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Source: Current Problems in Diagnostic Radiology - February 24, 2017 Category: Radiology Source Type: research

Extreme Pareto: The One Thing
If you have heard of the 80/20 rule, you already know the Pareto principle. Vilfredo Pareto was an Italian economist who noticed that 80% of the land in Italy was owned by 20% of the people. Subsequently, he noticed that 80% of his peas were produced by 20% of his pods. It did not take long for him to understand that 20% of our actions get 80% of our results. What we mean by extreme Pareto is that we keep going with this principle applying 80/20 rule over and over again until we find the one thing, the absolute one thing that is most likely to influence our desired result. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 24, 2017 Category: Radiology Authors: P. Bhargava Source Type: research

A Picture of Burnout: Case Studies and Solutions Toward Improving Radiologists ’ Well-being
This article uses case fictional case vignettes as a vehicle to discuss the complex way organizational and individual factors contribute to physician burnout. The article incorporates a review of the current literature on physician burnout focusing on work place inefficiency and ineffective leadership. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 17, 2017 Category: Radiology Authors: Nicole Restauri, Jonathan A. Flug, Tatum A. Mcarthur Source Type: research

Orbital Imaging Manifestations of Neurocutaneous Syndromes Revisited
Neurocutaneous syndromes or phakomatoses represent a heterogeneous group of multisystemic disorders involving structures of ectodermal origin. Characteristic ocular manifestations are described for individual entities that are often the first clues to the underlying diagnosis. However, opaque ocular media or involvement of retrobulbar orbit limits adequate clinical evaluation. This underlines the role of imaging, especially cross-sectional imaging modalities, such as computed tomography and magnetic resonance imaging, which offer a comprehensive evaluation of orbit and its contents. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 15, 2017 Category: Radiology Authors: Abanti Das, Sanjay Sharma Source Type: research

Repeatability of Computerized Tomography –Based Anthropomorphic Measurements of Frailty in Patients With Pulmonary Fibrosis Undergoing Lung Transplantation
To determine interreader and intrareader repeatability and correlations among measurements of computerized tomography –based anthropomorphic measurements in patients with pulmonary fibrosis undergoing lung transplantation. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 15, 2017 Category: Radiology Authors: Taylor McClellan, Brian C. Allen, Matthew Kappus, Lubna Bhatti, Randa A. Dafalla, Laurie D. Snyder, Mustafa R. Bashir Source Type: research

The Champion ’s Creed: Shared Values of Athletes and Academicians
Although the pursuit of sports may be dismissed as unimportant by those in the academic fields, sports are pervasive, and in our society, elite athletes are revered. There are lessons to be appreciated from the training journey and ultimate achievements of such athletes, which parallel the development and sustainment of the academic radiologist on many fronts, including educational training, clinical work, the pursuit of research, and for some, the culmination of a career in a leadership role. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 15, 2017 Category: Radiology Authors: Laura M. Fayad Source Type: research

Spectrum of Pregnancy- and Lactation-related Benign Breast Findings
Extensive physiologic changes occur in the breasts during pregnancy and lactation. Additionally, several specific benign lesions are also common in pregnant and lactating patients. These changes and lesions have characteristic imaging appearances and findings. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 9, 2017 Category: Radiology Authors: Scott Parker, Megan Saettele, Matthew Morgan, Matthew Stein, Nicole Winkler Source Type: research

Imaging of Acute Pelvic Pain in Girls: Ovarian Torsion and Beyond ☆
Identifying the etiology of acute pelvic pain in girls is often clinically challenging. Particularly in young girls, it is often difficult to determine if acute pelvic symptoms are originating from a gynecologic source or from a genitourinary or gastrointestinal etiology based on the child ʼs clinical examination alone. Therefore, imaging plays a key role in establishing a diagnosis and in directing medical and surgical treatment. Pediatric gynecologic conditions, which can present acutely with pain or mass or both include ovarian torsion, hematometrocolpos, pelvic inflammatory disea se, inguinal hernias containing an ova...
Source: Current Problems in Diagnostic Radiology - February 5, 2017 Category: Radiology Authors: Lena Naffaa, Tejaswini Deshmukh, Shanthan Tumu, Chris Johnson, Kevin P. Boyd, Arthur B. Meyers Source Type: research

Thoracic Ultrasound: Technique, Applications, and Interpretation
We describe methods on how to perform lung ultrasound, with the intent to educate the radiologist who might otherwise be relatively unfamiliar with thoracic sonography. We describe and depict the normal sonographic appearance of lung anatomy. We also show the sonographic appearance of a wide range of lung and pleural pathologies such as pneumonia, pneumothorax, as well as lung and pleural masses. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 5, 2017 Category: Radiology Authors: Suraj H. Rambhia, Catherine A. D ’Agostino, Ali Noor, Robert Villani, Jason J. Naidich, John S. Pellerito Source Type: research

A Radiologist ’s Guide to the Industry: A Methodical Approach to Physician-Industry Relationships in Radiology
In the last century, rapidly advancing technological innovations have become essential components of modern healthcare, increasing the frequency and necessity of interactions between physicians and industry. These interactions have the potential to bias objectivity and should be approached carefully. A recent JACR article by Harvey et al, highlighted 2014 CMS data, which reported that only 4% of radiologists had interactions with industry, coming in second lowest amongst all 19 reported specialties. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 5, 2017 Category: Radiology Authors: Donald (DJ) Perry, Derek Khorsand, Michael McNeeley Source Type: research

The Radiologist Is in, but Was it Worth the Wait? Radiology Resident Note Quality in an Outpatient Interventional Radiology Clinic
Preprocedural evaluation of patients in an interventional radiology (IR) clinic is a complex synthesis of physical examination and imaging findings, and as IR transitions to an independent clinical specialty, such evaluations will become an increasingly critical component of a successful IR practice and quality patient care. Prior research suggests that preprocedural evaluations increased patient ’s perceived quality of care and may improve procedural technical success rates. Appropriate documentation of a preprocedural evaluation in the medical record is also paramount for an interventional radiologist to add value and ...
Source: Current Problems in Diagnostic Radiology - February 3, 2017 Category: Radiology Authors: Salim E. Abboud, Stephanie Soriano, Rayan Abboud, Indravadan Patel, Jon Davidson, Nami R. Azar, Dean A. Nakamoto Source Type: research

What to Expect When They are Expecting: Magnetic Resonance Imaging of the Acute Abdomen and Pelvis in Pregnancy
In this article, we discuss the challenges in the diagnosis of acute abdominopelvic pain in pregnant patients, role of imaging, and advantages of MRI over other modalities. Methods consist of pictorial review. We review the differential diagnoses and illustrate the MRI findings in pregnant patients with acute abdominopelvic pain, including gastrointestinal, gynecologic, urologic, and vascular etiologies. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - February 3, 2017 Category: Radiology Authors: Hemang M. Kotecha, Lacey J. McIntosh, Hao S. Lo, Byron Y. Chen, Carolyn S. Dupuis Source Type: research

Use of Computed Tomography to Determine Perforation in Patients With Acute Appendicitis
Urgent appendectomy has long been the standard of care for acute appendicitis. Six randomized trials have demonstrated that antibiotics can safely treat appendicitis, but approximately 1 in 4 of these patients eventually requires appendectomy. Overall treatment success may be limited by complex disease including perforation. Patients ׳ success on antibiotic therapy may depend on preoperative identification of complex disease on imaging. However, the effectiveness of computed tomography (CT) in differentiating complex disease including perforated from nonperforated appendicitis remains to be determined. (Source: Current Pr...
Source: Current Problems in Diagnostic Radiology - February 1, 2017 Category: Radiology Authors: Cameron E. Gaskill, Vlad V. Simianu, Jonathan Carnell, Daniel S. Hippe, Puneet Bhargava, David R. Flum, Giana H. Davidson Source Type: research

Challenges in Interpretation of Staging PET/CT in Thoracic Malignancies
18F-fluorodeoxryglucose (18F-FDG) PET/CT imaging is routinely performed in the evaluation of patients with known or suspected thoracic malignancy. Indications for its use include staging of malignancy, assessment of response to therapy, evaluation of suspected disease recurrence, and evaluation of a solitary pulmonary nodule. In this article, we will discuss specific technical artifacts and also review potential pitfalls in the interpretation of PET/CT in thoracic malignancies including normal variations in physiologic uptake of FDG, benign conditions (such as infection, inflammation, posttreatment changes, and iatrogenic ...
Source: Current Problems in Diagnostic Radiology - January 30, 2017 Category: Radiology Authors: Girish S. Shroff, Brett W. Carter, Chitra Viswanathan, Marcelo F. Benveniste, Carol C. Wu, Edith M. Marom, Osama R. Mawlawi, Mylene T. Truong Source Type: research

Implementing a Structured Reporting Initiative Using a Collaborative Multistep Approach
To describe the successful implementation of a structured reporting initiative in a large urban academic radiology department. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - January 15, 2017 Category: Radiology Authors: Shlomit Goldberg-Stein, William R. Walter, E. Stephen Amis, Meir H. Scheinfeld Source Type: research