article thumbnail

Clinical value of some knee and hip MRIs questioned

AuntMinnie

While MRI-detected biomarkers may serve a beneficial role for people with hip and knee pain, the modality's clinical utility may be limited in patients over the age of 45 in patients with advanced osteoarthritis, according to an article published in the American Journal of Roentgenology ( AJR ). Erin Alaia, MD.

Clinic 92
article thumbnail

Diagnosing Pediatric Crohn Disease With Radiomic and Clinical Data

Imaging Technology

Noting that ileal-wall radiomic features were strongly predictive of CD—and that model performance improved when ensembled with clinical data—“a radiomic machine learning model predicted CD diagnosis with better performance than two of three expert radiologists,” wrote corresponding author and AJR Pediatric Imaging Section Editor Jonathan R.

article thumbnail

Dr. Kevin Rice: Semifinalist for 2021 AuntMinnie.com's Most Effective Radiology Educator

Global Radiology CME

We are pleased to announce Global Radiology CME's Kevin Rice, MD is a semifinalist for 2021 ,AuntMinnie.com 's Most Effective Radiology Educator. The mentoring program was so successful Dr. Rice will be working with 12 medical students for the 2021 academic year.

article thumbnail

Clinical Conundrum: Should a Troponin Routinely be Ordered in Patients with SVT?

REBEL EM

Clinical Scenario: A 44-year-old man presents with palpitations that started 45 minutes ago. In clinical practice, a troponin is used to determine whether a patient has had myocardial damage resulting due to coronary atherosclerosis or an acute coronary occlusion (ACO). He has no medical problems and denies any prior similar symptoms.

Clinic 140
article thumbnail

Clinical Conundrums: Do We Need to Order a CT for Every Patient with Renal Colic?

REBEL EM

Clinical Scenario: A 35-year-old man with no PMH presents with left flank pain, hematuria and history of kidney stones. Chang 2021 ) This systematic review was used as the basis for a 9 member panel to develop consensus guidelines on CT imaging for patients with suspected renal colic in 29 scenarios. 2021 Sep;47:70-73.

Clinic 60
article thumbnail

Rapid Onsite FFR-CT Algorithm Helps Facilitates Clinical Adoption

Imaging Technology

A rapid and accurate onsite approach for determining FFR-CT should address challenges encountered in the clinical adoption of prior FFR-CT implementations,” wrote corresponding author Ronny Ralf Buechel , MD, from University Hospital Zurich in Switzerland. In this AJR accepted manuscript , 59 patients (46 men, 13 women; mean age 66.5

Clinic 73
article thumbnail

BPAP vs AVAPS for Hypercapnic Respiratory Failure in the ED

REBEL EM

Balkan Med J 2021. PMID: 34462252 Clinical Question: Does AVAPS NIPPV in patients with hypercapnic respiratory failure improve PaCO2 and pH values better than traditional BiPAP NIPPV? AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75 AVAPS: 10.20 AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75

Clinic 113