Daytime, evening, and overnight: the 24-h radiology cycle and impact on interpretative accuracy
ConclusionSignificantly higher major discrepancy rates for studies interpreted overnight suggest the need for radiologists to exercise greater caution when interpreting studies overnight and may require practice management strategies to help optimize overnight work conditions. The lower major discrepancy rates on advanced studies interpreted during the daytime suggest the need for reserving advanced studies for interpretation during the day when possible. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

AI tools in Emergency Radiology reading room: a new era of Radiology
AbstractArtificial intelligence tools in radiology practices have surged, with modules developed to target specific findings becoming increasingly prevalent and proving valuable in the daily emergency room radiology practice. The number of US Food and Drug Administration-cleared radiology-related algorithms has soared from just 10 in early 2017 to over 200 presently. This review will concentrate on the present utilization of AI tools in clinical ER radiology setting, including a brief discussion of the limitations of the technique. As radiologists, it is essential that we embrace this technology, comprehend its constraints...
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

CT angiography of non-aortic thoracic arterial trauma
This article provides a review of anatomy, pertinent clinical exam and CT angiography findings, as well as therapeutic options for non-aortic thoracic arterial trauma. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

Predictive factors of selective transarterial embolization failure in acute renal bleeding: a single-center experience
ConclusionRTE is a safe and effective procedure in the management of acute renal bleeding of various origins. Hematoma volume, Scr, PLT, and eGFR values were found to be predictive factors of poor clinical outcome and should be closely monitored. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

Radiologic blind spots in hip and pelvic radiographs
ConclusionA careful systematic evaluation of hip and pelvic radiographs, with particular attention to the pubis, ilium, greater trochanter, and subcapital region, may improve radiographic fracture detection and decrease delays in diagnosis. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

Ultrasound evaluation of intraluminal magnets in an ex vivo model
ConclusionThese findings could potentially provide valuable information when directing the urgency of intervention  in foreign body ingestion. Ultrasound may supplement and improve the current guidelines in management of magnet ingestion. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

Evaluation of extensive inflammatory conditions of the bowel using three-dimensional CT cinematic rendering: focus on inflammatory bowel disease
We present examples of those conditions in this pictorial essay and describe the potential of CR to visualize key findings. As CR exhibits possible advantages, further studies are warranted to support its broader clinical adoption and assess its efficacy in diagnosing and guiding managing of inflammatory conditions in emergency settings. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

Radiologist age and diagnostic errors
ConclusionsThe mean error rate for all radiologists was low. We observed that increasing age at any residency graduation date was associated with increasing relative risk of major and minor errors as well as increasing odds of a major vs. minor error among providers. Further study is needed to corroborate these results, determine clinical relevance, and highlight strategies to address these findings. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

Improved chest wall trauma taxonomy: an interdisciplinary CWIS and ASER collaboration
ConclusionsThe 2019 consensus survey from CWIS provides a framework to discuss chest wall injuries, but several concepts remained unclear. Creating a universally accepted taxonomy and nomenclature, utilizing the CWIS survey and this article as a scaffolding, may help providers communicate the severity of chest wall injury accurately, allow for better operative planning, and provide a common language for researchers in the future. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

MDCT evaluation of distal radius fractures and their association with carpal and distal ulnar fractures
ConclusionMajority of DRFs in patients referred for MDCT were complete articular with high incidence of displacement and intra-articular step off. Associated carpal bone and distal ulna fractures were not uncommon. (Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

MIP technique on CTPA may be helpful in diagnosing pulmonary embolism
(Source: Emergency Radiology)
Source: Emergency Radiology - September 30, 2023 Category: Emergency Medicine Source Type: research

Disparities in computed tomography utilization for pediatric blunt trauma: a systematic review and meta-analysis comparing pediatric and non-pediatric trauma centers
The objective of this study is to delineate disparities in CT utilization for pediatric blunt trauma patients between PTCs and non-PTCs. A systematic review and meta-analysis were conducted following established guidelines, searching PubMed, Scopus, and Web of Science up to March 3, 2023. All studies examining CT utilization in the management of pediatric (aged< 21 years)  blunt trauma and specifying the type of trauma center(s) were included, and data were extracted and analyzed using STATA software version 17.0. An analysis of 30 studies revealed significant variations in CT scan utilization among pediatric blunt tr...
Source: Emergency Radiology - September 23, 2023 Category: Emergency Medicine Source Type: research

CT angiography of non-aortic thoracic arterial trauma
This article provides a review of anatomy, pertinent clinical exam and CT angiography findings, as well as therapeutic options for non-aortic thoracic arterial trauma. (Source: Emergency Radiology)
Source: Emergency Radiology - September 14, 2023 Category: Emergency Medicine Source Type: research

Improved chest wall trauma taxonomy: an interdisciplinary CWIS and ASER collaboration
ConclusionsThe 2019 consensus survey from CWIS provides a framework to discuss chest wall injuries, but several concepts remained unclear. Creating a universally accepted taxonomy and nomenclature, utilizing the CWIS survey and this article as a scaffolding, may help providers communicate the severity of chest wall injury accurately, allow for better operative planning, and provide a common language for researchers in the future. (Source: Emergency Radiology)
Source: Emergency Radiology - September 12, 2023 Category: Emergency Medicine Source Type: research