Review
Medicine, General & Internal
Daniela Mazzaccaro, Paolo Righini, Fabiana Fancoli, Matteo Giannetta, Alfredo Modafferi, Giovanni Malacrida, Giovanni Nano
Summary: Blunt thoracic aortic injury (BTAI) is a potentially fatal condition that requires prompt recognition and urgent management. Clinical manifestations of BTAI are not straightforward and may lead to misdiagnosis. The severity of aortic injury is crucial in determining mortality and morbidity rates, as well as guiding treatment decisions, especially when other organs are also involved. Delayed endovascular repair has become the mainstay of treatment for hemodynamically stable patients, providing lower perioperative mortality and morbidity rates compared to open surgical repair. However, concerns exist regarding long-term surveillance and radiation exposure, especially in younger patients. This paper aims to provide an update on diagnostic modalities and treatment strategies for BTAI patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Anne-Sophie C. Romijn, Vinamr Rastogi, Jefferson A. Proano-Zamudio, Dias Argandykov, Christina L. Marcaccio, Georgios F. Giannakopoulos, Haytham M. A. Kaafarani, Vincent Jongkind, Frank W. Bloemers, Hence J. M. Verhagen, Marc L. Schermerhorn, Noelle N. Saillant
Summary: This study aims to compare the efficacy of early and delayed TEVAR for BTAI, and the results suggest that delayed TEVAR is associated with lower mortality risk.
Article
Critical Care Medicine
Alexis L. Cralley, Ernest E. Moore, Joseph Dubose, Megan L. Brenner, Terry R. Schaid, Margot DeBot, Mitchell Cohen, Christopher Silliman, Charles Fox, Angela Sauaia
Summary: This study compared the outcomes of patients treated with REBOA Zone 3 and REBOA Zone 1 for severe blunt pelvic injuries. The results showed that REBOA Zone 3 had better survival rates and comparable outcomes in other adverse events compared to REBOA Zone 1.
Article
Surgery
Sai Divya Yadavalli, Anne-Sophie C. Romijn, Vinamr Rastogi, Steven P. Summers, Christina L. Marcaccio, Sara L. Zettervall, Mohammad H. Eslami, Benjamin W. Starnes, Hence J. M. Verhagen, Marc L. Schermerhorn
Summary: This study examined the association between the Society for Vascular Surgery (SVS) aortic injury grading system and outcomes after thoracic endovascular aortic repair (TEVAR) in patients with blunt thoracic aortic injury (BTAI). The results showed that there was no association between SVS aortic injury grade and perioperative and 5-year mortality. However, patients with grade 4 BTAI had higher perioperative and 5-year mortality rates.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Abdul Q. Alarhayem, Todd E. Rasmussen, Behzad Farivar, Sungho Lim, Max Braverman, David Hardy, Donald J. Jenkins, Brian J. Eastridge, Ramon F. Cestero
Summary: The majority of BTAI patients undergo TEVAR repair within 24 hours of injury, with delayed repair patients showing improved survival compared to those repaired within the first 24 hours. Delaying endovascular repair beyond 24 hours after injury should be considered for BTAI patients without signs of imminent rupture for better outcomes.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Anne-Sophie C. Romijn, Vinamr Rastogi, Christina L. Marcaccio, Ander Dorken-Gallastegi, Georgios F. Giannakopoulos, Vincent Jongkind, Frank W. Bloemers, Hence J. M. Verhagen, Marc L. Schermerhorn, Noelle N. Saillant
Summary: This study examined the association between sex and outcomes after thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI) in younger patients. The results showed that female sex was not associated with higher in hospital mortality, but it was associated with a lower risk of acute kidney injury (AKI) and ventilator associated pneumonia (VAP).
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Medicine, General & Internal
Hai Deng, Ting-Xuan Tang, Liang-Sheng Tang, Deng Chen, Jia-Liu Luo, Li-Ming Dong, Si-Hai Gao, Zhao-Hui Tang
Summary: This study found that the incidence of blunt aortic injury in patients with burst fractures of the thoracic spine is 11.3% and often missed. Risk factors for aortic injury include injury severity score, mechanism of injury (such as crush), flail chest, and neurological deficit.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
Justin A. Smith, Saideep Bose, Anuja Sarode, Jae S. Cho, Benjamin Colvard
Summary: This study examined the effect of intravascular ultrasound (IVUS) on clinical outcomes after thoracic endovascular aortic repair (TEVAR) for blunt traumatic aortic injuries (BTAIs). The study found that the use of IVUS was associated with more stable patients and the potential for delayed treatment, but it did not have a significant impact on clinical outcomes.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Joshua L. Crapps, Jessica Efird, Joseph J. DuBose, Pedro G. Teixeira, Binod Shrestha, Carlos V. R. Brown
Summary: This study analyzed 708 cases of blunt thoracic aortic injury and found that traditional initial trauma chest x-ray is not a reliable screening tool, even at the highest grades of injury.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Article
Surgery
Michael C. Madigan, Anthony J. Lewis, Nathan L. Liang, Robert Handzel, Eric Hager, Michel S. Makaroun, Rabih A. Chaer, Mohammad H. Eslami
Summary: Nonoperative management of low-grade blunt traumatic aortic injury does not result in long-term complications or the need for reintervention. Select grade 3 injuries with smaller pseudoaneurysms and minimal periaortic hematoma can be safely observed.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Rafael Lozano, Kathryn DiLosa, Matthew Schneck, Steven Maximus, Rachael Callcut, David Shatz, Matthew Mell
Summary: The management and outcomes of intimal blunt thoracic aortic injuries (BTAIs) can be affected by the discordance in grading between different criteria. The Society for Vascular Surgery (SVS) and University of Washington (UW) criteria have shown differences in classifying BTAIs, leading to potential variations in treatment decisions and patient outcomes.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Vinamr Rastogi, Anne-Sophie C. Romijn, Sai Divya Yadavalli, Christina L. Marcaccio, Vincent Jongkind, Sara L. Zettervall, Elina Quiroga, Noelle N. Saillant, Hence J. M. Verhagen, Marc L. Schermerhorn
Summary: This study evaluated the outcomes of female patients after repair of blunt thoracic aortic injuries. The results showed that compared to males, females had longer procedure duration and higher risk of reintervention, but no significant differences in postoperative complications and 5-year mortality.
JOURNAL OF VASCULAR SURGERY
(2023)
Review
Surgery
Tim J. Mandigers, Daniele Bissacco, Maurizio Domanin, Ilenia D'Alessio, Valerio S. Tolva, Gabriele Piffaretti, Joost A. van Herwaarden, Santi Trimarchi
Summary: This systematic review investigates the cardiovascular modifications after thoracic endovascular aortic repair (TEVAR) in patients with blunt thoracic aortic injury (BTAI). The results highlight adverse cardiac and aortic modifications after TEVAR, emphasizing the need for lifelong surveillance and the development of more compliant endografts to prevent long-term cardiovascular complications.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Article
Surgery
Louis Boutin, Marie-Josee Caballero, Delphine Guarrigue, Emmanuelle Hammad, Isabelle Rennuit, Nathalie Delhaye, Arthur Neuschwander, Alain Meyer, Valerie Bitot, Quentin Mathais, Mathieu Boutonnet, Pierre Julia, Mercier Olaf, Jacques Duranteau, Sophie R. Hamada
Summary: This study performed an epidemiological analysis of the clinical and surgical management of blunt traumatic aortic injury (BTAI) in a European country. The results showed a low prevalence of BTAI at hospital admission, occurring in severe high velocity trauma patients and those with a high clinical suspicion of severe hemorrhage. Endovascular treatment was established as the main treatment option for BTAI.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Article
Surgery
Cassra N. Arbabi, Joseph DuBose, Benjamin W. Starnes, Naveed Saqib, Elina Quiroga, Charles Miller, Ali Azizzadeh
Summary: Results from this study showed that emergent or urgent TEVAR for patients with concomitant BTAI and TBI was not associated with delayed stroke, in-hospital mortality, or aortic-related mortality. The timing of TEVAR should be guided by individual patient factors rather than surgical timing.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Amir M. Tahmasebi, Henghui Zhu, Gabriel Mankovich, Peter Prinsen, Prescott Klassen, Sam Pilato, Rob van Ommering, Pritesh Patel, Martin L. Gunn, Paul Chang
JOURNAL OF DIGITAL IMAGING
(2019)
Article
Radiology, Nuclear Medicine & Medical Imaging
Malak Itani, Brian W. Bresnahan, Kenneth Rice, Martin L. Gunn, Sherry S. Wang, Jonathan W. Revels, Achille Mileto
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY
(2019)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jeff L. Fidler, Martin L. Gunn, Jorge A. Soto, Olga R. Brook, Brian C. Allen, Flavius F. Guglielmo, David J. Grand, Michael S. Gee, Michael L. Wells, Alvaro Huete, Ashish Khandalwal, Farnoosh Sokhandon, Vijay Ramalingam, Mahmoud M. Al-Hawary, Christina A. LeBedis, Seong Ho Park
ABDOMINAL RADIOLOGY
(2019)
Article
Radiology, Nuclear Medicine & Medical Imaging
Sandeep Dalal, Vadiraj Hombal, Wei-Hung Weng, Gabe Mankovich, Thusitha Mabotuwana, Christopher S. Hall, Joseph Fuller, Bruce E. Lehnert, Martin L. Gunn
JOURNAL OF DIGITAL IMAGING
(2020)
Article
Critical Care Medicine
Kelley R. Branch, Ravi Hira, Robin Brusen, Charles Maynard, Peter J. Kudenchuk, Bradley J. Petek, Jared Strote, Michael R. Sayre, Medley Gatewood, David Carlbom, Catherine Counts, Jeffrey L. Probstfield, Martin Gunn
Article
Emergency Medicine
Kelley R. H. Branch, Jared Strote, Martin Gunn, Charles Maynard, Peter J. Kudenchuk, Robin Brusen, Bradley J. Petek, Michael R. Sayre, Rachael Edwards, David Carlbom, Catherine R. Counts, Jeffrey L. Probstfield, Medley O. Gatewood
Summary: This study indicates that early SDCT scanning is safe, can expedite the diagnosis of potential causes, and can meaningfully change clinical management after idiopathic OHCA.
ACADEMIC EMERGENCY MEDICINE
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jeff L. Fidler, Flavius F. Guglielmo, Olga R. Brook, Lisa L. Strate, David H. Bruining, Avneesh Gupta, Brian C. Allen, Mark A. Anderson, Michael L. Wells, Vijay Ramalingam, Martin L. Gunn, David J. Grand, Michael S. Gee, Alvaro Huete, Ashish Khandalwal, Farnoosh Sokhandon, Seong Ho Park, Don C. Yoo, Jorge A. Soto
Summary: Both stable and unstable patients with overt lower GI bleeding are frequently imaged with CTA, while CTE is commonly performed for suspected occult small bowel bleeding.
ABDOMINAL RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Larry M. Cai, Daniel S. Hippe, David A. Zamora, Jinjin Cao, Anushri Parakh, Avinash R. Kambadakone, Jennifer M. Xiao, Sherry S. Wang, Giuseppe Toia, Martin L. Gunn, Carolyn L. Wang, Achille Mileto
Summary: The study showed that the developed cross-platform method can significantly decrease between-platform variability in quantification of low iodine content using DECT in anthropomorphic phantoms and patients. This method may help expand the clinical use of DECT iodine quantification, providing meaningful IC values for patients undergoing serial examinations on different platforms.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Flavius F. Guglielmo, Michael L. Wells, David H. Bruining, Lisa L. Strate, Alvaro Huete, Avneesh Gupta, Jorge A. Soto, Brian C. Allen, Mark A. Anderson, Olga R. Brook, Michael S. Gee, David J. Grand, Martin L. Gunn, Ashish Khandelwal, Seong Ho Park, Vijay Ramalingam, Farnoosh Sokhandon, Don C. Yoo, Jeff L. Fidler
Summary: Gastrointestinal (GI) bleeding is a common and potentially life-threatening medical condition that often requires multidisciplinary collaboration for proper diagnosis and management. CT imaging plays a vital role in identifying the location and cause of bleeding, but interpreting CT scans in patients with GI bleeding can be challenging for radiologists.
Article
Cardiac & Cardiovascular Systems
Aris Karatasakis, Basar Sarikaya, Linda Liu, Martin L. Gunn, Peter J. Kudenchuk, Medley O. Gatewood, Charles Maynard, Michael R. Sayre, Catherine R. Counts, David J. Carlbom, Rachael M. Edwards, Kelley R. H. Branch
Summary: This study aimed to assess the prevalence, types, and effects of resuscitation-associated injuries in patients resuscitated from out-of-hospital circulatory arrest (OHCA). The study found that computed tomography scans were able to identify resuscitation injuries in most OHCA patients, with nearly 1 in 7 having time-critical complications and half having extensive rib-cage injuries.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Medicine, General & Internal
Yao Yan, Thomas Schaffter, Timothy Bergquist, Thomas Yu, Justin Prosser, Zafer Aydin, Amhar Jabeer, Ivan Brugere, Jifan Gao, Guanhua Chen, Jason Causey, Yuxin Yao, Kevin Bryson, Dustin R. Long, Jeffrey G. Jarvik, Christoph Lee, Adam Wilcox, Justin Guinney, Sean Mooney
Summary: This study utilized machine learning algorithms to predict the diagnosis and hospitalization outcomes of COVID-19 patients, achieving high performance especially in the female group and showing performance variations across different age groups.
Article
Radiology, Nuclear Medicine & Medical Imaging
Jalal B. Andre, Thomas Amthor, Christopher S. Hall, Martin L. Gunn, Michael N. Hoff, Wendy Cohen, Norman J. Beauchamp
Summary: The study aims to evaluate the correlation between MRI motion artifacts and repeated sequences, and investigate the use of log files in quantifying the impact of patient motion on operations. The analysis of clinical MR exams and MLFs revealed a correlation between higher motion scores and higher repetition probability. It was concluded that repetition probability and associated time loss can be quantified for individual sequence types.
CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Wilson Lau, Kevin Lybarger, Martin L. Gunn, Meliha Yetisgen
Summary: This paper presents a study on semantic annotation of radiology reports using deep learning models. The authors built a corpus of 500 annotated reports and extracted trigger words and argument entities using the advanced deep learning architecture BERT. They predicted the linkages between triggers and argument entities and demonstrated the model's generalizability through testing on an external validation set.
JOURNAL OF DIGITAL IMAGING
(2023)
Article
Urology & Nephrology
M. Kennedy Hall, Jeff Thiel, Barbrina Dunmire, Patrick C. Samson, Ross Kessler, Peter Sunaryo, Robert M. Sweet, Ian S. Metzler, Helena C. Chang, Martin Gunn, Manjiri Dighe, Layla Anderson, Christina Popchoi, Ravi Managuli, Bryan W. Cunitz, Barbara H. Burke, Lisa Ding, Brianna Gutierrez, Ziyue Liu, Mathew D. Sorensen, Hunter Wessells, Michael R. Bailey, Jonathan D. Harper
Summary: This study aimed to test the efficacy and safety of using transcutaneous focused ultrasound, through ultrasonic propulsion and burst wave lithotripsy, to reposition and break ureteral stones in awake subjects in order to relieve pain and facilitate passage.
JOURNAL OF UROLOGY
(2022)
Article
Critical Care Medicine
Kelley R. H. Branch, Medley O. Gatewood, Peter J. Kudenchuk, Charles Maynard, Michael R. Sayre, David J. Carlbom, Rachel M. Edwards, Catherine R. Counts, Jeffrey L. Probstfield, Robin Brusen, Nicholas Johnson, Martin L. Gunn
Summary: The study aimed to determine whether a head-to-pelvis CT scan improves the diagnostic yield and speed for identifying causes of out of hospital circulatory arrest. Patients who were successfully resuscitated from OHCA were included in the study, and it was found that adding SDCT scanning significantly increased the diagnostic yield and reduced the time to diagnosis compared to standard of care alone.