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  1. Book: Breast MR imaging

    Schnall, Mitchell D.

    (Magnetic resonance imaging clinics of North America ; 9,2)

    2001  

    Author's details Mitchell D. Schnall ..., guest ed
    Series title Magnetic resonance imaging clinics of North America ; 9,2
    Collection
    Language English
    Size VIII S., S. 251 - 411 : Ill.
    Publisher Saunders
    Publishing place Philadelphia u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT013151952
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

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    Se 1375 -9,2- verfügbar in Königswinter Königswinter

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  2. Article ; Online: Quality Improvement Report: Design and Implementation of a Radiology E-Consult Service.

    Suresh, Kalpana / Hill, Paul A / Kahn, Charles E / Schnall, Mitchell D / Rosen, Mark A / Zafar, Hanna M / Trerotola, Scott O / Cook, Tessa S

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

    2023  Volume 43, Issue 12, Page(s) e230139

    Abstract: Electronic consultations (e-consults) mediated through an electronic health record system or web-based platform allow synchronous or asynchronous physician-to-physician communication. E-consults have been explored in various clinical specialties, but ... ...

    Abstract Electronic consultations (e-consults) mediated through an electronic health record system or web-based platform allow synchronous or asynchronous physician-to-physician communication. E-consults have been explored in various clinical specialties, but relatively few instances in the literature describe e-consults to connect health care providers directly with radiologists.The authors outline how a radiology department can implement an e-consult service and review the development of such a service in a large academic health system. They describe the logistics, workflow, turnaround time expectations, stakeholder management, and pilot implementation and highlight challenges and lessons learned.
    MeSH term(s) Humans ; Quality Improvement ; Referral and Consultation ; Software ; Communication ; Radiology
    Language English
    Publishing date 2023-11-30
    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.230139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Imaging Overuse in the Emergency Department.

    Lexa, Frank / Nathan, Jennifer / Everett, Catherine J / McDonald, Joshua M / Schnall, Mitchell D / Zuley, Margarita

    Journal of the American College of Radiology : JACR

    2023  Volume 21, Issue 5, Page(s) 843–844

    MeSH term(s) Emergency Service, Hospital ; Humans ; Diagnostic Imaging ; Medical Overuse/prevention & control ; United States ; Unnecessary Procedures
    Language English
    Publishing date 2023-10-07
    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.2023.06.044
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Implementation of a Clinical Vessel Wall MR Imaging Program at an Academic Medical Center.

    Song, Jae W / Frame, Megan Y / Sellers, Rob T / Klahn, Connie / Fitzgerald, Kevin / Pomponio, Bridget / Schnall, Mitchell D / Kasner, Scott E / Loevner, Laurie A

    AJNR. American journal of neuroradiology

    2024  

    Abstract: Background and purpose: The slow adoption of new advanced imaging techniques into clinical practice has been a long-standing challenge. Principles of implementation science and the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) ... ...

    Abstract Background and purpose: The slow adoption of new advanced imaging techniques into clinical practice has been a long-standing challenge. Principles of implementation science and the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework were used to build a clinical vessel wall imaging program at an academic medical center.
    Materials and methods: Six phases for implementing a clinical vessel wall MR imaging program were contextualized to the RE-AIM framework. Surveys were designed and distributed to MR imaging technologists and clinicians. Effectiveness was measured by surveying the perceived diagnostic value of vessel wall imaging among MR imaging technologists and clinicians, trends in case volumes in the clinical vessel wall imaging examination, and the number of coauthored vessel wall imaging-focused publications and abstracts. Adoption and implementation were measured by surveying stakeholders about workflow. Maintenance was measured by surveying MR imaging technologists on the value of teaching materials and online tip sheets. The Integration dimension was measured by the number of submitted research grants incorporating vessel wall imaging protocols. Feedback during the implementation phases and solicited through the survey is qualitatively summarized. Quantitative results are reported using descriptive statistics.
    Results: Six phases of the RE-AIM framework focused on the following: 1) determining patient and disease representation, 2) matching resource availability and patient access, 3) establishing vessel MR wall imaging (VWI) expertise, 4) forming interdisciplinary teams, 5) iteratively refining workflow, and 6) integrating for maintenance and scale. Survey response rates were 48.3% (MR imaging technologists) and 71.4% (clinicians). Survey results showed that 90% of the MR imaging technologists agreed that they understood how vessel wall MR imaging adds diagnostic value to patient care. Most clinicians (91.3%) reported that vessel wall MR imaging results changed their diagnostic confidence or patient management. Case volumes of clinical vessel wall MR imaging performed from 2019 to 2022 rose from 22 to 205 examinations. Workflow challenges reported by MR imaging technologists included protocoling examinations and scan length. Feedback from ordering clinicians included the need for education about VWI indications, limitations, and availability. During the 3-year implementation period of the program, the interdisciplinary teams coauthored 27 publications and abstracts and submitted 13 research grants.
    Conclusions: Implementation of a clinical imaging program can be successful using the principles of the RE-AIM framework. Through iterative processes and the support of interdisciplinary teams, a vessel wall MR imaging program can be integrated through a dedicated clinical pipeline, add diagnostic value, support educational and research missions at an academic medical center, and become a center for excellence.
    Language English
    Publishing date 2024-03-21
    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.A8191
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Improving Performance by Using a Radiology Extender.

    Borthakur, Arijitt / Kneeland, J Bruce / Schnall, Mitchell D

    Journal of the American College of Radiology : JACR

    2018  Volume 15, Issue 9, Page(s) 1300–1303

    MeSH term(s) Efficiency, Organizational ; Humans ; Physician Assistants ; Professional Competence ; Quality Improvement ; Radiology Department, Hospital/organization & administration
    Language English
    Publishing date 2018-05-08
    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.2018.03.051
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  6. Article ; Online: Comparison of Study Activity Times for "Full" versus "Fast MRI" for Breast Cancer Screening.

    Borthakur, Arijitt / Weinstein, Susan P / Schnall, Mitchell D / Conant, Emily F

    Journal of the American College of Radiology : JACR

    2019  Volume 16, Issue 8, Page(s) 1046–1051

    Abstract: Purpose: To optimize operations for a newly implemented abbreviated MR (AB-MR) breast cancer screening protocol, activity times were compared with the full-protocol examination.: Methods: Activity times from 70 AB-MR and 736 full MR screening studies ...

    Abstract Purpose: To optimize operations for a newly implemented abbreviated MR (AB-MR) breast cancer screening protocol, activity times were compared with the full-protocol examination.
    Methods: Activity times from 70 AB-MR and 736 full MR screening studies were analyzed. Total study time was measured from opening to closing examinations and expected scan time by summing the time of acquisition for each imaging series for either protocol. Actual scan time was obtained from DICOM headers. Total technologist activity time was obtained by subtracting expected scan time from total study time. Technologist activity time included both scan-related and non-scan-related activities.
    Results: The actual scan time for the AB protocol was 17.5 ± 0.5 min, compared with 28.8 ± 0.3 min (mean ± SE) for the full protocol (difference, 11.3 min; P < .0001). The total study time was 36.0 ± 3.2 min for AB-MRI and 49.7 ± 0.8 min for the full protocol (difference, 13.7 min; P < .0001), implying that the AB-MR protocol had only a 38% greater patient flow rate than the full protocol.
    Conclusions: The realized gains in patient flow rate were lower than expected based on scan times (65%) because of increased technologist activity time for the AB-MR protocol.
    MeSH term(s) Breast Neoplasms/diagnostic imaging ; Contrast Media ; Early Detection of Cancer ; Female ; Humans ; Magnetic Resonance Imaging/methods ; Mammography ; Middle Aged ; Retrospective Studies ; Time Factors ; Workflow
    Chemical Substances Contrast Media
    Language English
    Publishing date 2019-04-08
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2019.01.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: RE: Advanced Breast Cancer Definitions by Staging System Examined in the Breast Cancer Surveillance Consortium.

    Pisano, Etta D / Gatsonis, Constantine / Sparano, Joseph / Troester, Melissa A / Yaffe, Martin / Cole, Elodia / Schnall, Mitchell D

    Journal of the National Cancer Institute

    2021  Volume 113, Issue 7, Page(s) 938–939

    MeSH term(s) Breast Neoplasms/diagnosis ; Breast Neoplasms/epidemiology ; Breast Neoplasms/pathology ; Female ; Humans ; Neoplasm Staging
    Language English
    Publishing date 2021-03-30
    Publishing country United States
    Document type Editorial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 2992-0
    ISSN 1460-2105 ; 0027-8874 ; 0198-0157
    ISSN (online) 1460-2105
    ISSN 0027-8874 ; 0198-0157
    DOI 10.1093/jnci/djab055
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  8. Book: MRI of the shoulder

    Zlatkin, Michael B. / Ianotti, Joseph P. / Schnall, Mitchell D.

    1991  

    Author's details Michael B. Zlatkin. Contributors Joseph P. Ianotti ; Mitchell D. Schnall
    Keywords Joint Diseases / diagnosis ; Magnetic Resonance Imaging ; Shoulder Joint / injuries ; Shoulder Joint / pathology ; Schultergelenk ; Kernspintomografie
    Subject Kernspintomographie ; NMR-Tomographie ; Magnetische Kernresonanztomographie ; MR-Tomographie ; Kernspinresonanztomographie ; MRI ; Magnetic resonance imaging ; IRM ; Magnetresonanztomographie ; Magnetresonanztomografie ; MRT ; NMR-Tomografie ; Nukleare Kernspintomographie ; MR-Bildgebung ; Articulatio humeri ; Schulter
    Size XI, 174 S. : Ill., graph. Darst.
    Publisher Raven Pr
    Publishing place New York
    Publishing country United States
    Document type Book
    HBZ-ID HT003953461
    ISBN 0-88167-800-7 ; 978-0-88167-800-0
    Database Catalogue ZB MED Medicine, Health

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    1991 A 5851 order for loan Magazin

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  9. Article ; Online: Integrating

    Cember, Abigail T J / Wilson, Neil E / Rich, Laurie J / Bagga, Puneet / Nanga, Ravi Prakash Reddy / Swago, Sophia / Swain, Anshuman / Thakuri, Deepa / Elliot, Mark / Schnall, Mitchell D / Detre, John A / Reddy, Ravinder

    NeuroImage

    2022  Volume 251, Page(s) 118977

    Abstract: In the technique presented here, dubbed 'qMRS', we quantify the change ... ...

    Abstract In the technique presented here, dubbed 'qMRS', we quantify the change in
    MeSH term(s) Deuterium ; Glucose/metabolism ; Humans ; Magnetic Resonance Imaging/methods ; Magnetic Resonance Spectroscopy/methods ; Proton Magnetic Resonance Spectroscopy
    Chemical Substances Deuterium (AR09D82C7G) ; Glucose (IY9XDZ35W2)
    Language English
    Publishing date 2022-02-07
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1147767-2
    ISSN 1095-9572 ; 1053-8119
    ISSN (online) 1095-9572
    ISSN 1053-8119
    DOI 10.1016/j.neuroimage.2022.118977
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  10. Article ; Online: Economic impact of selective use of contrast for routine follow-up MRI of patients with multiple sclerosis.

    Mattay, Raghav R / Davtyan, Karapet / Rudie, Jeffrey D / Mattay, Govind S / Jacobs, Dina A / Schindler, Matthew / Loevner, Laurie A / Schnall, Mitchell D / Bilello, Michel / Mamourian, Alexander C / Cook, Tessa S

    Journal of neuroimaging : official journal of the American Society of Neuroimaging

    2022  Volume 32, Issue 4, Page(s) 656–666

    Abstract: Background and purpose: Imaging and autopsy studies show intracranial gadolinium deposition in patients who have undergone serial contrast-enhanced MRIs. This observation has raised concerns when using contrast administration in patients who receive ... ...

    Abstract Background and purpose: Imaging and autopsy studies show intracranial gadolinium deposition in patients who have undergone serial contrast-enhanced MRIs. This observation has raised concerns when using contrast administration in patients who receive frequent MRIs. To address this, we implemented a contrast-conditional protocol wherein gadolinium is administered only for multiple sclerosis (MS) patients with imaging evidence of new disease activity on precontrast imaging. In this study, we explore the economic impact of our new MRI protocol.
    Methods: We compared scanner time and Medicare reimbursement using our contrast-conditional methodology versus that of prior protocols where all patients received gadolinium.
    Results: For 422 patients over 4 months, the contrast-conditional protocol amounted to 60% decrease in contrast injection and savings of approximately 20% of MRI scanner time. If the extra scanner time was used for performing MS follow-up MRIs in additional patients, the contrast-conditional protocol would amount to net revenue loss of $21,707 (∼3.7%).
    Conclusions: Implementation of a new protocol to limit contrast in MS follow-up MRIs led to a minimal decrease in revenue when controlled for scanner time utilized and is outweighed by other benefits, including substantial decreased gadolinium administration, increased patient comfort, and increased availability of scanner time, which depending on type of studies performed could result in additional financial benefit.
    MeSH term(s) Aged ; Contrast Media ; Follow-Up Studies ; Gadolinium ; Humans ; Magnetic Resonance Imaging/methods ; Medicare ; Multiple Sclerosis/diagnostic imaging ; United States
    Chemical Substances Contrast Media ; Gadolinium (AU0V1LM3JT)
    Language English
    Publishing date 2022-03-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1071724-9
    ISSN 1552-6569 ; 1051-2284
    ISSN (online) 1552-6569
    ISSN 1051-2284
    DOI 10.1111/jon.12984
    Database MEDical Literature Analysis and Retrieval System OnLINE

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