AJR
AJR Podcasts
In this series, authors of select AJR articles discuss how their studies were performed, the results, and how the studies changed their practices.
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Episodes
I've Fallen and I Can't Get Up: To Scan or Not to Scan? 25.05.2022 9:18
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.27274 Ground-level fall is a common injury in older patients and a frequent cause of ED visits. These low impact falls may lead to intracranial hemorrhage, which is a particular concern in patients on antithrombotic therapy. In this episode, Sara Tedla MD, discusses a recently published study in AJR, which evaluates traumatic intracr...
Subpleural Nodules: Reducing Unnecessary Follow-up Studies and the Future of Lung-RADS 25.05.2022 8:05
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.22.27595 Lung cancer screening and the use of Lung-RADS is becoming more prevalent. Gregory Michael Lee, MD discusses an article on applying strategies that better identify benign intrapulmonary lymph nodes and using volumetric-based measurements result in improved specificity without loss in sensitivity, as compared to Lung-RADS versio...
Patient Experience Scores for Radiologists 25.05.2022 9:37
Full article: https://www.ajronline.org/doi/full/10.2214/AJR.21.27195 We are moving towards patient-centered care and thus, it is important to listen to patients' feedback. Hyunjoong William Kim discusses an article that evaluated the role of an individual hospital's effort to make the provider reviews from patients transparent and public on its website; specifically, it looked at if there were an...
Management of Nonmalignant Architectural Distortion on Digital Breast Tomosynthesis 25.05.2022 7:31
Full article: https://www.ajronline.org/doi/full/10.2214/AJR.21.27161 Management of nonmalignant architectural distortion on DBT remains controversial. Alexandra Millet, MD discusses study results suggesting that imaging surveillance rather than surgery can be considered for architectural distortion on DBT yielding radial scar without atypia or other concordant benign pathologies without atypia.
Inter-observer Agreement for CT and MRI findings of Chronic Pancreatitis in Children 04.04.2022 10:12
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.27234 Rosalind Gerson, PGY3, discusses a recent AJR article that assessed inter-observer agreement for multiple qualitative and quantitative findings in chronic pediatric pancreatitis, finding fair or moderate agreement for most qualitative features, and good inter-rater agreement for pancreatic duct diameter on both MR and CT.
Post-TIPS Survival: Time to Settle the (Prognostic) Score? 04.04.2022 11:49
Full article: https://www.ajronline.org/doi/10.2214/AJR.21.27301 Several prognostic scores have been applied for predicting survival after transjugular intrahepatic portosystemic shunt (TIPS) placement to guide patient selection. In this episode, John Do, MD speaks with TIPS expert Dr. Jonas Redmond, interventional radiologist and associate professor at the University of California San Diego, to...
Detecting Pulmonary Hypertension with CT Pulmonary Angiography and Automated Cardiac Chamber Volumetry. 04.04.2022 10:44
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.27147 Early diagnosis and treatment of pulmonary hypertension are crucial to prevent chronic progression and a poor prognosis. The nonspecific presenting symptoms and need for right heart catheterization may contribute to a delay in diagnosis. In this episode, Sara Tedla MD, discusses a recently published study in AJR , which evaluat...
Automated CNN-Based Analysis for MR Elastography to Assess Hepatic Fibrosis 04.04.2022 6:45
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.27135 Wenhui Zhou, MD, PhD reviews a recent AJR article examining the diagnostic performance of six different imaging modalities in the detection of sporadic pheochromocytoma, and the science behind several radiotracers used in the detection of pheochromocytoma. This study incentivizes the use of automated MR Elastography to screen f...
Utility of Preoperative SWE of the Supraspinatus Muscle for Predicting Successful Rotator Cuff Repair 07.03.2022 5:31
Full article: https://www.ajronline.org/doi/10.2214/AJR.21.27129 Xiaochen D. Liu, MD discusses an article that assesses the utility of preoperative shear wave elastography measurements of the supraspinatus muscle to predict successful rotator cuff repair, including comparison with MRI-based measures.
4D CT in Primary Hyperparathyroidism: Helping Our Surgical Colleagues 07.03.2022 7:09
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26935 Ragheed Al-Dulaimi, MD discusses an AJR article that assesses utility of second-largest lesion size on parathyroid CT for differentiating single-gland disease from multigland disease.
Post-Embolization Syndrome After Bland Hepatic Artery Embolization 07.03.2022 10:23
Full article: https://www.ajronline.org/doi/10.2214/AJR.21.26806 Post-embolization syndrome (abdominal pain, nausea, emesis, and fever) is the most common adverse effect of liver embolotherapy and is the primary reason for post-procedure hospitalization. Liwei Jiang, MD, discusses a new study that links cirrhosis with the severity of post-embolization syndrome after bland hepatic artery emboliza...
Use of Whole-Spine MRI in Kids with Suspected Abusive Head Trauma 07.03.2022 7:21
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26674 Viet Le, MD discusses the utility of additional whole-spine MRI in children with suspected abusive head trauma. Clinical providers, including radiologists, may find diagnostic value to consider incorporating whole-spine MRI in cases of possible abusive head trauma as many spinal injuries are localized to the thoracolumbar spine...
Coronary Vascular Inflammatory Marker on Photon Counting Study 08.02.2022 9:15
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26930 In this episode, Shambo Guha Roy, MD discusses an article in which the authors tried to standardize epicardial adipose attenuation and fat attenuation index, on the newest generation photon counting CT.
Associations of Ultrasound LI-RADS Visualization Score with Examination-, Sonographer-, and Radiologist-Factors 08.02.2022 16:25
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26735 Lara Gabrielle L Lim, MD discusses multiple factors that affect the ultrasound LI-RADS visualization score, such as examination, sonographer and radiologist characteristics. Awareness of these factors are opportunities for improved practices and quality assurance measures.
Comparing Field Strength in the Detection of Paramagnetic Rim Lesions in Multiple Sclerosis 25.01.2022 7:57
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26777 Wenhui Zhou, MD, PhD reviews a recent AJR article examining the feasibility of 1.5-T and 3-T MRI to detect a novel marker for smoldering multiple sclerosis and histopathological correlate of this MR marker. This study supports the widespread utilization of 1.5-T MRI to further explore the clinical utility of a novel MR marker i...
Comparison of False-Positive versus True- Positive Findings on Contrast-Enhanced Digital Mammography 12.01.2022 11:34
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26847 Alexandra Millet, MD discusses a study that compares imaging characteristics of false-positive and true-positive findings on CEDM. The conclusions include that a low-energy mammographic finding with associated enhancement, or a finding with sonographic or MRI correlate, predicts a true-positive result. Calcifications with assoc...
Comparison of Negative Pre-Biopsy Biparametric vs Multiparametric MRI in the Detection of Clinically Significant Prostate Cancer 12.01.2022 10:02
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26569 In this episode, Rosalind Gerson, PGY3 discusses a new study showing similar rates of clinically significant prostate cancer found on systematic biopsy performed after negative biparametric vs multiparametric MRI. In patients from either MRI cohort, specified PSA density thresholds had similarly high negative predictive values...
Head and Neck CTA in the ED: Analysis of Ordering Frequency and Nonroutine Results Communication 12.01.2022 10:47
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26543 Imaging in the emergency department has continued to increase over the years with the growth of head and neck CTA disproportionately higher than other neuroimaging. In this episode, Sara Tedla MD, discusses a recently published study in AJR , which characterizes utilization of head and neck CTA in the ED, and frequency of non-r...
Deep Learning for the Evaluation of Interstitial Lung Disease on Chest Radiograph 15.12.2021 8:59
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26882 Early and mild stages of intersitial lung disease can be challenging to evaluate by radiography. A commercially available deep learning algorithm to detect reticular opacities in surgically confirmed interstitial lung disease was more accurate than radiologists. Gregory Lee, MD discusses a new AJR article that examines the use...
Monitoring Chronic Budd-Chiari Syndrome Using 2D Shear-Wave Elastography After Image-Guided Intervention 15.12.2021 10:39
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26547 Viet Le, MD discusses the utility of monitoring liver disease in kids after endovascular intervention with 2D shear-wave elastography.
Surveillance of LR-2 and LR-3 Observations: Playing It Safe or Playing with Fire? 15.12.2021 15:10
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26376 In patients at high risk for hepatocellular carcinoma, progression to higher categories from LR-2 and LR-3 observations remains a concern with surveillance of these lesions. Tune into this podcast to hear the results of a recently published study in AJR that found low progression rates of LR-2 and LR-3 observations with insights...
Microwave Ablation Versus Cryoablation for Sarcoma Lung Metastases 29.11.2021 10:18
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26551 Percutaneous ablation is an effective treatment for sarcoma lung metastases that improves survival with minimal damage to healthy lung. Two increasingly used ablation modalities, microwave ablation and cryoablation, have not been directly compared. Liwei Jiang, MD, discusses a new study that compares the outcomes following micr...
Longitudinal Follow-Up of Incidental Gallbladder Polyps on HCC Screening Ultrasound in a Cohort of Patients with Liver Disease 15.11.2021 5:03
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26614 Ragheed Al-Dulaimi, MD discusses a new article in which the authors explore the natural history of incidentally discovered gallbladder polyps on ultrasound performed for hepatocellular carcinoma surveillance.
Prediction of Early Treatment Response in Multiple Myeloma Using MY-RADS Total Burden Score 08.11.2021 4:21
Full article: https://www.ajronline.org/doi/10.2214/AJR.21.26534 Xiaochen Denise Liu, MD discusses a new article that discusses the utility of the MY-RADS total burden score.
Thoracic CT predictor of Post Op Mechanical Ventilation After Major Abdominopelvic Surgery 08.11.2021 9:14
Full article: https://www.ajronline.org/doi/10.2214/AJR.21.26411 Shambo Guha Roy, MBBS, MD discusses a new article in which the authors explored associations between preoperative thoracic CT findings and need for postoperative mechanical ventilation after major abdominal or pelvic surgeries.
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