AJR. American journal of roentgenology
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AJR Am J Roentgenol · Aug 2015
Pediatric Emergency CT Scans at a Children's Hospital and at Community Hospitals: Radiation Technical Factors Are an Important Source of Radiation Exposure.
This article compares the technical factors-in particular, tube current and voltage-and the resultant exposure to radiation associated with CT examinations performed at a children's hospital and at more general community hospital emergency departments (EDs). ⋯ The results of this study suggest that a large proportion of children who undergo CT at community hospitals receive relatively higher radiation doses than children who undergo CT at children's hospitals. This finding is related to the higher tube settings (in particular, kilovoltage) used at community hospitals.
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AJR Am J Roentgenol · Aug 2015
Closing the Gender Gap: Increased Female Authorship in AJR and Radiology.
The purpose of this study was to evaluate gender differences in the authorship of original research articles by radiologists in two major American radiology journals, AJR and Radiology. ⋯ There was a significant increase in the female authorship of original research articles in two major American radiology journals between the periods 1991-1993 and 2011-2013.
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AJR Am J Roentgenol · Jul 2015
Facial Fracture in the Setting of Whole-Body CT for Trauma: Incidence and Clinical Predictors.
The objective of our study was to identify the incidence and clinical predictors of facial fracture in the setting of whole-body MDCT for trauma. ⋯ A negative finding at facial physical examination reliably excluded fracture. Clinical variables positively associated with facial fracture included the following: GCS score of 8 or less, ISS of 16 or greater, alcohol intoxication according to BAC, intubation at presentation, loss of consciousness, and the presence of abnormal facial findings at physical examination.
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AJR Am J Roentgenol · Jul 2015
Is Biopsying the Paravertebral Soft Tissue as Effective as Biopsying the Disk or Vertebral Endplate? 10-Year Retrospective Review of CT-Guided Biopsy of Diskitis-Osteomyelitis.
The purpose of this study was to determine whether there is a difference in biopsying bone (endplate), disk, or paravertebral soft tissue to culture the pathogenic organism causing diskitis-osteomyelitis. ⋯ Paravertebral soft-tissue changes, when present, may be considered a viable target for biopsy in cases of diskitis-osteomyelitis, even in the absence of a paravertebral abscess.
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AJR Am J Roentgenol · Jul 2015
Rates of Breakthrough Reactions in Inpatients at High Risk Receiving Premedication Before Contrast-Enhanced CT.
The purpose of this study was to determine the rate of allergiclike breakthrough reactions among inpatients at high risk receiving premedication before undergoing CT with IV iodinated low-osmolality contrast material (LOCM). ⋯ Patients premedicated for a previous reaction to iodinated contrast material have a breakthrough reaction rate 3-4 times the ordinary reaction rate in the general population. Patients receiving premedication for other reasons have a breakthrough reaction rate near 0%. Many patients must receive premedication to prevent one reaction.