Recommendations for the Management of Incidental Hepatobiliary Findings in Adults: Endorsement and Adaptation of the 2017 and 2013 ACR Incidental Findings Committee White Papers by the Canadian Association of Radiologists Incidental Findings Working Group

The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2020 Canadian guidelines for the management of hepatobiliary incidental findings. Topics covered include initial assessment of hepatic steatosis and cirrhosis, the workup of incidental liver masses identified on ultrasound and computed tomography (with algorithms presented), incidental gallbladder findings (wall thickening, calcification, and polyps), and management of incidental biliary dilatation.

Download Full-text

Recommendations for the Management of Incidental Pancreatic Findings in Adults by the Canadian Association of Radiologists Incidental Findings Working Group

Canadian Association of Radiologists Journal ◽

10.1177/08465371211021079 ◽

2021 ◽

pp. 084653712110210

Author(s):

Christopher I. Fung ◽

David L. Bigam ◽

Clarence K. W. Wong ◽

Casey Hurrell ◽

Jeffery R. Bird ◽

...

Keyword(s):

Working Group ◽

Incidental Findings ◽

Practice Patterns ◽

Cost Effective ◽

Pancreatic Cysts ◽

Canadian Association ◽

Pancreatic Calcifications ◽

Fatty Atrophy ◽

Anatomic Variants

The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2021 Canadian guidelines for the management of pancreatic incidental findings. Topics covered include anatomic variants, fatty atrophy, pancreatic calcifications, ductal ectasia, and management of incidental pancreatic cysts.

Download Full-text

Canadian Association of Radiologists White Paper on Artificial Intelligence in Radiology

Canadian Association of Radiologists Journal ◽

10.1016/j.carj.2018.02.002 ◽

2018 ◽

Vol 69 (2) ◽

pp. 120-135 ◽

Cited By ~ 107

Author(s):

An Tang ◽

Roger Tam ◽

Alexandre Cadrin-Chênevert ◽

Will Guest ◽

Jaron Chong ◽

...

Keyword(s):

Artificial Intelligence ◽

Patient Care ◽

Working Group ◽

White Paper ◽

Patient Centered ◽

Computing Power ◽

Implementation Phase ◽

Early Adoption ◽

Canadian Association

Artificial intelligence (AI) is rapidly moving from an experimental phase to an implementation phase in many fields, including medicine. The combination of improved availability of large datasets, increasing computing power, and advances in learning algorithms has created major performance breakthroughs in the development of AI applications. In the last 5 years, AI techniques known as deep learning have delivered rapidly improving performance in image recognition, caption generation, and speech recognition. Radiology, in particular, is a prime candidate for early adoption of these techniques. It is anticipated that the implementation of AI in radiology over the next decade will significantly improve the quality, value, and depth of radiology's contribution to patient care and population health, and will revolutionize radiologists' workflows. The Canadian Association of Radiologists (CAR) is the national voice of radiology committed to promoting the highest standards in patient-centered imaging, lifelong learning, and research. The CAR has created an AI working group with the mandate to discuss and deliberate on practice, policy, and patient care issues related to the introduction and implementation of AI in imaging. This white paper provides recommendations for the CAR derived from deliberations between members of the AI working group. This white paper on AI in radiology will inform CAR members and policymakers on key terminology, educational needs of members, research and development, partnerships, potential clinical applications, implementation, structure and governance, role of radiologists, and potential impact of AI on radiology in Canada.

Download Full-text

Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)

Egyptian Journal of Radiology and Nuclear Medicine ◽

10.1186/s43055-019-0128-2 ◽

2020 ◽

Vol 51 (1) ◽

Cited By ~ 1

Author(s):

Mohamed M. Harraz ◽

Ahmed H. Abouissa

Keyword(s):

Computed Tomography ◽

Retrospective Study ◽

Gall Bladder ◽

Acute Cholecystitis ◽

Acute Diverticulitis ◽

Wall Thickening ◽

Free Fluid ◽

Iodinated Contrast ◽

Contrast Enhanced

Abstract Background Although gall bladder perforation (GBP) is not common, it is considered a life-threating condition, and the possibility of occurrence in cases of acute cholecystitis must be considered. The aim of this study was to assess the role of multi-slice computed tomography (MSCT) in the assessment of GBP. Results It is a retrospective study including 19 patients that had GBP out of 147, there were 11 females (57.8%) and 8 males (42.1%), aged 42 to 79 year (mean age 60) presented with acute abdomen or acute cholecystitis. All patients were examined with abdominal ultrasonography and contrast-enhanced abdominal MSCT after written informed consent was obtained from the patients. This study was between January and December 2018. Patients with contraindications to contrast-enhanced computed tomography (CT) (pregnancy, acute kidney failure, or allergy to iodinated contrast agents) who underwent US only were excluded. Patients with other diagnoses, such as acute diverticulitis of the right-sided colon or acute appendicitis, were excluded. The radiological findings were evaluated such as GB distention; stones; wall thickening, enhancement, and defect; pericholecystic free fluid or collection; enhancement of liver parenchyma; and air in the wall or lumen. All CT findings are compared with the surgical results. Our results revealed that the most important and diagnostic MSCT finding in GBP is a mural defect. Nineteen patients were proved surgically to have GBP. Conclusion GBP is a rare but very serious condition and should be diagnosed and treated as soon as possible to decrease morbidity and mortality. The most accurate diagnostic tool is the CT, MSCT findings most specific and sensitive for the detection of GBP and its complications.

Download Full-text

Optometric Care of the Patient with Diabetes 2008: A Core Document of the Canadian Association of Optometrists

Canadian Journal of Optometry ◽

10.15353/cjo.70.675 ◽

2008 ◽

Vol 70 (6) ◽

Author(s):

Len Koltun

Keyword(s):

Cost Effective ◽

Morbidity And Mortality ◽

Evidence Based ◽

Eye Care ◽

Patient Centered ◽

Healthcare Burden ◽

Canadian Association ◽

Effective Role

The objective of this document is to provide the reader with an overview of the epidemic of diabetes currently facing Canada and the morbidity and mortality associated with this growing healthcare burden. Specifically, an evidence based, patient centered, cost effective role of the optometrist in the eye care of Canadians with diabetes will be presented.

Download Full-text

Recommendations for the Management of the Incidental Renal Mass in Adults: Endorsement and Adaptation of the 2017 ACR Incidental Findings Committee White Paper by the Canadian Association of Radiologists Incidental Findings Working Group

Canadian Association of Radiologists Journal ◽

10.1016/j.carj.2019.03.002 ◽

2019 ◽

Vol 70 (2) ◽

pp. 125-133 ◽

Cited By ~ 2

Author(s):

Iain D.C. Kirkpatrick ◽

Gary L. Brahm ◽

Gevork N. Mnatzakanian ◽

Casey Hurrell ◽

Brian R. Herts ◽

...

Keyword(s):

Working Group ◽

Incidental Findings ◽

Renal Mass ◽

White Paper ◽

Canadian Association

Download Full-text

The Role of EUS FNA for Pancreatic Metastases: Diagnostic Accuracy, Tumor Appearance, Incremental Utility Versus Computed Tomography, and Impact On Patient Care

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2008.03.531 ◽

2008 ◽

Vol 67 (5) ◽

pp. AB204-AB205 ◽

Cited By ~ 1

Author(s):

Michael J. Levy ◽

Todd H. Baron ◽

Joshua G. Barton ◽

Suresh T. Chari ◽

Jonathan E. Clain ◽

...

Keyword(s):

Computed Tomography ◽

Diagnostic Accuracy ◽

Patient Care ◽

Pancreatic Metastases

Download Full-text

The Role of Cardiac Computed Tomography in Tetralogy of Fallot and Pulmonary Atresia

Indonesian Journal of Cardiology ◽

10.30701/ijc.v36i1.443 ◽

2015 ◽

pp. 52-61

Author(s):

Oktavia Lilyasari

Keyword(s):

Computed Tomography ◽

Cardiac Catheterization ◽

Imaging Modality ◽

Cardiac Computed Tomography ◽

Pulmonary Atresia ◽

Cost Effective ◽

Anatomy And Physiology ◽

Great Vessels

Congenital heart disease (CHD) occurs in about 6 to 8 of 1000 live births with the increasing prevalence can be attributed to major improvements in diagnosis and treatment. Imaging has an important role in diagnosis of CHD. It outlines anatomy and physiology, helps to refine management, evaluates the consequences of interventions and helps guide prognosis. However, no single available imaging modality fulfills these roles for all patients and diseases. Therefore, assessment for CHD must involve multimodalities that can be used in a complementary fashion, and that together are sensitive, accurate, reproducible, and cost effective, whilst minimizing harm.In previous years, the diagnosis and the treatment of congenital malformations have often depended on cardiac catheterization. In many institutions, cardiac catheterization still remains the gold standard against which other modalities are measured. In the past decade, however, imaging methodologies have increasingly shifted toward the use of less invasive and noninvasive techniques. Although echocardiography is the most commonly used imaging modality for diagnosis and follow-up of subjects with CHD, the evolution of cardiovascular magnetic resonance (MR) imaging and increasingly computed tomography (CT) does offer new ways to visualize the heart and the great vessels.

Download Full-text

The role of computed tomography scanning in the initial assessment and the follow-up of malignant pleural mesothelioma

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(19)35312-7 ◽

1988 ◽

Vol 96 (1) ◽

pp. 171-177 ◽

Cited By ~ 71

Author(s):

Valerie W. Rusch ◽

J. David Godwin ◽

William P. Shuman

Keyword(s):

Computed Tomography ◽

Malignant Pleural Mesothelioma ◽

Initial Assessment ◽

Pleural Mesothelioma ◽

Computed Tomography Scanning ◽

Tomography Scanning

Download Full-text

Incidence of vestibular schwannoma and incidental findings on the magnetic resonance imaging and computed tomography scans of patients from a direct referral audiology clinic

The Journal of Laryngology & Otology ◽

10.1017/s0022215112000680 ◽

2012 ◽

Vol 126 (7) ◽

pp. 658-662 ◽

Cited By ~ 3

Author(s):

B Y W Wong ◽

R Capper

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Hearing Loss ◽

Magnetic Resonance ◽

Vestibular Schwannoma ◽

Incidental Findings ◽

Cost Effective ◽

Resonance Imaging ◽

Computed Tomography Scans ◽

Direct Referral

AbstractObjective:To identify the incidence of vestibular schwannoma amongst patients referred from a direct referral audiology clinic, and also the number of incidental findings, as seen on magnetic resonance imaging or computed tomography scans.Method:Prospective data collection for patients referred from a direct referral audiology clinic due to audiological evidence of asymmetrical hearing loss. The audiograms, magnetic resonance imaging and computed tomography scans of patients with diagnosed vestibular schwannoma were subsequently reviewed.Results:A total of 4100 patients were seen during the study period, with 396 scans performed. Six (1.5 per cent) patients had vestibular schwannoma, while 12 (3 per cent) had significant incidental findings.Conclusion:Patients referred from the direct referral audiology clinic had a low incidence of vestibular schwannoma detection. Their detection rate for significant incidental findings was similar to previous reports. If the current protocol had not been in place, over 300 patients would have been needlessly added to the ENT clinic list. Thus, general practitioner referral to direct referral audiology clinics provides a cost-effective way of managing asymmetrical sensorineural hearing loss in older patients. The number of such clinics could be expanded.

Download Full-text