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  1. Article ; Online: Postoperative imaging of thoracic aortic repairs.

    Yang, Anthony / Jacob, Julia C / DeMarco, Cody / Marcadis, Philip / Chung, Michael / Jacobi, Adam

    Clinical imaging

    2023  Volume 101, Page(s) 8–21

    Abstract: Imaging plays a crucial role in the postoperative monitoring of thoracic aortic repairs. With the development of multiple surgical techniques to repair the ascending aorta and aortic arch, it can be a daunting challenge for the radiologist to diagnose ... ...

    Abstract Imaging plays a crucial role in the postoperative monitoring of thoracic aortic repairs. With the development of multiple surgical techniques to repair the ascending aorta and aortic arch, it can be a daunting challenge for the radiologist to diagnose potential pathologies in this sea of various techniques, each with their own normal postoperative appearance and potential complications. In this paper, we will provide a comprehensive review of the postoperative imaging in the setting of thoracic aortic repairs, including the role of imaging, components of thoracic aortic repairs, the normal postoperative appearance, and potential complications.
    MeSH term(s) Humans ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/surgery ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Aorta ; Diagnostic Imaging ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Aortic Aneurysm, Thoracic/complications ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/methods ; Treatment Outcome
    Language English
    Publishing date 2023-05-25
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1028123-x
    ISSN 1873-4499 ; 0899-7071
    ISSN (online) 1873-4499
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2023.05.010
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  2. Article ; Online: Portable chest X-ray in coronavirus disease-19 (COVID-19): A pictorial review.

    Jacobi, Adam / Chung, Michael / Bernheim, Adam / Eber, Corey

    Clinical imaging

    2020  Volume 64, Page(s) 35–42

    Abstract: As the global pandemic of coronavirus disease-19 (COVID-19) progresses, many physicians in a wide variety of specialties continue to play pivotal roles in diagnosis and management. In radiology, much of the literature to date has focused on chest CT ... ...

    Abstract As the global pandemic of coronavirus disease-19 (COVID-19) progresses, many physicians in a wide variety of specialties continue to play pivotal roles in diagnosis and management. In radiology, much of the literature to date has focused on chest CT manifestations of COVID-19 (Zhou et al. [1]; Chung et al. [2]). However, due to infection control issues related to patient transport to CT suites, the inefficiencies introduced in CT room decontamination, and lack of CT availability in parts of the world, portable chest radiography (CXR) will likely be the most commonly utilized modality for identification and follow up of lung abnormalities. In fact, the American College of Radiology (ACR) notes that CT decontamination required after scanning COVID-19 patients may disrupt radiological service availability and suggests that portable chest radiography may be considered to minimize the risk of cross-infection (American College of Radiology [3]). Furthermore, in cases of high clinical suspicion for COVID-19, a positive CXR may obviate the need for CT. Additionally, CXR utilization for early disease detection may also play a vital role in areas around the world with limited access to reliable real-time reverse transcription polymerase chain reaction (RT-PCR) COVID testing. The purpose of this pictorial review article is to describe the most common manifestations and patterns of lung abnormality on CXR in COVID-19 in order to equip the medical community in its efforts to combat this pandemic.
    MeSH term(s) Betacoronavirus ; COVID-19 ; COVID-19 Testing ; COVID-19 Vaccines ; Clinical Laboratory Techniques ; Coronavirus ; Coronavirus Infections/diagnosis ; Coronavirus Infections/diagnostic imaging ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Pneumonia, Viral/diagnostic imaging ; Pneumonia, Viral/epidemiology ; Radiography, Thoracic/instrumentation ; SARS-CoV-2 ; Tomography, X-Ray Computed ; X-Rays
    Chemical Substances COVID-19 Vaccines ; Covid-19 aAPC vaccine
    Keywords covid19
    Language English
    Publishing date 2020-04-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1028123-x
    ISSN 1873-4499 ; 0899-7071
    ISSN (online) 1873-4499
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2020.04.001
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  3. Article ; Online: 68

    Devesa, Ana / Robson, Philip M / Pyzik, Renata / Jacobi, Adam / Ghesani, Munir / Anyanwu, Anelechi / Mancini, Donna / Fayad, Zahi A / Trivieri, Maria Giovanna

    Circulation. Cardiovascular imaging

    2023  Volume 16, Issue 8, Page(s) e015282

    MeSH term(s) Humans ; Gallium Radioisotopes ; Positron-Emission Tomography/methods ; Positron Emission Tomography Computed Tomography ; Magnetic Resonance Imaging/methods ; Heart Transplantation/adverse effects ; Organometallic Compounds
    Chemical Substances copper dotatate CU-64 ; Gallium Radioisotopes ; Organometallic Compounds
    Language English
    Publishing date 2023-05-22
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2435045-X
    ISSN 1942-0080 ; 1941-9651
    ISSN (online) 1942-0080
    ISSN 1941-9651
    DOI 10.1161/CIRCIMAGING.123.015282
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    Zs.A 6743: Show issues Location:
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  4. Article ; Online: Postoperative CT surveillance in the evaluation of local recurrence after sub-lobar resection of neoplastic lesions of the lung.

    Xu, Dongming / de la Hoz, Rafael E / Steinberger, Sharon Roszler / Doucette, John / Pagano, Andrew Michael / Wolf, Andrea / Chung, Michael / Jacobi, Adam

    Clinical imaging

    2023  Volume 106, Page(s) 110030

    Abstract: Objective: As indications for sub-lobar resections increase, it will become more important to identify risk factors for postsurgical recurrence. We investigated retrospectively the association between local recurrence after sub-lobar resection of ... ...

    Abstract Objective: As indications for sub-lobar resections increase, it will become more important to identify risk factors for postsurgical recurrence. We investigated retrospectively the association between local recurrence after sub-lobar resection of neoplastic lung lesions and pre- and post-operative CT imaging and pathologic features.
    Materials and methods: We reviewed retrospectively neoplastic lung lesions with postoperative chest CT surveillance of sub-lobar resections in 2006-2016. We defined "suspicious" findings as nodularity ≥3 mm or soft tissue thickening ≥4 mm along the suture line and/or progression and explored their association with local recurrence. Primary lung cancer stage, tumoral invasion of lymphatics, visceral pleura or large vessels, bronchial and vascular margin distance were also assessed.
    Results: Our study group included 45 cases of sub-lobar resection took for either primary (n = 37) or metastatic (n = 8) lung tumors. Local recurrence was observed in 16 of those patients. New nodularity ≥3 mm or soft tissue thickening ≥4 mm along the suture line on surveillance CT was significantly associated with local recurrence (p = 0.037). Additionally, solid nodule (p = 0.005), age at surgery ≤60 years (p = 0.006), two or more sites of invasion (p < 0.0001) and poor histologic differentiation (p = 0.0001) were also significantly associated with local tumor recurrence. Of 16 patients with surveillance post-surgical PET-CT, 15 had elevated FDG uptake.
    Conclusion: The postoperative changes along the suture line should follow a predictable time course demonstrating a pattern of stability, thinning or resolution on CT surveillance. New or increasing postoperative nodularity ≥3 mm or soft tissue thickening ≥4 mm along the suture line requires close diagnostic work-up. Surgical pathology characteristics added prognostic value on postoperative recurrence surveillance.
    MeSH term(s) Humans ; Middle Aged ; Fluorodeoxyglucose F18 ; Lung/pathology ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/surgery ; Lung Neoplasms/pathology ; Neoplasm Recurrence, Local/diagnostic imaging ; Neoplasm Recurrence, Local/pathology ; Neoplasm Staging ; Positron Emission Tomography Computed Tomography ; Retrospective Studies ; Tomography, X-Ray Computed/methods
    Chemical Substances Fluorodeoxyglucose F18 (0Z5B2CJX4D)
    Language English
    Publishing date 2023-11-23
    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.2023.110030
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    Zs.A 1469: Show issues Location:
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  5. Article ; Online: Incidental CT findings in the lungs in COVID-19 patients presenting with abdominal pain.

    Voutsinas, Nicholas / Toussie, Danielle / Jacobi, Adam / Bernheim, Adam / Chung, Michael

    Clinical imaging

    2020  Volume 67, Page(s) 1–4

    Abstract: As the 2019 novel coronavirus disease (COVID-19) continues to spread, some patients are presenting with abdominal symptoms without respiratory complaints. Our case series documents four patients who presented with abdominal symptoms whose abdominopelvic ... ...

    Abstract As the 2019 novel coronavirus disease (COVID-19) continues to spread, some patients are presenting with abdominal symptoms without respiratory complaints. Our case series documents four patients who presented with abdominal symptoms whose abdominopelvic CT revealed incidental pulmonary parenchymal findings in the imaged lung bases and were subsequently confirmed positive for COVID-19 via laboratory testing. It remains to be seen whether these patients will eventually develop respiratory symptoms. While it is possible that the patients' abdominal complaints are coincidental with CT findings, it is interesting that patients can have such extensive incidental disease in the lungs on CT without respiratory symptoms.
    MeSH term(s) Abdominal Pain/complications ; Adult ; Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections/complications ; Coronavirus Infections/diagnostic imaging ; Coronavirus Infections/pathology ; Coronavirus Infections/virology ; Female ; Humans ; Lung/pathology ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnostic imaging ; Pneumonia, Viral/pathology ; Pneumonia, Viral/virology ; SARS-CoV-2 ; Tomography, X-Ray Computed/methods ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-05-28
    Publishing country United States
    Document type Case Reports
    ZDB-ID 1028123-x
    ISSN 1873-4499 ; 0899-7071
    ISSN (online) 1873-4499
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2020.05.021
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    Zs.A 1469: Show issues Location:
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  6. Article ; Online: Influence of coronary dominance on coronary artery calcification burden.

    Azour, Lea / Steinberger, Sharon / Toussie, Danielle / Titano, Ruwanthi / Kukar, Nina / Babb, James / Jacobi, Adam

    Clinical imaging

    2021  Volume 77, Page(s) 283–286

    Abstract: Objective: To evaluate the influence of coronary artery dominance on observed coronary artery calcification burden in outpatients presenting for coronary computed tomography angiography (CCTA).: Methods: A 12-month retrospective review was performed ... ...

    Abstract Objective: To evaluate the influence of coronary artery dominance on observed coronary artery calcification burden in outpatients presenting for coronary computed tomography angiography (CCTA).
    Methods: A 12-month retrospective review was performed of all CCTAs at a single institution. Coronary arterial dominance, Agatston score and presence or absence of cardiovascular risk factors including hypertension (HTN), hyperlipidemia (HLD), diabetes and smoking were recorded. Dominance groups were compared in terms of calcium score adjusted for covariates using analysis of covariance based on ranks. Only covariates observed to be significant independent predictors of the relevant outcome were included in each analysis. All statistical tests were conducted at the two-sided 5% significance level.
    Results: 1223 individuals, 618 women and 605 men were included, mean age 60 years (24-93 years). Right coronary dominance was observed in 91.7% (n = 1109), left dominance in 8% (n = 98), and codominance in 1.3% (n = 16). The distribution of patients among Agatston score severity categories significantly differed between codominant and left (p = 0.008), and codominant and right (p = 0.022) groups, with higher prevalence of either zero or severe CAC in the codominant patients. There was no significant difference in Agatston score between dominance groups. In the subset of individuals with coronary artery calcification, Agatston score was significantly higher in codominant versus left dominant patients (mean Agatston score 595 ± 520 vs. mean 289 ± 607, respectively; p = 0.049), with a trend towards higher scores in comparison to the right-dominant group (p = 0.093). Significance was not maintained upon adjustment for covariates.
    Conclusions: While the distribution of Agatston score severity categories differed in codominant versus right- or left-dominant patients, there was no significant difference in Agatston score based on coronary dominance pattern in our cohort. Reporting and inclusion of codominant subsets in larger investigations may elucidate whether codominant anatomy is associated with differing risk.
    MeSH term(s) Computed Tomography Angiography ; Coronary Angiography ; Coronary Artery Disease/diagnostic imaging ; Coronary Artery Disease/epidemiology ; Coronary Vessels/diagnostic imaging ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Vascular Calcification/diagnostic imaging ; Vascular Calcification/epidemiology
    Language English
    Publishing date 2021-06-17
    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.2021.06.008
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  7. Article ; Online: Performance of spiral UTE-MRI of the lung in post-COVID patients.

    Fauveau, Valentin / Jacobi, Adam / Bernheim, Adam / Chung, Michael / Benkert, Thomas / Fayad, Zahi A / Feng, Li

    Magnetic resonance imaging

    2022  Volume 96, Page(s) 135–143

    Abstract: Patients recovered from COVID-19 may develop long-COVID symptoms in the lung. For this patient population (post-COVID patients), they may benefit from longitudinal, radiation-free lung MRI exams for monitoring lung lesion development and progression. The ...

    Abstract Patients recovered from COVID-19 may develop long-COVID symptoms in the lung. For this patient population (post-COVID patients), they may benefit from longitudinal, radiation-free lung MRI exams for monitoring lung lesion development and progression. The purpose of this study was to investigate the performance of a spiral ultrashort echo time MRI sequence (Spiral-VIBE-UTE) in a cohort of post-COVID patients in comparison with CT and to compare image quality obtained using different spiral MRI acquisition protocols. Lung MRI was performed in 36 post-COVID patients with different acquisition protocols, including different spiral sampling reordering schemes (line in partition or partition in line) and different breath-hold positions (inspiration or expiration). Three experienced chest radiologists independently scored all the MR images for different pulmonary structures. Lung MR images from spiral acquisition protocol that received the highest image quality scores were also compared against corresponding CT images in 27 patients for evaluating diagnostic image quality and lesion identification. Spiral-VIBE-UTE MRI acquired with the line in partition reordering scheme in an inspiratory breath-holding position achieved the highest image quality scores (score range = 2.17-3.69) compared to others (score range = 1.7-3.29). Compared to corresponding chest CT images, three readers found that 81.5% (22 out of 27), 81.5% (22 out of 27) and 37% (10 out of 27) of the MR images were useful, respectively. Meanwhile, they all agreed that MRI could identify significant lesions in the lungs. The Spiral-VIBE-UTE sequence allows for fast imaging of the lung in a single breath hold. It could be a valuable tool for lung imaging without radiation and could provide great value for managing different lung diseases including assessment of post-COVID lesions.
    MeSH term(s) Humans ; Post-Acute COVID-19 Syndrome ; COVID-19/diagnostic imaging ; Lung/diagnostic imaging ; Lung/pathology ; Magnetic Resonance Imaging/methods ; Breath Holding ; Imaging, Three-Dimensional/methods
    Language English
    Publishing date 2022-12-09
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 604885-7
    ISSN 1873-5894 ; 0730-725X
    ISSN (online) 1873-5894
    ISSN 0730-725X
    DOI 10.1016/j.mri.2022.12.002
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  8. Article ; Online: Institutional Impact of a Personalized Technologist Feedback Program on Scan Length and Radiation Dose.

    Cohen, Stuart Lance / Ward, Thomas James / Jacobi, Adam Howard / Cham, Matthew

    Journal of the American College of Radiology : JACR

    2019  Volume 16, Issue 8, Page(s) 1073–1076

    MeSH term(s) Ambulatory Care ; Clinical Competence ; Formative Feedback ; Humans ; Organs at Risk ; Radiation Dosage ; Radiation Protection/methods ; Radiography, Thoracic ; Retrospective Studies ; Technology, Radiologic/education ; Technology, Radiologic/standards ; Time Factors ; Tomography, X-Ray Computed
    Language English
    Publishing date 2019-03-22
    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.2019.02.001
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  9. Article: Portable chest X-ray in coronavirus disease-19 (COVID-19): A pictorial review

    Jacobi, Adam / Chung, Michael / Bernheim, Adam / Eber, Corey

    Clin Imaging

    Abstract: As the global pandemic of coronavirus disease-19 (COVID-19) progresses, many physicians in a wide variety of specialties continue to play pivotal roles in diagnosis and management. In radiology, much of the literature to date has focused on chest CT ... ...

    Abstract As the global pandemic of coronavirus disease-19 (COVID-19) progresses, many physicians in a wide variety of specialties continue to play pivotal roles in diagnosis and management. In radiology, much of the literature to date has focused on chest CT manifestations of COVID-19 (Zhou et al. [1]; Chung et al. [2]). However, due to infection control issues related to patient transport to CT suites, the inefficiencies introduced in CT room decontamination, and lack of CT availability in parts of the world, portable chest radiography (CXR) will likely be the most commonly utilized modality for identification and follow up of lung abnormalities. In fact, the American College of Radiology (ACR) notes that CT decontamination required after scanning COVID-19 patients may disrupt radiological service availability and suggests that portable chest radiography may be considered to minimize the risk of cross-infection (American College of Radiology [3]). Furthermore, in cases of high clinical suspicion for COVID-19, a positive CXR may obviate the need for CT. Additionally, CXR utilization for early disease detection may also play a vital role in areas around the world with limited access to reliable real-time reverse transcription polymerase chain reaction (RT-PCR) COVID testing. The purpose of this pictorial review article is to describe the most common manifestations and patterns of lung abnormality on CXR in COVID-19 in order to equip the medical community in its efforts to combat this pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #77345
    Database COVID19

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  10. Article ; Online: Portable chest X-ray in coronavirus disease-19 (COVID-19)

    Jacobi, Adam / Chung, Michael / Bernheim, Adam / Eber, Corey

    Clinical Imaging

    A pictorial review

    2020  Volume 64, Page(s) 35–42

    Keywords Radiology Nuclear Medicine and imaging ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1028123-x
    ISSN 0899-7071
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2020.04.001
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