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Article ; Online: Trends in magnetic resonance and computed tomography angiography utilization among Medicare beneficiaries between 2013 and 2020.

Goldfarb, James W / Mossa-Basha, Mahmud / Nguyen, Kim-Lien / Hecht, Elizabeth M / Finn, J Paul

2024 Volume 107, Page(s) 110088

Abstract: Purpose: To evaluate relative and absolute utilization trends and practice patterns in the United States for MRA and CTA.: Methods: Using Medicare Part B physician payment databases (2013-2020), MRA and CTA interpreting physicians and exams were ... ...

Abstract	Purpose: To evaluate relative and absolute utilization trends and practice patterns in the United States for MRA and CTA. Methods: Using Medicare Part B physician payment databases (2013-2020), MRA and CTA interpreting physicians and exams were identified using the unique MRA and CTA Healthcare Common Procedure Coding System codes. The number of exams, physicians, demographics, use of contrast, and payments were summarized annually and analyzed to evaluate trends before and during the first year of the COVID-19 pandemic. Results: From 2013 to 2019, the annual number of MRA exams performed decreased by 17.9 %, while the number of CTA exams increased by 90.3 %. The number of physicians interpreting MRA decreased in both hospital (-17.2 %) and outpatient (-7.5 %) environments. The number of physicians interpreting CTA increased in both hospital (+29.4 %) and outpatient (+54.3 %) environments. During the first year of the COVID-19 pandemic, MRA utilization decreased across all imaging environments by 25.0 % whereas CTA only decreased by 5.5 %. Intracranial MRA studies were most often performed without contrast, while contrast use for neck MRA was performed at similar rates as non-contrast exams. Conclusion: The overall utilization of MRA and the number of interpreting physicians are decreasing. On the other hand, CTA use and its number of interpreting physicians are increasing. During the first year of the COVID-19 pandemic, use of both MRA and CTA decreased, but the utilization of MRA decreased at five times the rate of CTA.
MeSH term(s)	Aged ; Humans ; United States/epidemiology ; Computed Tomography Angiography ; Magnetic Resonance Angiography/methods ; Pandemics ; Medicare Part B ; Magnetic Resonance Spectroscopy ; COVID-19/epidemiology
Language	English
Publishing date	2024-01-20
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.2024.110088
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Zs.A 1469: Show issues

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Article ; Online: Pancreatic Cystic Lesions: Imaging Techniques and Diagnostic Features.

Taya, Michio / Hecht, Elizabeth M / Huang, Chenchan / Lo, Grace C

Gastrointestinal endoscopy clinics of North America

2023 Volume 33, Issue 3, Page(s) 497–518

Abstract: The detection of incidental pancreatic cystic lesions has increased over time. It is crucial to separate benign from potentially malignant or malignant lesions to guide management and reduce morbidity and mortality. The key imaging features used to fully ...

Abstract	The detection of incidental pancreatic cystic lesions has increased over time. It is crucial to separate benign from potentially malignant or malignant lesions to guide management and reduce morbidity and mortality. The key imaging features used to fully characterize cystic lesions are optimally assessed by contrast-enhanced magnetic resonance imaging/magnetic resonance cholangiopancreatography, with pancreas protocol computed tomography offering a complementary role. While some imaging features have high specificity for a particular diagnosis, overlapping imaging features between diagnoses may require further investigation with follow-up diagnostic imaging or tissue sampling.
MeSH term(s)	Humans ; Magnetic Resonance Imaging/methods ; Pancreatic Neoplasms/pathology ; Pancreas/diagnostic imaging ; Pancreas/pathology ; Cholangiopancreatography, Magnetic Resonance ; Pancreatic Cyst/diagnostic imaging ; Pancreatic Cyst/pathology
Language	English
Publishing date	2023-04-26
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1313994-0
ISSN	1558-1950 ; 1052-5157
ISSN (online)	1558-1950
ISSN	1052-5157
DOI	10.1016/j.giec.2023.03.007
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Article ; Online: Patient-Centered Radiology Communications: Engaging Patients as Partners.

Dutruel, Silvina P / Hentel, Keith D / Hecht, Elizabeth M / Kadom, Nadja

Journal of the American College of Radiology : JACR

2023 Volume 21, Issue 1, Page(s) 7–18

Abstract: Patient-centered care is a model in which, by bringing the patient's perspective to the design and delivery of health care, we can better meet patients' needs, enhancing the quality of care. Patient-centered care requires finding ways to communicate ... ...

Abstract	Patient-centered care is a model in which, by bringing the patient's perspective to the design and delivery of health care, we can better meet patients' needs, enhancing the quality of care. Patient-centered care requires finding ways to communicate effectively with a diverse patient population that has various levels of health literacy, cultural backgrounds, and unique needs and preferences. Moreover, multimedia resources have the potential to inform and educate patients promoting greater independence. In this review, we discuss the fundamentals of communication with the different modes used in radiology and the key elements of effective communication. Then, we highlight five opportunities along the continuum of care in the radiology practice in which we can improve communications to empower our patients and families and strengthen this partnership. Lastly, we discuss the importance on communication training of the workforce, optimizing and seamlessly integrating technology solutions into our workflows, and the need for patient feedback in the design and delivery of care.
MeSH term(s)	Humans ; Communication ; Patients ; Delivery of Health Care ; Radiology ; Patient-Centered Care
Language	English
Publishing date	2023-10-18
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2023.10.009
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Article ; Online: MR Angiography Series: MR Angiography of the Extremities.

Dhaliwal, Javraj / Hecht, Elizabeth M / Roditi, Giles / Douglas, Peter

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

2022 Volume 42, Issue 4, Page(s) E132–E133

Abstract: MR angiography (MRA) is a powerful tool for imaging of the extremities, allowing a thorough assessment of the arteries and veins in both the upper and lower limbs. Both contrast-enhanced and noncontrast MRA techniques are described in the online ... ...

Abstract	MR angiography (MRA) is a powerful tool for imaging of the extremities, allowing a thorough assessment of the arteries and veins in both the upper and lower limbs. Both contrast-enhanced and noncontrast MRA techniques are described in the online presentation, including practical tips and tricks to obtain all necessary information at every examination. This module is the sixth and final segment in a series created on behalf of the Society for Magnetic Resonance Angiography (SMRA), a group of researchers and clinicians who are passionate about the benefits of MRA but understand its challenges.
MeSH term(s)	Contrast Media ; Humans ; Lower Extremity/blood supply ; Lower Extremity/diagnostic imaging ; Magnetic Resonance Angiography/methods ; Sensitivity and Specificity
Chemical Substances	Contrast Media
Language	English
Publishing date	2022-05-13
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.210221
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Zs.A 1751: Show issues

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Article ; Online: MR Angiography Series: Noncardiac Chest MR Angiography.

François, Christopher J / Hecht, Elizabeth M / Roditi, Giles / Finn, J Paul

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

2022 Volume 42, Issue 2, Page(s) E48–E49

Abstract: This review guides readers through the selection and setup of standardized noncardiac chest MRA protocols, including contrast-enhanced MRA (CE-MRA) and noncontrast MRA (NC-MRA), sequences that can be used in a variety of clinical situations. After ... ...

Abstract	This review guides readers through the selection and setup of standardized noncardiac chest MRA protocols, including contrast-enhanced MRA (CE-MRA) and noncontrast MRA (NC-MRA), sequences that can be used in a variety of clinical situations. After reviewing basic principles described in the first three tutorials in this series on CE-MRA and NC-MRA, this online presentation details the use of MRA in specific clinical scenarios: thoracic aortic aneurysm, aortic dissection, congenital heart disease, vasculitis, central veins, and pulmonary embolus. Tips and tricks for optimization of the sequences, image acquisition, and image interpretation are provided. This module is the fourth in a series created on behalf of the Society for Magnetic Resonance Angiography (SMRA), a group of researchers and clinicians who are passionate about the benefits of MRA but understand its challenges.
MeSH term(s)	Contrast Media ; Heart Defects, Congenital/diagnostic imaging ; Humans ; Imaging, Three-Dimensional/methods ; Magnetic Resonance Angiography/methods ; Reproducibility of Results ; Sensitivity and Specificity ; Thorax
Chemical Substances	Contrast Media
Language	English
Publishing date	2022-02-18
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	603172-9
ISSN	1527-1323 ; 0271-5333
ISSN (online)	1527-1323
ISSN	0271-5333
DOI	10.1148/rg.210212
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Zs.A 1751: Show issues

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Article ; Online: MR Angiography Series: Abdominal and Pelvic MR Angiography.

Roditi, Giles / Wieben, Oliver / Prince, Martin R / Hecht, Elizabeth M

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

2022 Volume 42, Issue 3, Page(s) E94–E95

Abstract: This review guides readers through the selection and setup of standardized MR angiography (MRA) protocols for the abdomen and pelvis for common clinical applications. Topics covered include renovascular MRA in potential kidney donors and in patients with ...

Abstract	This review guides readers through the selection and setup of standardized MR angiography (MRA) protocols for the abdomen and pelvis for common clinical applications. Topics covered include renovascular MRA in potential kidney donors and in patients with hypertension; hepatic and mesenteric MRA in potential liver donors, patients with portal hypertension, and patients with chronic mesenteric ischemia; pelvic MRA for pretreatment planning before uterine fibroid embolization and in patients with pelvic congestion syndrome; and abdominal wall MRA for planning of breast reconstructive surgery. This module is the fifth in a series created on behalf of the Society for Magnetic Resonance Angiography (SMRA), a group of researchers and clinicians who are passionate about the benefits of MRA but understand its challenges.
MeSH term(s)	Abdomen/diagnostic imaging ; Contrast Media ; Humans ; Magnetic Resonance Angiography/methods ; Pelvis/diagnostic imaging ; Vascular Diseases
Chemical Substances	Contrast Media
Language	English
Publishing date	2022-03-04
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	603172-9
ISSN	1527-1323 ; 0271-5333
ISSN (online)	1527-1323
ISSN	0271-5333
DOI	10.1148/rg.210224
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Article ; Online: Building Effective Teams in the Real World From Traps to Triumph.

Hecht, Elizabeth M / Wang, Sherry S / Fowler, Kathryn / Chernyak, Victoria / Fung, Alice / Zafar, Hanna M

Journal of the American College of Radiology : JACR

2023 Volume 20, Issue 3, Page(s) 377–384

Abstract: Quality patient care and advancements in medical education, investigation, and innovation require effective teamwork. High-functioning teams navigate stressful environments, learning openly from failures and leveraging successes to fuel future ... ...

Abstract	Quality patient care and advancements in medical education, investigation, and innovation require effective teamwork. High-functioning teams navigate stressful environments, learning openly from failures and leveraging successes to fuel future initiatives. The authors review foundational concepts for implementing and sustaining successful teams, including emotional intelligence, trust, inclusivity, clear communication, and accountability. Focus is given to real-world examples and actionable, practical solutions.
MeSH term(s)	Humans ; Quality of Health Care ; Education, Medical ; Patient Care Team ; Learning
Language	English
Publishing date	2023-03-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2022.12.009
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Article ; Online: Noncontrast Magnetic Resonance Angiography in the Era of Nephrogenic Systemic Fibrosis and Gadolinium Deposition.

Lim, Ruth P / Hecht, Elizabeth M / Desmond, Patricia M

Journal of computer assisted tomography

2020 Volume 45, Issue 1, Page(s) 37–51

Abstract: Abstract: Gadolinium-based contrast agents for clinical magnetic resonance imaging are overall safe. However, the discovery of nephrogenic systemic fibrosis in patients with severe renal impairment and gadolinium deposition in patients receiving ... ...

Abstract	Abstract: Gadolinium-based contrast agents for clinical magnetic resonance imaging are overall safe. However, the discovery of nephrogenic systemic fibrosis in patients with severe renal impairment and gadolinium deposition in patients receiving contrast have generated developments in contrast-free imaging of the vasculature, that is, noncontrast magnetic resonance angiography. This article presents an update on noncontrast magnetic resonance angiography techniques, with comparison to other imaging alternatives. Potential benefits and challenges to implementation, and evidence to date for various clinical applications are discussed.
MeSH term(s)	Contrast Media/adverse effects ; Gadolinium/adverse effects ; Humans ; Magnetic Resonance Angiography ; Nephrogenic Fibrosing Dermopathy/complications ; Nephrogenic Fibrosing Dermopathy/diagnostic imaging
Chemical Substances	Contrast Media ; Gadolinium (AU0V1LM3JT)
Language	English
Publishing date	2020-09-25
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	80392-3
ISSN	1532-3145 ; 0363-8715
ISSN (online)	1532-3145
ISSN	0363-8715
DOI	10.1097/RCT.0000000000001074
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Article ; Online: Editorial for "MRI vs. CT for the Detection of Liver Metastases in Patients With Pancreatic Carcinoma: A Comparative Diagnostic Test Accuracy Systematic Review and Meta-Analysis".

Hecht, Elizabeth M / Zins, Marc / Tamm, Eric P

Journal of magnetic resonance imaging : JMRI

2020 Volume 53, Issue 1, Page(s) 49–50

MeSH term(s)	Diagnostic Tests, Routine ; Humans ; Liver Neoplasms/diagnostic imaging ; Magnetic Resonance Imaging ; Pancreatic Neoplasms ; Sensitivity and Specificity ; Tomography, X-Ray Computed ; Pancreatic Neoplasms
Language	English
Publishing date	2020-02-08
Publishing country	United States
Document type	Editorial ; Meta-Analysis ; Systematic Review
ZDB-ID	1146614-5
ISSN	1522-2586 ; 1053-1807
ISSN (online)	1522-2586
ISSN	1053-1807
DOI	10.1002/jmri.27072
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Article ; Online: Liver Transplant for Nonhepatocellular Malignancies: A Review for Radiologists.

Kim, Sean H / Navot, Benjamin / Guniganti, Preethi / Gavlin, Alexander / Hecht, Elizabeth M / Kierans, Andrea S

AJR. American journal of roentgenology

2022 Volume 219, Issue 4, Page(s) 590–603

Abstract: Although liver transplant is traditionally only performed for hepatocellular carcinoma (HCC), the last decade has seen a resurgence in its use for non-HCC malignancies, likely due to improvements in neoadjuvant treatment regimens and the establishment of ...

Abstract	Although liver transplant is traditionally only performed for hepatocellular carcinoma (HCC), the last decade has seen a resurgence in its use for non-HCC malignancies, likely due to improvements in neoadjuvant treatment regimens and the establishment of well-defined eligibility criteria. Given promising survival results, patients with perihilar cholangiocarcinoma, neuroendocrine liver metastases, and hepatic hemangioendothelioma are eligible to receive Model for End-Stage Liver Disease (MELD) exception points for tumors that meet well-defined criteria. Patients with additional tumors such as colorectal cancer liver metastases, intrahepatic cholangiocarcinoma, and hepatocellular cholangiocarcinoma may undergo transplant at specialized centers with well-defined protocols, although these patients are not yet eligible for MELD exception. Transplant eligibility criteria commonly incorporate imaging findings; however, because of the relatively novel and evolving nature of liver transplant for non-HCC malignancies, radiologists may be unaware of relevant criteria or the implications of their imaging interpretations. Knowledge of the allocation process, previous studies, and liver transplant selection criteria facilitates radiologists' active participation in multidisciplinary discussion, leading to better and more equitable care for transplant candidates with non-HCC malignancy. This review provides an overview of transplant allocation and selection criteria in patients with non-HCC malignancy, with an emphasis on imaging features and the role of the radiologist.
MeSH term(s)	Bile Duct Neoplasms/diagnostic imaging ; Bile Duct Neoplasms/surgery ; Bile Ducts, Intrahepatic/pathology ; Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/surgery ; Cholangiocarcinoma/diagnostic imaging ; Cholangiocarcinoma/surgery ; End Stage Liver Disease ; Humans ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/surgery ; Liver Transplantation ; Radiologists ; Severity of Illness Index
Language	English
Publishing date	2022-05-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.22.27783
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