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Brief Communication: A Radiology Resident's Experience With Covid-19 In New York City, A. Ramjit, A. Gokli 2021 Northwell Health

Brief Communication: A Radiology Resident's Experience With Covid-19 In New York City, A. Ramjit, A. Gokli

Journal Articles

© 2020 Elsevier Inc. The COVID-19 pandemic impacted New York City severely. As a radiology resident, I was unsure how my role would change as the pandemic unfolded. Like many hospital systems in New York City, my department was asked to assist in the clinical care of patients during the dramatic surge of admissions related to COVID-19. I placed invasive central lines for critically ill patients in the intensive care unit to help reduce the workload on already overwhelmed critical care teams. I also performed direct patient care within dedicated COVID-19 inpatient floors.


Architectural Distortion With The Use Of Tomosynthesis, Madison Skwirut 2021 Misericordia University

Architectural Distortion With The Use Of Tomosynthesis, Madison Skwirut

Student Research Poster Presentations 2021

Abstract

Architectural distortion on digital breast tomosynthesis (DBT) can occur due to benign and malignant causes. DBT is a mammographic technique that incorporates multiple angular projections of the breast to enable three-dimensional reconstruction while only compressing the breast once. DBT creates a better detection of distortion compared to a 2D mammography. Architectural distortion is found when the two breasts are compared and one breast has an abnormal tissue pattern. When examining the two breast with each other they should mirror one another, so when there is architectural distortion there could be contour abnormalities, trabecular thickening, and trabecular disorganization. When architectural ...


Magnetic Resonance Neuroblate Fusion For Treating Glioblastomas, Amanda Goldy 2021 Misericordia University

Magnetic Resonance Neuroblate Fusion For Treating Glioblastomas, Amanda Goldy

Student Research Poster Presentations 2021

The Neuroblate Fusion system utilizes magnetic resonance guided laser therapy to ablate tumors and lesions. The system requires the use of Laser Interstitial Thermo Therapy (LITT) to activate thermocoagulation and focus of tissue destruction. This is a minimally invasive alternative to traditional brain surgery, giving patients a shorter recovery time and fewer complications. Neuroblate Fusion may also be an additional treatment to chemotherapy or radiation therapy. Neuroblate Fusion is best used for treating glioblastomas in the brain and occasionally for reducing the potential for seizures. Under sterile conditions, a small burr hole is made in the patient’s skull which ...


Transcatheter Aortic Valve Replacement (Tavr), Emily Wentzel 2021 Misericordia University

Transcatheter Aortic Valve Replacement (Tavr), Emily Wentzel

Student Research Poster Presentations 2021

Transcatheter Aortic Valve Replacement (TAVR)

Emily Wentzel

Lynn Blazaskie

Abstract

Transcatheter Aortic Valve Replacement, or TAVR, is a procedure that is performed when a patient is in need of a new aortic valve. This is a procedure done to relieve symptoms of aortic stenosis. TAVR first began in France in 2002 and came to the United States in 2005. Cardiac Catheterization is the modality that is utilized in order to perform this procedure along with a cardiac catheterization team. The team includes cardiac catheterization technologists, doctors, nurses, cardiovascular surgeons, and ultrasound technologists. Cardiac Catheterization is a minor surgical procedure that ...


Imaging Patterns Of Encephalopathy In Patients With Covid-19, Kumail Khandwala, Fatima Mubarak, Nadeem Ahmad 2021 Aga Khan University

Imaging Patterns Of Encephalopathy In Patients With Covid-19, Kumail Khandwala, Fatima Mubarak, Nadeem Ahmad

Department of Radiology

The aim of this retrospective observational study was to describe the neuroimaging manifestations of patients with COVID-19. This study was conducted at Aga Khan University Hospital, Karachi, Pakistan from March to July 2020. COVID-19 patients with neurological symptoms and positive neuroimaging were included after confirmation of COVID-19 by polymerase chain reaction test (PCR). In the 12 included patients, seizures and altered mentation were predominant neurological manifestations. Three cases had acute watershed infarcts (25%), two cases had posterior cerebral artery territorial infarcts (16.7%), two cases had periventricular corona radiata infarcts (16.7%), three cases had hypoxic ischemic encephalopathy (25%), two ...


Bone In The Breast: A Case Report Of A Metaplastic Breast Cancer With Osseous Differentiation, Kyle Luo, Xiaoqin Wang 2021 University of Kentucky

Bone In The Breast: A Case Report Of A Metaplastic Breast Cancer With Osseous Differentiation, Kyle Luo, Xiaoqin Wang

Radiology Faculty Publications

Metaplastic breast carcinoma is an uncommon malignant tumor with various pathologic subtypes. Diagnosis is often challenging due to the wide spectrum of clinical and imaging presentations. Here, we present the case of a very rare subtype of metaplastic breast carcinoma-a mixed-type metaplastic breast cancer with osseous differentiation in a 55-year-old female patient. The clinical presentation, imaging-pathology diagnosis, and treatment options are reviewed. Knowing this rarely reported but aggressive breast cancer is very important for clinicians to establish a timely diagnosis for effective management.


Commentary: Use Of Bactrac Proteomic Database-Uromodulin Protein Expression During Ischemic Stroke, Gabriella-Salome K. Armstrong, Jacqueline A. Frank, Christopher J. McLouth, Ann M. Stowe, Jill M. Roberts, Amanda L. Trout, Justin F. Fraser, Keith R. Pennypacker 2021 University of Kentucky

Commentary: Use Of Bactrac Proteomic Database-Uromodulin Protein Expression During Ischemic Stroke, Gabriella-Salome K. Armstrong, Jacqueline A. Frank, Christopher J. Mclouth, Ann M. Stowe, Jill M. Roberts, Amanda L. Trout, Justin F. Fraser, Keith R. Pennypacker

Neurology Faculty Publications

Introduction: Uromodulin (UMOD) is a glycoprotein expressed by the epithelial cells of the thick ascending limb of Henle's loop in the kidney. Research has shown that increased uromodulin expression may be associated with lower risk of cardiovascular disease in adults. Utilizing the Blood and Clot Thrombectomy Registry and Collaboration (BACTRAC) (clinicaltrials.gov NCT03153683), a continuously enrolling tissue bank, we aimed to examine the associations between serum uromodulin, age, and high BMI (BMI> 25) and its relationship to stroke in patients.

Methods: Arterial blood distal and proximal to the thrombus was collected during a thrombectomy procedure using the BACTRAC protocol ...


Reliability Of Stroke Imaging: A Comprehensive Review, Henry Nguyen, Markus Lammle MS PhD 2021 Tulane University School of Medicine Department of Neuroradiology and Xavier University of Louisiana

Reliability Of Stroke Imaging: A Comprehensive Review, Henry Nguyen, Markus Lammle Ms Phd

Festival of Scholars

Stroke is a leading cause of death globally and is responsible for an estimated 140,000 deaths annually in the United States alone [1]. Despite this sobering reality, the care of stroke patients has been greatly revolutionized within the past decade, and advances in stroke imaging have been at the forefront of these discoveries. The resulting improvement in patient outcomes has been noticeable and recently moved stroke from the third leading cause of death within the United States to the fifth [1]. While these recent innovations are full of promising potential, their implementation has left much to be desired in ...


Tisagenlecleucel Infusion In Patients With Relapsed/Refractory All And Concurrent Serious Infection., Erin Hall, Dwight E. Yin, Rakesh K. Goyal, Atif Ahmed, Grace S. Mitchell, Shawn D. St Peter, Terrie Flatt, Ibrahim A. Ahmed, Weijie Li, Richard J. Hendrickson, Keith August, Douglas Myers 2021 Children's Mercy Hospital

Tisagenlecleucel Infusion In Patients With Relapsed/Refractory All And Concurrent Serious Infection., Erin Hall, Dwight E. Yin, Rakesh K. Goyal, Atif Ahmed, Grace S. Mitchell, Shawn D. St Peter, Terrie Flatt, Ibrahim A. Ahmed, Weijie Li, Richard J. Hendrickson, Keith August, Douglas Myers

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Tisagenlecleucel, an anti-CD19 chimeric antigen receptor T (CAR-T) cell therapy, has demonstrated durable efficacy and a manageable safety profile in pediatric and young adult patients with relapsed/refractory B-cell acute lymphoblastic leukemia (B-ALL) in the ELIANA pivotal trial and real-world experience. Experience from investigator-led studies prior to ELIANA suggests that infections and inflammatory conditions may exacerbate the severity of cytokine release syndrome (CRS) associated with CAR-T cell therapy, leading to extreme caution and strong restrictions for on-study and commercial infusion of tisagenlecleucel in patients with active infection. CRS intervention with interleukin (IL)-6 blockade and/or steroid therapy was ...


Complete Edentulism Of Dental Patients In Northeastern Turkey: Prevalence And Radiographic Findings On Panoramic Radiographs, Elif Sadik, Ceren Gökmenoğlu, Cankat Kara 2020 Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ordu University, Ordu, Turkey

Complete Edentulism Of Dental Patients In Northeastern Turkey: Prevalence And Radiographic Findings On Panoramic Radiographs, Elif Sadik, Ceren Gökmenoğlu, Cankat Kara

Journal of Dentistry Indonesia

The prevalence of complete edentulism varies from country to country and from one region to another. Previous studies have reported the high prevalence of significant radiographic findings in edentulous patients. Objectives: This study aimed to determine the prevalence of complete edentulism retrospectively and to evaluate the frequency and location of significant radiographic findings on panoramic radiographs in edentulous jaws of dental patients in northeastern Turkey. Methods: The digital panoramic images of all ≥35 year-old patients admitted to our faculty from January 2014 to August 2015 were evaluated. The prevalence of complete edentulism was determined among 8314 panoramic images retrospectively. Radiographic ...


Gunshot-Related Pediatric Left Ventricular Apical Aneurysm, Achala Donuru, David Saul, Maansi Parekh, Maruti Kumaran, Vinay Kandula, Rami Kharouf 2020 Thomas Jefferson University

Gunshot-Related Pediatric Left Ventricular Apical Aneurysm, Achala Donuru, David Saul, Maansi Parekh, Maruti Kumaran, Vinay Kandula, Rami Kharouf

Department of Radiology Faculty Papers

Penetrating injuries of the thorax and abdomen, such as gunshot and stabbing, are rare in children. We present the case of a pediatric patient with a history of remote gunshot injury presenting with a late aneurysm in the left ventricle.


Radiology In The Era Of Value-Based Healthcare: A Multi-Society Expert Statement From The Acr, Car, Esr, Is3r, Ranzcr, And Rsna., Adrian P Brady, Jaqueline A Bello, Lorenzo E Derchi, Michael Fuchsjäger, Stacy Goergen, Gabriel P Krestin, Emil J Y Lee, David C Levin, Josephine Pressacco, Vijay M Rao, John Slavotinek, Jacob J Visser, Richard E A Walker, James A Brink 2020 Mercy University Hospital, Cork, Ireland; European Society of Radiology (ESR)

Radiology In The Era Of Value-Based Healthcare: A Multi-Society Expert Statement From The Acr, Car, Esr, Is3r, Ranzcr, And Rsna., Adrian P Brady, Jaqueline A Bello, Lorenzo E Derchi, Michael Fuchsjäger, Stacy Goergen, Gabriel P Krestin, Emil J Y Lee, David C Levin, Josephine Pressacco, Vijay M Rao, John Slavotinek, Jacob J Visser, Richard E A Walker, James A Brink

Department of Radiology Faculty Papers

Background: The Value-Based Healthcare (VBH) concept is designed to improve individual healthcare outcomes without increasing expenditure, and is increasingly being used to determine resourcing of and reimbursement for medical services. Radiology is a major contributor to patient and societal healthcare at many levels. Despite this, some VBH models do not acknowledge radiology’s central role; this may have future negative consequences for resource allocation.

Methods, fndings and interpretation: This multi-society paper, representing the views of Radiology Societies in Europe, the USA, Canada, Australia, and New Zealand, describes the place of radiology in VBH models and the healthcare value contributions of ...


Contrast-Enhanced Ultrasound In Association With Serum Biomarkers For Differentiating Combined Hepatocellular-Cholangiocarcinoma From Hepatocellular Carcinoma And Intrahepatic Cholangiocarcinoma., Jie Yang, Ya-Han Zhang, Jia-Wu Li, Ying-Yu Shi, Jia-Yan Huang, Yan Luo, Ji-Bin Liu, Qiang Lu 2020 West China Hospital of Sichuan University

Contrast-Enhanced Ultrasound In Association With Serum Biomarkers For Differentiating Combined Hepatocellular-Cholangiocarcinoma From Hepatocellular Carcinoma And Intrahepatic Cholangiocarcinoma., Jie Yang, Ya-Han Zhang, Jia-Wu Li, Ying-Yu Shi, Jia-Yan Huang, Yan Luo, Ji-Bin Liu, Qiang Lu

Department of Radiology Faculty Papers

BACKGROUND: Combined hepatocellular-cholangiocarcinoma (CHC) is a rare type of primary liver cancer. Due to its complex histopathological characteristics, the imaging features of CHC can overlap with those of hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (ICC).

AIM: To investigate the possibility and efficacy of differentiating CHC from HCC and ICC by using contrast-enhanced ultrasound (CEUS) Liver Imaging Reporting and Data System (LI-RADS) and tumor biomarkers.

METHODS: Between January 2016 and December 2019, patients with histologically confirmed CHC, ICC and HCC with chronic liver disease were enrolled. The diagnostic formula for CHC was as follows: (1) LR-5 or LR-M with elevated alpha-fetoprotein ...


Abdominal Ultrasound - Pancreas, Brian Loe 2020 RAD-AID

Abdominal Ultrasound - Pancreas, Brian Loe

PEER Liberia Project

This presentation is part of the PEER Liberia Radiology Lecture Series. The presentation provides an overview of how to perform abdominal ultrasound of the pancreas. Knowledge of pancreatic anatomy and its appearance on ultrasound is essential for accurate image interpretation. Ultrasound of the pancreas is a useful initial imaging modality for suspected pancreatic pathology. Common pathologies which may be seen on ultrasound include acute/chronic pancreatitis and cystic or solid tumours. Ultrasound of the pancreas can be difficult and several techniques can be used to improve image quality. If views are inadequate in patients with pancreatic symptoms, further imaging should ...


Abdominal Ultrasound - Liver, Brian Loe 2020 RAD-AID

Abdominal Ultrasound - Liver, Brian Loe

PEER Liberia Project

This presentation is part of the PEER Liberia Radiology Lecture Series. The presentation provides an overview of abdominal ultrasound of the liver. Evaluation of the liver demands a comprehensive survey through all the tissue. The practitioner must use a variety of scan planes, acoustic windows and patient positions in order to achieve this. It is important to utilize optimum equipment settings in order to interpret the appearances. Constant evaluation of the image with necessary changes in the settings throughout the scan is necessary to avoid pitfalls and interpret appearance accurately. Diagnosis must be made in the context of the patient ...


The Effects Of Moderate-Severe Plaque Psoriasis On Patient Well-Being And Prevention Of Flares, Glenn Devera 2020 Dominican University of California

The Effects Of Moderate-Severe Plaque Psoriasis On Patient Well-Being And Prevention Of Flares, Glenn Devera

Nursing | Senior Theses

Psoriasis is a chronic skin condition that is indicated by red, patchy and scaly skin that can be painful when irritated. Patients with psoriasis have an increased risk for a number of chronic diseases. Despite the expansion of treatments for moderate-to-severe psoriasis over the last decade, patients may still find that treatment strategies are not as successful, leaving them dissatisfied with their treatments. A relationship built upon trust between the nurse and the patient diagnosed with psoriasis may serve to help ensure optimal care. A comprehensive literature review was performed and found that best practices for patient management need to ...


Cortical Iron Disrupts Functional Connectivity Networks Supporting Working Memory Performance In Older Adults, Valentinos Zachariou, Christopher E. Bauer, Elayna R. Seago, Flavius D. Raslau, David K. Powell, Brian T. Gold 2020 University of Kentucky

Cortical Iron Disrupts Functional Connectivity Networks Supporting Working Memory Performance In Older Adults, Valentinos Zachariou, Christopher E. Bauer, Elayna R. Seago, Flavius D. Raslau, David K. Powell, Brian T. Gold

Neuroscience Faculty Publications

Excessive brain iron negatively affects working memory and related processes but the impact of cortical iron on task-relevant, cortical brain networks is unknown. We hypothesized that high cortical iron concentration may disrupt functional circuitry within cortical networks supporting working memory performance. Fifty-five healthy older adults completed an N-Back working memory paradigm while functional magnetic resonance imaging (fMRI) was performed. Participants also underwent quantitative susceptibility mapping (QSM) imaging for assessment of non-heme brain iron concentration. Additionally, pseudo continuous arterial spin labeling scans were obtained to control for potential contributions of cerebral blood volume and structural brain images were used to control ...


Analysis Of Ultrasonographic Misdiagnosis Of Cephalothoracopagus Janiceps Conjoined Twins: A Case Report, Mehnoosh Torkzaban, Nesa Rajabpoor Nikoo, Ateeh Kalateh, Mahboobeh Shirazi 2020 Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, United States

Analysis Of Ultrasonographic Misdiagnosis Of Cephalothoracopagus Janiceps Conjoined Twins: A Case Report, Mehnoosh Torkzaban, Nesa Rajabpoor Nikoo, Ateeh Kalateh, Mahboobeh Shirazi

Department of Radiology Faculty Papers

Background & Objective: Conjoined twins (CTs) are rare complications of monozygotic twinning. Cephalothoracopagus is the rarest subtype of CTs and occurs once in every 58 sets of conjoined twins or once in every three million births. Here we present such a case and analyze the possible reasons for ultrasonographic misdiagnosis and recommend solutions to avoid it. Case Report: In this article, we have reported a case of Cephalothoracopagus Janiceps twining. The ultrasonographic diagnosis was missed at 7 and 12 weeks scans. Increased thickness of nuchal translucency and absent nasal bone was observed alongside with suspected gastroschisis. The patient was referred for ...


Pulmonary Embolism And Giant Cavitary Lesion Developing After Covid-19 Pneumonia, Ahmet Vural, Ahmet Nedim Kahraman 2020 Department of Radiology, University of Health Science Fatih Sultan Mehmet Training and Research Hospital

Pulmonary Embolism And Giant Cavitary Lesion Developing After Covid-19 Pneumonia, Ahmet Vural, Ahmet Nedim Kahraman

HCA Healthcare Journal of Medicine

Introduction: The clinical manifestations of the worldwide pandemic, which began in mainland China in December 2019, were very similar to viral pneumonia and defined as Coronavirus disease 2019 (COVID-19). Complications such as acute respiratory distress syndrome (ARDS), acute cardiac tissue damage, secondary infections, isolated coagulopathy and pulmonary embolism have been reported with COVID-19 disease.

Clinical Findings: A 79-year-old woman admitted to the emergency room (ER) had complaints of fever and cough. The patient was admitted to the ER with the suspicion of COVID-19. Samples were collected with a nasopharyngeal swab and confirmed as COVID-19. In addition, a chest CT examination ...


Maternal Mortality Following Thromboembolism; Incidences And Prophylaxis Strategies., Mahboobeh Shirazi, Behrokh Sahebdel, Mehnoosh Torkzaban, Elham Feizabad, Marjan Ghaemi 2020 Tehran University of Medical Sciences

Maternal Mortality Following Thromboembolism; Incidences And Prophylaxis Strategies., Mahboobeh Shirazi, Behrokh Sahebdel, Mehnoosh Torkzaban, Elham Feizabad, Marjan Ghaemi

Department of Radiology Faculty Papers

BACKGROUND: Thromboembolism is one of the main causes of maternal mortality, which can be prevented in many cases. The present study was designed to investigate the incidence and prophylaxis strategies for maternal mortality following thromboembolism in postnatal.

METHODS: In this case series study, the data of the mortality cases were extracted according to the ethical and security standards of the Ministry of Health of the country and compared with a healthy control group. The thromboembolism risk factors measured and scored using a questionnaire entitled "the evaluation of risk factors for maternal mortality following thromboembolism during pregnancy, labor, or post-partum".

RESULTS ...


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