Left Atrial Appendage Mechanical Exclusion: Procedural Planning Using Cardiovascular Computed Tomographic Angiography
Left atrial appendage (LAA) mechanical exclusion is being investigated for nonpharmacologic stroke risk reduction in selected patients with atrial fibrillation. There are multiple potential approaches in various stages of development and clinical application, each of which depends on specific cardiothoracic anatomic characteristics for optimal performance. Multiple imaging modalities can be utilized for application of this technology, with transesophageal echocardiography used for intraprocedural guidance. Cardiovascular computed tomographic angiography can act as a virtual patient avatar, allowing for the assessment of ca...
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Web Exclusive Content: Review Article Source Type: research

Diagnostic Performance of Chest X-Ray for COVID-19 Pneumonia During the SARS-CoV-2 Pandemic in Lombardy, Italy
Chest x-ray (CXR) can play a role in diagnosing patients with suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, but only few small-scale studies are available. We assessed the diagnostic performance of CXR in consecutive patients presenting at the emergency room at the Policlinico San Donato, Milan, Italy from February 24 to April 8, 2020 for suspected SARS-CoV-2 infection. The results of CXR were classified as positive or negative according to the original prospective radiologic reports. To overcome the limitations of reverse transcriptase-polymerase chain reaction (RT-PCR) swab, especially...
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Web Exclusive Content: Research Letters Source Type: research

Generalizability of Deep Learning Tuberculosis Classifier to COVID-19 Chest Radiographs: New Tricks for an Old Algorithm?
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Web Exclusive Content: Research Letters Source Type: research

A Comparative Study of Chest Computed Tomography Features in Young and Older Adults With Corona Virus Disease (COVID-19)
Conclusion: Elderly and younger patients with corona virus disease have some common CT features, but older patients are more likely to have extensive lung lobe involvement, and subpleural line and pleural thickening. These differentiated characteristics may be related to the progress and prognosis of the disease. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Web Exclusive Content: Original Article Source Type: research

Chest Computed Tomography Manifestation of Coronavirus Disease 2019 (COVID-19) in Patients With Cardiothoracic Conditions
The coronavirus disease 2019 (COVID-19) pandemic is a serious public health concern, with an exponentially growing number of patients worldwide. Computed tomography (CT) has been suggested as a highly sensitive modality for the diagnosis of pulmonary involvement in the early stages of COVID-19. The typical features of COVID-19 in chest CT include bilateral, peripheral, and multifocal ground-glass opacities with or without superimposed consolidations. Patients with underlying medical conditions are at higher risks of complications and mortality. The diagnosis of COVID-19 on the basis of the imaging features may be more chal...
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Web Exclusive Content: Review Article Source Type: research

Long-term Pulmonary Consequences of Coronavirus Disease 2019 (COVID-19): What We Know and What to Expect
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Web Exclusive Content: Commentary Source Type: research

Pericardial Fat Enhancement: New Computed Tomography Biomarker Influences the Relationship Between Pericardial Fat and Coronary Artery Disease
Purpose: Studies have shown a modest association between pericardial fat volume (PFV) and coronary artery disease (CAD), potentially mediated by local inflammation. We aimed to investigate the association between a new biomarker of pericardial fat inflammation, named pericardial fat enhancement (PFE), and the severity of CAD on coronary computed tomography angiography (CCTA). Materials and Methods: We evaluated 114 patients referred for CCTA from 2007 to 2011. PFV, presence of obstructive CAD, and the burden of CAD were determined. PFE was measured in 10 mm2 regions of interest, adjusted to aortic enhancement (...
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Original Articles Source Type: research

Pneumothorax Rate and Diagnostic Adequacy of Computed Tomography–guided Lung Nodule Biopsies Performed With 18 G Versus 20 G Needles: A Cross-Sectional Study
Conclusion: No statistically significant difference in pneumothorax rate or diagnostic adequacy was found between 18-G versus 20-G core biopsy needles. Independent risk factors for pneumothorax include emphysema along the biopsy path and nodule distance from the pleural surface. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Original Articles Source Type: research

Preresection Stained Glue Injection to Localize Pulmonary Small Nodules and Ground-glass Opacities
Conclusions: Blue-stained glue injection is technically feasible and safe to localize pulmonary small nodules and ground-glass opacities before thoracoscopic resection. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Original Articles Source Type: research

Thoracic Radiologists’ Versus Computer Scientists’ Perspectives on the Future of Artificial Intelligence in Radiology
Conclusions: Thoracic radiologists and CS experts are generally positive on the impact of AI in radiology. However, a larger percentage, but still small minority, of computer scientists predict radiologist obsolescence in 10 to 20 years. As the future of AI in radiology unfolds, this study presents a historical timestamp of which group of experts’ perceptions were closer to eventual reality. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Original Articles Source Type: research

Using Quantitative Computed Tomographic Imaging to Understand Chronic Obstructive Pulmonary Disease and Fibrotic Interstitial Lung Disease: State of the Art and Future Directions
This article reviews the current state of the art for qualitative and qCT assessment of both COPD and fibrotic ILD. Current areas of controversy and limitations of these techniques are discussed, along with the potential future role of artificial intelligence. Recommendations are provided with regard to the current use of these techniques in the management of patients with diffuse lung disease. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Current Evidence in Cardiothoracic Imaging Source Type: research

Preparedness and Best Practice in Radiology Department for COVID-19 and Other Future Pandemics of Severe Acute Respiratory Infection
The COVID-19 global pandemic has emerged as an unprecedented health care crisis. To reduce risks of severe acute respiratory syndrome coronavirus 2 transmission in the Radiology Department, this article describes measures to increase the preparedness of Radiology Department, such as careful screening of staff and patients, thorough disinfection of equipments and rooms, appropriate use of personal protection equipment, and early isolation of patients with incidentally detected computed tomography findings suspicious for COVID-19. The familiarity of radiologists with clinical and imaging manifestations of COVID-19 pneumonia ...
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Research Letter Source Type: research

Coronavirus Disease 2019 (COVID-19): Chinese Radiologists Are Acting
This article outlines the collaborative actions and efforts by the Chinese radiology field and the situation of front-line health care workers in radiology departments to present the world with experiences and examples of Chinese radiology during the COVID-19 outbreak. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Review Article Source Type: research

Integrated Radiologic Algorithm for COVID-19 Pandemic
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Commentary Source Type: research

Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA - Secondary Publication
Routine screening CT for the identification of COVID-19 pneumonia is currently not recommended by most radiology societies. However, the number of CTs performed in persons under investigation (PUI) for COVID-19 has increased. We also anticipate that some patients will have incidentally detected findings that could be attributable to COVID-19 pneumonia, requiring radiologists to decide whether or not to mention COVID-19 specifically as a differential diagnostic possibility. We aim to provide guidance to radiologists in reporting CT findings potentially attributable to COVID-19 pneumonia, including standardized language to r...
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Original Article Source Type: research

Computed Tomography Features of Coronavirus Disease 2019 (COVID-19): A Review for Radiologists
Coronavirus Disease 2019 (COVID-19) pneumonia has become a global pandemic. Although the rate of new infections in China has decreased, currently, 169 countries report confirmed cases, with many nations showing increasing numbers daily. Testing for COVID-19 infection is performed via reverse transcriptase polymerase chain reaction, but availability is limited in many parts of the world. The role of chest computed tomography is yet to be determined and may vary depending on the local prevalence of disease and availability of laboratory testing. A common but nonspecific pattern of disease with a somewhat predictable progress...
Source: Journal of Thoracic Imaging - June 25, 2020 Category: Radiology Tags: Review Article Source Type: research

A Diabetic Patient With 2019-nCoV (COVID-19) Infection Who Recovered and Was Discharged From Hospital
Novel coronavirus has become a global health hazard and its high infectivity is alarming. The imaging findings of the 2019-nCoV infection in our young diabetic patient featured ground-glass opacities and consolidations in both lungs. The lung lesions may involute rapidly during the course. The patient showed improvement both clinically and on computed tomography imaging at discharged after 2 weeks’ treatment. Computed tomography scans of patients helped monitor the changes continuously, which could timely provide the information of the evolution of the disease or therapeutic effect to clinicians. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Web Exclusive Content: Research Letter Source Type: research

Computed Tomography Manifestations of 5 Cases of the Novel Coronavirus Disease 2019 (COVID-19) Pneumonia From Patients Outside Wuhan
Clinical, laboratory, and computed tomography (CT) findings of 5 cases of the novel Coronavirus Disease 2019 (COVID-19) pneumonia from patients outside of Wuhan were reviewed. The human-to-human transmission of the virus may explain the infection of the disease outside of Wuhan. CT examination is important in the early detection and follow-up of the disease. With a history of exposure or travelling, symptoms of fever and cough, and the typical CT manifestation such as ground-glass opacity with a peripheral distribution, we should also think of the possibility of the COVID-19 pneumonia in patients outside of Wuhan. (Source:...
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Web Exclusive Content: Original Article Source Type: research

Deep Learning Localization of Pneumonia: 2019 Coronavirus (COVID-19) Outbreak
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Web Exclusive Content: Research Letter Source Type: research

A Comparative Evaluation of Cardiothoracic Radiology Fellowship Website Content
Conclusion: Most cardiothoracic radiology fellowship websites were lacking content relevant to prospective fellows. Provision of more relevant and easily accessible online content may support programs to better inform and recruit residents and to promote the specialty of cardiothoracic radiology. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Web Exclusive Content: Original Article Source Type: research

Dual-energy Subtraction Chest Radiography: Application in Cardiovascular Imaging
The chest radiograph is the most frequently performed imaging in radiology and by including the heart and central vessels can suggest the presence of cardiovascular disease. Dual-energy subtraction radiography of the chest provides improved detection of a wide variety of cardiovascular pathologies including coronary artery disease, valvular pathologies, and pericardial disease given the presence of calcification in many subtypes of these diseases. We review the principles of dual-energy subtraction radiography and demonstrate its added value in the assessment of cardiovascular disease. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Web Exclusive Content: Pictorial Essay Source Type: research

Review of Thoracic Causes of Systemic Arterial Air Embolism on Computed Tomography
Systemic arterial air embolism (SAAE) is a rare but potentially life-threatening condition that may occur when air enters into pulmonary veins or directly into the systemic circulation after pulmonary procedures (biopsy or resection) or penetrating trauma to the lung. While venous air embolism is commonly reported, arterial air embolism is rare. Even a minor injury to the chest along with positive-pressure ventilation can cause SAAE. Small amounts of air may cause neurological or cardiac symptoms depending on the affected arteries, while massive embolism can result in fatal cardiovascular collapse. We discuss the various c...
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Web Exclusive Content: Review Article Source Type: research

The Association Between Marital Status, Coronary Computed Tomography Imaging Biomarkers, and Mortality in a Lung Cancer Screening Population
Conclusions: Being unmarried is associated with an increased CVD-related death and all-cause mortality mainly due to cardiovascular etiology. On the basis of this, marital status might be taken into consideration when assessing individuals’ health status. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Original Articles Source Type: research

In-Hospital Cost Comparison of Triple-Rule-Out Computed Tomography Angiography Versus Standard of Care in Patients With Acute Chest Pain
Purpose: The purpose of this study was to evaluate the utilization of invasive and noninvasive tests and compare cost in patients presenting with chest pain to the emergency department (ED) who underwent either triple-rule-out computed tomography angiography (TRO-CTA) or standard of care. Materials and Methods: We performed a retrospective single-center analysis of 2156 ED patients who presented with acute chest pain with a negative initial troponin and electrocardiogram for myocardial injury. Patient cohorts matched by patient characteristics who had undergone TRO-CTA as a primary imaging test (n=1139) or standard of...
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Original Articles Source Type: research

Validation of Appropriate Use Criteria for Coronary Computed Tomographic Angiography for Chest Pain Evaluation in a Tertiary Care Emergency Room
Conclusions: Appropriate and uncertain uses were associated with low diagnostic yield compared with inappropriate use; however, our findings do not demonstrate differences between appropriate use categories with respect to downstream health care resource utilization. Further studies are needed to define the role of AUC for CCTA in the ED setting. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Original Articles Source Type: research

Cardiac Computed Tomography for Atrial Fibrillation Patients Undergoing Ablation: Implications for the Prediction of Early Recurrence
The objective of this study was to correlate early recurrence of atrial fibrillation (AF) after ablation with noninvasive imaging using cardiac computed tomography (CT). Methods: CT image data of 260 patients who had undergone wide area circumferential ablation (WACA) between October 2005 and August 2010 as well as from 30 subjects in sinus rhythm without a history of AF (control group) were retrospectively analyzed. To evaluate early outcome of AF ablation, all AF patients underwent follow-up with a 30-day event monitor 3 to 4 months after ablation. In addition, a cardiac CT was also performed 3 to 4 months after ablat...
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Original Articles Source Type: research

Pulmonary Computed Tomography Parenchymal and Vascular Features Diagnostic of Postablation Pulmonary Vein Stenosis
Purpose: The purpose of this study was to define the full spectrum of pulmonary computed tomography (CT) changes characteristic of postablation pulmonary vein stenosis (PVS). Materials and Methods: We retrospectively reviewed our pulmonary vein isolation database. PVS was graded as follows: grade 1: (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Original Articles Source Type: research

Pulmonary Artery/Vein Separation Using Single-Phase Computed Tomography: Feasibility and the Influence of Patient Characteristics on Vessel Enhancement
Purpose: The purpose of this article was to verify the usefulness and feasibility of a single-phase scan for pulmonary artery/vein separation using a bolus-tracking technique and to evaluate the influence of patient characteristics on differentiation of computed tomography (CT) values between arteries and veins. Material and Methods: A total of 79 patients (60 male individuals and 19 female individuals, mean age 70 y) with suspected lung cancers or metastasis underwent contrast-enhanced chest CT and ultrasonic echocardiography. The CT values of the pulmonary arteries and veins were measured, and the difference ...
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Original Articles Source Type: research

Significant Radiation Dose Reduction Using a Novel Angiography Platform in Patients Undergoing Cryoballoon Pulmonary Vein Isolation
Objectives: Cryoballoon pulmonary vein isolation (cPVI) in patients with atrial fibrillation requires fluoroscopic guidance, causing a relevant amount of radiation exposure. Strategies to reduce radiation exposure in electrophysiologic procedures and specifically cPVI are of great importance. The aim of this study was to evaluate a possible reduction of radiation dose using the novel Azurion 7 F12 x-ray system compared with its predecessor Allura FD10. Methods: In February 2017, the Philips Azurion angiography system was introduced, combining the Allura Clarity radiation dose reduction technology with a more powerful ...
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Original Articles Source Type: research

Preprocedural Imaging Evaluation of Pulmonary Valve Replacement After Repair of Tetralogy of Fallot: What the Radiologist Needs to Know
Tetrallogy of Fallot (TOF) is the most frequent form of cyanotic congenital heart disease. Despite advances in surgical and medical treatment, mortality remains high. Residual dysfunction of the pulmonary valve (PV) after correction of right ventricular outflow tract obstruction is an important cause of morbidity, leading to irreversible right ventricular dysfunction, arrhythmias, heart failure and occasionally, death. The strategies for PVR have evolved over the last decades, and the timing of the intervention remains the foundation of the decision-making process. Symptoms of heart failure are unreliable indicators for op...
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Review Articles Source Type: research

Signs of Increased Intrapericardial Pressure on Chest Computed Tomography: Pictorial Review With Echocardiography, Cardiac Computed Tomography, and Cardiac Magnetic Resonance Imaging Correlation
We sought to describe incidental imaging features of increased intrapericardial pressure due to pericardial effusion on chest computed tomography (CT) and correlate them with cardiac CT, cardiac magnetic resonance imaging, and echocardiography. It is important for the radiologist to become familiar with imaging findings of increased intrapericardial pressure in the setting of pericardial effusion when identified on chest CT. Recognizing the imaging findings of increased intrapericardial pressure can better guide the care of these patients. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Review Articles Source Type: research

Artificial Intelligence Pertaining to Cardiothoracic Imaging and Patient Care: Beyond Image Interpretation
Artificial intelligence (AI) is a broad field of computational science that includes many subsets. Today the most widely used subset in medical imaging is machine learning (ML). Many articles have focused on the use of ML for pattern recognition to detect and potentially diagnose various pathologies. However, AI algorithm development is now directed toward workflow management. AI can impact patient care at multiple stages of their imaging experience and assist in efficient and effective scheduling, imaging performance, worklist prioritization, image interpretation, and quality assurance. The purpose of this manuscript was ...
Source: Journal of Thoracic Imaging - April 23, 2020 Category: Radiology Tags: Review Articles Source Type: research

Anomalies of the Coronary Sinus and Its Tributaries: Evaluation on Multidetector Computed Tomography Angiography
Imaging of the coronary sinus and its tributaries has gained increasing significance consequent to the development of an array of electrophysiological and interventional procedures using the cardiac venous system, including ablation for arrhythmias, left ventricular pacing, and in the administration of retrograde cardioplegia. Knowledge of the normal anatomy and the possible anomalies and their clinical significance is imperative to circumvent possible complications. A number of coronary sinus (CS) anomalies, both symptomatic and asymptomatic, have been observed with the widespread use of noninvasive cross-sectional imagin...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Web Exclusive Content: Review Article Source Type: research

Ballistic and Penetrating Injuries of the Chest
We present a pictorial essay of ballistic and penetrating injuries and their complications with a focus on lung, cardiac, and vascular injury. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Web Exclusive Content: Pictorial Essay Source Type: research

Dual-Energy Computed Tomography in Thoracic Imaging—Current Practices and Utility: Survey of the Society of Thoracic Radiology
Purpose: The purpose of this study was to determine the current practice patterns of utilization of dual-energy computed tomography (DECT) in thoracic imaging. Materials and Methods: In this IRB-approved study, the URL link for an anonymous 26-question survey was sent by email to all the members of the Society of Thoracic Radiology (STR). Survey questions focused on the practice type, case volume, DECT scanner availability, common indications, image types, and perceived utility of DECT. Study data were collected and managed using SurveyMonkey tools and analyzed with χ2 tests. Results: The survey response rate w...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Web Exclusive Content: Original Article Source Type: research

Radiomics Toolkit: Available Chest Computed Tomography Data Sets
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Web Exclusive Content: Commentary Source Type: research

Impact of Significant Coronary Artery Calcification Reported on Low-Dose Computed Tomography Lung Cancer Screening
Conclusion: CAC is a common significant finding in LDCT for LCS. Reporting of CAC in patients with nonestablished CAD and semiquantitative assessment resulted in changes in management. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research

Imaging-guided Percutaneous Biopsy of Nodules ≤1 cm: Study of Diagnostic Performance and Risk Factors Associated With Biopsy Failure
Conclusions: CT-guided percutaneous needle biopsy had high diagnostic yield for the diagnosis of subcentimeter lung nodules with a similar complication rate to biopsy of larger lesions. Fine-needle aspiration may be an independent factor for diagnostic failure even for malignant lesions. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research

Assessment of Lung Cancer Development in Idiopathic Pulmonary Fibrosis Patients Using Quantitative High-Resolution Computed Tomography: A Retrospective Analysis
Conclusions: LC development is associated with progression of fibrosis; at baseline, FA% and HAA% reported more convenient sensitivity/specificity ratios in the prediction of LC development. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research

Quantification of Perinodular Emphysema in High-risk Patients Offers No Benefit in Lung Nodule Risk-Stratification of Malignancy Potential
Conclusions: In this study, quantifying the degree of perinodular or regional emphysema did not offer any benefit in the risk stratification of lung nodules. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research

Tumor Volume Analysis as a Predictive Marker for Prolonged Survival in Anaplastic Lymphoma Kinase–rearranged Advanced Non–Small Cell Lung Cancer Patients Treated With Crizotinib
Conclusions: The 8-week tumor volume decrease of>74% is significantly associated with longer OS in patients with ALK-rearranged NSCLC treated with crizotinib. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research

Computed Tomography–based Body Composition Analysis and Its Role in Lung Cancer Care
Body composition analysis, also referred to as analytic morphomics, morphomics, or morphometry, describes the measurement of imaging biomarkers of body composition such as muscle and adipose tissue, most commonly on computed tomography (CT) images. A growing body of literature supports the use of such metrics derived from routinely acquired CT images for risk prediction in various patient populations, including those with lung cancer. Metrics include cross-sectional area and attenuation of skeletal muscle and subcutaneous, visceral, and intermuscular adipose tissue. The purpose of this review is to provide an overview of t...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Review Articles Source Type: research

Patient-centered Radiology Reporting for Lung Cancer Screening
Medicine is slowly transitioning toward a more patient-centered approach, with patients taking a more central role in their own care. A key part of this movement has involved giving patients increased access to their medical record and imaging results via electronic health portals. However, most patients lack the knowledge to fully understand medical documents, which are generally written above their comprehension level. Radiology reports, in particular, utilize complex terminology due to radiologists’ historic function as consultants to other physicians, with little direct communication to patients. As a result, typ...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Symposium Review Articles Source Type: research

Patient-centered Radiology: Overview and Opportunities in Cardiothoracic Imaging
Radiology is unique compared with most other medical specialties in that care can sometimes be delivered without speaking to or touching the patient. Although radiologists have increasingly become involved in patient safety, quality improvement, informatics, and advocacy, they must still work harder than other medical specialties to be considered “patient-facing.” While cardiothoracic radiologists have likely experienced fewer opportunities to directly interface with patients, shared decision-making with patients around lung cancer screening and radiation dose optimization are both excellent examples of patient...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Symposium Review Articles Source Type: research

Why do Thoracic Radiologists Need to Know About Cultural Competence (and What Is it Anyway)?
Thoracic radiologists meet patients when performing procedures such as transthoracic computed tomography–guided biopsy and during shared decision-making required for lung cancer screening. Both patients and thoracic radiologists are influenced by their cultures, which affect their health care interactions. While culture may relate to religion or ethnicity of individuals, it also includes multiple additional characteristics such as gender, socioeconomic status, sexual orientation, education, occupation, age, disability, and more. Patients from different cultures undergo similar medical procedures; however, care must b...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Symposium Review Articles Source Type: research

Patient-centered Radiology for the Thoracic Imager
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Editorial Source Type: research

Complications and Accuracy of Computed Tomography–Guided Transthoracic Needle Biopsy in Patients Over 80 Years of Age: Erratum
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Web Exclusive Content: Erratum Source Type: research

Sinus of Valsalva Aneurysms: Basic Concepts and Imaging Evaluation Using Multidetector Computed Tomography
Sinuses of Valsalva aneurysms are rare cardiac anomalies with a varied clinical spectrum. The presentation may range from silent asymptomatic cases detected incidentally to catastrophic rupture. They are associated with potentially fatal complications; however, the prognosis after treatment is excellent, which mandates prompt and accurate diagnosis. Imaging is of paramount importance in diagnosis, treatment planning, and postsurgical follow-up. Echocardiography remains the initial investigation of choice; however, cardiac magnetic resonance imaging and computed tomography are being increasingly utilized as complementary im...
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Web Exclusive Content: Review Articles Source Type: research

Cardiac Outpouchings: A Multimodality Imaging Review
Cardiac outpouchings pose a diagnostic challenge when encountered in practice, as the signs, symptoms, and initial investigations, such as radiographs and electrocardiogram, are nonspecific. They may remain asymptomatic and be incidentally detected. However, a few may present with progressive shortness of breath, thromboembolic complications, arrhythmias, pressure effects, rupture, or even death. Imaging is of paramount importance in establishing an accurate diagnosis, delineating morphology and extent of the lesion along with its hemodynamic significance, planning management, and in the follow-up. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Web Exclusive Content: Review Articles Source Type: research

Cardiac Magnetic Resonance in Patients With Cardiac Implantable Electronic Devices: Challenges and Solutions
Until recently, cardiac implantable electronic devices (CIEDs) were an absolute contraindication to magnetic resonance imaging (MRI), due to concerns about their adverse interaction in the MRI environment. The increasing clinical need to perform MRI examinations in these patients was an impetus to the development of MR-Conditional CIEDs. Secure performance of MRI in these patients requires scanning under specified MR conditions as well as operating the device in MR-scanning mode. This requires robust institutional protocols and a well-trained multidisciplinary team of radiologists, cardiologists, device applications specia...
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Web Exclusive Content: Review Articles Source Type: research