Pub Date : 2025-06-06DOI: 10.1067/j.cpradiol.2025.06.004
Chloe M. Chhor MD , Surbhi Raichandani MD , Liam du Preez MD , Nicholas R. Brandser BS , Joseph Fotos MD , Rahim S. Jiwani MS , David Li MD , Prabhakar Shantha Rajiah MBBS, MD, FRCR , Jessica M. Sin MD, PhD , Xuan V. Nguyen MD PhD
Each year, the healthcare industry generates a substantial amount of data, and radiology stands out as a medical specialty that often produces significant volumes of data. This is due to the large amount of data contained within imaging studies such CT scans, MRIs, and radiographs. As the demand for imaging services grows, practices encounter more patients and perform more scans, leading to an ever-growing volume of generated data. To sustain the growing volume of data and to adhere to data privacy regulations, radiology groups require a thoughtfully designed data governance program to oversee data availability, usability, integrity, and security. Data governance, when effectively implemented, safeguards the consistency and trustworthiness of data, reducing risk of misuse. This review summarizes various concepts and practices related to data governance in radiology.
{"title":"Data governance in radiology Part I: Overview of data management approaches to radiology","authors":"Chloe M. Chhor MD , Surbhi Raichandani MD , Liam du Preez MD , Nicholas R. Brandser BS , Joseph Fotos MD , Rahim S. Jiwani MS , David Li MD , Prabhakar Shantha Rajiah MBBS, MD, FRCR , Jessica M. Sin MD, PhD , Xuan V. Nguyen MD PhD","doi":"10.1067/j.cpradiol.2025.06.004","DOIUrl":"10.1067/j.cpradiol.2025.06.004","url":null,"abstract":"<div><div>Each year, the healthcare industry generates a substantial amount of data, and radiology stands out as a medical specialty that often produces significant volumes of data. This is due to the large amount of data contained within imaging studies such CT scans, MRIs, and radiographs. As the demand for imaging services grows, practices encounter more patients and perform more scans, leading to an ever-growing volume of generated data. To sustain the growing volume of data and to adhere to data privacy regulations, radiology groups require a thoughtfully designed data governance program to oversee data availability, usability, integrity, and security. Data governance, when effectively implemented, safeguards the consistency and trustworthiness of data, reducing risk of misuse. This review summarizes various concepts and practices related to data governance in radiology.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 554-561"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-06DOI: 10.1067/j.cpradiol.2025.06.005
Chloe Reyes (Student) , Lisa M. Ponce MS, RT(R) , Cathy L. Hannafin MBA/HCM, RN, CPHQ , Jonathan A. Flug MD, MBA , Meredith Fishleder (Student) , Nelly Tan MD
Background and Objective
The 2021-2022 Accreditation Council for Graduate Medical Education (ACGME) survey of radiology residents at our institution showed a level of participation in safety event investigations that was below ACGME compliance standards. We undertook a quality improvement (QI) project that aimed to increase resident participation in safety event root cause analysis (RCA) and action planning, as well as to enhance the QI training experience for radiology residents.
Methods
A team of residents, program leaders, and radiology QI professionals applied the DMAIC (Define, Measure, Analyze, Improve, Control) methodology to identify root causes of low resident participation in safety event investigations.
Results
We designed and implemented targeted interventions that aimed to restore compliance with ACGME standards. Interventions included integrating first-year residents into the Radiology Quality Oversight Committee, improving safety event reporting education, clarifying terminology used in ACGME survey questions, and incorporating simulated RCA events. The subsequent ACGME survey showed that our QI initiative led to a 33% increase in resident participation in safety event investigations without compromising the balance between education and patient care.
Discussion
Addressing the observed decline through structured QI initiatives not only restored compliance with ACGME standards but also strengthened the overall educational experience for residents. This project underscores the critical role of targeted interventions in maintaining high levels of resident engagement in patient safety activities.
{"title":"Improving patient safety education for radiology residents: Using a quality improvement approach","authors":"Chloe Reyes (Student) , Lisa M. Ponce MS, RT(R) , Cathy L. Hannafin MBA/HCM, RN, CPHQ , Jonathan A. Flug MD, MBA , Meredith Fishleder (Student) , Nelly Tan MD","doi":"10.1067/j.cpradiol.2025.06.005","DOIUrl":"10.1067/j.cpradiol.2025.06.005","url":null,"abstract":"<div><h3>Background and Objective</h3><div>The 2021-2022 Accreditation Council for Graduate Medical Education (ACGME) survey of radiology residents at our institution showed a level of participation in safety event investigations that was below ACGME compliance standards. We undertook a quality improvement (QI) project that aimed to increase resident participation in safety event root cause analysis (RCA) and action planning, as well as to enhance the QI training experience for radiology residents.</div></div><div><h3>Methods</h3><div>A team of residents, program leaders, and radiology QI professionals applied the DMAIC (Define, Measure, Analyze, Improve, Control) methodology to identify root causes of low resident participation in safety event investigations.</div></div><div><h3>Results</h3><div>We designed and implemented targeted interventions that aimed to restore compliance with ACGME standards. Interventions included integrating first-year residents into the Radiology Quality Oversight Committee, improving safety event reporting education, clarifying terminology used in ACGME survey questions, and incorporating simulated RCA events. The subsequent ACGME survey showed that our QI initiative led to a 33% increase in resident participation in safety event investigations without compromising the balance between education and patient care.</div></div><div><h3>Discussion</h3><div>Addressing the observed decline through structured QI initiatives not only restored compliance with ACGME standards but also strengthened the overall educational experience for residents. This project underscores the critical role of targeted interventions in maintaining high levels of resident engagement in patient safety activities.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 568-573"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-05DOI: 10.1067/j.cpradiol.2025.06.002
Divij Agarwal MD DNB , Ekta Dhamija MD , Devipriya S MBBS , Smriti Hari MD
Breast pain, or mastalgia, is an extremely common symptom among women, affecting over two-thirds of women during their lifetime. Although rarely linked to malignancy, breast pain often prompts women to seek medical consultation. While imaging is not always necessary, the selection of the radiological investigations should be guided by the type and characteristics of breast pain (cyclical, non-cyclical or focal pain), patient age, and associated clinical findings. The primary aim is to identify and appropriately manage the cause of pain, while excluding any underlying malignancy. The aim of this article is to delineate an effective algorithmic strategy for the workup of mastalgia, which is tailored to identify the cause for pain, while optimally utilizing the imaging tools.
{"title":"Imaging in mastalgia: What, when and why?","authors":"Divij Agarwal MD DNB , Ekta Dhamija MD , Devipriya S MBBS , Smriti Hari MD","doi":"10.1067/j.cpradiol.2025.06.002","DOIUrl":"10.1067/j.cpradiol.2025.06.002","url":null,"abstract":"<div><div>Breast pain<span>, or mastalgia, is an extremely common symptom among women, affecting over two-thirds of women during their lifetime. Although rarely linked to malignancy, breast pain often prompts women to seek medical consultation. While imaging is not always necessary, the selection of the radiological investigations should be guided by the type and characteristics of breast pain (cyclical, non-cyclical or focal pain), patient age, and associated clinical findings. The primary aim is to identify and appropriately manage the cause of pain, while excluding any underlying malignancy. The aim of this article is to delineate an effective algorithmic strategy for the workup of mastalgia, which is tailored to identify the cause for pain, while optimally utilizing the imaging tools.</span></div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 2","pages":"Pages 298-310"},"PeriodicalIF":1.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-04DOI: 10.1067/j.cpradiol.2025.06.003
Sirui Jiang MD PhD , Kaustav Bera MD , Zachary A Ohs DO , Ifeanyi O Ekpunobi BS , Nami R Azar MD , Sree Harsha Tirumani MD , Nikhil H Ramaiya MD
The growing elderly population is transforming healthcare delivery, with radiology playing a central role in diagnosing and managing diseases in older adults. As patients age, they develop distinct imaging characteristics due to physiological changes and comorbidities, which can complicate diagnosis and treatment across radiologic subspecialties. This article explores key geriatric imaging considerations in neuroradiology, cardiothoracic, abdominopelvic, musculoskeletal, oncologic, and interventional radiology, emphasizing how each subspecialty faces unique challenges in distinguishing normal aging from pathology.
Despite progress in geriatric care across many medical disciplines, radiology has lagged in its adaptation—lacking specific training programs, imaging protocols, and geriatric-focused guidelines. This article calls for the integration of geriatric content into radiology curricula and the development of tailored imaging templates and multimodality strategies.
By aligning imaging approaches with the realities of aging physiology, radiologists can enhance diagnostic accuracy and clinical decision-making. Geriatric-specific radiologic frameworks are essential to optimizing outcomes, reducing diagnostic ambiguity, and meeting the complex needs of elderly patients. Advancing radiology practices in this direction will ensure that older adults receive more precise, personalized care and benefit from innovations in imaging science tailored to their demographic.
{"title":"Age is more than just a number – Tailoring radiologic practice for the geriatric population","authors":"Sirui Jiang MD PhD , Kaustav Bera MD , Zachary A Ohs DO , Ifeanyi O Ekpunobi BS , Nami R Azar MD , Sree Harsha Tirumani MD , Nikhil H Ramaiya MD","doi":"10.1067/j.cpradiol.2025.06.003","DOIUrl":"10.1067/j.cpradiol.2025.06.003","url":null,"abstract":"<div><div>The growing elderly population is transforming healthcare delivery, with radiology playing a central role in diagnosing and managing diseases in older adults. As patients age, they develop distinct imaging characteristics due to physiological changes and comorbidities, which can complicate diagnosis and treatment across radiologic subspecialties. This article explores key geriatric imaging considerations in neuroradiology, cardiothoracic, abdominopelvic, musculoskeletal, oncologic, and interventional radiology, emphasizing how each subspecialty faces unique challenges in distinguishing normal aging from pathology.</div><div>Despite progress in geriatric care across many medical disciplines, radiology has lagged in its adaptation—lacking specific training programs, imaging protocols, and geriatric-focused guidelines. This article calls for the integration of geriatric content into radiology curricula and the development of tailored imaging templates and multimodality strategies.</div><div>By aligning imaging approaches with the realities of aging physiology, radiologists can enhance diagnostic accuracy and clinical decision-making. Geriatric-specific radiologic frameworks are essential to optimizing outcomes, reducing diagnostic ambiguity, and meeting the complex needs of elderly patients. Advancing radiology practices in this direction will ensure that older adults receive more precise, personalized care and benefit from innovations in imaging science tailored to their demographic.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 529-542"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-04DOI: 10.1067/j.cpradiol.2025.06.009
Chloe M. Chhor MD , Surbhi Raichandani MD , Liam du Preez MD , Nicholas R. Brandser BS , Joseph Fotos MD , Rahim S. Jiwani MS , David Li MD , Prabhakar Shantha Rajiah MBBS, MD, FRCR , Jessica M. Sin MD, PhD , Xuan V. Nguyen MD PhD
Effective data governance has potential to enhance clinical radiology practice and facilitate radiologic research and education. This article will review specific topics in data governance relevant to radiology, with emphasis on innovative approaches and adaptations that may advance radiology in the near future. The potential value of radiology images and reports for AI and other research opportunities is discussed, as are mechanisms to facilitate radiologic data access and exchange, including federated data access to facilitate research or large-scale quality monitoring while preserving data privacy. Data governance also has application to radiology education, including limitations and privacy/confidentiality issues related to access by radiology learners. Innovative approaches to radiology report generation and other modifications to radiology workflow could add to radiologist efficiency and maximize accuracy or other quality measures of radiology data.
{"title":"Data governance in radiology part II: Innovative opportunities for research, education, and clinical practice in radiology","authors":"Chloe M. Chhor MD , Surbhi Raichandani MD , Liam du Preez MD , Nicholas R. Brandser BS , Joseph Fotos MD , Rahim S. Jiwani MS , David Li MD , Prabhakar Shantha Rajiah MBBS, MD, FRCR , Jessica M. Sin MD, PhD , Xuan V. Nguyen MD PhD","doi":"10.1067/j.cpradiol.2025.06.009","DOIUrl":"10.1067/j.cpradiol.2025.06.009","url":null,"abstract":"<div><div>Effective data governance has potential to enhance clinical radiology practice and facilitate radiologic research and education. This article will review specific topics in data governance relevant to radiology, with emphasis on innovative approaches and adaptations that may advance radiology in the near future. The potential value of radiology images and reports for AI and other research opportunities is discussed, as are mechanisms to facilitate radiologic data access and exchange, including federated data access to facilitate research or large-scale quality monitoring while preserving data privacy. Data governance also has application to radiology education, including limitations and privacy/confidentiality issues related to access by radiology learners. Innovative approaches to radiology report generation and other modifications to radiology workflow could add to radiologist efficiency and maximize accuracy or other quality measures of radiology data.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 562-567"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-04DOI: 10.1067/j.cpradiol.2025.06.008
Rebecca Driessen MD, Sadhna Nandwana MD, Farid Hajibonabi MD, Courtney Moreno MD, Amir Davarpanah MD, Patricia Balthazar MD
Purpose
To evaluate the prevalence of malignancy history documentation in CT abdomen or abdomen/pelvis (CT AP) order requisitions and inclusion in final radiology reports, when not included in the order requisition. Influence of exam type, radiologist subspecialty, and patient characteristics on documentation rates was evaluated.
Methods
This retrospective cross-sectional study was conducted at a large academic healthcare system. All patients with a malignancy history who underwent CT AP from 1/1/23-1/31/23 were identified. Data were reviewed for malignancy documentation in both radiology order requisition and final reports, using multivariable logistic regression to assess documentation rates by patient setting and control for exam, radiologist, and patient covariates.
Results
Among 1,858 CT APs, 51% included malignancy history in the order requisition, and 71.3% in the final report. Documentation was more likely in the order requisition in outpatient vs. emergency department (ED) settings (OR 10.5; p<0.001) and inpatient vs. ED (OR 1.51; p=0.050), younger patients (OR 0.98 per year; p<0.001), and those of non-Black race (Other race OR 2.06 and White OR 1.36, respectively; p<0.001 and p=0.011). Documentation in final radiology reports, when initially omitted in the order requisition, was more likely during business hours (OR 1.41; p=0.039), outpatient and inpatient settings (ORs 1.90 and 1.70, respectively; p-value 0.013 and p-value 0.019), with younger patients (OR 0.99; p=0.009), and less likely in White patients compared to Black (OR 0.50; p<0.001).
Conclusion
Malignancy history is frequently omitted in initial CT AP order requisitions but is often added by radiologists in final reports, correlated with the imaging timing, setting, and patient demographics.
{"title":"Completeness and accuracy of malignancy history in abdominal CT order requisitions and final radiology reports","authors":"Rebecca Driessen MD, Sadhna Nandwana MD, Farid Hajibonabi MD, Courtney Moreno MD, Amir Davarpanah MD, Patricia Balthazar MD","doi":"10.1067/j.cpradiol.2025.06.008","DOIUrl":"10.1067/j.cpradiol.2025.06.008","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the prevalence of malignancy history documentation in CT abdomen or abdomen/pelvis (CT AP) order requisitions and inclusion in final radiology reports, when not included in the order requisition. Influence of exam type, radiologist subspecialty, and patient characteristics on documentation rates was evaluated.</div></div><div><h3>Methods</h3><div>This retrospective cross-sectional study was conducted at a large academic healthcare system. All patients with a malignancy history who underwent CT AP from 1/1/23-1/31/23 were identified. Data were reviewed for malignancy documentation in both radiology order requisition and final reports, using multivariable logistic regression to assess documentation rates by patient setting and control for exam, radiologist, and patient covariates.</div></div><div><h3>Results</h3><div>Among 1,858 CT APs, 51% included malignancy history in the order requisition, and 71.3% in the final report. Documentation was more likely in the order requisition in outpatient vs. emergency department (ED) settings (OR 10.5; p<0.001) and inpatient vs. ED (OR 1.51; p=0.050), younger patients (OR 0.98 per year; p<0.001), and those of non-Black race (Other race OR 2.06 and White OR 1.36, respectively; p<0.001 and p=0.011). Documentation in final radiology reports, when initially omitted in the order requisition, was more likely during business hours (OR 1.41; p=0.039), outpatient and inpatient settings (ORs 1.90 and 1.70, respectively; p-value 0.013 and p-value 0.019), with younger patients (OR 0.99; p=0.009), and less likely in White patients compared to Black (OR 0.50; p<0.001).</div></div><div><h3>Conclusion</h3><div>Malignancy history is frequently omitted in initial CT AP order requisitions but is often added by radiologists in final reports, correlated with the imaging timing, setting, and patient demographics.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 25-30"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-17DOI: 10.1067/j.cpradiol.2025.05.004
Mohammad Yasrab MD, Charles K. Crawford BS, Elliot K. Fishman MD, Satomi Kawamoto MD
Pulmonary artery (PA) aneurysms are rare vascular abnormalities with potentially life-threatening complications such as rupture, massive hemoptysis, and pulmonary infarction. These conditions are often asymptomatic and incidentally detected but can present with nonspecific symptoms like cough, dyspnea, or hemoptysis in an emergency setting. Multidetector CT pulmonary angiography (CTPA) has outshone traditional angiography, supplemented by advanced 3D post-processing techniques such as maximum intensity projection (MIP), volumetric rendering (VR), and cinematic rendering (CR) techniques, playing a pivotal role in diagnosis and management of PA aneurysms. This pictorial essay reviews eight cases of PA aneurysms and pseudoaneurysms, exploring their diverse etiologies, imaging findings, and the application of 3D imaging to enhance diagnostic confidence and procedural planning. Through these cases, we highlight the critical role of advanced imaging and post-processing reconstructions in the timely identification and treatment of these rare but high-risk vascular entities in the emergency setting.
{"title":"CT imaging of pulmonary artery aneurysms in the emergency department – What you need to know","authors":"Mohammad Yasrab MD, Charles K. Crawford BS, Elliot K. Fishman MD, Satomi Kawamoto MD","doi":"10.1067/j.cpradiol.2025.05.004","DOIUrl":"10.1067/j.cpradiol.2025.05.004","url":null,"abstract":"<div><div>Pulmonary artery (PA) aneurysms are rare vascular abnormalities with potentially life-threatening complications such as rupture, massive hemoptysis, and pulmonary infarction. These conditions are often asymptomatic and incidentally detected but can present with nonspecific symptoms like cough, dyspnea, or hemoptysis in an emergency setting. Multidetector CT pulmonary angiography (CTPA) has outshone traditional angiography, supplemented by advanced 3D post-processing techniques such as maximum intensity projection (MIP), volumetric rendering (VR), and cinematic rendering (CR) techniques, playing a pivotal role in diagnosis and management of PA aneurysms. This pictorial essay reviews eight cases of PA aneurysms and pseudoaneurysms, exploring their diverse etiologies, imaging findings, and the application of 3D imaging to enhance diagnostic confidence and procedural planning. Through these cases, we highlight the critical role of advanced imaging and post-processing reconstructions in the timely identification and treatment of these rare but high-risk vascular entities in the emergency setting.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 2","pages":"Pages 290-297"},"PeriodicalIF":1.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-11DOI: 10.1067/j.cpradiol.2025.05.003
Shehbaz Ansari MD, Brian H. Mu MD, Eric R. Basappa MD, Melih Akyuz MD, Miral D. Jhaveri MD MBA, Santhosh Gaddikeri MD
Background and purpose
The sagittal angle of the trigeminal nerve at the porus trigeminus (SATNaPT) has been described as abnormally hyperacute in a subset of patients with trigeminal neuralgia and proposed as a potential marker for the likelihood of poor microvascular decompression (MVD) outcomes. The purpose of this study is to replicate these results and evaluate this hypothesized association by comparing the SATNaPT between MVD responders and non-responders.
Materials and methods
At a single institution, 80 patients with a clinical diagnosis of trigeminal neuralgia, surgical intervention with MVD, and available adequate high-resolution T2 imaging were identified. SATNaPT was measured between the cisternal segment of the trigeminal nerve and its uppermost branch in the Meckel cave by a blinded observer. These data were evaluated for normality of distribution and compared between responders and non-responders to MVD as well as between affected and unaffected sides. Non-response to MVD was defined as persistent pain requiring continuous medication postoperatively or progression to secondary interventions.
Results
There were 43 (52.5 %) responders and 39 (47.5 %) non-responders to MVD. Two patients had bilateral disease for 82 affected sides and 78 unaffected sides. The mean SATNaPT among responders was 150.5° (SD: ±10.6°), which was not significantly different (p = 0.21) from the 153.1° (SD: ±8.0°) mean angle in non-responders. Mean SATNaPT was not significantly different (p = 0.10) between the affected (mean: 151.7°, SD: ±9.5°) and the unaffected (mean: 153.1°, SD: ±10.0°) sides.
Conclusions
Our study did not replicate the bimodal distribution of the SATNaPT in cTN patients. No statistically significant difference was noted in the SATNaPT between responders and non-responders to MVD or between symptomatic and asymptomatic sides.
{"title":"Comparison of sagittal angle of trigeminal nerve at porus trigeminus between responders and non-responders to microvascular decompression surgery in patients with trigeminal neuralgia","authors":"Shehbaz Ansari MD, Brian H. Mu MD, Eric R. Basappa MD, Melih Akyuz MD, Miral D. Jhaveri MD MBA, Santhosh Gaddikeri MD","doi":"10.1067/j.cpradiol.2025.05.003","DOIUrl":"10.1067/j.cpradiol.2025.05.003","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The sagittal angle of the trigeminal nerve at the porus trigeminus (SATNaPT) has been described as abnormally hyperacute in a subset of patients with trigeminal neuralgia and proposed as a potential marker for the likelihood of poor microvascular decompression (MVD) outcomes. The purpose of this study is to replicate these results and evaluate this hypothesized association by comparing the SATNaPT between MVD responders and non-responders.</div></div><div><h3>Materials and methods</h3><div>At a single institution, 80 patients with a clinical diagnosis of trigeminal neuralgia, surgical intervention with MVD, and available adequate high-resolution T2 imaging were identified. SATNaPT was measured between the cisternal segment of the trigeminal nerve and its uppermost branch in the Meckel cave by a blinded observer. These data were evaluated for normality of distribution and compared between responders and non-responders to MVD as well as between affected and unaffected sides. Non-response to MVD was defined as persistent pain requiring continuous medication postoperatively or progression to secondary interventions.</div></div><div><h3>Results</h3><div>There were 43 (52.5 %) responders and 39 (47.5 %) non-responders to MVD. Two patients had bilateral disease for 82 affected sides and 78 unaffected sides. The mean SATNaPT among responders was 150.5° (SD: ±10.6°), which was not significantly different (<em>p</em> = 0.21) from the 153.1° (SD: ±8.0°) mean angle in non-responders. Mean SATNaPT was not significantly different (<em>p</em> = 0.10) between the affected (mean: 151.7°, SD: ±9.5°) and the unaffected (mean: 153.1°, SD: ±10.0°) sides.</div></div><div><h3>Conclusions</h3><div>Our study did not replicate the bimodal distribution of the SATNaPT in cTN patients. No statistically significant difference was noted in the SATNaPT between responders and non-responders to MVD or between symptomatic and asymptomatic sides.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 585-589"},"PeriodicalIF":1.5,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-07DOI: 10.1067/j.cpradiol.2025.05.001
Dr. Veenu Singla MD, Dr. Dollphy Garg MD, Bhavith N P, MBBS
Contrast enhanced mammography (CEM) is a promising imaging technique in breast imaging, combining efficiency and cost-effectiveness with the ability to provide structural as well as functional information. However, like all imaging modalities, CEM is prone to artifacts that can occur at various stages of the process, including patient preparation, image acquisition, equipment calibration, and digital subtraction. Recognising and rectifying these artifacts is essential for achieving optimal image quality and accurate diagnosis. The purpose of this article is to familiarise the readers with common artifacts encountered during CEM and minimise their impact on image interpretation, with a focus on strategies for optimising CEM imaging. We have also described a few previously uncharted CEM-specific artifacts observed in our clinical experience. Additionally, this review highlights major pitfalls encountered during CEM reporting and measures to improve diagnostic accuracy.
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Pub Date : 2025-05-01DOI: 10.1067/j.cpradiol.2025.04.012
Matthew D. Viveiros B.S , Abigail Buckley B.S , Mina S. Makary M.D
Objective
To evaluate wellness across interventional radiology residency programs within the US through their online presence and to highlight areas of success and further improvement.
Materials and Methods
A systematic review was conducted of the websites specific to Interventional Radiology and Graduate Medical Education (GME) for all ACGME-accredited IR residency programs listed in the 2023-2024 ERAS. Data collection was based on 39 predetermined wellness criteria across five categories: general program characteristics, financial, work, personal, and social, which were evaluated for their presence or absence on each website.
Results
Out of 169 total IR residency programs, 165 websites were analyzed. Key findings included a predominant male-to-female ratio, variable financial support offerings, and inconsistent representation of work and personal wellness features across websites. The most frequently included wellness aspects were city life, vacation days, insurance coverage, moonlighting, and mental health resources, while <50 % of programs adequately provided information on social events and elective opportunities.
Conclusion
This study represents the first comprehensive online evaluation of wellness resources in IR residency programs, identifying significant variability and gaps in how programs present wellness-related information. While some areas demonstrate success, there is a crucial need for enhanced transparency and consistency across websites. Future research should develop standardized reporting and evaluation methods to better support the well-being and career development of residents, thereby improving the alignment between program offerings and the wellness needs of IR trainees. This foundational work sets the stage for ongoing improvements in the way residency programs communicate key aspects of wellness to prospective residents.
{"title":"Perceived wellness through the online lens: assessment of wellness resources in interventional radiology residency websites","authors":"Matthew D. Viveiros B.S , Abigail Buckley B.S , Mina S. Makary M.D","doi":"10.1067/j.cpradiol.2025.04.012","DOIUrl":"10.1067/j.cpradiol.2025.04.012","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate wellness across interventional radiology residency programs within the US through their online presence and to highlight areas of success and further improvement.</div></div><div><h3>Materials and Methods</h3><div>A systematic review was conducted of the websites specific to Interventional Radiology and Graduate Medical Education (GME) for all ACGME-accredited IR residency programs listed in the 2023-2024 ERAS. Data collection was based on 39 predetermined wellness criteria across five categories: general program characteristics, financial, work, personal, and social, which were evaluated for their presence or absence on each website.</div></div><div><h3>Results</h3><div>Out of 169 total IR residency programs, 165 websites were analyzed. Key findings included a predominant male-to-female ratio, variable financial support offerings, and inconsistent representation of work and personal wellness features across websites. The most frequently included wellness aspects were city life, vacation days, insurance coverage, moonlighting, and mental health resources, while <50 % of programs adequately provided information on social events and elective opportunities.</div></div><div><h3>Conclusion</h3><div>This study represents the first comprehensive online evaluation of wellness resources in IR residency programs, identifying significant variability and gaps in how programs present wellness-related information. While some areas demonstrate success, there is a crucial need for enhanced transparency and consistency across websites. Future research should develop standardized reporting and evaluation methods to better support the well-being and career development of residents, thereby improving the alignment between program offerings and the wellness needs of IR trainees. This foundational work sets the stage for ongoing improvements in the way residency programs communicate key aspects of wellness to prospective residents.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 48-53"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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