medical center.

Methods: Consecutive children who were diagnosed with ileocolic intussusception (ICI) during the years 2005-2015 and had successful enema reduction were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1635-6DOI Listing
February 2019
1 Read

Hemorrhagic and non-hemorrhagic causes of signal loss on susceptibility-weighted imaging.

Emerg Radiol 2018 Dec 22;25(6):691-701. Epub 2018 Aug 22.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 648, Rochester, NY, 14642, USA.

Susceptibility-weighted imaging (SWI) plays a key role in an emergency setting. SWI takes the intrinsic properties of materials being scanned and creates a visual representation of their effects on the magnetic field, thereby differentiating a number of pathologies. Magnetic resonance imaging (MRI) is now more often used, especially when computed tomography (CT) is inconclusive or even negative. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10140-018-1634-7
Publisher Site
http://dx.doi.org/10.1007/s10140-018-1634-7DOI Listing
December 2018
16 Reads

Blunt traumatic vascular injuries of the head and neck in the ED.

Emerg Radiol 2019 Feb 10;26(1):75-85. Epub 2018 Aug 10.

Department of Radiology, Brigham and Women's Hospital and Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

Cerebrovascular injury is increasingly identified in patients presenting after blunt trauma due to the implementation of screening criteria and advances in noninvasive angiographic imaging by CT. The variable latent time before onset of secondary stroke presents a window of opportunity for prevention, reinforcing the importance of detection of asymptomatic patients via screening. Furthermore, the high morbidity and mortality associated with secondary stroke makes it imperative that radiologists recognize these challenging injuries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1630-yDOI Listing
February 2019
2 Reads

Clinical applications of a computed tomography color "marrow mapping" algorithm to increase conspicuity of nondisplaced trabecular fractures.

Emerg Radiol 2019 Feb 9;26(1):59-66. Epub 2018 Aug 9.

Division of Emergency Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Purpose: To explore clinical applications of a novel conventional computed tomography (CT) color post-processing algorithm to increase conspicuity of nondisplaced trabecular fractures.

Materials And Methods: The algorithm was created in Adobe Photoshop and Adobe Extendscript, utilizing DICOM images from conventional CT as source images. A total of six representative cases were selected and processed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-018-1631-xDOI Listing
February 2019
1 Read