Medicine and Health Sciences Commons^™

Importance Of Deep Inspiration Breath Hold For Left Breast Cancer Treatment, Cassandra Benderavich, Elaine Halesey

Medical Imaging Senior Posters

Abstract

This project explains the importance of deep inspiration breath hold (DIBH) technique for treating left breast and chest wall tumors. General statistics, definition of gating and DIBH, inclusion and exclusion criteria, dose reduction, differences of free breathing and DIBH techniques, and expected outcome are also discussed. Breast cancer is the leading cause of female deaths in the United States, and left breast cancer diagnosis is more common than right breast cancer diagnosis. Left breast cancer diagnosis accounts for 50.8% of breast cancer diagnosis and right breast cancer accounts for the remaining 49.2%. The risk of breast cancer diagnosis in …

Surface Guided Radiation Therapy Versus Traditional Triangular Positioning, Katelyn Sausser

Medical Imaging Senior Posters

Surface-guided Radiation Therapy (SGRT) is a positioning monitoring system utilizing 3D nonionizing optical surface imaging. This system assists in patient set-up and allows for real-time monitoring of the patient’s skin surface during radiation therapy treatment. Surface-guided imaging can be used for many treatment sites such as breast, abdomen, head and neck, and extremities. SGRT is believed to have more advantages than the traditional triangular positioning including shorter set-up times, improved accuracy and reproducibility of treatment area, decreased dose, and improved patient comfort. Studies have also shown the planned dose delivery can also be monitored with SGRT and decrease dose to …

High-Dose Rate Brachytherapy For Non-Melanoma Skin Cancer, Morgan Kraack

Medical Imaging Senior Posters

No abstract provided.

An Examination Of Arterial Closure Devices, Colin Hart

Medical Imaging Senior Posters

The intention of this poster is to provide information on the various devices and methods for achieving hemostasis after arterial access has been used for cardiac catheterization procedures. There are a multitude of closure devices being utilized to stop patient bleeding following a cardiac catheterization procedure, and keeping up with the information and data related to these devices can be complex. Suture based, collagen based, patch based, membrane based, pressure bands, as well as application of manual pressure are some of the devices and/or methods that will be examined within this project. A thorough overview of these closure devices currently …

Subdural Hematomas And The Help Of Computed Tomography, Kelsey Jackson

Medical Imaging Senior Posters

Subdural hematomas can occur at any age but are most commonly seen in the elderly population. Subdural hematomas affects 21 in every 100,000 individuals, and are becoming more common. They can occur for a variety of reasons such as trauma or underlying health conditions. Subdural hematomas occur due to a collection of blood in the subdural space between the dura and arachnoid mater. Computed tomography is the best imaging modality in the aiding of diagnosing subdural hematomas due to the easy accessibility, short scan times, and the ability to create cross sectional images. Subdural hematomas can be classified into categories …

Artificial Intelligence In Computed Tomography, Cheyenne Dippre

Medical Imaging Senior Posters

Abstract

This research project explains the fundamentals of artificial intelligence (AI) and the ways that AI can be useful in computed tomography (CT). The current state of AI application in CT is still new yet has been advancing with its significant impact on diagnosis, image analyses and patient care. These impacts deal with the challenges that have traditionally been associated with CT scans through a series of techniques and algorithms. In CT, computed tomography angiography (CTA) is a common procedure which is used to diagnose cardiovascular disease (CVD), the leading cause of death worldwide. AI can assist with such a …

Sgrt Eliminates Need For Patient Tattoos In Radiation Therapy, Gina Hemsley

Medical Imaging Senior Posters

Surface Guided Radiation Therapy, or SGRT, is a rapidly growing technology designed to improve radiation treatment accuracy of nearly every cancer type without the need for permanent skin tattoos. Patients were typically marked with 3 tattoos, indicating patient setup marks and isocenter marks. SGRT is an external beam radiation therapy technique which uses three-dimensional camera technology to accurately target and kill cancer cells. During patient setup and treatment, the technology uses the patient’s external surface to guarantee that the radiation dose is being consistently applied in accordance with the treatment plan, as well as tracking any patient motion throughout treatment. …

Transcatheter Aortic Valve Replacement (Tavr), Jocelyn Bergener

Medical Imaging Senior Posters

Transcatheter aortic valve replacement (TAVR) is becoming the gold standard when repairing aortic stenosis compared to surgical aortic valve replacement (SAVR). Transcatheter aortic valve replacement is minimally invasive. Aortic stenosis is the most common valvular disease in the United States, commonly seen in the elderly population. In this project, multi-imaging modalities are discussed when preparing a patient for TAVR such as computed tomography, left heart catheterization, and transthoracic echocardiography. Each imaging modality has its own specialty in the preprocedural planning of a valve replacement. Computed tomography uses 3D reconstruction to determine the type of valve and size needed for the …

Detecting A Pulmonary Embolism Using Computed Tomography, Marissa O'Brien

Medical Imaging Senior Posters

Abstract

A pulmonary embolism is a potentially fatal disease in which a blood clot obstructs the pulmonary artery. Pulmonary emboli affect thousands of people every year in the United States. A timely diagnosis is vital to ensure quick and proper treatment and resolution. Signs and symptoms can vary among different patients, but some include shortness of breath, chest pain, syncope, and leg pain. Computed tomography (CT) is the golden standard for diagnosis, specifically a CT pulmonary angiogram, which quickly and accurately visualizes clots in the pulmonary artery using iodinated contrast in the form of a bolus better than any other …

Benefits Of The Cyberknife For Prostate Treatment, Emily Baro

Medical Imaging Senior Posters

Radiation therapy is a type of cancer treatment that uses high- energy rays to kill cancer cells. There are a lot of cancers that can be treated with radiation, but a common type is prostate cancer. Prostate cancer is the most common type of cancer diagnosed in men. The types of radiation therapy used to treat prostate cancer are external beam radiation, brachytherapy, and radiopharmaceuticals. The most common machine used for radiation treatment is the linear accelerator. Most patients are treated using the linear accelerator but a select few can be treated using the cyber knife. The cyber knife is …

Low Dose Ct Scanning For Lung Cancer, Patrick Strouse

Medical Imaging Senior Posters

Low Dose CT scanning for Lung Cancer

Patrick Strouse

Lynn Blazaskie M.S.,R.T.(R)(ARRT)

Abstract

Computed Tomography (CT) is the imaging of patients in a cross-sectional plane using x-ray. CT is used to diagnose diseases and is producing more efficient ways of this by making radiation dose lower, this leads to Low Dose CT and its abilities in diagnosing lung cancer. The research portrayed in this project provides points across the different aspects of Low Dose Computed Tomography (CT) and its relation to lung cancer to explain the growing new scan of Low Dose CT. Lung cancer is described as a cancer …

Mri Guided Breast Biopsy, Rachel Roccograndi

Medical Imaging Senior Posters

Magnetic resonance imaging (MRI) is a non-invasive technique that produces computer-generated cross-sectional images. The images produced contain anatomic and physiologic information. Using non-ionizing radiation, MRI creates images through the interaction of magnetic fields and radio frequency energy on biologic tissue. The specificity present in the images produced is the main reason MRI is a popular choice of diagnostic testing. MRI is used to evaluate organs, tissues, and skeletal systems and different sequences are used depending on what the main focus of the test is. MRI images are more complex because they contain information about different properties of tissue-proton density, relaxation …

Balloon-Occluded Retrograde Transvenous Obliteration (Brto) For Gastric Varices (Gv) In Interventional Radiology (Ir), Lauren Wiest

Medical Imaging Senior Posters

Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) for Gastric Varices in Interventional Radiology (IR)

Lauren Wiest

Dr. Elaine Halesey, Ed.D., R. T. (R) (QM)

Abstract

This project explains gastric varices and the role the BRTO procedure has in treating gastric variceal bleeding. Statistics regarding gastric varices and the modified techniques of the procedure are discussed. Gastric varices are dilated veins that can rupture at any time and the main cause of gastric varices is portal hypertension. Gastric varices develop in approximately 20% of patients with portal hypertension. Portal hypertension is the result of liver disease or cirrhosis. The BRTO procedure has the …

Imaging Aortic Pathologies In Computed Tomography (Ct), Hailey Clark

Medical Imaging Senior Posters

Computed tomography (CT) is an increasingly important imaging modality to visualization of aortic pathologies. The aorta is the largest vessel in the body and gives rise to several important arteries that supply surrounding organs, so pathologies of this vessel can prove dangerous. The two main pathologies that affect the aorta are aneurysms and dissections, each of which can rupture and quickly become fatal. Symptoms for these pathologies can vary widely but primarily include pain localized to the area of the aorta that is affected, with risk factors encompassing several heart conditions as well as genetic factors. The prognosis for aortic …

The Presentation Of Triple Negative Breast Cancer In Mammography, Reayanne C. Yokimcus, Gina Capitano, Crystal Crawn

Medical Imaging Senior Posters

Triple Negative Breast Cancer (TNBC) is a type of breast cancer absent of estrogen and progesterone within the cancer cells. Additionally, TNBC is absent of a large amount of the protein HER2. Negative testing for all three elements is indicative of TNBC. Approximately 10-15% of women with breast cancer are diagnosed with TNBC. African American women under 40 years of age and women with the BRCA1 mutation are most commonly diagnosed with TNP. The BRCA1 gene is important when fighting off cancer. If there is a mutation within the BRCA1 gene, then that makes men and women more susceptible to …

When Should Screening Mammograms Begin?, Michaela Cragle, Lynn Blazaskie

Medical Imaging Senior Posters

When Should Screening Mammograms Begin?

Michaela Cragle

Lynn Blazaskie M.S., R.T. (R) (ARRT)

Abstract

Screening mammograms are imaging exams performed yearly to evaluate breast tissue. As women age, changes in breast tissue can be normal or can be an early sign of cancer. The age women should begin screening mammograms is not clear. According to literature it has created much controversy over the years. Most women begin the screening process at the age of 40, and even earlier depending on family history. Research groups from multiple institutions followed and evaluated women who received yearly mammograms. Most women were divided into …

Stereotactic Body Radiation Therapy (Sbrt) For Treatment Of Lung Cancer, Camryn Frazier

Medical Imaging Senior Posters

This project explains stereotactic body radiation therapy (SBRT) and its role in treating lung cancers. Different types of SBRT treatment, statistics, toxicity, success rates, and data from studies are discussed. More than half of all cancer patients experience lung metastasis, many of these cases being inoperable. SBRT provides a noninvasive alternative to surgery as well as high rates of local tumor control and minimal toxicity. SBRT is a form of external beam radiation therapy that delivers a hypofractionated dose directly to the cancerous target volume. Two common types of SBRT utilized to treat lung cancer are intensity modulated radiation therapy …

The Use Of Nuclear Medicine In Detecting And Treating Mental Health Diseases, Jena Simmons, Gina Capitano, Walter Kierzkowski

Medical Imaging Senior Posters

Mental health disorders affect over 792 million people around the world, and a leading cause for disability. Mental health disorders include a plethora of conditions that affect mood, thinking and behavior, including but not limited to, depression, dementia, anxiety, autism, and schizophrenia. The most common method of diagnosis is a psychological evaluation, which can lack accuracy if performed as the only method of diagnosis. Nuclear Medicine helps aid in diagnosis of these disorders in conjunction with psychological testing. Brain scans can help determine if there is a pathogenic cause for the symptoms. Brain scans are done utilizing Positron Emission Tomography …

Use Of Ct To Diagnose Subcutaneous Emphysema (Se), Emily Paciga

Medical Imaging Senior Posters

Subcutaneous emphysema is a follow up symptom to a traumatic event, surgery, or nose-blowing. In addition subcutaneous emphysema is considered benign and self limiting. Computed tomography (CT) is the imaging modality of choice for diagnosing subcutaneous emphysema. CT is preferred because of its sensitivity to tissue densities. A CT will demonstrate dark air pockets within the subcutaneous layer of the skin. Furthermore, upon palpation of the the skin a crepitus crackling sound is demonstrated. Moreover, listening to the skin with a stethoscope will emit a high-frequency acoustic sound. Nevertheless, extensive subcutaneous emphysema may require medical assistance. Typically, orbital subcutaneous emphysema …

Transcatheter Aortic Valve Replacement (Tavr), Ashlyn Case

Medical Imaging Senior Posters

Title of Poster: Transcatheter aortic valve replacement (TAVR) Student Researcher: Ashlyn Case Faculty Advisor: Loraine D. Zelna, M.S., R.T. (R)(MR) Internship Mentor: Stephanie Jugus, B.S., R.T., RCIS Internship Site: Cardiac Cath, Regional Hospital of Scranton, Scranton, PA Abstract Transcatheter aortic valve replacement

(TAVR) is a minimally invasive procedure option for patients suffering from severe aortic stenosis. The procedure is quickly evolving and is crucial to individuals who cannot receive open heart procedures. Aortic stenosis occurs when the aortic valve (valve connecting the aorta to the left ventricle) of the heart is unable to fully open. This is detrimental to a …

Use Of Electron Beam Therapy In The Treatment Of Basal Cell Carcinoma, Amanda Smith

Medical Imaging Senior Posters

No abstract provided.

The Visualization Of Abdominal Aortic Aneurysms With The Aid Of Computed Tomography, Graham Dileo

Medical Imaging Senior Posters

The Visualization of Abdominal Aortic Aneurysms with the Aid of Computed Tomography

Graham J. Dileo

Dr. Gina Capitano Ed.D., R.T. (R)

Geisinger Community Medical Center, Scranton, PA

Abstract

This research discusses Abdominal Aortic Aneurysms (AAA) and the role of Computed Tomography (CT) in diagnosing and establishing a treatment plan. An AAA is a bulge or swelling in the descending aorta, the primary blood vessel in the human body, that can be life-threatening. This type of aortic aneurysm is one of the most common causes of death for patients with a history of high blood pressure or heavy smoking. AAAs typically …

Stereotactic Body Radiation Therapy For Spinal Metastases, Kendall Pearage

Medical Imaging Senior Posters

SBRT for Spinal Metastases

Kendall Pearage

Dr. Gina Capitano Ed. D, R.T. (R)

Cathy Moody R.T. (T)

Northeast Radiation Oncology Center

Abstract

Spinal metastases are the most common spinal tumors accounting for approximately 90% of cases and are a result of cancer arising from another part of the body. This research explains how Stereotactic Body Radiation Therapy (SBRT) can treat spinal metastases. SBRT is a type of treatment that uses high fractionated doses of radiation to treat patients with different cancers. SBRT is commonly used to treat spinal metastases because it allows radiation therapists to treat a very precise location …

Mri Guided Neuroblate Laser Ablations, Sarah Bielfeld

Medical Imaging Senior Posters

This project explains how magnetic resonance imaging (MRI) is used for neuroblate laser ablations, or laser interstitial thermal therapy (LITT). LITT therapy involves the usage of heat to treat intracranial pathologies such as glioblastomas. Laser therapy is an non-invasive alternative to open resection and craniotomy procedures in which a surgical opening of the skull and brain tissue are necessary. Ablations are considered a safer alternative because patients showed no signs of declining cognitive functions post surgery. Magnetic resonance scanners are used in conjunction with laser systems. The two types of systems are Visualase (Visualase, INC.) and NeuroBlate (Monteris Medical, Inc.) …

Dopamine Transporter Scan (Datscan) For Diagnosis Of Parkinson’S Disease, Samantha Clark

Medical Imaging Senior Posters

The purpose of this project is to help provide clinical information for Parkinson’s disease (PD) diagnosis. The project will further explore the advantages of Dopamine Transporter Scan (DaTscan) in Nuclear Medicine as a diagnostic tool for the evaluation of Parkinson’s disease. Nuclear Medicine is a specialized area of radiology that uses radioactive pharmaceuticals to examine organ function and to diagnose and/or treat conditions or diseases. Parkinson’s disease is a progressive disorder that affects the nervous system and the parts of the body controlled by the nerves that causes uncontrollable movements that worsen overtime. Parkinsonian Syndromes such as Parkinson’s disease are …

Diagnosis Of Triple Negative Breast Cancer (Tnbc) Using Mammography, Sarah Mihalka

Medical Imaging Senior Posters

Triple-Negative Breast Cancer (TNBC) is a malignant, aggressive cancer that can affect men or women. Mammography is very helpful in diagnosing this type of cancer. The only option at this time for treatment for TNBC is cytotoxic chemotherapy. There is research being conducted to obtain more treatment options for patients. This is proving to be difficult because TNBC is negative for all hormone receptors. On a mammogram, this cancer may present as a lobulated mass with or without calcifications. This comes as a surprise because most masses present on a mammogram tend to be spiculated. This proves for an …

Computed Tomography And Adrenocortical Carcinoma, Rebecca Witmer

Medical Imaging Senior Posters

Computed Tomography and Adrenocortical Carcinoma focuses on key statistics of adrenocortical carcinoma (ACC). The equipment used to diagnose ACC and the specific types of studies used to diagnose ACC is discussed. Symptoms of ACC and how they affect adults and children are outlined. The research outlines potential genetic defects/other cancers that are associated with ACC. Research discusses the treatment of ACC and the therapies associated with ACC. The research describes certain characteristics of an ACC that are found on a CT scan. Multiple CT tools for diagnosing ACC are also mentioned. The research discusses the survival rate of ACC based …

Mri-Guided Breast Biopsy, Makayla Franko

Medical Imaging Senior Posters

This project explains the role MRI has in performing breast biopsies. MR imaging is used along with mammogram and ultrasound to detect and monitor lesions. Traditional imaging of the breast is explained to understand how images of the breast are obtained. The grade of the lesion and how the lesion is found indicates the type of biopsy performed. MRI provides superior visibility for lesions within the breast. MRI-guided breast biopsies are indicated in patients with lesions only visible on MRI. The equipment required for an MRI-guided breast biopsy includes the breast coil, grid, and vacuum-assisted breast biopsy apparatus. Experienced breast …

Invasive Mammary Carcinoma In Young Women, Jessica Ravert

Medical Imaging Senior Posters

Invasive Mammary Carcinoma in Young Women

Jessica Ravert

Gina Capitano Ed.D.,R.T. (R)

Abstract

This research is a case study of a 34-year-old patient that presented with a right breast lump measuring 1.9cm found to have invasive mammary carcinoma. Diagnostic mammogram and ultrasound were followed by ultrasound guided breast biopsy to make the diagnosis.

Breast cancer is the leading cause of cancer-related death in women between the ages of 15-39 inthe United States. Annual mammograms are recommended to begin at age 40, therefore younger women often do not have mammograms or breast ultrasounds unless they have symptoms. As a result, younger …

Percutaneous Renal Cryoablation, Shauna M. Aiena

Medical Imaging Senior Posters

This research topic discusses how safe and effective the use of cryoablation is to treat a renal tumor. Cryoablation is a procedure performed in the Interventional Radiology department to kill cancer cells using very cold temperatures. This procedure is done when the patient cannot have surgery to remove the tumor itself. Although the tumor is not removed during cryoablation, the treatment is performed to freeze the tumor to prohibit growth while releasing antigens from the tumor which triggers an immune response. To see if cryoablation is as effective as some say, a qualitative study was conducted which used 174 renal …