Article
Radiology, Nuclear Medicine & Medical Imaging
Rebecca L. Bracken, John B. Harringa, B. Keegan Markhardt, Newhree Kim, John K. Park, Douglas R. Kitchin, Jessica B. Robbins, Timothy J. Ziemlewicz, Jen Birstler, Michael J. Ryan, Ly Hoang, Perry Pickhardt, Scott B. Reeder, Michael D. Repplinger
Summary: There was no significant difference in the diagnostic accuracy of MR image interpretation for acute appendicitis between generalist radiologists in a community setting and abdominal radiologists in an academic setting.
EUROPEAN RADIOLOGY
(2022)
Review
Medicine, General & Internal
Jian Yang, Fengyan Zhang, Ying Qiao
Summary: Ultrasound (US), CT, and their combination have different diagnostic accuracies in detecting cervical lymph node metastasis (CLNM) in patients with papillary thyroid cancer (PTC). US has higher sensitivity and specificity than CT in detecting CLNM in patients with PTC, especially in the lateral compartment. The combination of US and CT increases the sensitivity in the patient-based analysis.
Article
Medicine, General & Internal
Ioana Mihaiela Ciuca, Liviu Laurentiu Pop, Mihaela Dediu, Emil Robert Stoicescu, Monica Steluta Marc, Aniko Maria Manea, Diana Luminita Manolescu
Summary: The aim of this study was to evaluate a newly designed lung ultrasound (LUS) score and compare it with the modified Bhalla CT score in patients with cystic fibrosis (CF). The results showed a strong correlation between the LUS score and CT score, with higher sensitivity in detecting atelectasis and consolidations. These findings suggest that the LUS score can be a useful tool for the diagnosis and monitoring of CF lung disease in children.
Article
Radiology, Nuclear Medicine & Medical Imaging
Ilaria Vittoria de Martini, Adrian Raoul Kobe, Christian Roeren, Robert Manka, Andre Euler, Dagmar Keller, Frank Ruschitzka, Hatem Alkadhi, Matthias Eberhard
Summary: This study evaluated the feasibility and accuracy of using CT pulmonary angiography (CTPA) for diagnosing acute heart failure (HF) in emergency department patients. The results showed that both HUratio and HUdiff had a high sensitivity for diagnosing HF, indicating their potential as viable diagnostic markers.
EUROPEAN RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Xiao Li, Jinbing Pan, Yun Ma, Ying Ren, Bu-Lang Gao
Summary: Transbronchial cryobiopsy guided by RP-EBUS is a safe and effective technique for diagnosing DPLDs, providing additional information to clinicoradiological diagnoses. Although complications were common, the majority of patients achieved a clear diagnosis through this approach.
QUANTITATIVE IMAGING IN MEDICINE AND SURGERY
(2022)
Article
Critical Care Medicine
Jasper M. Smit, Mark E. Haaksma, Michiel H. Winkler, Micah L. A. Heldeweg, Luca Arts, Erik J. Lust, Paul W. G. Elbers, Lilian J. Meijboom, Armand R. J. Girbes, Leo M. A. Heunks, Pieter R. Tuinman
Summary: The study compared lung ultrasound to thoracic CT in ICU patients and found that lung ultrasound is an adequate diagnostic modality in a tertiary ICU population for detecting consolidations, interstitial syndrome, pneumothorax, and pleural effusion. Care should be taken to avoid interpreting lung ultrasound results deterministically as multiple respiratory conditions can coexist in one patient.
Article
Medicine, General & Internal
Marco Sperandeo, Evaristo Maiello, Paolo Graziano, Annalisa Simeone, Salvatore De Cosmo, Lucia Dimitri, Concetta Di Micco, Elio Perrone, Marco Taurchini, Gianmaria Ferretti, Antonio Mirijello, Antonio Varriale, Maria Arcangela Grimaldi, Donato Lacedonia, Carla Maria Irene Quarato
Summary: The study found that transthoracic ultrasound-guided percutaneous needle biopsy is an effective and safe diagnostic method for peripheral pulmonary consolidation, but its sonographic pattern cannot rule out malignant nature. Combining pre-operative evaluation on CT images, additional immunohistochemical and cytological investigations, and the experience of medical staff may improve the diagnostic yield of TUS-guided biopsies.
Article
Radiology, Nuclear Medicine & Medical Imaging
Robert W. Foley, Vanessa Nassour, Helen C. Oliver, Toby Hall, Vidan Masani, Graham Robinson, Jonathan C. L. Rodrigues, Benjamin J. Hudson
Summary: The use of chest radiography as the first-line investigation in primary care patients with suspected lung cancer may have negative consequences, as a normal chest X-ray result may be misleading and resources may be prioritized for advanced disease.
EUROPEAN RADIOLOGY
(2021)
Article
Pediatrics
Johann Carrard, Sebastien Bacher, Isabelle Rochat-Guignard, Jean-Francois Knebel, Leonor Alamo, Jean-Yves Meuwly, Estelle Tenisch
Summary: This study compares the performance of lung ultrasound (LUS) and computed tomography (CT) in diagnosing necrotizing pneumonia (NP). The results show that LUS is as effective as CT in identifying radiological signs of NP, suggesting that LUS could replace CT for diagnosing NP.
FRONTIERS IN PEDIATRICS
(2022)
Article
Urology & Nephrology
Marcus Jamil, Renee Hanna, Akshay Sood, Nicholas Corsi, Daniele Modonutti, Jacob Keeley, Patrick Etta, Giacomo Novara, Amit Patel, Craig Rogers, Firas Abdollah
Summary: The risk of synchronous lung metastasis increases proportionally with renal tumor size, but is low for tumors less than 40 mm. Therefore, screening chest imaging for patients with renal tumors less than 40 mm may have minimal utility.
Article
Rheumatology
Davide Mohammad Reza Beigi, Greta Pellegrino, Michele Loconte, Nicholas Landini, Monica Mattone, Gregorino Paone, Simona Truglia, Francesca Romana Di Ciommo, Ilaria Bisconti, Marius Cadar, Katia Stefanantoni, Valeria Panebianco, Fabrizio Conti, Valeria Riccieri
Summary: This study compared the qualitative and quantitative assessment of B-lines and pleural line alterations in SSc-ILD with CT analysis, and found that lung ultrasound may have potential value in detecting SSc-associated interstitial lung disease.
Article
Radiology, Nuclear Medicine & Medical Imaging
Matteo Bonatti, Riccardo Valletta, Fabio Lombardo, Giulia A. Zamboni, Emanuela Turri, Giacomo Avesani, Giancarlo Mansueto, Riccardo Manfredi, Gunther Schifferle
Summary: The study evaluated the diagnostic performance of unenhanced brain CT in identifying patients with CVT. The presence of sinus hyperdensity at NECT enabled the detection of patients with CVT with 81% sensitivity and 77% specificity. A sinus attenuation cutoff value of 63 HU can be used to increase specificity, but lower sensitivity.
Article
Rheumatology
Jasvinder A. Singh, Jean-Francois Budzik, Fabio Becce, Tristan Pascart
Summary: This study compared the accuracy of DECT vs ultrasound or their combination for diagnosing gout, and found that DECT alone had the best accuracy in diagnosing gout in the feet/ankles and knees. Combining DECT with ultrasound or imaging multiple joints did not increase the overall diagnostic accuracy.
Review
Emergency Medicine
Shannon M. Fernando, Alexandre Tran, Wei Cheng, Bram Rochwerg, Shira A. Strauss, Eric Mutter, Daniel I. McIsaac, Kwadwo Kyeremanteng, Dalibor Kubelik, Prasad Jetty, Sudhir K. Nagpal, Venkatesh Thiruganasambandamoorthy, Derek J. Roberts, Jeffrey J. Perry
Summary: This study evaluated the accuracy of symptoms, physical examination, CTA, and PoCUS for diagnosing rAAA. The results showed poor sensitivity of classic symptoms, high accuracy of CTA, and valuable guidance from PoCUS for urgent transfer.
ACADEMIC EMERGENCY MEDICINE
(2022)
Article
Veterinary Sciences
Chrispijn M. Schilp, Lisette Meijer, Martina Stocker, Jan A. M. Langermans, Jaco Bakker, Marieke A. Stammes
Summary: Lung ultrasound (LUS) is a valuable tool for screening SARS-CoV-2 infected patients and shows good agreement with CT findings in rhesus monkeys; LUS can detect abnormalities corresponding with ground glass opacities and crazy paving patterns seen on CT; However, due to limitations in examining the complete volume of the lung, CT remains the preferred imaging modality for diagnosis and monitoring of SARS-CoV-2 infections in macaques.
FRONTIERS IN VETERINARY SCIENCE
(2021)
Article
Medicine, General & Internal
Luca Masotti, Elisa Grifoni, Lavinia Migli, Alessandro Dei, Rosario Spina, Italo Calamai, Giulia Guazzini, Irene Micheletti, Eleonora Cosentino, Gabriele Pinto, Simone Vanni
Summary: This study analyzed prognostic factors in patients with ICH in real-life clinical practice, finding that ENW, hematoma enlargement, Hemphill ICH score >= 3, and midline shift >10 mm were associated with short-term mortality risk, while age was associated with 90-day mRS >= 4.
ACTA CLINICA BELGICA
(2021)
Article
Medicine, General & Internal
Giannazzo Giuseppe, Melara Ilaria, D'Argenzio Federico, Coppa Alessandro, Gualtieri Simona, Peiman Nazerian, Bartolini Marco, Grifoni Stefano
Summary: This study investigated the use of a clinical guide as an alternative to routine total body CT scans for trauma patients, finding that the VIBS tool can safely rule out severe thoracic or abdominal injuries.
IRISH JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Medicine, General & Internal
Alessandro Dacrema, Matteo Silva, Luca Rovero, Valeria Vertemati, Giulia Losi, Massimo Francesco Piepoli, Roberto Sacchi, Marco Mangiacotti, Peiman Nazerian, Laura Pagani, Valentina Tinelli, Erika Poggiali, Davide Bastoni, Andrea Vercelli, Andrea Magnacavallo
Summary: This study utilized a simplified 6-scan lung ultrasound protocol for diagnosing COVID-19 pneumonia and found that the protocol exhibited sensitivity consistent with high resolution computed tomography. Diagnosis of suspected COVID-19 patients was based on real-time reverse-transcription polymerase chain reaction results and clinical data. Lung ultrasound demonstrated good sensitivity in screening for COVID-19 pneumonia.
INTERNAL AND EMERGENCY MEDICINE
(2021)
Letter
Medicine, General & Internal
Elisa Grifoni, Vieri Vannucchi, Alice Valoriani, Francesco Cei, Roberta Lamanna, Anna Maria Grazia Gelli, Benedetta Ciambotti, Federico Moroni, Lorenzo Pelagatti, Roberto Tarquini, Giancarlo Landini, Simone Vanni, Luca Masotti
INTERNAL MEDICINE JOURNAL
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Chiara Moroni, Diletta Cozzi, Marco Albanesi, Edoardo Cavigli, Alessandra Bindi, Silvia Luvara, Simone Busoni, Lorenzo Nicola Mazzoni, Stefano Grifoni, Peiman Nazerian, Vittorio Miele
Summary: In our study, admission CXR showed a fair specificity and good correlation with patients' outcome. Ground glass opacification, consolidation, reticular-nodular opacities, and a peripheric, diffuse and basal prevalence had good correlation with COVID-19 diagnosis. The prognostic score also had good correlation with patients' outcome.
Article
Cardiac & Cardiovascular Systems
Fulvio Morello, Paolo Bima, Emanuele Pivetta, Marco Santoro, Elisabetta Catini, Barbara Casanova, Bernd A. Leidel, Alexandre de Matos Soeiro, Thomas Nestelberger, Christian Mueller, Stefano Grifoni, Enrico Lupia, Peiman Nazerian
Summary: The study identified a simplified scoring tool (AORTAs) that increases sensitivity, improves AAS classification, and makes minor adjustments in specificity, amenable to integration with age-adjusted DD for diagnostic rule-out.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Diletta Cozzi, Chiara Moroni, Edoardo Cavigli, Alessandra Bindi, Cosimo Caviglioli, Peiman Nazerian, Simone Vanni, Vittorio Miele, Maurizio Bartolucci
Summary: CTPA findings can predict 30-day mortality of patients with APE in the Emergency Department, particularly the quantification of right ventricular strain, which is associated with troponin I levels and echocardiographic signs of right-heart dysfunction. The study suggests that a dilated coronary sinus may have additional prognostic value in predicting mortality.
Article
Medicine, General & Internal
Simone Vanni, Paola Bartalucci, Ubaldo Gargano, Alessandro Coppa, Gianfranco Giannasi, Peiman Nazerian, Barbara Tonietti, Roberto Vannini, Michele Lanigra, Fabio Daviddi, Alessio Baldini, Stefano Grifoni, Simone Magazzini
Summary: The study investigated the impact of reduced presentations to Italian Emergency Departments during the COVID-19 pandemic on key performance indicators. The findings revealed a negative relationship between the presentations/physician ratio and the proportion of patients with door-to-physician times under 60 minutes, as well as a positive relationship between high-priority triage codes and the proportion of patients with length-of-stay under 4 hours. Benchmarking ED performance indicators should consider specific hospital and patient-level factors.
INTERNAL AND EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Peiman Nazerian, Giuliano De Stefano, Enrico Lumini, Paolo Fucini, Andrea Nencioni, Barbara Paladini, Chiara Lazzeri, Adriano Peris, Stefano Grifoni
Summary: The study showed that acute brain injury is the third leading cause of out of hospital cardiac arrest (OHCA), with patients often presenting with neurological prodromes such as seizures, headaches, and focal neurological signs. Patients with OHCA due to acute brain injury had a higher mortality compared to those due to other causes, but were more likely to be potential organ donors.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Immunology
Luca Masotti, Elisa Grifoni, Giulia Pelagalli, Elisa Cioni, Chiara Mattaliano, Elisa Cioffi, Francesca Maggi, Gabriele Pinto, Irene Micheletti, Benedetta Ciambotti, Amanda Mannucci, Roberta Bello, Francesco Cei, Silvia Dolenti, Roberto Tarquini, Iolanda Montenora, Rosario Spina, Simone Vanni, Elisa Maria Madonia, Anna Maria Grazia Gelli
Summary: IL-6/Lym ratio appears to be an optimal prognosticator in SARS-CoV2 related pneumonia, being associated with mortality and/or oro-tracheal intubation.
INTERNATIONAL IMMUNOPHARMACOLOGY
(2022)
Review
Clinical Neurology
Cosimo Nardi, Davide Maraghelli, Michele Pietragalla, Elisa Scola, Luca Giovanni Locatello, Giandomenico Maggiore, Oreste Gallo, Maurizio Bartolucci
Summary: In this review, we provide a comprehensive overview of developmental, inflammatory, and neoplastic alterations affecting the sphenoid body and clivus. We aim to propose a practical diagnostic aid for radiologists based on clinico-epidemiological, computed tomography, and magnetic resonance imaging features.
Letter
Emergency Medicine
Simone Vanni, Peiman Nazerian, Rudi Pecci, Giuseppe Pepe, Andrea Pavellini, Claudia Casula, Ersilia de Curtis, Mattia Ronchetti, Paolo Vannucchi, Maurizio Bartolucci
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Otorhinolaryngology
Rudi Pecci, Marco Mandala, Antonella Marcari, Roberto Bertolai, Paolo Vannucchi, Rossana Santimone, Lisa Bentivegna, Fabio Di Giustino, Arianna Mengucci, Simone Vanni, Federica Pollastri, Beatrice Giannoni
Summary: This study found a relationship between hypovitaminosis D and benign paroxysmal positional vertigo (BPPV), with vitamin D supplementation reducing the number of BPPV relapses. However, there was no significant effect of vitamin D supplementation on the responsivity of BPPV to physical therapy.
JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY
(2022)
Article
Geriatrics & Gerontology
Chiara Sidoli, Antonella Zambon, Elena Tassistro, Emanuela Rossi, Enrico Mossello, Marco Inzitari, Antonio Cherubini, Alessandra Marengoni, Alessandro Morandi, Giuseppe Bellelli
Summary: This study investigated the prevalence, features, and motor subtypes of delirium in older patients admitted to rehabilitation facilities. The results showed that delirium was relatively common during rehabilitation, with mixed delirium being the most prevalent subtype. Delirium was associated with factors such as dementia, disability, medications, and physical restraints.
AGING CLINICAL AND EXPERIMENTAL RESEARCH
(2022)
Letter
Emergency Medicine
Zhao-Yu Hsieh, Chen-Xiong Hsu
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Editorial Material
Emergency Medicine
Laura E. Walker, Jessica A. Stanich, Fernanda Bellolio
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Letter
Emergency Medicine
E. Tekin
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Amanda S. Dupont, Patrick S. Walsh
Summary: Recent research indicates that children who unintentionally ingest cannabis often undergo extensive additional testing, such as head imaging or lumbar puncture. However, the yield of these tests is limited. While head imaging and lumbar puncture are frequently performed, diagnoses such as skull fracture, intracranial hemorrhage, intracranial neoplasm, meningitis, or intracranial abscess are rare. Additionally, discharge diagnoses related to other drugs are infrequent. The most common co-diagnoses are cocaine and opioids. Therefore, prompt consideration of cannabis ingestion and quick identification through testing may result in more effective neuroimaging outcomes.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Letter
Emergency Medicine
Mio Nagata, Shunsuke Kudo, Motoyasu Nakamura
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Andy Hung-Yi Lee, Katherine Dickerson Mayes, Regan Marsh, Christina Toledo-Cornell, Eric Goralnick, Michael Wilson, Leon D. Sanchez, Alice Bukhman, Damarcus Baymon, Dana Im, Paul C. Chen
Summary: This study assessed the disparities in transferring patients from an academic medical center emergency department to a community hospital general medical service, revealing healthcare disparities among different patient populations.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Annabelle Croskey, William Trautman, David Barton, Mary Kathleen Ratay, Joshua Shulman
Summary: This case report describes a successful management of ocular palytoxin exposure in a young male, highlighting the importance of prompt recognition and treatment of ocular PTX toxicity.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Matthew K. Kolbeck, Rachel F. Schult, Nicholas Nacca
Summary: This article presents four cases of adolescents who experienced seizures after acute fluoxetine overdose. Although seizures are an uncommon complication after fluoxetine overdose, they occurred in some patients at doses lower than those reported in the literature.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Editorial Material
Emergency Medicine
Daven Patel, John Bailitz, Simone Ymson, Jonas Neichin, Gary D. Peksa, Michael Gottlieb
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Amichai Gutgold, Shaden Salameh, Jeries Nashashibi, Yonatan Gershinsky
Summary: This study aimed to test the prognosis of patients with a pH lower than 6.9 on emergency department admission. The findings showed that a small but significant portion of these patients survived at least 24 hours and until hospital discharge.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Na-Yeon Emily Song, Ki Hong Kim, Ki Jeong Hong
Summary: This study aimed to evaluate the effect of the duration of no-flow (NF) interval on the vaso-pressor effect of initial epinephrine administration in a porcine model of cardiac arrest. The results showed that a shorter NF interval can enhance the vasopressor effect of epinephrine.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Kenneth A. Scheppke, Paul E. Pepe, Jonathan Jui, Remle P. Crowe, Eric K. Scheppke, Nancy G. Klimas, Aileen M. Marty
Summary: This study reported cases of rapid and complete remission of severe long COVID after receiving monoclonal antibody treatment. The findings suggest that monoclonal antibody infusions may be effective in treating severe debilitation caused by long COVID.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Suhrith Bhattaram, Varsha S. Shinde
Summary: Nerve blocks have emerged as promising options for targeted pain relief in the Emergency Department, providing effective analgesia without compromising motor function. The successful use of ultrasound-guided genicular nerve blocks (GNBs) in this case series demonstrates their potential as an alternative to traditional nerve blocks and opioid-based pain control strategies in the ED.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Rick Kye Gan, Jude Chukwuebuka Ogbodo, Yong Zheng Wee, Ann Zee Gan, Pedro Arcos Gonzalez
Summary: The aim of this study was to evaluate and compare the performance of ChatGPT, Google Bard, and medical students in performing START triage during mass casualty situations. The results showed that Google Bard had significantly higher accuracy compared to ChatGPT, while there was no significant difference between Google Bard and medical students.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Nancy Clemens, Paria M. Wilson, Matthew J. Lipshaw, Holly Depinet, Yin Zhang, Michelle Eckerle
Summary: This study compared clinical features and outcomes between pediatric sepsis patients with blood cultures positive versus negative for bacterial pathogens. The results showed that children with blood culture positive sepsis had higher rates of organ dysfunction, a larger base deficit, and higher procalcitonin levels.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)