Virtual Journal Club

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Entries Tagged as 'AJR Am J Roentgenol'

Nonthrombotic pulmonary embolism.

January 24th, 2012 · Start a Discussion

Nonthrombotic pulmonary embolism.
AJR Am J Roentgenol. 2012 Feb;198(2):W152-9

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A novel double stent system for palliative treatment of malignant extrahepatic biliary obstructions: a pilot study.

October 25th, 2011 · Start a Discussion

A novel double stent system for palliative treatment of malignant extrahepatic biliary obstructions: a pilot study.
AJR Am J Roentgenol. 2011 Nov;197(5):W942-7
Authors: Gwon DI, Ko GY, Sung KB, Yoon HK, Shin JH, Kim JH, Kim J,…

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The Negative Appendectomy Rate: Who Benefits From Preoperative CT?

October 1st, 2011 · Start a Discussion

The Negative Appendectomy Rate: Who Benefits From Preoperative CT?
AJR Am J Roentgenol. 2011 Oct;197(4):861-866
Authors: Webb EM, Nguyen A, Wang ZJ, Stengel JW, Westphalen AC, Coakley FV
Abstract
OBJECTIVE: The…

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Abnormal preprocedural international normalized ratio and platelet counts are not associated with increased bleeding complications after ultrasound-guided thoracentesis.

June 29th, 2011 · 1 Comment

Abnormal preprocedural international normalized ratio and platelet counts are not associated with increased bleeding complications after ultrasound-guided thoracentesis.
AJR Am J Roentgenol. 2011 Jul;197(1):W164-8
Authors: Pat…

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Incidental Finding of Renal Masses at Unenhanced CT: Prevalence and Analysis of Features for Guiding Management.

June 29th, 2011 · Start a Discussion

Incidental Finding of Renal Masses at Unenhanced CT: Prevalence and Analysis of Features for Guiding Management.
AJR Am J Roentgenol. 2011 Jul;197(1):139-45
Authors: O’Connor SD, Pickhardt PJ, Kim DH, Oliva MR, Silverman SG

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Urgent findings on portable chest radiography: what the radiologist should know–review.

May 28th, 2011 · Start a Discussion

Urgent findings on portable chest radiography: what the radiologist should know–review.
AJR Am J Roentgenol. 2011 Jun;196(6 Suppl):S45-61
Authors: Asrani A, Kaewlai R, Digumarthy S, Gilman M, Shepard JA

PMID:…

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Phase I/II Study of Transjugular Transhepatic Peritoneovenous Venous Shunt, a New Procedure to Manage Refractory Ascites in Cancer Patients: Japan Interventional Radiology in Oncology Study Group 0201.

April 23rd, 2011 · Start a Discussion

Phase I/II Study of Transjugular Transhepatic Peritoneovenous Venous Shunt, a New Procedure to Manage Refractory Ascites in Cancer Patients: Japan Interventional Radiology in Oncology Study Group 0201.
AJR Am J Roentgenol. 2011 May;196…

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Does a Clinical Decision Rule Using D-Dimer Level Improve the Yield of Pulmonary CT Angiography?

April 23rd, 2011 · Start a Discussion

Does a Clinical Decision Rule Using D-Dimer Level Improve the Yield of Pulmonary CT Angiography?
AJR Am J Roentgenol. 2011 May;196(5):1059-1064
Authors: Soo Hoo GW, Wu CC, Vazirani S, Li Z, Barack BM
OBJECTIVE: The obj…

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Incremental Value of CT Venography Combined With Pulmonary CT Angiography for the Detection of Thromboembolic Disease: Systematic Review and Meta-Analysis.

April 23rd, 2011 · Start a Discussion

Incremental Value of CT Venography Combined With Pulmonary CT Angiography for the Detection of Thromboembolic Disease: Systematic Review and Meta-Analysis.
AJR Am J Roentgenol. 2011 May;196(5):1065-1072
Authors: Krishan S, Pan…

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Central venous line placement in the superior vena cava and the azygos vein: differentiation on posteroanterior chest radiographs.

March 25th, 2011 · Start a Discussion

Central venous line placement in the superior vena cava and the azygos vein: differentiation on posteroanterior chest radiographs.
AJR Am J Roentgenol. 2011 Apr;196(4):783-7
Authors: Haygood TM, Brennan PC, Ryan J, Yamal JM, L…

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The Lack of Growth in Use of Coronary CT Angiography: Is It Being Appropriately Used?

March 25th, 2011 · Start a Discussion

The Lack of Growth in Use of Coronary CT Angiography: Is It Being Appropriately Used?
AJR Am J Roentgenol. 2011 Apr;196(4):862-7
Authors: Levin DC, Parker L, Halpern EJ, Julsrud PR, Rao VM
The purpose of this article i…

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Abdominopelvic CT Increases Diagnostic Certainty and Guides Management Decisions: A Prospective Investigation of 584 Patients in a Large Academic Medical Center.

January 25th, 2011 · Start a Discussion

Abdominopelvic CT Increases Diagnostic Certainty and Guides Management Decisions: A Prospective Investigation of 584 Patients in a Large Academic Medical Center.

AJR Am J Roentgenol. 2011 Feb;196(2):238-43

Authors: Abujudeh HH, Kaewlai R, McMahon PM, Binder W, Novelline RA, Gazelle GS, Thrall JH

The objective of our study was to prospectively determine how CT affects physicians’ diagnostic certainty and management decisions in the setting of patients with nontraumatic abdominal complaints presenting to the emergency department.

PMID: 21257870 [PubMed - in process]

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MRI of patients with cardiac pacemakers: a review of the medical literature.

January 25th, 2011 · Start a Discussion

MRI of patients with cardiac pacemakers: a review of the medical literature.

AJR Am J Roentgenol. 2011 Feb;196(2):390-401

Authors: Zikria JF, Machnicki S, Rhim E, Bhatti T, Graham RE

OBJECTIVE: Numerous studies testing the use of pacemakers with MRI have been published. Our aim was to analyze these trials to determine the safety of MRI for patients with cardiac pacemakers. We performed a systematic search of peer-reviewed databases. A total of 31 articles were reviewed. CONCLUSION: The data are heterogeneous with regard to MRI being considered for patients with pacemakers, and the benefits of the imaging should outweigh the risks.

PMID: 21257892 [PubMed - in process]

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Frequency of use of imaging tests in the diagnosis of pulmonary embolism: effects of physician specialty, patient characteristics, and region.

April 3rd, 2010 · Start a Discussion

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Frequency of use of imaging tests in the diagnosis of pulmonary embolism: effects of physician specialty, patient characteristics, and region.

AJR Am J Roentgenol. 2010 Apr;194(4):1018-26

Authors: Bhargavan M, Sunshine JH, Lewis RS, Jha S, Owen JB, Vializ J

OBJECTIVE: The purpose of this study was to ascertain whether clinical practice in diagnosing pulmonary embolism is consistent with recommendations in the literature and to explore variations in practice across site of care (e.g., emergency department), physician and patient characteristics, and geographic location. MATERIALS AND METHODS: Medicare 5% research identifiable files were analyzed. The cases of patients with emergency department visits or inpatient stays for a diagnosis of pulmonary embolism or for symptoms related to pulmonary embolism (shortness of breath, chest pain, and syncope) were identified. We determined the number of patients who underwent each type of relevant imaging test and evaluated variations in the first non-chest-radiographic test by site of care and treating physician specialty. Using logistic regression, we studied variations in the use of common imaging tests, exploring variations associated with patient characteristics, physician specialty, site of care, and geographic location. RESULTS: For patients in whom pulmonary embolism might have been suspected, the most common tests were echocardiography (26% of the patients), CT or CT angiography of the chest (11%), cardiac perfusion study (6.9%), and duplex ultrasound (7.3%). For patients with an inpatient diagnosis of pulmonary embolism, the most common tests were chest CT or CT angiography (49%), duplex ultrasound (18%), echocardiography (10.9%), and ventilation-perfusion scintigraphy (10.9%). For patients for whom pulmonary embolism might have been suspected, many large variations were found in practice patterns among physician specialties and geographic locations. There were fewer variations among patients with the inpatient diagnosis of pulmonary embolism. CONCLUSION: Physician practice in the diagnosis of pulmonary embolism is broadly consistent with recommendations. However, variations by physician specialty and geographic location may be evidence of inappropriate imaging.

PMID: 20308505 [PubMed - in process]

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Imaging findings in a fatal case of pandemic swine-origin influenza A (H1N1).

January 12th, 2010 · Start a Discussion

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Imaging findings in a fatal case of pandemic swine-origin influenza A (H1N1).

AJR Am J Roentgenol. 2009 Dec;193(6):1500-3

Authors: Mollura DJ, Asnis DS, Crupi RS, Conetta R, Feigin DS, Bray M, Taubenberger JK, Bluemke DA

OBJECTIVE: Although most cases of swine-origin influenza A (H1N1) virus (S-OIV) have been self-limited, fatal cases raise questions about virulence and radiology’s role in early detection. We describe the radiographic and CT findings in a fatal S-OIV infection. CONCLUSION: Radiography showed peripheral lung opacities. CT revealed peripheral ground-glass opacities suggesting peribronchial injury. These imaging findings raised suspicion of S-OIV despite negative H1N1 influenza rapid antigen test results from two nasopharyngeal swabs; subsequently, those results were proven to be false-negatives by reverse transcriptase polymerase chain reaction. This case suggests a role for CT in the early recognition of severe S-OIV.

PMID: 19933640 [PubMed - indexed for MEDLINE]

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