Pub Date : 2022-05-13DOI: 10.52560/2713-0118-2022-3-74-82
O. V. Lukovkina, N. Sholohova, Y. Sokolov, T. V. Utkina
The article presents a description of a clinical case in a 7-year old child suffering occasional abdominal pain. An examination (3D magnetic resonance cholangiopancreatography) revealed a choledoch duct cyst type Iс. Surgical correction of congenital malformation of bile ducts was performed due to periodic attacks of pain, presence of concretions in the ducts, the possibility of malignification in the future and the development of possible complications. The clinical example demonstrates the high efficiency of MRCP for assessing anatomical and topographic relationships and concomitant structural anomalies that allow planning the tactics of surgical treatment. MRCP is important to use in the postoperative period to assess possible complications.
{"title":"Role of Magnetic Resonance Cholangiopancreatography in the Diagnosis of Cystic Transformation Hepaticocholedoch and Possible Postoperative Complications (Clinical Case)","authors":"O. V. Lukovkina, N. Sholohova, Y. Sokolov, T. V. Utkina","doi":"10.52560/2713-0118-2022-3-74-82","DOIUrl":"https://doi.org/10.52560/2713-0118-2022-3-74-82","url":null,"abstract":"The article presents a description of a clinical case in a 7-year old child suffering occasional abdominal pain. An examination (3D magnetic resonance cholangiopancreatography) revealed a choledoch duct cyst type Iс. Surgical correction of congenital malformation of bile ducts was performed due to periodic attacks of pain, presence of concretions in the ducts, the possibility of malignification in the future and the development of possible complications. The clinical example demonstrates the high efficiency of MRCP for assessing anatomical and topographic relationships and concomitant structural anomalies that allow planning the tactics of surgical treatment. MRCP is important to use in the postoperative period to assess possible complications.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"149 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86205696","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 : 2022-05-13DOI: 10.52560/2713-0118-2022-3-39-50
A. Telesh, T. Morozova
The aim of this work is to evaluate possibilities of MR liver non-contrast perfusion in patients with diffuse liver diseases (DLD). Laboratory data, results of ultrasound examination with doppler ultrasonography of liver vessels, results of MRI with non-contrast MR perfusion (ASL-perfusion) of the liver was estimated in a group of patients with DLD. Potentials of assessment of ASL liver perfusion for clinical form prediction are described in the article. Potentials of using the assessment of ASL liver perfusion for information about a liver blood flow type and process activity indicators by blood chemistry are also described. It was established, that ASL MR of the liver is recommended to use in patients with diffuse liver diseases who admitted to a hospital, then in 1 month (in case of hypo/hyperperfusion) or in 6 months (in case of normal perfusion).
{"title":"Using Magnetic Resonance Liver Non-Contrast Perfusion in Patients with Diffuse Liver Diseases","authors":"A. Telesh, T. Morozova","doi":"10.52560/2713-0118-2022-3-39-50","DOIUrl":"https://doi.org/10.52560/2713-0118-2022-3-39-50","url":null,"abstract":"The aim of this work is to evaluate possibilities of MR liver non-contrast perfusion in patients with diffuse liver diseases (DLD). Laboratory data, results of ultrasound examination with doppler ultrasonography of liver vessels, results of MRI with non-contrast MR perfusion (ASL-perfusion) of the liver was estimated in a group of patients with DLD. Potentials of assessment of ASL liver perfusion for clinical form prediction are described in the article. Potentials of using the assessment of ASL liver perfusion for information about a liver blood flow type and process activity indicators by blood chemistry are also described. It was established, that ASL MR of the liver is recommended to use in patients with diffuse liver diseases who admitted to a hospital, then in 1 month (in case of hypo/hyperperfusion) or in 6 months (in case of normal perfusion).","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"18 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88593179","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 : 2022-04-27DOI: 10.52560/2713-0118-2022-2-9-23
L. Korytova, D. Sklyar, E. V. Vlasova, A. Pavlovskiy, A. Polikarpov, E. V. Moiseenko, O. Korytov
The coronavirus of severe acute respiratory syndrome-2 (SARS-CoV-2) and the coronavirus infection caused by it, along with damage to the respiratory system, can lead to disorders of the central and peripheral nervous system. The article presents literature data and own observations of neurological disorders in patients with coronavirus disease in the superacute period. Pronounced neurological disorders are mainly observed in severe coronavirus disease and include acute ischemic stroke, subcortical micro- and macro— bleeding, acute necrotizing encephalopathy, Guillain-Barre syndrome. Factors potentially complicating the course of coronavirus disease and contributing to the development of neurological complications are hypertension, diabetes mellitus, chronic diseases of the heart and respiratory system. Based on existing publications and our own observations, we have systematized information about the relationship between coronavirus disease and neurological disorders, about possible factors contributing to the occurrence of stroke. The possibilities of using chest MSCT as the only method of radiation diagnostics for the early detection of viral pneumonia in patients receiving emergency and emergency care at the regional vascular center of BUZOO «GC BSMP No. 1» are considered. The use of this method, in the ultra-acute period of acute ischemic stroke, during the first 40 minutes from the moment of admission, can significantly reduce the time of diagnosis and mortality in patients with acute ischemic stroke and viral pneumonia.
{"title":"Evaluation of the Efficacy of Neoadjuvant Radiation Twice a Day Fractionation Therapy in Patients with Resectable Pancreatic Head Cancer","authors":"L. Korytova, D. Sklyar, E. V. Vlasova, A. Pavlovskiy, A. Polikarpov, E. V. Moiseenko, O. Korytov","doi":"10.52560/2713-0118-2022-2-9-23","DOIUrl":"https://doi.org/10.52560/2713-0118-2022-2-9-23","url":null,"abstract":"The coronavirus of severe acute respiratory syndrome-2 (SARS-CoV-2) and the coronavirus infection caused by it, along with damage to the respiratory system, can lead to disorders of the central and peripheral nervous system. The article presents literature data and own observations of neurological disorders in patients with coronavirus disease in the superacute period. Pronounced neurological disorders are mainly observed in severe coronavirus disease and include acute ischemic stroke, subcortical micro- and macro— bleeding, acute necrotizing encephalopathy, Guillain-Barre syndrome. Factors potentially complicating the course of coronavirus disease and contributing to the development of neurological complications are hypertension, diabetes mellitus, chronic diseases of the heart and respiratory system. Based on existing publications and our own observations, we have systematized information about the relationship between coronavirus disease and neurological disorders, about possible factors contributing to the occurrence of stroke. The possibilities of using chest MSCT as the only method of radiation diagnostics for the early detection of viral pneumonia in patients receiving emergency and emergency care at the regional vascular center of BUZOO «GC BSMP No. 1» are considered. The use of this method, in the ultra-acute period of acute ischemic stroke, during the first 40 minutes from the moment of admission, can significantly reduce the time of diagnosis and mortality in patients with acute ischemic stroke and viral pneumonia.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"1 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76714760","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 : 2022-04-27DOI: 10.52560/2713-0118-2022-2-84-93
D. S. Stegura, R. Konovalov, M. Krotenkova, M. Dreval’, P. Anufriev, A. N. Kovaleva, D. D. Kuryshev
Hippel-Lindau disease is a rare hereditary combined pathology characterized by development of a variety of benign and malignant tumors in the central nervous system, kidneys, pancreas, adrenal glands, which causes a wide range of clinical manifestations. A comprehensive diagnostic approach using various imaging techniques such as ultrasound, magnetic resonance imaging, computed tomography, and genetic testing is an integral part of successful treatment.
{"title":"Multimodal Approach in the Diagnosis of Hippel – Lindau Disease. Case Report","authors":"D. S. Stegura, R. Konovalov, M. Krotenkova, M. Dreval’, P. Anufriev, A. N. Kovaleva, D. D. Kuryshev","doi":"10.52560/2713-0118-2022-2-84-93","DOIUrl":"https://doi.org/10.52560/2713-0118-2022-2-84-93","url":null,"abstract":"Hippel-Lindau disease is a rare hereditary combined pathology characterized by development of a variety of benign and malignant tumors in the central nervous system, kidneys, pancreas, adrenal glands, which causes a wide range of clinical manifestations. A comprehensive diagnostic approach using various imaging techniques such as ultrasound, magnetic resonance imaging, computed tomography, and genetic testing is an integral part of successful treatment.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"46 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82883946","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}
Early diagnosis of oral cancer is critical to improve the survival rate of patients. The current strategies for screening of patients for oral premalignant and malignant lesions unfortunately miss a significant number of involved patients. Optical coherence tomography (OCT) is an optical imaging modality that has been widely investigated in the field of oncology for identification of cancerous entities. Since the interpretation of OCT images requires professional training and OCT images contain information that cannot be inferred visually, artificial intelligence (AI) with trained algorithms has the ability to quantify visually undetectable variations, thus overcoming the barriers that have postponed the involvement of OCT in the process of screening of oral neoplastic lesions. This literature review aimed to highlight the features of precancerous and cancerous oral lesions on OCT images and specify how AI can assist in screening and diagnosis of such pathologies.
{"title":"Oral Cancer Screening by Artificial Intelligence-Oriented Interpretation of Optical Coherence Tomography Images","authors":"K. Ramezani, M. Tofangchiha","doi":"10.1155/2022/1614838","DOIUrl":"https://doi.org/10.1155/2022/1614838","url":null,"abstract":"Early diagnosis of oral cancer is critical to improve the survival rate of patients. The current strategies for screening of patients for oral premalignant and malignant lesions unfortunately miss a significant number of involved patients. Optical coherence tomography (OCT) is an optical imaging modality that has been widely investigated in the field of oncology for identification of cancerous entities. Since the interpretation of OCT images requires professional training and OCT images contain information that cannot be inferred visually, artificial intelligence (AI) with trained algorithms has the ability to quantify visually undetectable variations, thus overcoming the barriers that have postponed the involvement of OCT in the process of screening of oral neoplastic lesions. This literature review aimed to highlight the features of precancerous and cancerous oral lesions on OCT images and specify how AI can assist in screening and diagnosis of such pathologies.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"1 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90208585","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}
T. Pengpan, N. Rattanarungruangchai, Juthathip Dechjaithat, Phawinee Panthim, Puntarika Siricharuwong, Ausanai Prapan
Purpose This study aimed to identify proper exposure techniques to maintain optimal diagnostic image quality with minimum radiation dose for anteroposterior chest X-ray projection in pediatric patients. Methods Briefly, an in-house developed pediatric chest phantom was constructed. Next, nanodot OSLDs were used for organ absorbed dose measurement and placed in the lung area, and the phantom was exposed to various exposure techniques (ranging from 50 to 70 kVp with 1.6, 2, and 2.5 mAs). After that, the phantom was used to assess image quality parameters, including SNR and CNR. Two radiologists assessed the subjective image quality using a visual grading analysis (VGA) technique. Finally, the figure of merit (FOM) was analyzed. Results The developed phantom was constructed successfully and could be useful for dose measurement and image quality assessment. The absorbed dose varied from 0.009 to 0.031 mGy for the range of exposure techniques used. SNR and CNR showed a gradually increasing trend, while kVp and mAs values were increased. The highest kVp (70 kVp) produced the highest SNR and CNR, exhibiting a significant difference compared with 50 and 60 kVp (P < 0.05). The overall VGA score was 3.2 ± 0.3, and the low kVp technique demonstrated better image quality compared with the reference image. Conclusion The optimized exposure technique was identified as 60 kV and 2.5 mAs, indicating the highest FOM score. This work revealed practicable techniques that could be implemented into clinical practice for performing pediatric chest radiography.
{"title":"Optimization of Image Quality and Organ Absorbed Dose for Pediatric Chest X-Ray Examination: In-House Developed Chest Phantom Study","authors":"T. Pengpan, N. Rattanarungruangchai, Juthathip Dechjaithat, Phawinee Panthim, Puntarika Siricharuwong, Ausanai Prapan","doi":"10.1155/2022/3482458","DOIUrl":"https://doi.org/10.1155/2022/3482458","url":null,"abstract":"Purpose This study aimed to identify proper exposure techniques to maintain optimal diagnostic image quality with minimum radiation dose for anteroposterior chest X-ray projection in pediatric patients. Methods Briefly, an in-house developed pediatric chest phantom was constructed. Next, nanodot OSLDs were used for organ absorbed dose measurement and placed in the lung area, and the phantom was exposed to various exposure techniques (ranging from 50 to 70 kVp with 1.6, 2, and 2.5 mAs). After that, the phantom was used to assess image quality parameters, including SNR and CNR. Two radiologists assessed the subjective image quality using a visual grading analysis (VGA) technique. Finally, the figure of merit (FOM) was analyzed. Results The developed phantom was constructed successfully and could be useful for dose measurement and image quality assessment. The absorbed dose varied from 0.009 to 0.031 mGy for the range of exposure techniques used. SNR and CNR showed a gradually increasing trend, while kVp and mAs values were increased. The highest kVp (70 kVp) produced the highest SNR and CNR, exhibiting a significant difference compared with 50 and 60 kVp (P < 0.05). The overall VGA score was 3.2 ± 0.3, and the low kVp technique demonstrated better image quality compared with the reference image. Conclusion The optimized exposure technique was identified as 60 kV and 2.5 mAs, indicating the highest FOM score. This work revealed practicable techniques that could be implemented into clinical practice for performing pediatric chest radiography.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"13 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90235570","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 : 2022-04-15DOI: 10.52560/60/2713-0118-2022-2-65-74
E. B. Olkhova, T. V. Mukaseeva, V. Soboleva, A. S. Kirsanov, I. S. Аllakhverdiev
Intestinal intussusception in a newborn is a casuistic rarity, the clinical symptoms of which are nonspecific, and patients are regarded for a relatively long time as patients with necrotic enterocolitis. There are no unambiguous radiological signs of this pathology, especially with atypical variants of intussusception, when even pneumoirrigography is uninformative. In the vast majority of cases, the diagnosis is made only intra-operatively, when the development of intestinal obstruction or perforated peritonitis determines the need for surgical intervention. The publication presents a unique observation of preoperative echographic diagnosis and successful cure of prolonged small-intestinal invagination in a premature newborn 2 days of life, the cause of which was Meckel’s diverticulum.
{"title":"Intussusception in a Newborn. Clinical Observation","authors":"E. B. Olkhova, T. V. Mukaseeva, V. Soboleva, A. S. Kirsanov, I. S. Аllakhverdiev","doi":"10.52560/60/2713-0118-2022-2-65-74","DOIUrl":"https://doi.org/10.52560/60/2713-0118-2022-2-65-74","url":null,"abstract":"Intestinal intussusception in a newborn is a casuistic rarity, the clinical symptoms of which are nonspecific, and patients are regarded for a relatively long time as patients with necrotic enterocolitis. There are no unambiguous radiological signs of this pathology, especially with atypical variants of intussusception, when even pneumoirrigography is uninformative. In the vast majority of cases, the diagnosis is made only intra-operatively, when the development of intestinal obstruction or perforated peritonitis determines the need for surgical intervention. The publication presents a unique observation of preoperative echographic diagnosis and successful cure of prolonged small-intestinal invagination in a premature newborn 2 days of life, the cause of which was Meckel’s diverticulum.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"198 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72756060","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 : 2022-04-03DOI: 10.52560/2713-0118-2022-3-67-73
A. Vasil’ev, V. Nechaev
In this study, the impact of the availability and accuracy of the patient’s clinical, laboratory and anamnestic data on the conclusion of a radiologist was evaluated. To achieve this goal, three groups of protocols of 60 digital chest radiographs performed by five radiologists with different work experience were compared. At the first stage, a set of radiographs was provided without additional information, at the second stage — with reliable brief clinical, laboratory and anamnestic data and at the third stage - with unreliable data. As a result, it was shown that the availability of reliable and accurate clinical information is important for the interpretation of chest radiographs.
{"title":"Evaluation of the influence of clinical information on the interpretation of digital chest radiographs","authors":"A. Vasil’ev, V. Nechaev","doi":"10.52560/2713-0118-2022-3-67-73","DOIUrl":"https://doi.org/10.52560/2713-0118-2022-3-67-73","url":null,"abstract":"In this study, the impact of the availability and accuracy of the patient’s clinical, laboratory and anamnestic data on the conclusion of a radiologist was evaluated. To achieve this goal, three groups of protocols of 60 digital chest radiographs performed by five radiologists with different work experience were compared. At the first stage, a set of radiographs was provided without additional information, at the second stage — with reliable brief clinical, laboratory and anamnestic data and at the third stage - with unreliable data. As a result, it was shown that the availability of reliable and accurate clinical information is important for the interpretation of chest radiographs.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"32 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75576748","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}
The impact of the picture archiving and communication system (PACS) on healthcare costs, information access, image quality, and user workflow has been well studied. However, there is insufficient evidence on the effect of this system on different dimensions of the users' work. The objective of this study was to evaluate the impact of the PACS on different dimensions of users' work (external communication, service quality, user intention to use the PACS, daily routine, and complaints on users) and to compare the opinions of different groups of users about the PACS. This study was performed on the PACS users (n = 72) at Kerman University of Medical Sciences, including radiologists, radiology staff, ward heads, and physicians. Data were collected using a questionnaire consisting of two parts: demographic information of the participants and 5-point Likert scale questions concerning the five dimensions of users' work. Data were analyzed using descriptive statistics, ANOVA, and Pearson's correlation coefficient statistical tests. The mean of scores given by the PACS users was 4.31 ± 0.86 for external communication, 4.18 ± 0.96 for user intention to use the PACS, 3.91 ± 0.7 for service quality, 3.16 ± 0.56 for daily routine, and 3.08 ± 1.05 for complaints on users. Radiologists and radiology staff had a more positive opinion about the PACS than other clinicians such as physicians (P < 0.01, CI = 95%). Factors such as user age (P < 0.01, CI = 95%), job (P < 0.001, CI = 95%), work experience (P < 0.001, CI = 95%), and PACS training method (P=0.037, CI = 95%) were related to the impact of the PACS on different dimensions of users' work. This study showed that the PACS has a positive effect on different dimensions of users' work, especially on external communication, user intention to use the system, and service quality. It is recommended to implement PACSs in medical centers to support users' work and to maintain and strengthen the capabilities and functions of radiology departments.
图像存档和通信系统(PACS)对医疗保健成本、信息访问、图像质量和用户工作流程的影响已经得到了很好的研究。然而，关于该系统对用户工作的不同维度的影响的证据不足。本研究的目的是评估PACS对用户工作的不同维度(外部沟通、服务质量、用户使用PACS的意愿、日常生活和对用户的投诉)的影响，并比较不同用户群体对PACS的看法。本研究在Kerman医学科学大学的PACS使用者(n = 72)中进行，包括放射科医生、放射科工作人员、病房主任和内科医生。数据收集使用的调查问卷包括两部分:人口统计信息的参与者和5点李克特量表问题有关用户的工作的五个维度。数据分析采用描述性统计、方差分析和Pearson相关系数统计检验。PACS用户评分的平均值为:外部沟通4.31±0.86分，用户使用PACS意向4.18±0.96分，服务质量3.91±0.7分，日常生活3.16±0.56分，用户投诉3.08±1.05分。放射科医师和放射科工作人员对PACS的评价高于内科医生等其他临床医生(P < 0.01, CI = 95%)。用户年龄(P < 0.01, CI = 95%)、工作岗位(P < 0.001, CI = 95%)、工作经验(P < 0.001, CI = 95%)、PACS培训方式(P=0.037, CI = 95%)等因素与PACS对用户工作各维度的影响有关。本研究表明，PACS对用户工作的不同维度都有积极的影响，特别是在外部沟通、用户使用系统的意愿和服务质量方面。建议在医疗中心实施pacs，以支持用户的工作，维护和加强放射科的能力和功能。
{"title":"Determining the Effect of the Picture Archiving and Communication System (PACS) on Different Dimensions of Users' Work","authors":"M. Montazeri, Reza Khajouei","doi":"10.1155/2022/4306714","DOIUrl":"https://doi.org/10.1155/2022/4306714","url":null,"abstract":"The impact of the picture archiving and communication system (PACS) on healthcare costs, information access, image quality, and user workflow has been well studied. However, there is insufficient evidence on the effect of this system on different dimensions of the users' work. The objective of this study was to evaluate the impact of the PACS on different dimensions of users' work (external communication, service quality, user intention to use the PACS, daily routine, and complaints on users) and to compare the opinions of different groups of users about the PACS. This study was performed on the PACS users (n = 72) at Kerman University of Medical Sciences, including radiologists, radiology staff, ward heads, and physicians. Data were collected using a questionnaire consisting of two parts: demographic information of the participants and 5-point Likert scale questions concerning the five dimensions of users' work. Data were analyzed using descriptive statistics, ANOVA, and Pearson's correlation coefficient statistical tests. The mean of scores given by the PACS users was 4.31 ± 0.86 for external communication, 4.18 ± 0.96 for user intention to use the PACS, 3.91 ± 0.7 for service quality, 3.16 ± 0.56 for daily routine, and 3.08 ± 1.05 for complaints on users. Radiologists and radiology staff had a more positive opinion about the PACS than other clinicians such as physicians (P < 0.01, CI = 95%). Factors such as user age (P < 0.01, CI = 95%), job (P < 0.001, CI = 95%), work experience (P < 0.001, CI = 95%), and PACS training method (P=0.037, CI = 95%) were related to the impact of the PACS on different dimensions of users' work. This study showed that the PACS has a positive effect on different dimensions of users' work, especially on external communication, user intention to use the system, and service quality. It is recommended to implement PACSs in medical centers to support users' work and to maintain and strengthen the capabilities and functions of radiology departments.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"2022 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88039167","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}
Mohammad-Mehdi Mehrabi Nejad, Aminreza Abkhoo, F. Salahshour, M. Salehi, M. Gity, Hamidreza Komaki, S. Kolahi
Background Providing efficient care for infectious coronavirus disease 2019 (COVID-19) patients requires an accurate and accessible tool to medically optimize medical resource allocation to high-risk patients. Purpose To assess the predictive value of on-admission chest CT characteristics to estimate COVID-19 patients' outcome and survival time. Materials and Methods Using a case-control design, we included all laboratory-confirmed COVID-19 patients who were deceased, from June to September 2020, in a tertiary-referral-collegiate hospital and had on-admission chest CT as the case group. The patients who did not die and were equivalent in terms of demographics and other clinical features to cases were considered as the control (survivors) group. The equivalency evaluation was performed by a fellowship-trained radiologist and an expert radiologist. Pulmonary involvement (PI) was scored (0–25) using a semiquantitative scoring tool. The PI density index was calculated by dividing the total PI score by the number of involved lung lobes. All imaging parameters were compared between case and control group members. Survival time was recorded for the case group. All demographic, clinical, and imaging variables were included in the survival analyses. Results After evaluating 384 cases, a total of 186 patients (93 in each group) were admitted to the studied setting, consisting of 126 (67.7%) male patients with a mean age of 60.4 ± 13.6 years. The PI score and PI density index in the case vs. the control group were on average 8.9 ± 4.5 vs. 10.7 ± 4.4 (p value: 0.001) and 2.0 ± 0.7 vs. 2.6 ± 0.8 (p value: 0.01), respectively. Axial distribution (p value: 0.01), cardiomegaly (p value: 0.005), pleural effusion (p value: 0.001), and pericardial effusion (p value: 0.04) were mostly observed in deceased patients. Our survival analyses demonstrated that PI score ≥ 10 (p value: 0.02) and PI density index ≥ 2.2 (p value: 0.03) were significantly associated with a lower survival rate. Conclusion On-admission chest CT features, particularly PI score and PI density index, are potential great tools to predict the patient's clinical outcome.
{"title":"Chest CT Scan Features to Predict COVID-19 Patients' Outcome and Survival","authors":"Mohammad-Mehdi Mehrabi Nejad, Aminreza Abkhoo, F. Salahshour, M. Salehi, M. Gity, Hamidreza Komaki, S. Kolahi","doi":"10.1155/2022/4732988","DOIUrl":"https://doi.org/10.1155/2022/4732988","url":null,"abstract":"Background Providing efficient care for infectious coronavirus disease 2019 (COVID-19) patients requires an accurate and accessible tool to medically optimize medical resource allocation to high-risk patients. Purpose To assess the predictive value of on-admission chest CT characteristics to estimate COVID-19 patients' outcome and survival time. Materials and Methods Using a case-control design, we included all laboratory-confirmed COVID-19 patients who were deceased, from June to September 2020, in a tertiary-referral-collegiate hospital and had on-admission chest CT as the case group. The patients who did not die and were equivalent in terms of demographics and other clinical features to cases were considered as the control (survivors) group. The equivalency evaluation was performed by a fellowship-trained radiologist and an expert radiologist. Pulmonary involvement (PI) was scored (0–25) using a semiquantitative scoring tool. The PI density index was calculated by dividing the total PI score by the number of involved lung lobes. All imaging parameters were compared between case and control group members. Survival time was recorded for the case group. All demographic, clinical, and imaging variables were included in the survival analyses. Results After evaluating 384 cases, a total of 186 patients (93 in each group) were admitted to the studied setting, consisting of 126 (67.7%) male patients with a mean age of 60.4 ± 13.6 years. The PI score and PI density index in the case vs. the control group were on average 8.9 ± 4.5 vs. 10.7 ± 4.4 (p value: 0.001) and 2.0 ± 0.7 vs. 2.6 ± 0.8 (p value: 0.01), respectively. Axial distribution (p value: 0.01), cardiomegaly (p value: 0.005), pleural effusion (p value: 0.001), and pericardial effusion (p value: 0.04) were mostly observed in deceased patients. Our survival analyses demonstrated that PI score ≥ 10 (p value: 0.02) and PI density index ≥ 2.2 (p value: 0.03) were significantly associated with a lower survival rate. Conclusion On-admission chest CT features, particularly PI score and PI density index, are potential great tools to predict the patient's clinical outcome.","PeriodicalId":51864,"journal":{"name":"Radiology Research and Practice","volume":"9 2 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83414626","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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