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  1. Article ; Online: Imaging of the Posttreatment Head and Neck: Expected Findings and Potential Complications.

    Brahmbhatt, Sneh / Overfield, Cameron J / Rhyner, Patricia A / Bhatt, Alok A

    Radiology. Imaging cancer

    2024  Volume 6, Issue 1, Page(s) e230155

    Abstract: Interpretation of posttreatment imaging findings in patients with head and neck cancer can pose a substantial challenge. Malignancies in this region are often managed through surgery, radiation therapy, chemotherapy, and newer approaches like ... ...

    Abstract Interpretation of posttreatment imaging findings in patients with head and neck cancer can pose a substantial challenge. Malignancies in this region are often managed through surgery, radiation therapy, chemotherapy, and newer approaches like immunotherapy. After treatment, patients may experience various expected changes, including mucositis, soft-tissue inflammation, laryngeal edema, and salivary gland inflammation. Imaging techniques such as CT, MRI, and PET scans help differentiate these changes from tumor recurrence. Complications such as osteoradionecrosis, chondroradionecrosis, and radiation-induced vasculopathy can arise because of radiation effects. Radiation-induced malignancies may occur in the delayed setting. This review article emphasizes the importance of posttreatment surveillance imaging to ensure proper care of patients with head and neck cancer and highlights the complexities in distinguishing between expected treatment effects and potential complications.
    MeSH term(s) Humans ; Neoplasm Recurrence, Local ; Head and Neck Neoplasms/diagnostic imaging ; Head and Neck Neoplasms/therapy ; Osteoradionecrosis ; Radiation Injuries/diagnostic imaging ; Radiation Injuries/etiology ; Radiation Injuries/therapy ; Positron-Emission Tomography/methods
    Language English
    Publishing date 2024-01-26
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2638-616X
    ISSN (online) 2638-616X
    DOI 10.1148/rycan.230155
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Preliminary Results from Retrospective Correlation of Circulating Tumor DNA (ct-DNA) with Imaging for HPV-positive Oropharyngeal Squamous Cell Carcinoma.

    Agarwal, Amit / Bhatt, Alok A / Patel, Samip / Bathla, Girish / Murray, John / Rhyner, Patricia

    AJNR. American journal of neuroradiology

    2024  

    Abstract: The role of molecular markers is increasingly being recognized for head and neck tumors ranging from benign lesions like paragangliomas to malignancies like squamous cell carcinomas (SCCa). Multiple studies have recently validated blood tests for ... ...

    Abstract The role of molecular markers is increasingly being recognized for head and neck tumors ranging from benign lesions like paragangliomas to malignancies like squamous cell carcinomas (SCCa). Multiple studies have recently validated blood tests for circulating tumor tissue modified viral- human papillomavirus DNA (HPV ct-DNA) (
    Language English
    Publishing date 2024-03-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603808-6
    ISSN 1936-959X ; 0195-6108
    ISSN (online) 1936-959X
    ISSN 0195-6108
    DOI 10.3174/ajnr.A8242
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Supralabyrinthine air cell is not present in superior semicircular canal dehiscence.

    Bhatt, Alok A / Lundy, Larry B / Rhyner, Patricia A

    Journal of clinical imaging science

    2022  Volume 12, Page(s) 50

    Abstract: Objectives: Superior semicircular canal dehiscence (SSCD) is defined as a defect in the bone overly the superior semicircular canal (SSC). The purpose of this study is to evaluate the pre-operative imaging examinations of patients who have undergone ... ...

    Abstract Objectives: Superior semicircular canal dehiscence (SSCD) is defined as a defect in the bone overly the superior semicircular canal (SSC). The purpose of this study is to evaluate the pre-operative imaging examinations of patients who have undergone SSCD repair. We hypothesize that these patients will not have a supralabyrinthine air cell on the side of surgery.
    Material and methods: Our group retrospectively reviewed 50 consecutive pre-operative computed tomography (CT) temporal bone examinations who had confirmed SSCD on intraoperative examination and underwent repair for the presence of a supralabyrinthine air cell.
    Results: 100% of patients who had confirmed SSCD on intraoperative examination had no supralabyrinthine air cell on pre-operative CT of the temporal bone.
    Conclusion: This study shows that a supralabyrinthine air cell is not present in SSCD. When a supralabyrinthine air cell is present, the roof of the SSC is intact. CT and magnetic resonance imaging (MRI) are often performed together to evaluate for SSCD and exclude other etiologies. We propose that if a supralabyrinthine air cell is seen on MRI, no CT is necessary, thus avoiding unnecessary radiation exposure and additional imaging costs to the patient.
    Language English
    Publishing date 2022-08-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2601233-9
    ISSN 2156-5597 ; 2156-7514
    ISSN (online) 2156-5597
    ISSN 2156-7514
    DOI 10.25259/JCIS_73_2022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Cervical Osteomyelitis and Diskitis as a Complication of Neopharyngeal Breakdown: A Multisite Case Series Review.

    Bhatt, Alok A / Vibhute, Prasanna / Wu, Xin Cynthia / Escott, Edward J / Chung, Charlotte / Rhyner, Patricia A

    AJNR. American journal of neuroradiology

    2023  Volume 44, Issue 12, Page(s) 1418–1420

    Abstract: Laryngectomy and pharyngectomy are surgical options for advanced laryngeal or pharyngeal squamous cell carcinoma. Cervical osteomyelitis-diskitis, occurring when there is dehiscence of the posterior neopharyngeal wall, is an uncommon complication of ... ...

    Abstract Laryngectomy and pharyngectomy are surgical options for advanced laryngeal or pharyngeal squamous cell carcinoma. Cervical osteomyelitis-diskitis, occurring when there is dehiscence of the posterior neopharyngeal wall, is an uncommon complication of laryngopharyngectomy. This case series describes imaging findings of pharyngoesophageal wall breakdown with subsequent cervical spine infection and demonstrates that most of these patients had undergone prior esophageal or neopharyngeal dilations for benign posttreatment stricture. Neck pain, fever, or serologic evidence of infection should prompt careful evaluation for osteomyelitis-diskitis and assessment for neopharyngeal breakdown and sinus tract formation, especially in the postdilation setting.
    MeSH term(s) Humans ; Discitis/diagnostic imaging ; Discitis/etiology ; Laryngeal Neoplasms ; Pharyngectomy/methods ; Pharyngeal Neoplasms ; Osteomyelitis/diagnostic imaging ; Osteomyelitis/etiology
    Language English
    Publishing date 2023-12-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603808-6
    ISSN 1936-959X ; 0195-6108
    ISSN (online) 1936-959X
    ISSN 0195-6108
    DOI 10.3174/ajnr.A8042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Navigating the Parotid Glands: Anatomy, Imaging Work-up and Next Steps.

    McGeary, Ryan / Rhyner, Patricia A / Desai, Amit B / Bhatt, Alok A

    Clinical neuroradiology

    2022  Volume 32, Issue 3, Page(s) 615–623

    Abstract: Evaluation of lesions affecting the parotid gland is often challenging to both clinicians and radiologists. This article reviews parotid anatomy and function, as it relates to various lesions that may occur within the gland. Key morphlogic features of ... ...

    Abstract Evaluation of lesions affecting the parotid gland is often challenging to both clinicians and radiologists. This article reviews parotid anatomy and function, as it relates to various lesions that may occur within the gland. Key morphlogic features of lesions are discussed with an emphasis on those that warrant biopsy and those that do not need biopsy. Various biopsy methods using ultrasound and computed tomography are reviewed.
    MeSH term(s) Biopsy ; Humans ; Parotid Gland ; Tomography, X-Ray Computed ; Ultrasonography
    Language English
    Publishing date 2022-01-21
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2234662-4
    ISSN 1869-1447 ; 0939-7116 ; 1869-1439
    ISSN (online) 1869-1447
    ISSN 0939-7116 ; 1869-1439
    DOI 10.1007/s00062-021-01108-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Hospital Onset Varicella Central Nervous System Vasculitis in a Patient with HIV Infection.

    Harrington, Kristin R V / Rhyner, Patricia / Kempker, Russell R

    AIDS research and human retroviruses

    2019  Volume 35, Issue 4, Page(s) 357–358

    MeSH term(s) Adult ; Chickenpox/cerebrospinal fluid ; Chickenpox/complications ; Chickenpox/diagnosis ; HIV Infections/complications ; Hospitals ; Humans ; Magnetic Resonance Imaging ; Male ; Vasculitis, Central Nervous System/diagnostic imaging ; Vasculitis, Central Nervous System/virology
    Language English
    Publishing date 2019-02-04
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 639130-8
    ISSN 1931-8405 ; 0889-2229
    ISSN (online) 1931-8405
    ISSN 0889-2229
    DOI 10.1089/aid.2018.0262
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  7. Article ; Online: Superior Semicircular Canal Dehiscence : Covering Defects in Understanding from Clinical to Radiologic Evaluation.

    Bhatt, Alok A / Lundy, Larry B / Middlebrooks, Erik H / Vibhute, Prasanna / Gupta, Vivek / Rhyner, Patricia A

    Clinical neuroradiology

    2021  Volume 31, Issue 4, Page(s) 933–941

    Abstract: Superior semicircular canal dehiscence alters the normal fluid mechanics of the vestibulocochlear system and can be a debilitating condition. This article reviews the current understanding of the bony labyrinthine defect, including symptoms, etiology, ... ...

    Abstract Superior semicircular canal dehiscence alters the normal fluid mechanics of the vestibulocochlear system and can be a debilitating condition. This article reviews the current understanding of the bony labyrinthine defect, including symptoms, etiology, surgical approach, as well as preoperative and postoperative imaging pearls.
    MeSH term(s) Humans ; Semicircular Canal Dehiscence ; Semicircular Canals/diagnostic imaging ; Semicircular Canals/surgery ; Vertigo
    Language English
    Publishing date 2021-06-07
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2234662-4
    ISSN 1869-1447 ; 0939-7116 ; 1869-1439
    ISSN (online) 1869-1447
    ISSN 0939-7116 ; 1869-1439
    DOI 10.1007/s00062-021-01037-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Interrater Reliability of NI-RADS on Posttreatment PET/Contrast-enhanced CT Scans in Head and Neck Squamous Cell Carcinoma.

    Hsu, Derek / Rath, Tanya J / Branstetter, Barton F / Anzai, Yoshimi / Phillips, C Douglas / Juliano, Amy F / Mosier, Kristine M / Bazylewicz, Michael P / Poliashenko, Stan M / Kulzer, Matthew H / Rhyner, Patricia A / Risk, Benjamin / Wiggins, Richard H / Aiken, Ashley H

    Radiology. Imaging cancer

    2021  Volume 3, Issue 3, Page(s) e200131

    Abstract: Purpose To evaluate the interrater reliability among radiologists examining posttreatment head and neck squamous cell carcinoma (HNSCC) fluorodeoxyglucose PET/contrast-enhanced CT (CECT) scans using Neck Imaging Reporting and Data System (NI-RADS). ... ...

    Abstract Purpose To evaluate the interrater reliability among radiologists examining posttreatment head and neck squamous cell carcinoma (HNSCC) fluorodeoxyglucose PET/contrast-enhanced CT (CECT) scans using Neck Imaging Reporting and Data System (NI-RADS). Materials and Methods In this retrospective study, images in 80 patients with HNSCC who underwent posttreatment surveillance PET/CECT and immediate prior comparison CECT or PET/CECT (from June 2014 to July 2016) were uploaded to the American College of Radiology's cloud-based website, Cortex. Eight radiologists from seven institutions with variable NI-RADS experience independently evaluated each case and assigned an appropriate prose description and NI-RADS category for the primary site and the neck site. Five of these individuals were experienced readers (> 5 years of experience), and three were novices (< 5 years of experience). In total, 640 lexicon-based and NI-RADS categories were assigned to lesions among the 80 included patients by the eight radiologists. Light generalization of Cohen κ for interrater reliability was performed. Results Of the 80 included patients (mean age, 63 years ± 10 [standard deviation]), there were 58 men (73%); 60 patients had stage IV HNSCC (75%), and the most common tumor location was oropharynx (
    MeSH term(s) Head and Neck Neoplasms/diagnostic imaging ; Humans ; Male ; Middle Aged ; Positron Emission Tomography Computed Tomography ; Positron-Emission Tomography ; Reproducibility of Results ; Retrospective Studies ; Squamous Cell Carcinoma of Head and Neck/diagnostic imaging ; Tomography, X-Ray Computed
    Language English
    Publishing date 2021-05-20
    Publishing country United States
    Document type Journal Article
    ISSN 2638-616X
    ISSN (online) 2638-616X
    DOI 10.1148/rycan.2021200131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Misleading Public Statements About COVID-19.

    Meltzer, Carolyn C / Wiggins, Richard H / Mossa-Basha, Mahmud / Palasis, Susan / Russell, Eric / Mikulis, David / Rhyner, Patricia / Anderson, James / Peterson, Ryan B / Smirniotopoulos, James / Barkovich, A James / Zimmerman, Robert D / Filippi, Christopher G / Rowley, Howard A / Koontz, Nicholas A / Jay, Ann K / Nickerson, Joshua / Hamilton, Bronwyn / Chow, Daniel /
    Whitlow, Christopher T

    Journal of the American College of Radiology : JACR

    2020  Volume 18, Issue 1 Pt A, Page(s) 6–7

    MeSH term(s) COVID-19 ; Communication ; Humans ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-10-24
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2020.10.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Radiologists staunchly support patient safety and autonomy, in opposition to the SCOTUS draft.

    Andreotti, Rochelle F / Arleo, Elizabeth K / Arora, Sandeep S / Broder, Jennifer C / Brook, Olga / Cooke, Erin A / Davis, Melissa A / Dodelzon, Katia / Englander, Meridith J / Fischbein, Nancy J / Fleischer, Arthur / Frederick-Dyer, Katherine / Gerson, Rachel F / Gruen, David / Hecht, Elizabeth M / Katzen, Janine T / Kemp, Jennifer / Kotsenas, Amy L / Ladd, Lauren M /
    Malik, Anjali / McGinty, Geraldine / Meltzer, Carolyn C / Oliveira, Amy / Phillips, Catherine / Porter, Kristin K / Rhyner, Patricia / Robson, Caroline / Shatzkes, Deborah / Spalluto, Lucy B / Sun, Maryellen / Tomblinson, Courtney / Vincoff, Nina S / Wood, Monica J / Zigmund, Beth / Glastonbury, Christine / Ivanidze, Jana / Schwartz, Erin Simon / Woodard, Pamela K

    Clinical imaging

    2022  Volume 89, Page(s) 95–96

    MeSH term(s) Dissent and Disputes ; Humans ; Patient Safety ; Radiologists
    Language English
    Publishing date 2022-06-10
    Publishing country United States
    Document type Letter
    ZDB-ID 1028123-x
    ISSN 1873-4499 ; 0899-7071
    ISSN (online) 1873-4499
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2022.05.012
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