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Articles Tagged With: imaging

  • Variables Associated with Resolution and Persistence of Ovarian Cysts

    This prospective cohort study evaluated 2,683 individuals with incidental cysts discovered during ovarian cancer screenings to determine what factors are associated with cyst resolution over time. Characteristics such as smaller cysts, septated cysts, younger age, premenopausal status, and family history of ovarian cancer were associated with an increased percentage of cyst resolution overall, and factors including older age and lack of hormone therapy were associated with a faster rate of cyst resolution over time. The findings of this study indicate that different surveillance times may be appropriate, depending on cyst morphology and patient characteristics.

  • Med/Mal Claims Focus on Decision Aid Findings from ECGs, Radiology Tests

    If the radiologist does not address computer findings directly, the ED clinician is left to make assumptions about what the radiologist has found significant or insignificant. If radiologists are not routinely addressing computer findings, emergency providers will spend resources attempting to sift through reports and images, trying to rule in or out what the computer has found. Radiologists should acknowledge computer findings, and comment on why or why not the finding is accurate and significant to the patient’s care.

  • Malpractice Lawsuits Allege ED Missed Intracranial Aneurysms

    Failure to image patients is a relatively frequent cause of litigation, but it should be seen in context. It is not so much incorrect interpretations of imaging studies; rather, failure to consider the possibility of an aneurysm, resulting in an inadequate workup, is a more common allegation.

  • New Processes ‘Close the Loop’ on Imaging Findings

    University Hospitals Cleveland Medical Center, radiologists report imaging findings through a standardized form integrated in dictation software. This automatically sends an email to a nurse navigator, who documents the findings and coordinates follow-up with patients, primary care providers, and specialists. From July 2021 to May 2022, 1,207 incidental finding reports were submitted, with the vast majority identified on CT scans. Ten new cancers were detected as a result of the program.

  • Emergency, Radiology Groups Suggest Best Practices for Incidental Findings

    Better reporting, communication needed when troubling lesions appear on images.

  • Researchers Study Imaging Use Rates Among Nonphysician Practitioners

    Researchers recently discovered nonphysician practitioners, including nurse practitioners and physician assistants, ordered imaging tests 5.3% more often than physicians, potentially pointing to an opportunity to improve decision-making regarding judicious use of healthcare resources.

  • Echo vs. Cardiac MRI for Grading Mitral Regurgitation Severity

    A comparison of echocardiographic-measured severity of mitral regurgitation with that of cardiac MRI-determined severity demonstrated poor agreement in the diagnosis of severe mitral regurgitation. Only cardiac MRI was predictive of left ventricular reverse remodeling after mitral valve surgery.

  • Extra Coronary Vascular Involvement in Spontaneous Coronary Artery Dissection

    When viewing cardiac MRI and peripheral angiography of patients with spontaneous coronary artery dissection, investigators observed peripheral arterial abnormalities, including fibromuscular dysplasia, in about one-quarter.

  • Back Pain-Related Disability and Lumbar Spine Imaging Changes

    A population-based, prospective cohort study of women in the United Kingdom found no association between the number of lumbar segments with radiographic pathology and severity of back pain-related disability.

  • Infectious Disease Alert Updates

    Aussie Flesh-Eating Disease; Misleading Imaging in COVID; Abstruse 2021 CLABSI Case Definition