AJR. American journal of roentgenology
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AJR Am J Roentgenol · Oct 2013
ReviewImaging of blunt vascular neck injuries: a clinical perspective.
We will review the common injuries and anatomic distributions of blunt cerebrovascular injuries (BCVIs) of the neck, explain the grading criteria, and discuss the corresponding management. Artifacts associated with BCVI on CT will also be examined. ⋯ Identifying common injury patterns and anatomic distributions associated with BCVI can help decide the grade and management earlier and reduce the risk for potential complications. Recognizing the common artifacts associated with BCVI helps the reader successfully recognize a true BCVI.
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AJR Am J Roentgenol · Oct 2013
ReviewImaging of blunt vascular neck injuries: a review of screening and imaging modalities.
We will review the epidemiology of blunt cerebrovascular injuries (BCVIs) and the rationale for screening. Current imaging modalities used to screen for BCVIs will be discussed with an emphasis on CT angiography. ⋯ Screening for BCVIs can decrease rates of postinjury complications, such as stroke. The use of standardized screening criteria and the appropriate imaging modalities can allow early detection of BCVIs and effective intervention.
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AJR Am J Roentgenol · Oct 2013
Appropriateness of imaging studies ordered by emergency medicine residents: results of an online survey.
The purpose of this study is to determine the proficiency of emergency medicine residents in selecting appropriate radiologic examinations for specific clinical scenarios and to ascertain whether their training improves competency in this area over the course of their residency. ⋯ Emergency medicine residents do not show significant improvement over the course of their residency in their ability to choose appropriate imaging studies. This finding suggests that there is a role for more-rigorous focused instruction to better familiarize residents with appropriateness guidelines for diagnostic imaging selection.
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AJR Am J Roentgenol · Oct 2013
Detection of implants and other objects using a ferromagnetic detection system: implications for patient screening before MRI.
Ferromagnetic detection systems have been used to prevent accidents related to external ferromagnetic objects (e.g., pocket knives, hearing aids, and so on). If a ferromagnetic implant was missed during MRI screening, the ability to use a ferromagnetic detection system to discover the object in a patient before MRI could potentially avoid a serious injury, which has important implications for patient safety. Therefore, the purpose of this investigation was to use a ferromagnetic detection system to assess implants and other objects that may be encountered in patients referred for MRI procedures. ⋯ These results indicated that, besides being used to identify external ferromagnetic objects, this ferromagnetic detection system may be a useful tool to screen patients referred for MRI examinations who may have implanted or embedded items. Further investigation to determine the use of this ferromagnetic detection system to detect additional implants in the clinical setting is warranted.