BPOP in early childhood following resection of osteochondroma: report of a case
AbstractThe diagnosis of an osteochondroma in the short bones of the extremities is atypical and the presentation in infancy is unusual. A 3-month-old female presented for evaluation of radial deviation of the right index finger present since birth. Radiographs showed a broad-based osseous outgrowth with the usual features of an osteochondroma arising from the base of middle phalanx. Initial corrective surgery at 22 months was followed by recurrence of the lesion. Another resection at 4 years confirmed a final diagnosis of BPOP (bizarre parosteal osteochondromatous proliferation). The subsequent pathologic diagnosis of ...
Source: Emergency Radiology - April 23, 2024 Category: Emergency Medicine Source Type: research
Emergency department imaging utilization post-transcatheter aortic valve replacement: single institution 7-year experience
ConclusionOur study highlights the vital role of early and accurate imaging in post-TAVR patients within 30 days post-procedure. As transcatheter approaches rise in popularity, emergency radiologists become instrumental in diagnosing common post-procedural presentations. Continued research is essential to devise post-discharge strategies to curtail readmissions and related costs. Proper imaging ensures prompt, effective care, enhancing overall patient outcomes. (Source: Emergency Radiology)
Source: Emergency Radiology - April 23, 2024 Category: Emergency Medicine Source Type: research
Pediatric foot fractures on radiographs: distribution and predictors of surgery
ConclusionPediatric foot fracture patterns differed based on age and regional skeletal maturation. Physeal involvement, multiple fractures, fracture displacement, and articular involvement were independent predictors of surgery in our study group. (Source: Emergency Radiology)
Source: Emergency Radiology - April 22, 2024 Category: Emergency Medicine Source Type: research
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
