Current problems in diagnostic radiology
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Curr Probl Diagn Radiol · Mar 2019
ReviewInterventional Radiology-Operated Endoscopy as an Adjunct to Image-Guided Interventions.
Interventional radiology-operated endoscopy is an underused technique, which may have a significant impact on the ability to treat patients with a variety of conditions. The purpose of this article is to discuss the setup, equipment, and potential clinical uses of interventional radiology-operated endoscopy. ⋯ Although other specialists traditionally have performed endoscopic interventions and local politics often dictate referral patterns, a collaborative relationship among these specialists and interventional radiology will allow for improved patient care. A concerted effort is needed by interventional radiologists to learn the techniques and equipment required to successfully incorporate endoscopy into practice.
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Curr Probl Diagn Radiol · Nov 2018
ReviewAssociation of Tibial Plateau Fracture Morphology With Ligament Disruption in the Context of Multiligament Knee Injury.
We identified common morphologies of tibial plateau fractures that arise with multiligament knee injuries (MLKIs), and investigated the relationship of the fracture with ligament tears. We also evaluated the correlation of 3 tibial plateau fracture classification systems (Schatzker, AO, and Duparc). ⋯ As the grade of designation increases within the Schatzker and Duparc tibial plateau fracture classifications, as does the likelihood of MCL and PLC tear. The majority of tibial plateau fractures that occur in the context of MLKI are either isolated to the medial or lateral tibial plateau. Medial tibial plateau fractures are associated with PLC tears. Lateral tibial plateau fractures are associated with MCL tears, and although not statistically significant in our small sample size, 8 out of 9 knees also demonstrated a tear of the ACL.
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Curr Probl Diagn Radiol · Sep 2018
ReviewReview of Extraskeletal Activity on Tc-99m Methylene Diphosphonate Bone Scintigraphy and Value of Cross-Sectional and SPECT-CT Imaging Correlation.
Recognizing the different mechanisms and imaging appearance of extraskeletal Tc-99m methylene diphosphonate uptake enhances the diagnostic value of bone scan interpretation. In this article, we present a pictorial review of the different mechanisms of extraskeletal Tc-99m methylene diphosphonate uptake on bone scintigraphy including neoplastic, inflammatory, ischemic, traumatic, excretory, and iatrogenic. We also illustrate through case examples the added value of correlation with cross-sectional and single photon emission computed tomography and computed tomography imaging in localizing and characterizing challenging cases of extraskeletal uptake.
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To describe the radiology-related Twitter network through the analysis of the most commonly used radiology-associated hashtags. ⋯ Radiology-related hashtag use has grown substantially over the years, with a majority of the discussions involving physicians and health care organizations not directly involved with patient care.
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Curr Probl Diagn Radiol · May 2018
"Partially Matched" US Senior Diagnostic Radiology Applicants: Scope of the Problem and Implications for Applicants, Residency Training Programs, and the Academic Diagnostic Radiology Community.
Anecdotal reports have recently surfaced of an increase in the number of US senior diagnostic radiology (DR)-bound residency applicants who did not secure a preliminary year position through the Main Resident Match (the Match) of the National Resident Matching Program (NRMP), so-called "partial matches." This study sought to determine the scope of this phenomenon and address potential causes and solutions. ⋯ Although a definitive explanation for a recent increase in partial matches remains elusive, strategies exist for DR applicants, residency programs, and the DR academic community to minimize this risk.