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Proceedings Of 2016 Aurora Scientific Day, 2016 Aurora Health Care

Proceedings Of 2016 Aurora Scientific Day

Journal of Patient-Centered Research and Reviews

This supplement includes select abstracts presented at the 42nd annual Aurora Scientific Day research symposium, held May 25, 2016, in Milwaukee, Wisconsin. Aurora Scientific Day provides a forum for original research conducted by faculty, fellows, residents, students and other allied health professionals affiliated with Aurora Health Care, a not-for-profit health system comprised of integrated hospitals and clinics across eastern Wisconsin and northeastern Illinois.


Modern Evaluation Of Abdominal Trauma, Errington C. Thompson, MD, Chadwick J. Knight, MD 2016 Marshall University

Modern Evaluation Of Abdominal Trauma, Errington C. Thompson, Md, Chadwick J. Knight, Md

Errington Thompson

Abdominal trauma can be mysterious to some physicians. If patients are evaluated for being stable or unstable, then abdominal trauma can be easily managed. Using a combination of physical examination, ultrasound and CT scans, patients can be quickly and efficiently evaluated.


Traumatic Posterior Tibial Pseudoaneursym: A Rare Late Complication Repaired Conventionally, Farzad Amiri, MD, Zachary Sanford, Constantinous Constantinou, MD 2016 Marshall University: School of Medicine

Traumatic Posterior Tibial Pseudoaneursym: A Rare Late Complication Repaired Conventionally, Farzad Amiri, Md, Zachary Sanford, Constantinous Constantinou, Md

Constantinous Constantinou

Posterior tibial artery pseudoaneurysms are extremely rare. They commonly present as a late complication of trauma or iatrogenic injury. Diagnosis can be elusive. Treatment has been described in the context of open primary repair, endovascular stenting, and coil embolization. There has been increasing interest in the use of endovascular treatment options for this type of injury. If left untreated, pseudoaneurysms can rupture, partially thrombose, expand and cause adjacent local compression and compartment syndrome. The following case presented is of a young gentleman with a posterior tibial pseudoaneurysm incidentally discovered after stepping on glass and the management of his posterior tibial ...


A Comparison Of Imaging Modalities For The Diagnosis Of Osteomyelitis, Brandon J. Smith, MD, Grant S. Buchanan, MD, Franklin D. Shuler, MD, PhD 2016 Marshall University, Joan C. Edwards School of Medicine

A Comparison Of Imaging Modalities For The Diagnosis Of Osteomyelitis, Brandon J. Smith, Md, Grant S. Buchanan, Md, Franklin D. Shuler, Md, Phd

Franklin D. Shuler

Osteomyelitis is an increasingly common pathology that often poses a diagnostic challenge to clinicians. Accurate and timely diagnosis is critical to preventing complications that can result in the loss of life or limb. In addition to history, physical exam, and laboratory studies, diagnostic imaging plays an essential role in the diagnostic process. This narrative review article discusses various imaging modalities employed to diagnose osteomyelitis: plain films, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, bone scintigraphy, and positron emission tomography (PET). Articles were obtained from Pubmed and screened for relevance to the topic of diagnostic imaging for osteomyelitis. The authors ...


Computer Aided Diagnosis Of Early Vascular Disease From Ultrasound Images, Liam N. Kavanagh 2016 Royal College of Surgeons in Ireland

Computer Aided Diagnosis Of Early Vascular Disease From Ultrasound Images, Liam N. Kavanagh

MD theses

This thesis consists of 2 separate ultrasound (US) based studies, performed with the common aim of improving the diagnosis of early vascular disease from US images.

Study 1

Introduction: Flow mediated dilatation (FMD) is an endothelium-dependent process reflecting the dilatation of a conduit artery when it is exposed to increased blood flow and therefore increased shear stress. FMD requires a healthy endothelium and is depressed in those with cardiovascular risk factors. Current 2D US assessment is limited as a research tool only secondary to variable reproducibility, technical difficulties and difficulties determining true diameter measurement. To our knowledge this is the ...


Radiology And Global Health: The Case For A New Subspecialty, Matthew P. Lungren, Sarwat Hussain 2016 Stanford University School of Medicine

Radiology And Global Health: The Case For A New Subspecialty, Matthew P. Lungren, Sarwat Hussain

The Journal of Global Radiology

In high- and medium-income countries, the use of radiology has grown substantially in the last several decades. But in the developing world, access to medical imaging remains a critical problem. Unlike more structured efforts in the field of global health, interventions in global radiology have been largely unplanned, fragmented and sometimes irrelevant to the needs of the recipient society, and have not resulted in any significant progress. Access to medical imaging around the world remains dismal. There is a therefore a clear and urgent need for the radiology community to develop a vision for global radiology, beginning with defining the ...


Conversion Of Intermediate Lirads Categories To Hepatocellular Carcinoma In Patients With Chronic Hepatitis B: Korean Immigrant Experience, Kofi-Buaku Atsina, MD, Zhenteng Li, MD, Sandeep Deshmukh, MD 2016 Department of Radiology, Thomas Jefferson University Hospital, Philadelphia PA

Conversion Of Intermediate Lirads Categories To Hepatocellular Carcinoma In Patients With Chronic Hepatitis B: Korean Immigrant Experience, Kofi-Buaku Atsina, Md, Zhenteng Li, Md, Sandeep Deshmukh, Md

Department of Radiology Posters

Introduction and Objective

The Liver Imaging Reporting and Data System (LIRADS) was created to standardize the reporting and data collection of MR imaging for hepatocellular carcinoma (HCC) in high risk patients. The major categories for LIRADS have the following descriptors:

LI-RADS 1 = Definitely benign

LI-RADS 2 = Probably benign

LI-RADS 3 = Intermediate probability for HCC

LI-RADS 4 = Probably HCC

LI-RADS 5 = Definitely HCC

LI-RADS 5V = Definitely HCC with tumor in vein

LI-RADS M = Probable malignancy, not specific for HCC

LI-RADS T = Treated Observation

However, there is a paucity of quantitative evidence for the progression of LIRADS 2, 3 and 4, (hereafter ...


Four-Dimensional (4d) Subharmonic Aided Pressure Estimation For Monitoring Neoadjuvant Chemotherapy Response Of Breast Cancer, Kibo Nam, Maria Stanczak, Anush Sridharan, Adam C. Berger, Tiffany Avery, John R. Eisenbrey, Flemming Forsberg 2016 Department of Radiology, Thomas Jefferson University, Philadelphia, PA 19107

Four-Dimensional (4d) Subharmonic Aided Pressure Estimation For Monitoring Neoadjuvant Chemotherapy Response Of Breast Cancer, Kibo Nam, Maria Stanczak, Anush Sridharan, Adam C. Berger, Tiffany Avery, John R. Eisenbrey, Flemming Forsberg

Department of Radiology Posters

Introduction

Neoadjuvant chemotherapy is a well-established treatment option for patients with non-metastatic breast cancer. The patient response is correlated with survival. However, the optimal method for monitoring neoadjuvant therapy response has not been established. One factor that may affect the response of neoadjuvant therapy is the interstitial fluid pressure (IFP). Increased IFP prevents an effective delivery of therapeutic agents and reduces the efficacy of the therapy. Recently, subharmonic-aided pressure estimation (SHAPE) using contrast-enhanced ultrasound (CEUS) has been developed and its potential was demonstrated in animals as a non-invasive technique for IFP measurements. The SHAPE method estimates IFP based on the ...


Mr Screening For Acute Stroke Intervention Using A Patient Specific Screening Paradigm, Brian Cristiano MD 2016 LLUMC

Mr Screening For Acute Stroke Intervention Using A Patient Specific Screening Paradigm, Brian Cristiano Md

LLUMC Radiology Research Days

No abstract provided.


Automated Computer Analysis Of Core Infarct Size And Perfusion Mismatch, Johnny Suh MD 2016 LLUMC

Automated Computer Analysis Of Core Infarct Size And Perfusion Mismatch, Johnny Suh Md

LLUMC Radiology Research Days

No abstract provided.


Measuring The Change In Size Of Intracranial Hematomas On Swi After Administration Of Normobaric Oxygen, Mohammad Kassir MD 2016 LLUMC

Measuring The Change In Size Of Intracranial Hematomas On Swi After Administration Of Normobaric Oxygen, Mohammad Kassir Md

LLUMC Radiology Research Days

No abstract provided.


Metabolic Syndrome And Progression Of Mild Cognitive Impairment, Eric Peters MD 2016 LLUMC

Metabolic Syndrome And Progression Of Mild Cognitive Impairment, Eric Peters Md

LLUMC Radiology Research Days

No abstract provided.


Cross-Sectional Psoas Area As A Predictor Of Postoperative Morbidity And Mortality In Surgical Oncology Patients, Chad Burk MD 2016 LLUMC

Cross-Sectional Psoas Area As A Predictor Of Postoperative Morbidity And Mortality In Surgical Oncology Patients, Chad Burk Md

LLUMC Radiology Research Days

No abstract provided.


Cerebral Deoxyhemoglobin Imaging: A Biomarker For Poor Neurological Outcomes In Neonates With Acute Hypoxic Ischemic Brain Injury (Hi-Bi), Austin Trihh MD 2016 LLUMC

Cerebral Deoxyhemoglobin Imaging: A Biomarker For Poor Neurological Outcomes In Neonates With Acute Hypoxic Ischemic Brain Injury (Hi-Bi), Austin Trihh Md

LLUMC Radiology Research Days

No abstract provided.


Sensitivity And Specificity Of Sacral Arcuate Line Disruption For Fractures On Plain Radiography, Alex Sun MD 2016 LLUMC

Sensitivity And Specificity Of Sacral Arcuate Line Disruption For Fractures On Plain Radiography, Alex Sun Md

LLUMC Radiology Research Days

No abstract provided.


Gadobenate Disodium (Multihance) Deposition In The Globus Pallidus And Dentate Nucleus, Arian Mashhood MD 2016 LLUMC

Gadobenate Disodium (Multihance) Deposition In The Globus Pallidus And Dentate Nucleus, Arian Mashhood Md

LLUMC Radiology Research Days

No abstract provided.


Radiation Dose In Vascular Surgery Procedures, K. Arsalaan Ahmed MD 2016 LLUMC

Radiation Dose In Vascular Surgery Procedures, K. Arsalaan Ahmed Md

LLUMC Radiology Research Days

No abstract provided.


Dosimetric Validation For An Automatic Brain Metastases Planning Software Using Single-Isocenter Dynamic Conformal Arcsdosimetric Validation For An Automatic Brain Metastases Planning Software Using Single-Isocenter Dynamic Conformal Arcs., Haisong Lui, Jun Li, Evangelos Pappas, David W. Andrews, James J. Evans, Maria Werner-Wasik, Yan Yu, Adam Dicker, Wenyin Shi 2016 Thomas Jefferson University

Dosimetric Validation For An Automatic Brain Metastases Planning Software Using Single-Isocenter Dynamic Conformal Arcsdosimetric Validation For An Automatic Brain Metastases Planning Software Using Single-Isocenter Dynamic Conformal Arcs., Haisong Lui, Jun Li, Evangelos Pappas, David W. Andrews, James J. Evans, Maria Werner-Wasik, Yan Yu, Adam Dicker, Wenyin Shi

Department of Radiation Oncology Faculty Papers

An automatic brain-metastases planning (ABMP) software has been installed in our institution. It is dedicated for treating multiple brain metastases with radiosurgery on linear accelerators (linacs) using a single-setup isocenter with noncoplanar dynamic conformal arcs. This study is to validate the calculated absolute dose and dose distribution of ABMP. Three types of measurements were performed to validate the planning software: 1, dual micro ion chambers were used with an acrylic phantom to measure the absolute dose; 2, a 3D cylindrical phantom with dual diode array was used to evaluate 2D dose distribution and point dose for smaller targets; and 3 ...


Bone Mineral Density In Mucopolysaccharidosis Ivb, Francyne Kubaski, Heidi H. Kecskemethy, Howard T. Harcke, Shunji Tomatsu 2016 Nemours/Alfred I. duPont Hospital for Children; University of Delaware

Bone Mineral Density In Mucopolysaccharidosis Ivb, Francyne Kubaski, Heidi H. Kecskemethy, Howard T. Harcke, Shunji Tomatsu

Department of Radiology Faculty Papers

To date, the only published reports of bone mineral density (BMD) in MPS IV involve patients with MPS IVA; no reports exist describing BMD for MPS IVB. In this prospective study of BMD in three patients with MPS IVB, BMD was acquired by dual-energy X-ray absorptiometry (DXA) at whole body (WB), lumbar spine (LS), and lateral distal femur (LDF). Functional abilities, ambulatory status, medical history, and height z-score were evaluated. Three patients with MPS IVB (two females), aged 17.7, 31.4 and 31.7 years, were evaluated. Every patient was ambulatory and one sustained two fractures caused by trauma ...


Gestational Age Estimation Based On Fetal Pelvimetry On Fetal Ultrasound In Iraqi Women, Sattar Razzaq Al-Esawi, Niran Mohammed Al-Hashimi, Farah S. Ali, Sarwat Hussain 2016 Al Sader Medical City

Gestational Age Estimation Based On Fetal Pelvimetry On Fetal Ultrasound In Iraqi Women, Sattar Razzaq Al-Esawi, Niran Mohammed Al-Hashimi, Farah S. Ali, Sarwat Hussain

The Journal of Global Radiology

Ultrasound is an integral part of obstetric practice, and assessment of gestational age (GA) is a central element of obstetric ultrasonography. Sonographic estimation of GA is derived from calculations based on fetal measurements. Numerous equations for GA calculation from fetal biometry have been adopted in routine practice. This study reports a new method of estimating GA in the second and third trimester using interischial distance (IID), the distance between the two ischial primary ossification centers, on fetal ultrasound. Four hundred women with uncomplicated normal singleton pregnancies from 16 weeks to term were examined. Standard fetal obstetric ultrasound was done measuring ...


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