RESUMO
The ACR Intersociety Committee meeting of 2022 (ISC-2022) was convened around the theme of "Recovering From The Great Resignation, Moral Injury and Other Stressors: Rebuilding Radiology for a Robust Future." Representatives from 29 radiology organizations, including all radiology subspecialties, radiation oncology, and medical physics, as well as academic and private practice radiologists, met for 3 days in early August in Park City, Utah, to search for solutions to the most pressing problems facing the specialty of radiology in 2022. Of these, the mismatch between the clinical workload and the available radiologist workforce was foremost-as many other identifiable problems flowed downstream from this, including high job turnover, lack of time for teaching and research, radiologist burnout, and moral injury.
Assuntos
Radioterapia (Especialidade) , Radiologia , Humanos , Estados Unidos , Radiologistas , Radiografia , UtahRESUMO
Superior vena cava (SVC) aneurysms are a rare occurrence. Given the rarity of SVC aneurysms and their propensity to be overlooked or misinterpreted on imaging, it is essential to be familiar with their appearance for accurate diagnosis, and to minimize thromboembolic risk, complications from rupture and mass effect. This report of a case of a massive fusiform SVC aneurysm that presented with pulmonary thrombo-embolism highlights the nuances of making an imaging diagnosis of SVC aneurysm and reviews the reported cases of fusiform SVC aneurysms that were diagnosed beyond childhood.
Assuntos
Aneurisma , Embolia Pulmonar , Tromboembolia , Aneurisma/complicações , Aneurisma/diagnóstico por imagem , Humanos , Pessoa de Meia-Idade , Embolia Pulmonar/diagnóstico por imagem , Embolia Pulmonar/etiologia , Veia Cava Superior/diagnóstico por imagemRESUMO
Over the last 2 decades, increased depiction of minimal aortic injury (MAI) in the evaluation of patients who have sustained trauma has mirrored the increased utilization and improved resolution of multidetector CT. MAI represents a mild form of blunt traumatic aortic injury (BTAI) that usually resolves or stabilizes with pharmacologic management. The traditional imaging manifestation of MAI is a subcentimeter round, triangular, or linear aortic filling defect attached to an aortic wall, representing a small intimal flap or thrombus consistent with grade I injury according to the Society for Vascular Surgery (SVS). Small intramural hematoma (SVS grade II injury) without external aortic contour deformity is included in the MAI spectrum in several BTAI classifications on the basis of its favorable outcome. Although higher SVS grades of injury generally call for endovascular repair, there is growing literature supporting conservative management for small pseudoaneurysms (SVS grade III) and large intimal flaps (>1 cm, unclassified by the SVS), hinting toward possible future inclusion of these entities in the MAI spectrum. Injury progression of MAI is rare, with endovascular aortic repair reserved for these patients as well as patients for whom medical treatment cannot be implemented. No consensus on the predetermined frequency and duration of multidetector CT follow-up exists, but it is common practice to perform a repeat CT examination shortly after the initial diagnosis. The authors review the evolving definition, pathophysiology, and natural history of MAI, present the primary and secondary imaging findings and diagnostic pitfalls, and discuss the current management options for MAI. Online DICOM image stacks are available for this article. ©RSNA, 2020.
Assuntos
Aorta/lesões , Tomografia Computadorizada por Raios X , Lesões do Sistema Vascular/diagnóstico por imagem , Ferimentos não Penetrantes/diagnóstico por imagem , Humanos , Interpretação de Imagem Radiográfica Assistida por Computador , Lesões do Sistema Vascular/terapia , Ferimentos não Penetrantes/terapiaRESUMO
This case highlights the importance of diagnosing Grade I aortic injuries after trauma. Although the prognosis for minimal aortic injury is typically quite good, the patient in this case suffered the unlikely complication of minimal intimal injury progression with resultant thromboembolism and massive stroke. Due to motion artifact and CT resolution limitations, the initial aortic injury was not detected. Thus, potentially life-saving measures such as serial CT monitoring of injury, blood pressure control, and endovascular repair were unable to be performed. This is a demonstration of the unfortunate complications of minimal aortic injury.
Assuntos
Aorta , Lesões do Sistema Vascular/diagnóstico por imagem , Aorta Torácica , Doenças da Aorta , Progressão da Doença , Humanos , Escala de Gravidade do Ferimento , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Acidente Vascular Cerebral , Resultado do TratamentoRESUMO
The published version of this article unfortunately contained a mistake in the Abstract section.
RESUMO
This is the 36th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at http://www.aseronline.org/curriculum/toc.htm .
Assuntos
Parotidite/diagnóstico por imagem , Parotidite/virologia , Criança , Diagnóstico Diferencial , Serviço Hospitalar de Emergência , Humanos , Influenza Humana/complicações , MasculinoRESUMO
This is the 35th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.aseronline.org/curriculum/toc.htm.
Assuntos
Ventriculite Cerebral/diagnóstico por imagem , Ventriculite Cerebral/etiologia , Perfuração Intestinal/diagnóstico por imagem , Perfuração Intestinal/etiologia , Reto/diagnóstico por imagem , Reto/lesões , Derivação Ventriculoperitoneal/efeitos adversos , Ventriculite Cerebral/microbiologia , Criança , Meios de Contraste , Remoção de Dispositivo , Diagnóstico Diferencial , Feminino , Humanos , Imageamento por Ressonância Magnética , Tomografia Computadorizada por Raios XRESUMO
This is the 25th installment of a series that will highlight one case per publication issue from the bank of cases available online as a part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for study online at http://www.aseronline.org/curriculum/toc.htm .
Assuntos
Dura-Máter , Trombose dos Seios Intracranianos/diagnóstico por imagem , Trombose dos Seios Intracranianos/cirurgia , Adulto , Anticoagulantes/uso terapêutico , Diagnóstico Diferencial , Feminino , Escala de Coma de Glasgow , Humanos , Procedimentos Neurocirúrgicos , Trombectomia , Tomografia Computadorizada por Raios XRESUMO
This is the 21st installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/?page=CCIP_TOC .
Assuntos
Torção do Cordão Espermático/diagnóstico por imagem , Ultrassonografia/métodos , Adolescente , Diagnóstico Diferencial , Serviço Hospitalar de Emergência , Humanos , MasculinoRESUMO
Radiology is undeniably male dominated. Alongside surgery and orthopedic surgery, academic radiology ranks near the bottom in having the lowest proportion of full-time female faculty members. Despite many efforts to recruit talented women, the pipeline entering the radiologic disciplines continues to flow at a trickle. One factor is the relative lack of role models for female medical students. Entrepreneurial women in radiology can lead the field with their innovation and creativity, courage, and commitment. In this article, the authors highlight two entrepreneurial female radiologists who shared their success stories at the American Association for Women Radiologists' session at the 2015 ACR annual meeting. Their successes underscore the potential for such women to serve as role models to female medical students and even college undergraduates. Despite the gender gap in radiology, the field has yielded some exceptional women who can take on challenges, overcome barriers and assume risks, create strategies and processes to operationalize their visions, secure funding, and expand their enterprises to make sustainable impacts both at home and abroad. As we move toward more patient- and family-centered care models and become increasingly visible to diverse populations, there is no better time for female leaders in radiology to inspire the next generation to join our essential and rewarding specialty.
Assuntos
Empreendedorismo , Assistência Centrada no Paciente , Médicas , Radiologia/organização & administração , África , Feminino , Humanos , Liderança , Modelos Organizacionais , Sexismo , Sociedades Médicas , Ultrassonografia Pré-Natal , Estados Unidos , Recursos HumanosRESUMO
This is the 20th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.aseronline.org/curriculum/toc.htm .
Assuntos
Articulação Atlantoccipital/diagnóstico por imagem , Articulação Atlantoccipital/lesões , Diagnóstico por Imagem , Luxações Articulares/diagnóstico por imagem , Acidentes de Trânsito , Adolescente , Pré-Escolar , Medicina de Emergência/educação , Evolução Fatal , Feminino , Humanos , Luxações Articulares/etiologia , Radiologia/educaçãoRESUMO
This is the 19 installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.aseronline.org/curriculum/toc.htm .
Assuntos
Medicina de Emergência/educação , Hematoma Subdural/diagnóstico por imagem , Sistemas On-Line , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Diagnóstico Diferencial , Humanos , Lactente , Masculino , Megalencefalia/diagnóstico por imagem , Ultrassonografia Doppler , Ferimentos e LesõesRESUMO
Tarsal coalition is relatively frequent, with an estimated prevalence of 1-2%. Coalitions are most commonly talocalcaneal or calcaneonavicular, accounting for 90% of cases. While it is well known that bilateral tarsal coalitions can occur in up to 50% of cases, the presence of multiple coalitions in the same foot is less well described. In this report, we present a case of talocalcaneal and calcaneonavicular coalitions occurring in the same foot and briefly review the relevant literature.
Assuntos
Sinostose/diagnóstico por imagem , Ossos do Tarso/diagnóstico por imagem , Adolescente , Humanos , MasculinoRESUMO
This is the 18th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/?page=CCIP_TOC .