Transient interruption of contrast on CT pulmonary angiography: effect of mid-inspiratory vs. end-inspiratory respiration command
ConclusionChanging the respiratory command from end- to mid-inspiratory levels, as well as patient age and body weight, was significantly associated with TIC incidence. (Source: Emergency Radiology)
Source: Emergency Radiology - April 18, 2024 Category: Emergency Medicine Source Type: research
Beyond pulmonary embolism: Alternative diagnosis and incidental findings on CT pulmonary angiography in sickle cell disease
ConclusionThis study underscores the limited additional diagnostic yield of CTPA for identifying alternative diagnoses to PE in SCD patients, with the majority of diagnoses, such as pneumonia, already suggested by chest radiographs. The frequent incidental findings, most of which necessitate further evaluation, highlight the need for a cautious and tailored approach to using CTPA in the SCD population. (Source: Emergency Radiology)
Source: Emergency Radiology - April 15, 2024 Category: Emergency Medicine Source Type: research
Design of overnight radiology shifts – primum non nocere
AbstractOvernight radiology (ONR) is necessary for providing timely patient care but poses unique professional and personal challenges to the radiologists. Maintaining a sustainable, long-term overnight radiology program hinges on the retention of radiologists who grasp the institutional workflow and can adeptly navigate inherent disruptions while consistently delivering high-quality patient care. Design of radiology shifts can significantly impact the performance and well-being of radiologists, with downstream implications for patient care and risk management. We provide a narrative review of literature to make recommenda...
Source: Emergency Radiology - April 6, 2024 Category: Emergency Medicine Source Type: research
Cinematic rendering of non-traumatic thoracic aorta emergencies: a new look at an old problem
AbstractNon-traumatic thoracic aorta emergencies are acute conditions associated with substantial morbidity and mortality. In the emergency setting, timely detection of aortic injury through radiological imaging is crucial for prompt treatment planning and favorable patient outcomes. 3D cinematic rendering (CR), a novel rendering algorithm for computed tomography (CT) image processing, allows for life-like visualization of spatial details and contours of highly complex anatomic structures such as the thoracic aorta and its vessels, generating a photorealistic view that not just adds to diagnostic confidence, but is especia...
Source: Emergency Radiology - April 1, 2024 Category: Emergency Medicine Source Type: research
Assessment of discordance between radiologists and emergency physicians of RADIOgraphs among discharged patients in an emergency department: the RADIO-ED study
ConclusionsOn discharged patients, using a systematic second interpretation of X-ray by a radiologist, we found a total of 2.2% discordance that had an impact on the initial care. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2024 Category: Emergency Medicine Source Type: research
Diagnostic utility of ultrasound in pediatric nasal bone fractures: a systematic review and meta-analysis
This study highlighted ultrasonography’s utility in diagnosing pediatric nasal bone fractures with high accuracy and specificity. However, caution is advised in relying solely on ultrasound due to suboptimal overall diagnostic performance, evident in likelihood ratios. (Source: Emergency Radiology)
Source: Emergency Radiology - March 28, 2024 Category: Emergency Medicine Source Type: research
MRI characteristics of radiographically occult femoral neck fractures in trauma patients with ipsilateral femoral shaft fractures
ConclusionImplementation of limited protocol MRI protocol increases sensitivity for detection of femoral neck fractures in the setting of ipsilateral femoral shaft fractures not seen on radiograph or CT imaging. We describe the characteristic MR imaging features of these fractures. (Source: Emergency Radiology)
Source: Emergency Radiology - March 28, 2024 Category: Emergency Medicine Source Type: research
Diagnostic utility of ultrasound in pediatric nasal bone fractures: a systematic review and meta-analysis
This study highlighted ultrasonography’s utility in diagnosing pediatric nasal bone fractures with high accuracy and specificity. However, caution is advised in relying solely on ultrasound due to suboptimal overall diagnostic performance, evident in likelihood ratios. (Source: Emergency Radiology)
Source: Emergency Radiology - March 28, 2024 Category: Emergency Medicine Source Type: research
MRI characteristics of radiographically occult femoral neck fractures in trauma patients with ipsilateral femoral shaft fractures
ConclusionImplementation of limited protocol MRI protocol increases sensitivity for detection of femoral neck fractures in the setting of ipsilateral femoral shaft fractures not seen on radiograph or CT imaging. We describe the characteristic MR imaging features of these fractures. (Source: Emergency Radiology)
Source: Emergency Radiology - March 28, 2024 Category: Emergency Medicine Source Type: research
Pre-hospital emergency medicine: a spectrum of imaging findings
AbstractThe goal of emergency medical services (EMS) is to provide urgent medical care and stabilization prior to patient transport to a healthcare facility for definitive treatment. The number and variety of interventions performed in the field by EMS providers continues to grow as early management of severe injuries and critical illness in the pre-hospital setting has been shown to improve patient outcomes. The sequela of many field interventions, including those associated with airway management, emergent vascular access, cardiopulmonary resuscitation (CPR), patient immobilization, and hemorrhage control may be apprecia...
Source: Emergency Radiology - March 26, 2024 Category: Emergency Medicine Source Type: research
Artificial intelligence in the detection of non-biological materials
This article will first explore the most common clinical scenarios involving foreign bodies, such as retained surgical instruments, open and penetrating injuries, catheter and tube malposition, and foreign body ingestion and aspiration. By initially exploring the existing imaging techniques employed for diagnosing these conditions, the potential role of AI in detecting non-biological materials can be better elucidated. Yet, the heterogeneous nature of foreign bodies and limited data availability complicates the development of computer-aided detection models. Despite these challenges, integrating AI can potentially decrease...
Source: Emergency Radiology - March 26, 2024 Category: Emergency Medicine Source Type: research
Pre-hospital emergency medicine: a spectrum of imaging findings
AbstractThe goal of emergency medical services (EMS) is to provide urgent medical care and stabilization prior to patient transport to a healthcare facility for definitive treatment. The number and variety of interventions performed in the field by EMS providers continues to grow as early management of severe injuries and critical illness in the pre-hospital setting has been shown to improve patient outcomes. The sequela of many field interventions, including those associated with airway management, emergent vascular access, cardiopulmonary resuscitation (CPR), patient immobilization, and hemorrhage control may be apprecia...
Source: Emergency Radiology - March 26, 2024 Category: Emergency Medicine Source Type: research
Artificial intelligence in the detection of non-biological materials
This article will first explore the most common clinical scenarios involving foreign bodies, such as retained surgical instruments, open and penetrating injuries, catheter and tube malposition, and foreign body ingestion and aspiration. By initially exploring the existing imaging techniques employed for diagnosing these conditions, the potential role of AI in detecting non-biological materials can be better elucidated. Yet, the heterogeneous nature of foreign bodies and limited data availability complicates the development of computer-aided detection models. Despite these challenges, integrating AI can potentially decrease...
Source: Emergency Radiology - March 26, 2024 Category: Emergency Medicine Source Type: research
