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
Role of emergency teleradiology in a mass motorcycle event: the experience of the 2021 International Six Days of Enduro (ISDE)
ConclusionsIn summary, the successful implementation of portable X-ray machines and teleradiology at remote and austere high-risk sporting events holds great promise for enhancing on-site medical capabilities, allowing clinicians informed decisions, avoiding unnecessary hospitalization, and allowing athletes to continue with their competition. Provided that challenges related to cost, safety, connectivity, and power supply are effectively addressed. (Source: Emergency Radiology)
Source: Emergency Radiology - November 10, 2023 Category: Emergency Medicine Source Type: research
MRI brain findings of Abamectin toxic encephalopathy: a case report with review of literature
We present a case of acute neurotoxicity induced by Abamectin, showcasing distinctive MRI brain findings in a 33-year-old female who exhibited a favourable recovery with the aid of supportive care. In a patient with known exp osure to toxins, even with a lack of knowledge of the specific type or class of toxin, recognition of anatomical distribution of lesions on brain MRI and their characteristic appearance can help exclude other causes of neurologic impairment and aid in timely management. (Source: Emergency Radiology)
Source: Emergency Radiology - November 10, 2023 Category: Emergency Medicine Source Type: research
Underreported and underrecognized: a comprehensive imaging review of breast injury
AbstractBreast injury is commonly encountered yet it remains significantly underreported. Injury to the breast may arise from either primary mechanisms or secondary or iatrogenic mechanisms. Primary mechanisms of breast injury include blunt force, seat-belt, penetrating, and thermal injury. Secondary or iatrogenic mechanisms of breast injury include breast biopsy or intervention as well as operative intervention and cardiopulmonary resuscitation. The severity of breast injury arising from these mechanisms is broad, ranging from breast contusion to avulsion. Sequelae of breast injury include fat necrosis and Mondor’s di...
Source: Emergency Radiology - November 9, 2023 Category: Emergency Medicine Source Type: research
Acute incarcerated intrathoracic sleeve herniation after laparoscopic sleeve gastrectomy: an uncommon yet urgent complication —a comprehensive case report and literature review
We present a compelling case of a young female who experienced sudden and intractable vomiting shortly after LSG. Utilizing a multidisciplinary approach, upper gastrointestinal imaging (UGI) and computed tomography (CT) scans unequivocally confirmed incarcerated intrathoracic migration of the gastric sleeve, necessitating immediate surgical intervention. Radiologists must be equipped with the knowledge to recognize subtle yet crucial imaging findings from UGI and CT scans to ensure timely intervention, thus mitigating the risks associated with this underreported acute complication of LSG and ultimately improving patient ou...
Source: Emergency Radiology - November 7, 2023 Category: Emergency Medicine Source Type: research
Can you accurately rule out acute aortic syndrome by restricting imaging of the aorta to the area of the patient ’s pain?
ConclusionRestricting imaging to the area of pain in hemodynamically stable patients without known aortic aneurysm provides a highly sensitive approach to ruling out AAS. (Source: Emergency Radiology)
Source: Emergency Radiology - November 3, 2023 Category: Emergency Medicine Source Type: research
Cinematic rendering in the evaluation of complex vascular injury of the lower extremities: how we do it
AbstractLower extremity trauma is one of the most common injury patterns seen in emergency medical and surgical practice. Vascular injuries occur in less than one percent of all civilian fractures. However, if not treated promptly, such injuries can lead to ischemia and death. Computed tomography angiography (CTA) is the non-invasive imaging gold standard and plays a crucial part in the decision-making process for treating lower extremity trauma. A novel, FDA-approved 3D reconstruction technique known as cinematic rendering (CR) yields photorealistic reconstructions of lower extremity vascular injuries depicting clinically...
Source: Emergency Radiology - October 28, 2023 Category: Emergency Medicine Source Type: research
Preoperative computed tomography in Fournier ’s gangrene does not delay time to surgery
ConclusionObtaining a preoperative CT did not delay surgical intervention in patients with FG. (Source: Emergency Radiology)
Source: Emergency Radiology - October 19, 2023 Category: Emergency Medicine Source Type: research
Imaging findings of the injured in the massive Beirut blast
ConclusionBecause the powerful Beirut blast occurred at the port located in the periphery of the city, most injuries seen on imaging were of the upper extremities and head and neck caused by the severe blast wind or penetrating shrapnel and resulted from people using their arms to protect their heads and bodies from direct impact and falling objects. (Source: Emergency Radiology)
Source: Emergency Radiology - October 18, 2023 Category: Emergency Medicine Source Type: research
The vanishing nasal septum sign: a case of severe fungal sinusitis
We report a 39-year-old male with relapse of acute myelogenous leukemia (AML) who was under evaluation for neutropenic fever. On his sinus CT, there was loss of calcification of his nasal septum when compared to a prior head CT, a sign indicative of an aggressive infectious process. He was diagnosed with AIFS and underwent emergent surgical debridement and systemic antifungal therapy, leading to a positive outcome. The sign described on CT ( “Vanishing Nasal Septum” sign) may provide an additional, reliable tool to prospectively identify locally aggressive cases of invasive fungal infections of the nasal cavity at an e...
Source: Emergency Radiology - October 17, 2023 Category: Emergency Medicine Source Type: research
Visualizing the malperfusion effect of coronary occlusion as a sequela of limited type A aortic dissection
We report a case of LTAAD and malperfusion syndrome of the left main coronary artery which resulted in inadequate contrast opacification of the aorta and failure of the dissection protocol to trigger on computed tomography (CT). Upon further evaluation of the situation, the radiologist oversaw th e manual triggering of CT acquisitions which yielded an actionable CT at 6 minutes post-contrast and real-time visualization of the patient’s developing cardiac ischemia. (Source: Emergency Radiology)
Source: Emergency Radiology - October 6, 2023 Category: Emergency Medicine Source Type: research
Diagnostic utility of multidetector CT scan in penetrating diaphragmatic injuries: A systematic review and meta-analysis
This study highlights MDCT's effectiveness in detecting diaphragmatic injury from penetrating trauma, with moderate to high diagnostic accuracy. However, larger sample sizes, multicenter collaborations, and prospective designs are needed to address observed heterogeneity, enhancing understanding and consisten cy in MDCT's diagnostic capabilities in this context. (Source: Emergency Radiology)
Source: Emergency Radiology - October 4, 2023 Category: Emergency Medicine Source Type: research
