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In this popular American book from the 1920s, accomplished public speaker and self-help charlatan Elsie Lincoln Benedict outlines her pseudo-scientific system of "Human Analysis". She proposes that, within the human race, five sub-types have developed through evolutionary processes, each with its own distinct character traits and corresponding outward appearance. She offers to teach the reader how to recognise these five types of people and understand their innate differences. Her ideas have ...
 
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In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Jose Diaz-Gomez. They discuss Dr. Diaz-Gomez's recent publication in the NEJM about the use of point of care ultrasound (POCUS) in the ICU. Dr. Diaz-Gomez is the Medical Director of Cardiothoracic, Mechanical Circulatory Support and Critical Care at Baylor St L…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26551 Percutaneous ablation is an effective treatment for sarcoma lung metastases that improves survival with minimal damage to healthy lung. Two increasingly used ablation modalities, microwave ablation and cryoablation, have not been directly compared. Liwei Jiang, MD, discusses a new…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26614 Ragheed Al-Dulaimi, MD discusses a new article in which the authors explore the natural history of incidentally discovered gallbladder polyps on ultrasound performed for hepatocellular carcinoma surveillance.
 
Full article: https://www.ajronline.org/doi/10.2214/AJR.21.26411 Shambo Guha Roy, MBBS, MD discusses a new article in which the authors explored associations between preoperative thoracic CT findings and need for postoperative mechanical ventilation after major abdominal or pelvic surgeries.
 
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Lars W Andersen. They discuss Dr. Andersen's recent publication in JAMA about the effect of vasopressin and methylprednisolone on return of spontaneous circulation in in-hospital cardiac arrest. Dr. Lars Andersen is an Associate Professor in Clinical Medicine a…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26577 Rosalind Gerson, PGY3 discusses a new study which shows that applying deep learning reconstruction to accelerated shoulder MRI improves image quality and decreases artifact severity to a level similar to that of standard sequences, without compromising sensitivity, specificity, an…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26071 Wenhui Zhou, MD, PhD reviews a recent AJR article examining the diagnostic performance of six different imaging modalities in the detection of sporadic pheochromocytoma, and the science behind several radiotracers used in the detection of pheochromocytoma. This study supports the …
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26506 Alexandra Millet, MD discusses a new study shows that accuracy improves and recall rates decrease when DBT or AI-CAD are used as adjuncts to DM alone for surveillance of the ipsilateral and contralateral breasts in women with a personal history of breast cancer after BCT, indicati…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26208 In this episode, Gregory Lee, MD focuses on a new AJR article that focuses on how dual-energy CT derived electron density values can add accuracy in the diagnosis of lymph node metastasis in the setting of non-small cell lung cancer.…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26274 Viet Le, MD discusses the diagnostic performance of contrast-enhanced ultrasounds in evaluating neonatal brain injury while highlighting the safety and feasibility of the modality, which are important to consider in potentially critically ill patients.…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26256 Should CT contrast media be warmed? Currently, the ACR has not provided conclusive recommendations, and data to guide decision-making has been sparse. In this episode, John Do, MD discusses a recently published study showing that prewarming iohexol 350 may not be necessary to redu…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25979 Clear cell Likelihood Score (ccLS) is a non-invasive method to grade the likelihood of a small renal lesion being a clear cell renal cell carcinoma based on the MRI appearance. Hyunjoong William Kim, MD discusses a new AJR article in which the authors demonstrate a relationship be…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26346 How many CT-guided lung biopsies should one perform before being considered competent? Knowing metrics for performance and how to measure performance may help set guidelines for training and clinical practice. Liwei Jiang, MD details a new study in which the authors seek to define…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26014 Lara Gabrielle L Lim discusses a new AJR study that focuses on CT changes of the pancreas before the diagnosis of pancreatic ductal adenocarcinoma. This involves six focal pancreatic abnormalities that when detected will aid in early disease detection, early disease management, an…
 
Guests Dr. Michael H. Cho Associate Professor, Brigham and Women's Hospital, Harvard Medical School Dr. Dara Torgerson Associate Professor, University of California, San Francisco Dr. Victor E. Ortega Associate Professor, Wake Forest University School of Medicine Hosts Dr. Andrew Bishop Assistant Professor, Wake Forest University School of Medicine…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.26132 Jeffrey Guccione, MD discusses an article that examines the use of iohexol in a water-soluble contrast challenge for predicting non-operative management of small bowel obstruction. Technical success rates are also examined, and the real-world practicality discussed. Strengths and …
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.19.22661 In this podcast, Pei-Kang (Ken) Wei, MD and Cinthia Cruz-Romero, MD summarized the study by Stewart et al. and then provided a discussion regarding the limitation of this article as well as whether including MRI to the diagnostic algorithm for placental adhesion disorder may provi…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25787 In this podcast, Tyler Richards, MD discusses an observational retrospective study that looks at risk factors for patients with non-small cell lung cancer, which they found to be advanced clinical stage at diagnosis (stage III or IV) and EGFR mutation in patients with adenocarcino…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25732 David Ballard, MD discusses an AJR article in which the authors provide a practical practice consideration for optimizing prostate MR image quality. To reduce susceptibility from rectal gas, the authors had MR technologist place 18-French rectal tubes in patients undergoing prosta…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25608 Drew Gunio, MD discusses a new AJR study assessing the impact of a flexed elbow valgus external rotation (FEVER) view on ulnotrochlear (UT) joint space measurement and reader evaluation of the UCL when incorporated into standard elbow MRI in throwing athletes.…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25744 Kerem Ozturk, MD discusses a new AJR articles that includes retrospective ECG-Gated CTA findings which may help guide presurgical planning in Type A Aortic Dissection with sinus Valsalva involvement that impacts patient prognosis and surgical planning.…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25924 Intracranial deposition of gadolinium after contrast-enhanced MRI is an emerging area of concern with much still to be learned. Kalen Riley, MD, MBA discusses a new article that proposes a dose-reduction strategy that takes advantage of relatively higher T1 relaxivity of one macro…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25640 Characteristic CT findings of COVID-19 pneumonia have been extensively described, including the substantial overlap with findings of other infectious etiologies such as influenza. However, CT findings also have substantial overlap with those of non-infectious organizing pneumonia.…
 
Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25796 Giuseppe V. Toia, MD reviews a retrospective study which compares CT and MRI cystic renal mass characterization using the Bosniak 2019 and 2005 versions. This study concludes that version 2019 demonstrated decreased sensitivity, but increased specificity for detecting malignancy.…
 
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