Cervical MRI assessment of traumatic anterior atlanto-occipital membrane complex injuries with evaluation of ancillary findings
ConclusionsThe presence of a craniocervical prevertebral effusion on CT in trauma patients may raise suspicion for an injury to the anterior atlanto-occipital membrane complex and potentially trigger additional investigation with cervical MRI. (Source: Emergency Radiology)
Source: Emergency Radiology - April 22, 2023 Category: Emergency Medicine Source Type: research

An ultrafast brain MRI technique for evaluating acute neurologic deficits in the emergency department
AbstractHerein we share our preliminary experience with an ultrafast brain MRI technique for use in the ED consisting of axial T1-weighted (40  s), axial T2-weighted (62 s), axial diffusion-weighted (80 s), axial FLAIR (96 s), axial T2* (6 s), and axial susceptibility-weighted (108 s) imaging for a total scan time of 6 min and 53 s. Utilization of this ultrafast technique yields an efficient assessment of the brain, decreases ED le ngth of stay and inpatient observation admissions, and may obviate the need for vascular imaging with either CTA or MRA in the ED. (Source: Emergency Radiology)
Source: Emergency Radiology - April 22, 2023 Category: Emergency Medicine Source Type: research

Low concordance between CTPA and echocardiography in identification of right ventricular strain in PERT patients with acute pulmonary embolism
ConclusionsIn a selected population of patients with acute PE for which PERT was activated, CTPA is highly sensitive but not specific for the detection of RVS when compared to TTE. (Source: Emergency Radiology)
Source: Emergency Radiology - April 21, 2023 Category: Emergency Medicine Source Type: research

The American Society of Emergency Radiology (ASER) AI/ML expert panel: inception, mandate, work products, and goals
(Source: Emergency Radiology)
Source: Emergency Radiology - April 18, 2023 Category: Emergency Medicine Source Type: research

Do not get stumped: multimodality imaging findings of early and late post-cholecystectomy complications
This article aims to (1) provide an overview of post-cholecystectomy syndrome with an emphasis on biliary complications and emergent imaging findings, (2) illustrate the spectrum of imaging findings of early and late post-cholecystectomy complications, (3) enumerate the role of various imaging modalities in evaluating post-cholecystectomy complications and address the role of selective trans-catheter coil embolization in managing bile leaks, and (4) discuss pearls and pitfalls in imaging following cholecystectomy. While common first-line imaging modalities for post-cholecystectomy complications include CT and sonography, E...
Source: Emergency Radiology - April 12, 2023 Category: Emergency Medicine Source Type: research

Upper cervical spine fracture patterns and blunt cerebrovascular injuries
ConclusionC1 and C2 fractures are associated with BCVI in the presence of high-energy mechanism of injury, concomitant fractures of other cervical vertebral body levels, comminuted TF fractures, or TF fractures with internal fragments. Attention to these fracture parameters is important in evaluating C1 and C2 fractures for BCVI. (Source: Emergency Radiology)
Source: Emergency Radiology - April 12, 2023 Category: Emergency Medicine Source Type: research

Do not get stumped: multimodality imaging findings of early and late post-cholecystectomy complications
This article aims to (1) provide an overview of post-cholecystectomy syndrome with an emphasis on biliary complications and emergent imaging findings, (2) illustrate the spectrum of imaging findings of early and late post-cholecystectomy complications, (3) enumerate the role of various imaging modalities in evaluating post-cholecystectomy complications and address the role of selective trans-catheter coil embolization in managing bile leaks, and (4) discuss pearls and pitfalls in imaging following cholecystectomy. While common first-line imaging modalities for post-cholecystectomy complications include CT and sonography, E...
Source: Emergency Radiology - April 12, 2023 Category: Emergency Medicine Source Type: research

Upper cervical spine fracture patterns and blunt cerebrovascular injuries
ConclusionC1 and C2 fractures are associated with BCVI in the presence of high-energy mechanism of injury, concomitant fractures of other cervical vertebral body levels, comminuted TF fractures, or TF fractures with internal fragments. Attention to these fracture parameters is important in evaluating C1 and C2 fractures for BCVI. (Source: Emergency Radiology)
Source: Emergency Radiology - April 12, 2023 Category: Emergency Medicine Source Type: research

Secondary blast injury: radiological characteristics of shrapnel injuries in children
ConclusionOur results showed that the most common injuries were intra-abdominal injuries, damage to different organs could occur at the same time, and deaths were especially associated with brain injuries. For this reason, it should not be forgotten that CT scans will have an important place in the triage of the patient, especially in victims with shrapnel at the abdominal and cranial levels in radiography examinations. (Source: Emergency Radiology)
Source: Emergency Radiology - April 11, 2023 Category: Emergency Medicine Source Type: research

In-person radiologist to review the trauma panscan: a high-fidelity simulation training program for radiology trainees at an academic level 1 trauma center
ConclusionRadiology residents can be trained to accurately and rapidly identify injuries requiring immediate surgical attention at the CT scanner.Clinical impactThese findings support the value-added of an in-person radiologist at the CT scanner for whole-body trauma panscans to facilitate timely detection of life-threatening injuries and improve professional relations between radiologists and trauma surgeons. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research

Emergent and unusual presentations of endometriosis: pearls and pitfalls
AbstractThe purpose of this pictorial essay is to highlight atypical and unusual presentations of endometriosis that can be missed or misinterpreted in the emergency setting. Although endometriosis is a chronic disease, it can present acutely with symptoms and imaging mimicking more common acute gynecologic, gastrointestinal, or urinary conditions as well as neoplasms. Furthermore, patients may present emergently prior to an established diagnosis of endometriosis. Here, we present a range of cases including endometrioma rupture and infection, urinary tract involvement and obstruction, bowel obstruction, appendicitis, g...
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research

Point-of-care ultrasound: impact on emergency department length of stay for suspected lower extremity DVT
ConclusionED POCUS scans decrease the amount of time between order placement and disposition when compared to RADUS. POCUS significantly decreases length of stay in the ED when RADUS is not available. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research