Transfer patient imaging: secondary interpretation reimbursement
ConclusionRegardless of payer status, reimbursement for secondary interpretation of the three most common transfer patients ’ CT exams is near or greater than that of primary interpretations. (Source: Emergency Radiology)
Source: Emergency Radiology - December 7, 2022 Category: Emergency Medicine Source Type: research
Holiday effect on injuries sustained by assault victims seen in US emergency departments
ConclusionsHolidays are associated with increase in several assault-related injuries. The information can help allocate healthcare resources and guide prevention strategies. (Source: Emergency Radiology)
Source: Emergency Radiology - November 29, 2022 Category: Emergency Medicine Source Type: research
Interpretation of chest radiography in patients with known or suspected SARS-CoV-2 infection: what we learnt from comparison with computed tomography
AbstractDifferently from computed tomography (CT), well-defined terminology for chest radiography (CXR) findings and standardized reporting in the setting of known or suspected COVID-19 are still lacking. We propose a revision of CXR major imaging findings in SARS-CoV-2 pneumonia derived from the comparison of CXR and CT, suggesting a precise and standardized terminology for CXR reporting. This description will consider asymptomatic patients, symptomatic patients, and patients with SARS-CoV-2-related pulmonary complications. We suggest using terms such asground-glass opacities,consolidation, andreticular pattern for the mo...
Source: Emergency Radiology - November 26, 2022 Category: Emergency Medicine Source Type: research
American Society of Emergency Radiology (ASER) social media committee workgroup: best practices for the use of social media in emergency radiology
AbstractSocial media has become integrated within the profession of medicine, and emergency radiology has inevitably felt the impact of its presence. Emergency radiologists are encouraged to consider the advantages of embracing the digital era and the benefits it may bring to our careers. We aim to present the best practice guidelines for emergency radiologists and radiology departments. This paper is a product of the American Society of Emergency Radiology Social Media (ASER) Committee workgroup and represents the best practices of the society. (Source: Emergency Radiology)
Source: Emergency Radiology - November 24, 2022 Category: Emergency Medicine Source Type: research
Yield of pelvic CT in emergency department patients undergoing CT torso for generalized or multiple complaints
ConclusionIn ED patients undergoing chest CTA for chest pain or suspected PE combined with abdominopelvic CT, the presence of acute pelvic-related pathology not visualized on abdominal CT is low. For this ED patient cohort, pelvic CT may not be necessary in men with normal WBC and a low pre-imaging clinical suspicion for acute pelvic pathology. (Source: Emergency Radiology)
Source: Emergency Radiology - November 24, 2022 Category: Emergency Medicine Source Type: research
CT Imaging Findings in Patients with Ovarian Cancer and Acute Abdominal Symptoms: Experience at a Tertiary Cancer Center
ConclusionMost patients with ovarian cancer presenting with acute abdominal had relevant positive findings on abdominal CT, with small bowel obstruction being the most common finding. (Source: Emergency Radiology)
Source: Emergency Radiology - November 24, 2022 Category: Emergency Medicine Source Type: research
Characterization of acute American football spinal injuries in a multi-center healthcare system
ConclusionsAcute spinal injuries continue to represent a significant cause of morbidity among American football players. Compared to national statistics, we found a similar distribution of spinal injuries in terms of anatomic location and an alarmingly high proportion of SCI. This investigation represents the largest single-center study addressing spinal injuries among football players. (Source: Emergency Radiology)
Source: Emergency Radiology - November 24, 2022 Category: Emergency Medicine Source Type: research
Outcomes in pediatric patients with documented delays between ileocolic intussusception diagnosis and therapeutic enema attempt: evaluation of reduction efficacy and complication rate
ConclusionsThere was no difference in intussusception reduction efficacy or complication rate in patients with increasing time between imaging diagnosis of ileocolic intussusception and reduction attempt, including delay intervals up to 8 h. (Source: Emergency Radiology)
Source: Emergency Radiology - November 24, 2022 Category: Emergency Medicine Source Type: research
Rapid identification of source of delayed hemobilia following endoscopic metallic stenting for malignant biliary obstruction
AbstractDelayed hemobilia, a rare but potentially fatal complication of endoscopic metallic stenting for malignant biliary obstruction, requires prompt identification of the source of bleeding and subsequent embolization. However, hemobilia is characteristically intermittent, and computed tomography (CT) often fails to show pseudoaneurysms or extravasations. In particular, because the posterior superior pancreaticoduodenal artery (PSPDA) runs alongside the common bile duct for its whole length, it is readily obscured by metallic artifacts in that duct, such as stents, making identification of the source of bleeding by CT d...
Source: Emergency Radiology - November 24, 2022 Category: Emergency Medicine Source Type: research
Visualization of acute aortic injury with cinematic rendering
AbstractThe purpose of this study is to demonstrate the appearance of traumatic aortic injuries with the novel 3-dimensional (3D) computed tomography (CT) visualization technique known as cinematic rendering (CR). CR uses a novel lighting model to create photorealistic images with excellent anatomic detail for improved depiction of the extent of traumatic aortic injuries. Four patients with acute traumatic aortic injury identified on thoracic CT angiography were analyzed by creating standard 3D volume-rendered reconstructions and CR images on an independent 3D workstation. In this series of four patients, we present the ty...
Source: Emergency Radiology - November 24, 2022 Category: Emergency Medicine Source Type: research
Imaging patterns of thoracic injuries in survivors of intimate partner violence (IPV)
ConclusionAcute rib fractures with concomitant injuries to the head, neck, face, and extremities with an unclear mechanism of injury should prompt the radiologist to discuss the possibility of IPV with the ordering physician.Advances in knowledgeRecognizing common injuries to the thorax will prompt the radiologists to suspect IPV and discuss it with the clinicians. (Source: Emergency Radiology)
Source: Emergency Radiology - November 23, 2022 Category: Emergency Medicine Source Type: research
MRI remains highly accurate in the diagnosis of appendicitis in pregnancy when read by radiologists of mixed specialty training and experience
ConclusionMRI is a highly accurate imaging modality for the assessment of appendicitis in pregnancy. Even with variable reader MRI experience, MRI demonstrates an accuracy of 99.8% and a positive predictive value for acute appendicitis of 100%. Double reading and the possible inclusion of DWI may help further improve accuracy and minimise false-negative rates. (Source: Emergency Radiology)
Source: Emergency Radiology - November 23, 2022 Category: Emergency Medicine Source Type: research
Spectrum of injuries with “less-lethal” beanbag weapons: pictorial essay
We present a pictorial essay of these injuries ranging from mild skin contusions to more severe solid organ injuries. (Source: Emergency Radiology)
Source: Emergency Radiology - November 19, 2022 Category: Emergency Medicine Source Type: research
