Thoracic aortic imaging

2019 ◽  
pp. 439-454
Keyword(s):  
Clinical Practice ◽  
Cardiac Imaging ◽  
Cardiac Mri ◽  
Gold Standard ◽  
Imaging Techniques ◽  
Imaging Procedures ◽  
Mri Angiography ◽  
Aortic Pathology ◽  
Cardiovascular Ct

The type of imaging performed on the thoracic aorta is usually dependent on the clinical presentation, local clinical practice, and availability of imaging techniques. Cardiovascular CT remains the gold standard for aortic assessment, but increasingly cardiac MRI angiography is used, particularly in patients who are young and require serial follow-up. Other standard cardiac imaging procedures are also used in the assessment of aortic pathology, including the PA chest radiograph, TTE, and TOE. Invasive aortography is occasionally also used.

Updates and Advances: Pediatric Musculoskeletal Infection Imaging Made Easier for Radiologists and Clinicians

2021 ◽  
Vol 25 (01) ◽  
pp. 167-175
Author(s):  
Michael S. Furman ◽  
Ricardo Restrepo ◽  
Supika Kritsaneepaiboon ◽  
Bernard F. Laya ◽  
Domen Plut ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Imaging Techniques ◽  
Daily Clinical Practice ◽  
Infants And Children ◽  
Imaging Evaluation ◽  
Musculoskeletal Infection ◽  
Wide Range ◽  
Life Threatening ◽  
Optimal Patient Management

AbstractInfants and children often present with a wide range of musculoskeletal (MSK) infections in daily clinical practice. This can vary from relatively benign superficial infections such as cellulitis to destructive osseous and articular infections and life-threatening deep soft tissue processes such as necrotizing fasciitis. Imaging evaluation plays an essential role for initial detection and follow-up evaluation of pediatric MSK infections. Therefore, a clear and up-to-date knowledge of imaging manifestations in MSK infections in infants and children is imperative for timely and accurate diagnosis that, in turn, can result in optimal patient management. This article reviews an up-to-date practical imaging techniques, the differences between pediatric and adult MSK infections, the spectrum of pediatric MSK infections, and mimics of pediatric MSK infections encountered in daily clinical practice by radiologists and clinicians.

Emerging Strategies for Sensing of Blood-Stream Bacterial Diseases

2021 ◽  
pp. 16-32
Author(s):  
A. K. Mishra ◽  
Ankur Kaul ◽  
Dimple Sethi Chopra ◽  
Abhishek Thakur ◽  
Pranav Shah
Keyword(s):  
Clinical Practice ◽  
Molecular Imaging ◽  
Bacterial Infections ◽  
Imaging Techniques ◽  
Blood Stream ◽  
Blood Samples ◽  
Bacterial Diseases ◽  
Detection Of Biomarkers ◽  
Systemic Infections

Early prognosis of infection has been a major concern for clinicians worldwide. The diagnostic investigation in clinical practice focuses on resolving the complex mysteries of the deep-seated systemic infections, which are often difficult to decipher. Amongst the infectious diseases, the bacterial infections are the most ubiquitously found infections. The clinics have moved to application of molecular imaging techniques for early detection of systemic bacterial infections which even allow the follow-up during antimicrobial therapy to assess the efficacy of a particular course. Further, new age diagnostic methodology has seen a paradigm shift to the detection of biomarkers in the blood samples of patients.

scholarly journals Cardiac MRI in this Era

2020 ◽  
Vol 5 (04) ◽  
pp. 335-342
Author(s):  
Mona Bhatia ◽  
Parveen Kumar
Keyword(s):  
Functional Assessment ◽  
Cardiac Mri ◽  
Gold Standard ◽  
Disease Process ◽  
Invaluable Tool ◽  
Tissue Contrast ◽  
Cardiac Assessment ◽  
Myocardial Involvement ◽  
Mapping Techniques

Abstract Cardiac MRI (CMR) in this era is fast emerging as an invaluable tool in assessment of a large gamut of cardiac pathologies to not only ascertain the diagnosis but also assess severity, enable prognostication of disease process, guide management, and follow-up patients. CMR is today the gold standard for accurate and reproducible cardiac functional assessment, with excellent soft-tissue contrast, and ability to evaluate myocardial involvement even without contrast objectively via mapping techniques. CMR is thus fast emerging as the modality of choice and exponentially growing for cardiac assessment.

scholarly journals Whole-body integrated imaging for multiple myeloma: the gold standard

2020 ◽  
Author(s):  
Nappa Elena ◽  
Notorio Maurizio ◽  
Russo Salvatore
Keyword(s):  
Multiple Myeloma ◽  
Gold Standard ◽  
Imaging Techniques ◽  
Added Value ◽  
Whole Body ◽  
Study Protocols ◽  
Pet Ct ◽  
Cancer Network ◽  
Work Up

The article aims to describe the study protocols of multiple myeloma with different imaging techniques. The guidelines of the major scientific reference societies for multiple myeloma - IMWG (International Myeloma Working Group) and NCCN (National Comprehensive Cancer Network) - provide for the study of CT WB, RM WB and PET / CT, which have completely outclassed traditional radiology. Each method contributes to acquiring an added value in the work up and follow up of patients suffering from multiple myeloma.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

Diagnostic workup and endovascular treatment of popliteal artery trauma

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Cheong J. Lee ◽  
Rory Loo ◽  
Max V. Wohlauer ◽  
Parag J. Patel
Keyword(s):  
Vascular Injury ◽  
Gold Standard ◽  
Imaging Techniques ◽  
Computed Tomographic Angiography ◽  
Vascular Trauma ◽  
Endovascular Techniques ◽  
Computed Tomographic ◽  
Arterial Injuries ◽  
Arterial Trauma ◽  
Peripheral Arterial

Abstract. Although management paradigms for certain arterial trauma, such as aortic injuries, have moved towards an endovascular approach, the application of endovascular techniques for the treatment of peripheral arterial injuries continues to be debated. In the realm of peripheral vascular trauma, popliteal arterial injuries remain a devastating condition with significant rates of limb loss. Expedient management is essential and surgical revascularization has been the gold standard. Initial clinical assessment of vascular injury is aided by readily available imaging techniques such as duplex ultrasonography and high resolution computed tomographic angiography. Conventional catheter based angiography, however, remain the gold standard in the determination of vascular injury. There are limited data examining the outcomes of endovascular techniques to address popliteal arterial injuries. In this review, we examine the imaging modalities and current approaches and data regarding endovascular techniques for the management popliteal arterial trauma.

Multislice imaging of gastrointestinal stromal tumors

2018 ◽  
pp. 3-14
Keyword(s):  
Computed Tomography ◽  
Key Words ◽  
Gold Standard ◽  
Gastrointestinal Stromal Tumors ◽  
Mesenchymal Tumors ◽  
Stromal Tumors ◽  
Preferential Localization ◽  
Multislice Imaging ◽  
Computed Tomography Diagnosis

Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the digestive tract (1%). These tumors express the CD 117 in 95% of cases. The stomach is the preferential localization (70%). Diagnosis is difficult and sometimes late. Progress of imaging has greatly improved the management and the prognosis. Computed tomography (CT) is the gold standard for diagnosis, staging, and treatment follow-up. The increasing recognition of GIST’s histopathology and the prolonged survival revealed some suggestive imaging aspects. Key words: gastro-intestinal stromal tumors; computed tomography; diagnosis

Automatic Remote Monitoring of Implantable Cardiac Devices in Clinical Practice – The Lumos-T Safely Reduces Routine Office Device Follow-up (TRUST) Trial

2010 ◽  
Vol 6 (3) ◽  
pp. 87
Author(s):  
Niraj Varma ◽  
Keyword(s):  
Clinical Practice ◽  
Remote Monitoring ◽  
Home Monitoring ◽  
Implantable Devices ◽  
Cardiac Device ◽  
Cardiac Devices ◽  
Enhance Patient Safety ◽  
Implantable Cardiac Devices ◽  
Post Implantation

The use of implantable electronic cardiac devices is increasing. Post-implantation follow-up is important for monitoring both device function and patient condition; however, clinical practice is inconsistent. For example, implantable cardioverter–defibrillator follow-up schedules vary from every three months to yearly according to facility and physician preference and the availability of resources. Importantly, no surveillance occurs between follow-up visits. By contrast, implantable devices with automatic remote monitoring capability provide a means for performing constant surveillance, with the ability to identify salient problems rapidly. The Lumos-T Reduces Routine Office Device Follow-up Study (TRUST) demonstrated that remote home monitoring reduced clinic burden and allowed early detection of patient and/or system problems, enabling efficient monitoring and an opportunity to enhance patient safety. The results of the trial have significant implications for the management of patients receiving all forms of implantable electronic cardiac device.

Diagnosis and Management of Cardiomyopathies – A Focus on Genetics, Cardiac Magnetic Resonance and Clinical Features

2011 ◽  
Vol 7 (3) ◽  
pp. 225
Author(s):  
Gianfranco Sinagra ◽  
Michele Moretti ◽  
Giancarlo Vitrella ◽  
Marco Merlo ◽  
Rossana Bussani ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Imaging Techniques ◽  
Molecular Genetic ◽  
Molecular Genetic Analysis ◽  
Routine Clinical Practice ◽  
Clinical Approach ◽  
Diagnosis And Management ◽  
Made In

In recent years, outstanding progress has been made in the diagnosis and treatment of cardiomyopathies. Genetics is emerging as a primary point in the diagnosis and management of these diseases. However, molecular genetic analyses are not yet included in routine clinical practice, mainly because of their elevated costs and execution time. A patient-based and patient-oriented clinical approach, coupled with new imaging techniques such as cardiac magnetic resonance, can be of great help in selecting patients for molecular genetic analysis and is crucial for a better characterisation of these diseases. This article will specifically address clinical, magnetic resonance and genetic aspects of the diagnosis and management of cardiomyopathies.

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