Correction to: Inappropriate requests for cranial CT scans in emergency departments increase overuse and reduce test performance
(Source: Emergency Radiology)
Source: Emergency Radiology - February 1, 2024 Category: Emergency Medicine Source Type: research
The performance of ultrasound and upper gastrointestinal study in diagnosing malrotation in children, with or without volvulus
ConclusionUS is equivalent to UGIS for identifying malrotation and is more sensitive for detecting midgut volvulus, supporting its use as a primary diagnostic tool. The study advocates for combined US and UGIS when either yields inconclusive results, optimizing diagnostic precision for these conditions. (Source: Emergency Radiology)
Source: Emergency Radiology - January 30, 2024 Category: Emergency Medicine Source Type: research
Multifocal emphysematous osteomyelitis, a do not miss diagnosis for the emergency radiologist: a case report with literature review
We present a case of multifocal emphysematous osteomyelitis in a 56-year-old woman with concurrent emphysematous pyelonephritis complicated by psoas and epidural abscesses. The causative organism in our patient wasEscherichia coli. Emergency radiologists should be aware of this condition and differentiate it from other benign entities that can present with intraosseous gas. Prompt diagnosis is important given the high morbidity and mortality with this condition. This case report emphasizes the specific pattern of intraosseous gas seen with EO, which can help diagnose EO with confidence. (Source: Emergency Radiology)
Source: Emergency Radiology - January 25, 2024 Category: Emergency Medicine Source Type: research
Diagnostic performance of spectral Doppler in acute appendicitis with an equivocal Alvarado score
ConclusionThe patients with AA have significantly higher point PSV and point RI values than those without AA and are especially useful in equivocal patients whose MODs and Alvarado scores are in the diagnostically equivocal ranges of 6 –8 mm and 4–7, respectively, with the point PSV and RI demonstrating negative predictive value 87.5% and 100%. (Source: Emergency Radiology)
Source: Emergency Radiology - January 24, 2024 Category: Emergency Medicine Source Type: research
The disproportionate impact of peer learning on emergency radiology
ConclusionEmergency radiologists were found to receive significantly more PLO submissions than their non-emergency colleagues. Presumed causes for this discrepancy may include a higher error rate secondary to wider range of studies interpreted, demand for shorter turn-around times, higher volumes of exams read per shift, and hindsight bias in the setting of follow-up review. (Source: Emergency Radiology)
Source: Emergency Radiology - January 23, 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 - January 22, 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 - January 18, 2024 Category: Emergency Medicine Source Type: research
Spontaneous splenic rupture in a neonate: a case report and literature review
We report a case of a newborn with an unremarkable prenatal, delivery, and nursery course who presented with anemia, abdominal distension, and lethargy. Abdominal ultrasound with Doppler and computed tomography (CT) of the head, cervical spine, chest, abdomen, and pelvis without contrast showed findings of splenic rupture and anoxic brain injury. An extensive workup for traumatic, infectious, coagulopathic, and congenital etiologies was unrevealing, leading to a presumptive diagnosis of spontaneous splenic rupture in a neonate. (Source: Emergency Radiology)
Source: Emergency Radiology - January 17, 2024 Category: Emergency Medicine Source Type: research
Enhancing diagnostic precision for acute chest syndrome in sickle cell disease: insights from dual-energy CT lung perfusion mapping
ConclusionDECT iodine map has the capability to depict microthrombi as perfusion defects. The presence of segmental perfusion defects on dual-energy CT maps was found to be associated with ACS with potential for improved specificity and reclassification. (Source: Emergency Radiology)
Source: Emergency Radiology - January 15, 2024 Category: Emergency Medicine Source Type: research
Supplementary value and diagnostic performance of computed tomography scout view in the detection of thoracolumbar spine injuries
ConclusionSV examination holds potential as a valuable supplementary tool for thoracolumbar spinal injury detection when CT reconstructions are not yet available. Our data show high specificity and accuracy but moderate sensitivity. While not sufficient for standalone screening, reviewing SV images expedites spinal screening in mass casualty incidents. Addressing modifiable factors like medical equipment or hand positioning can enhance SV image quality and assessment. (Source: Emergency Radiology)
Source: Emergency Radiology - January 9, 2024 Category: Emergency Medicine Source Type: research
A pictorial review of scrotal and penile pathology on computed tomography
AbstractComputed tomography (CT) may show a variety of scrotal and penile pathologic finding, but is usually not used as a first-line imaging due to its limited soft tissue contrast. Nonetheless, there are three main scenarios for imaging of the scrotum and penis with CT. Pathologies may be found incidentally in patients undergoing abdominal and pelvic CT scanning for different reasons. In emergency settings, CT is frequently performed, and the recognition of scrotal and penile pathologies by the reporting radiologist is crucial to ensure optimal patient treatment and outcome. If MRI scanning cannot be performed due to con...
Source: Emergency Radiology - January 9, 2024 Category: Emergency Medicine Source Type: research
