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
Significant variation in computed tomography imaging of pregnant trauma patients: a retrospective multicenter study
ConclusionSignificant variability of CT imaging in PTPs after MVCs was demonstrated across 12 trauma centers, supporting the need for standardization of CT imaging for PTPs to reduce unnecessary radiation exposure while ensuring optimal injury identification is achieved. (Source: Emergency Radiology)
Source: Emergency Radiology - December 27, 2023 Category: Emergency Medicine Source Type: research
The correlation between the CT angiographic pulmonary artery obstructive index and clinical data in patients with acute pulmonary thromboembolism
ConclusionsIt is possible to determine the severity, prognosis, and appropriate treatment by the Qanadli index based on strong correlations with PR, troponin, D-dimer levels, and PH. (Source: Emergency Radiology)
Source: Emergency Radiology - December 15, 2023 Category: Emergency Medicine Source Type: research
CT esophagogram in the emergency setting: typical findings and suggested workflow
ConclusionCT and CTE are more sensitive than FE for EP in the emergency setting. Due to the rarity of EP and current wide variability in imaging interpretation, an imaging workflow and injury grading system based on esophageal and mediastinal CT findings are offered to help guide management. (Source: Emergency Radiology)
Source: Emergency Radiology - December 13, 2023 Category: Emergency Medicine Source Type: research
Ascending with ultrasound: telementored eFAST in flight —a feasibility study
ConclusionTelementored eFAST is feasible in ambulance helicopters and can produce images of good diagnostic quality. However, it relies on stable LTE coverage, which is influenced by many factors, including the helicopter ’s altitude and flight path. Furthermore, its benefit on patient outcomes remains to be proven.Graphical abstract (Source: Emergency Radiology)
Source: Emergency Radiology - December 9, 2023 Category: Emergency Medicine Source Type: research
Prevalence of SIRS with primary epiploic appendagitis
ConclusionPEA patients with SIRS response trend towards a higher hospital admission rate and are significantly more likely to have other radiological comorbidities than non-SIRS patients. It is important to look for other pathological conditions in a SIRS positive patient with a CT-diagnosis of PEA. (Source: Emergency Radiology)
Source: Emergency Radiology - December 5, 2023 Category: Emergency Medicine Source Type: research
Correction to: Inappropriate requests for cranial CT scans in emergency departments increase overuse and reduce test performance
(Source: Emergency Radiology)
Source: Emergency Radiology - December 4, 2023 Category: Emergency Medicine Source Type: research
Utilization of point-of-care ultrasound to evaluate for enterovesical fistula
AbstractEnterovesical fistula formation is a relatively rare disease process although a common complication for patients with inflammatory bowel disease (IBD), notably Crohn ’s disease. Enterovesical fistulas most commonly arise from diverticulitis (65–80%), cancer (10–20%), or Crohn’s disease (5–7%). An increasing amount of evidence supports the use of ultrasonography as the primary imaging method for the monitoring of complications in individuals with a docu mented history of IBD. Our case report presents a 30-year-old female with a history of Crohn’s disease who presented to the Emergency Department with con...
Source: Emergency Radiology - November 30, 2023 Category: Emergency Medicine Source Type: research
Effect of the NFL’s Super Bowl on emergency department visits for assault-related injuries
ConclusionContrary to expectations, SB was not associated with increased assault-related injuries. This study underscores the need for year-round structural changes in addressing violence rather than relying solely on heightened awareness during specific events. (Source: Emergency Radiology)
Source: Emergency Radiology - November 28, 2023 Category: Emergency Medicine Source Type: research
Help, I ’ve been sued! Demystifying the steps of malpractice litigation for the emergency radiologist
AbstractBeing sued can have significant emotional and psychological impact and has implications on the wellness of emergency radiologists. A better understanding of the steps involved in a medical malpractice suit can help defuse some of the anxiety of litigation. This process starts with the inception of the case, the summons, and complaint, then progresses to discovery, including document production, interrogatories, and deposition, and thereafter to settlement or trial. The discussion includes a number of tips and outlines a number of pitfalls inherent in litigation. It is hoped that this discussion will alleviate some ...
Source: Emergency Radiology - November 25, 2023 Category: Emergency Medicine Source Type: research
Radiology resident competency in detecting basilar artery occlusion: a simulation-based assessment
ConclusionsOur findings underscore a potential gap in radiology residency training related to the detection of basilar artery occlusion, highlighting the potential need for increased educational efforts in this area. (Source: Emergency Radiology)
Source: Emergency Radiology - November 23, 2023 Category: Emergency Medicine Source Type: research
Role of Interventional Radiology (IR) in vascular emergencies among cirrhotic patients
This article briefly entails the different interventional radiological procedures in vascular emergencies among patients with liver cirrhosis. (Source: Emergency Radiology)
Source: Emergency Radiology - November 17, 2023 Category: Emergency Medicine Source Type: research
Inappropriate requests for cranial CT scans in emergency departments increase overuse and reduce test performance
ConclusionDiscrepancies between electronic request and emergency department discharge summary were observed in>75% of patients, leading to unnecessary NT-UCCT tests. (Source: Emergency Radiology)
Source: Emergency Radiology - November 16, 2023 Category: Emergency Medicine Source Type: research
Subclinical to catastrophic: a range of outcomes in cerebral air embolism
AbstractCerebral air embolism (CAE) is a rare, yet potentially devastating condition characterized by entrance of air into cerebral vasculature, that is nearly always iatrogenic. While many findings of CAE are subclinical and incidental at computed tomography (CT), there remain cases of catastrophic and fatal embolisms. Increasing physician awareness of prevention, presentation, and treatment for CAE is crucial for reducing morbidity and mortality. In this case series, we highlight this preventable entity by comparing three cases of CAE that showcase a diverse array of presentations, radiologic findings, and clinical outco...
Source: Emergency Radiology - November 13, 2023 Category: Emergency Medicine Source Type: research
