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Article ; Online: Return to Play in the Professional Athlete.

Gulati, Aishwarya / Desai, Vishal

2024 Volume 28, Issue 2, Page(s) 107–118

Abstract: The management of any injury in elite athletes poses unique challenges distinct from the general population because the goal is rapid recovery and return to play (RTP) while simultaneously managing residual symptoms and minimizing risk of reinjury. The ... ...

Abstract	The management of any injury in elite athletes poses unique challenges distinct from the general population because the goal is rapid recovery and return to play (RTP) while simultaneously managing residual symptoms and minimizing risk of reinjury. The time required for treatment, recovery, and return to peak performance can have consequences for both the athlete and his or her team: financial implications, psychological stressors, team dynamics, and future performance. RTP after an injury in the professional athlete requires a complex decision-making process with many stakeholders. Several factors influence this decision, not the least of which is the type and mechanism of injury. This article provides an overview of the RTP process including nonmedical factors that may influence this decision, common injuries seen in professional athletes, injury patterns particular to certain popular sports, and imaging guidelines for such injuries.
MeSH term(s)	Female ; Humans ; Male ; Athletes ; Athletic Injuries/diagnostic imaging ; Athletic Injuries/therapy ; Forecasting ; Return to Sport ; Sports
Language	English
Publishing date	2024-03-14
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1360919-1
ISSN	1098-898X ; 1089-7860
ISSN (online)	1098-898X
ISSN	1089-7860
DOI	10.1055/s-0043-1778028
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Return to Play in the Professional Athlete

Gulati, Aishwarya / Desai, Vishal

Seminars in Musculoskeletal Radiology

(Return to Play in Sport: The Role of the Radiologist)

2024 Volume 28, Issue 02, Page(s) 107–118

Series title	Return to Play in Sport: The Role of the Radiologist
Abstract	The management of any injury in elite athletes poses unique challenges distinct from the general population because the goal is rapid recovery and return to play (RTP) while simultaneously managing residual symptoms and minimizing risk of reinjury. The time required for treatment, recovery, and return to peak performance can have consequences for both the athlete and his or her team: financial implications, psychological stressors, team dynamics, and future performance. RTP after an injury in the professional athlete requires a complex decision-making process with many stakeholders. Several factors influence this decision, not the least of which is the type and mechanism of injury. This article provides an overview of the RTP process including nonmedical factors that may influence this decision, common injuries seen in professional athletes, injury patterns particular to certain popular sports, and imaging guidelines for such injuries.
Keywords	return to play ; professional athlete ; sports injuries ; imaging
Language	English
Publishing date	2024-03-14
Publisher	Thieme Medical Publishers, Inc.
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	1360919-1
ISSN	1098-898X ; 1089-7860
ISSN (online)	1098-898X
ISSN	1089-7860
DOI	10.1055/s-0043-1778028
Database	Thieme publisher's database

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Article ; Online: How to Succeed as a Radiology Fellow.

Zhang, Meng / Gulati, Aishwarya / Páez-Carpio, Alfredo / Zaki-Metias, Kaitlin M / Cledera, Thurl

Radiographics : a review publication of the Radiological Society of North America, Inc

2024 Volume 44, Issue 5, Page(s) e240003

MeSH term(s)	Humans ; Radiology ; Radiography
Language	English
Publishing date	2024-04-11
Publishing country	United States
Document type	Editorial
ZDB-ID	603172-9
ISSN	1527-1323 ; 0271-5333
ISSN (online)	1527-1323
ISSN	0271-5333
DOI	10.1148/rg.240003
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Article ; Online: Interstitial lung abnormalities and pulmonary fibrosis in COVID-19 patients: a short-term follow-up case series.

Gulati, Aishwarya / Lakhani, Paras

Clinical imaging

2021 Volume 77, Page(s) 180–186

Abstract: Fibrotic lung changes are well-known complications of SARS, MERS, and ARDS from other causes and are anticipated in recovered COVID patients. However, there is limited data so far showing a temporal relationship between lung changes on imaging in the ... ...

Abstract	Fibrotic lung changes are well-known complications of SARS, MERS, and ARDS from other causes and are anticipated in recovered COVID patients. However, there is limited data so far showing a temporal relationship between lung changes on imaging in the acute phase and follow-up imaging after recovery from the infection. We present 12 patients who demonstrate the development of interstitial lung changes and pulmonary fibrosis in the same distribution and pattern as the acute phase findings, up to 6 months after the acute infection, demonstrating a direct relationship between these changes and COVID-19 pneumonia.
MeSH term(s)	COVID-19 ; Follow-Up Studies ; Humans ; Lung/diagnostic imaging ; Pulmonary Fibrosis/diagnostic imaging ; SARS-CoV-2
Language	English
Publishing date	2021-03-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	1028123-x
ISSN	1873-4499 ; 0899-7071
ISSN (online)	1873-4499
ISSN	0899-7071
DOI	10.1016/j.clinimag.2021.03.030
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Zs.A 1469: Show issues

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Article ; Online: Rasmussen Encephalitis with Ipsilateral Brain Stem and Contralateral Cerebellar Atrophy.

Agarwal, Ankita / Garg, Kanwaljeet / Gulati, Aishwarya / Gulati, Parveen

Neurology India

2021 Volume 69, Issue 4, Page(s) 1140–1141

MeSH term(s)	Atrophy/pathology ; Brain/diagnostic imaging ; Brain/pathology ; Brain Stem ; Encephalitis/diagnostic imaging ; Encephalitis/pathology ; Humans ; Inflammation/pathology ; Magnetic Resonance Imaging
Language	English
Publishing date	2021-09-07
Publishing country	India
Document type	Journal Article
ZDB-ID	415522-1
ISSN	1998-4022 ; 0028-3886
ISSN (online)	1998-4022
ISSN	0028-3886
DOI	10.4103/0028-3886.325356
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Zs.A 698: Show issues

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Article ; Online: The Role of Nuclear Medicine in Benign Thyroid Disease.

Intenzo, Charles / Miller, Jeffrey / Gulati, Aishwarya / Colarossi, Daly / Parekh, Maansi

Seminars in nuclear medicine

2023 Volume 53, Issue 4, Page(s) 469–474

Abstract: Since the mid-twentieth century, the radionuclide thyroid scan has been utilized in the management of benign thyroid disorders. In current medical practice, patients with hyperthyroidism are referred for thyroid scintigraphy, while patients with goiters ... ...

Abstract	Since the mid-twentieth century, the radionuclide thyroid scan has been utilized in the management of benign thyroid disorders. In current medical practice, patients with hyperthyroidism are referred for thyroid scintigraphy, while patients with goiters and thyroid nodules are most often evaluated by ultrasound or computed tomography. Since thyroid scintigraphy reflects the functional state of the gland, it provides information that anatomical imaging lacks. Therefore, radionuclide imaging of the thyroid is the imaging modality of choice in the evaluation of the hyperthyroid patient. In addition, patients with so-called subclinical hyperthyroidism often present a diagnostic dilemma to the clinician since the causative factor must be determined for proper patient management. The aim of this manuscript is to illustrate the imaging characteristics of thyroid disorders commonly seen in clinical practice resulting in thyrotoxicosis or pending thyrotoxicosis, so that correlation with clinical presentation and pertinent laboratory data will lead to the correct diagnosis.
MeSH term(s)	Humans ; Nuclear Medicine ; Thyroid Diseases/diagnostic imaging ; Thyroid Diseases/complications ; Radionuclide Imaging ; Hyperthyroidism/diagnostic imaging ; Hyperthyroidism/etiology ; Thyrotoxicosis/complications ; Thyrotoxicosis/diagnosis
Language	English
Publishing date	2023-05-02
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	120248-0
ISSN	1558-4623 ; 0001-2998
ISSN (online)	1558-4623
ISSN	0001-2998
DOI	10.1053/j.semnuclmed.2023.04.001
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Article ; Online: Mitral Annular Disjunction: Review of an Increasingly Recognized Mitral Valve Entity.

Gulati, Aishwarya / Gulati, Vaibhav / Hu, Ray / Rajiah, Prabhakar Shantha / Stojanovska, Jadranka / Febbo, Jennifer / Litt, Harold I / Pavri, Behzad / Sundaram, Baskaran

Radiology. Cardiothoracic imaging

2024 Volume 5, Issue 6, Page(s) e230131

Abstract: Mitral annular disjunction (MAD) refers to atrial displacement of the hinge point of the mitral valve annulus from the ventricular myocardium. MAD leads to paradoxical expansion of the annulus in systole and may often be associated with mitral valve ... ...

Abstract	Mitral annular disjunction (MAD) refers to atrial displacement of the hinge point of the mitral valve annulus from the ventricular myocardium. MAD leads to paradoxical expansion of the annulus in systole and may often be associated with mitral valve prolapse (MVP), leaflet degeneration, myocardial and papillary muscle fibrosis, and, potentially, malignant cardiac arrhythmias. Patients with MAD and MVP may present similarly, and MAD is potentially the missing link in explaining why some patients with MVP experience adverse outcomes. Patients with a 5 mm or longer MAD distance have an elevated risk of malignant cardiac arrhythmia compared with those with a shorter MAD distance. Evaluation for MAD is an important component of cardiac imaging, especially in patients with MVP and unexplained cardiac arrhythmias. Cardiac MRI is an important diagnostic tool that aids in recognizing and quantifying MAD, MVP, and fibrosis in the papillary muscle and myocardium, which may predict and help improve outcomes following electrophysiology procedures and mitral valve surgery. This article reviews the history, pathophysiology, controversy, prevalence, clinical implications, and imaging considerations of MAD, focusing on cardiac MRI.
MeSH term(s)	Humans ; Mitral Valve/diagnostic imaging ; Mitral Valve Prolapse/diagnostic imaging ; Arrhythmias, Cardiac/etiology ; Papillary Muscles/diagnostic imaging ; Fibrosis
Language	English
Publishing date	2024-01-02
Publishing country	United States
Document type	Journal Article ; Review
ISSN	2638-6135
ISSN (online)	2638-6135
DOI	10.1148/ryct.230131
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Ruptured Brain Hydatid Cyst.

Gupta, Lakshmi K / Mirza, Arif / Gulati, Aishwarya / Gulati, Parveen

Neurology India

2021 Volume 69, Issue 4, Page(s) 1111

MeSH term(s)	Brain/diagnostic imaging ; Echinococcosis/diagnostic imaging ; Echinococcosis/surgery ; Humans ; Rupture ; Rupture, Spontaneous
Language	English
Publishing date	2021-09-27
Publishing country	India
Document type	Journal Article
ZDB-ID	415522-1
ISSN	1998-4022 ; 0028-3886
ISSN (online)	1998-4022
ISSN	0028-3886
DOI	10.4103/0028-3886.325350
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Presence of subchondral fracture in cases diagnosed as transient osteoporosis of the hip: a retrospective independent reader-based study.

Gulati, Aishwarya / Kamel, Sarah I / Desai, Vishal / Belair, Jeffrey A

Skeletal radiology

2023 Volume 53, Issue 5, Page(s) 871–879

Abstract: Objective: Transient osteoporosis of the hip (TOH) is an uncommon, typically self-limited diagnosis of uncertain etiology. We hypothesize that TOH represents an underlying subchondral fracture, and a discrete fracture line can often be detected on high- ... ...

Abstract	Objective: Transient osteoporosis of the hip (TOH) is an uncommon, typically self-limited diagnosis of uncertain etiology. We hypothesize that TOH represents an underlying subchondral fracture, and a discrete fracture line can often be detected on high-resolution MRI. Materials and methods: A retrospective PACS query identified patients meeting imaging criteria for TOH with intense bone marrow edema (BME) in the femoral head on MRI. Those with poor quality studies, other underlying pathologies, or antecedent trauma were excluded. Three musculoskeletal radiologists independently reviewed each case for presence of a definite subchondral fracture line on small field of view (FOV) MR images of the affected hip. Extent of BME, reciprocal acetabular BME, and joint effusion size were also recorded. Binomial logistic regression was performed to determine statistically significant predictors of subchondral fracture. Results: Fifty patients met inclusion criteria (29 females, 0 pregnant). Mean age was 62±12 years (range 35-84). Average duration of symptoms before MRI was 102±135 days. Ten patients had bone densitometry within 2 years of MRI, six demonstrating osteopenia or osteoporosis. Subchondral fractures were unanimously identified in 44/50 (88%). Interclass correlation coefficient with absolute agreement was 0.73, 95% CI (0.57-0.84), indicating near-excellent agreement. Most cases demonstrated a large joint effusion (23/50, 46%) and acetabular BME (31/50, 62%). Increasing size of joint effusion was a statistically significant predictor of subchondral fracture (p=0.05), with 6.9 higher odds. There was a strong correlation with osteopenia/osteoporosis and fracture (p<0.001). Conclusion: Discrete subchondral fractures were identified unanimously on small FOV imaging in the majority of TOH cases.
MeSH term(s)	Female ; Humans ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Retrospective Studies ; Osteoporosis ; Magnetic Resonance Imaging/methods ; Fractures, Bone ; Acetabulum/pathology ; Bone Marrow Diseases/pathology
Language	English
Publishing date	2023-11-07
Publishing country	Germany
Document type	Journal Article
ZDB-ID	527592-1
ISSN	1432-2161 ; 0364-2348
ISSN (online)	1432-2161
ISSN	0364-2348
DOI	10.1007/s00256-023-04500-7
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Article ; Online: Comprehensive Imaging Review of Pleural Fistulas from Diagnosis to Management.

Kapoor, Harit / Gulati, Vaibhav / Gulati, Aishwarya / Donuru, Achala / Parekh, Maansi

Radiographics : a review publication of the Radiological Society of North America, Inc

2022 Volume 42, Issue 7, Page(s) 1940–1955

Abstract: Pleural fistula is an abnormal communication between the pleural cavity and an adjacent structure. The interplay of anatomic and physiologic factors including proximity to various intrathoracic structures, deep pleural recesses, and negative pleural ... ...

Abstract	Pleural fistula is an abnormal communication between the pleural cavity and an adjacent structure. The interplay of anatomic and physiologic factors including proximity to various intrathoracic structures, deep pleural recesses, and negative pleural pressures makes the pleura an easy victim of fistulization. Iatrogenic creation followed by necrotizing infections and malignancies are the most common causes. While the overall incidence and size of postsurgical pleural fistulas are decreasing with increased adoption of vascularized flaps for high-risk resections, the smaller fistulas that develop in the setting of post-radiation therapy changes, with necrotizing infections in immunosuppressed patients, and with use of newer antiangiogenic chemotherapies can be challenging to visualize directly. Imaging signs in clinical practice are often subtle and indirect. Multimodality imaging and biochemical pleural fluid analysis can offer important adjunctive information when a diagnosis is only suggested with the first imaging study. Certain pleural fistulas are inconsequential, some spontaneously close with or without diversion of flow or use of positive-pressure ventilation, while others carry a higher risk of complications or recurrence. Estimated fistula size, factors that impair healing, and the possibility of diversion are important considerations when deciding between endoscopic or surgical closure. The authors have tailored this article for a general imager or clinical practitioner and review 10 types of pleural fistulas, ranging from routine to rare, with regard to their etiology, pathophysiology, clinical cues, imaging features, nuances of pleural fluid analysis, and management options available today.
MeSH term(s)	Humans ; Pleural Diseases ; Fistula/etiology ; Pleura ; Surgical Flaps
Language	English
Publishing date	2022-10-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	603172-9
ISSN	1527-1323 ; 0271-5333
ISSN (online)	1527-1323
ISSN	0271-5333
DOI	10.1148/rg.220083
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