2020
Implementation of an aortic dissection CT protocol with clinical decision support aimed at decreasing radiation exposure by reducing routine abdominopelvic imaging
Patel V, Fruauff A, Esses D, Lipsitz E, Levsky J, Haramati L. Implementation of an aortic dissection CT protocol with clinical decision support aimed at decreasing radiation exposure by reducing routine abdominopelvic imaging. Clinical Imaging 2020, 67: 108-112. PMID: 32559680, DOI: 10.1016/j.clinimag.2020.06.005.Peer-Reviewed Original ResearchConceptsAcute aortic syndromeAortic dissectionAortic syndromeClinical decision supportED patientsChest/abdomen/pelvisRadiation doseDiagnostic accuracyStudy periodTotal ED populationMedian radiation doseAbdomen/pelvisRoutine abdominopelvicVs. 3.7ED populationContrast doseDiagnostic yieldRetrospective analysisCT scanCT protocolPatientsDissectionRadiation exposureDoseScreening protocol
2018
Imaging of suspected pulmonary embolism and deep venous thrombosis in obese patients
Cascio V, Hon M, Haramati L, Gour A, Spiegler P, Bhalla S, Katz D. Imaging of suspected pulmonary embolism and deep venous thrombosis in obese patients. British Journal Of Radiology 2018, 91: 20170956. PMID: 29762047, PMCID: PMC6223165, DOI: 10.1259/bjr.20170956.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsDeep venous thrombosisPulmonary embolismObese patientsVenous thrombosisTreatment of DVTDiagnosis of DVTPatient sizeSetting of obesityHigh-level evidenceLarge patient sizeLean patientsVenous thromboembolismThromboembolic diseaseAlternative diagnosesContrast dosingPatientsClinical sitesRadiation exposureDiagnosisEmbolismThrombosisObesityMore researchExaminationCurrent understandingCoronary Computed Tomography Angiography Versus Stress Echocardiography in Acute Chest Pain A Randomized Controlled Trial
Levsky J, Haramati L, Spevack D, Menegus M, Chen T, Mizrachi S, Brown-Manhertz D, Selesny S, Lerer R, White D, Tobin J, Taub C, Garcia M. Coronary Computed Tomography Angiography Versus Stress Echocardiography in Acute Chest Pain A Randomized Controlled Trial. JACC Cardiovascular Imaging 2018, 11: 1288-1297. PMID: 29909113, DOI: 10.1016/j.jcmg.2018.03.024.Peer-Reviewed Original ResearchMeSH KeywordsAdultAngina PectorisClinical Decision-MakingComparative Effectiveness ResearchComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseEchocardiography, StressEmergency Service, HospitalFemaleHumansLength of StayMaleMiddle AgedMultidetector Computed TomographyPatient AdmissionPatient SelectionPredictive Value of TestsRadiation DosageRadiation ExposureTreatment OutcomeTriageConceptsCoronary CTACardiovascular eventsHospital lengthAcute chest pain patientsMajor adverse cardiovascular eventsRadiation exposureMedian hospital lengthAdverse cardiovascular eventsMedian ED lengthChest pain patientsCoronary artery diseaseEmergency department useSerum troponin levelsChest pain triageCTA patientsPrimary endpointSafety endpointSecondary endpointsPatient ageTroponin levelsArtery diseaseED lengthPain patientsSE patientsStress echocardiography
2017
Performance of a simple robust empiric timing protocol for CT pulmonary angiography
Hsu K, Levsky J, Haramati L, Gohari A. Performance of a simple robust empiric timing protocol for CT pulmonary angiography. Clinical Imaging 2017, 48: 17-21. PMID: 29024836, DOI: 10.1016/j.clinimag.2017.09.006.Peer-Reviewed Original ResearchConceptsPulmonary arteryLower radiation exposureTiming groupsRadiation exposureBolus groupAortic enhancementCT pulmonary angiographySimilar mean ageResults of CTPAConsecutive CTPAsEmpiric protocolPatient characteristicsPulmonary angiographyRetrospective reviewMean ageBolus protocolPositivity rateHigh diagnostic qualityArteryDiagnostic quality imagesBolus methodCTPATiming bolusProtocol changesAortaPerformance of Low-Dose Perfusion Scintigraphy and CT Pulmonary Angiography for Pulmonary Embolism in Pregnancy
Sheen JJ, Haramati LB, Natenzon A, Ma H, Tropper P, Bader AS, Freeman LM, Bernstein PS, Moadel RM. Performance of Low-Dose Perfusion Scintigraphy and CT Pulmonary Angiography for Pulmonary Embolism in Pregnancy. CHEST Journal 2017, 153: 152-160. PMID: 28823756, DOI: 10.1016/j.chest.2017.08.005.Peer-Reviewed Original ResearchConceptsNegative predictive valuePulmonary embolismPregnant womenSubgroup analysisChest radiographsRadiation exposureRetrospective cohort studyInitial imaging modalityCT pulmonary angiographyMontefiore Medical CenterFirst-choice modalityNegative resultsVTE diagnosisPregnant patientsCohort studyNormal pregnancyPerfusion scanningPrimary outcomeInitial imagingPulmonary angiographyPerfusion scintigraphyUncommon diagnosisCT pulmonaryMedical CenterNegative studies
2015
ACR White Paper–Based Comprehensive Dose Reduction Initiative Is Associated With a Reversal of the Upward Trend in Radiation Dose for Chest CT
Rawat U, Cohen S, Levsky J, Haramati L. ACR White Paper–Based Comprehensive Dose Reduction Initiative Is Associated With a Reversal of the Upward Trend in Radiation Dose for Chest CT. Journal Of The American College Of Radiology 2015, 12: 1251-1256. PMID: 26482816, DOI: 10.1016/j.jacr.2015.07.022.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCohort StudiesDose-Response Relationship, RadiationFemaleHumansMaleMiddle AgedPractice Guidelines as TopicQuality ImprovementRadiation DosageRadiation MonitoringRadiation ProtectionRadiography, ThoracicRetrospective StudiesRisk AssessmentSex FactorsSocieties, MedicalTomography, X-Ray ComputedConceptsDose reduction strategiesChest CTMean doseACR White PaperRadiation doseRadiation exposureAdult chest CTHigh-pitch techniqueInstitutional review board approvalOverall mean doseReview board approvalLow tube voltageDose reduction programPrimary outcomeBoard approvalDose trendsAuthors' departmentEffective doseInformed consentDoseVigilant useStudy periodCTTotal exposureReduction programsCoronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry: A Randomized Trial.
Levsky J, Spevack D, Travin M, Menegus M, Huang P, Clark E, Kim C, Hirschhorn E, Freeman K, Tobin J, Haramati L. Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry: A Randomized Trial. Annals Of Internal Medicine 2015, 163: 174-83. PMID: 26052677, PMCID: PMC4703121, DOI: 10.7326/m14-2948.Peer-Reviewed Original ResearchMeSH KeywordsCardiac CatheterizationChest PainComparative Effectiveness ResearchCoronary AngiographyCoronary Artery DiseaseFemaleFollow-Up StudiesHealth ResourcesHospital UnitsHumansLength of StayMaleMiddle AgedMyocardial Perfusion ImagingMyocardial RevascularizationPatient SatisfactionProspective StudiesRadiation DosageTelemetryTomography, X-Ray ComputedConceptsMyocardial perfusion imagingCCTA groupMPI groupCardiovascular eventsChest painCardiac catheterizationPrimary outcomeRadiation exposurePatient experienceStress myocardial perfusion imagingInner-city medical centerNonfatal cardiovascular eventsOutpatient cardiology visitsAcute chest painMajor cardiovascular eventsIntermediate-term outcomesEmergency department visitsCoronary artery diseaseComparative effectiveness trialIncidence of deathLength of stayAmerican Heart AssociationClinical management decisionsRadionuclide myocardial perfusionLess radiation exposure
2014
CT pulmonary angiography in pregnant and postpartum women: low yield, high dose
Jordan E, Godelman A, Levsky J, Zalta B, Haramati L. CT pulmonary angiography in pregnant and postpartum women: low yield, high dose. Clinical Imaging 2014, 39: 251-253. PMID: 25482354, DOI: 10.1016/j.clinimag.2014.11.006.Peer-Reviewed Original Research
2010
Radiation Exposure From Medical Imaging in Patients With Chronic and Recurrent Conditions
Stein E, Haramati L, Bellin E, Ashton L, Mitsopoulos G, Schoenfeld A, Amis E. Radiation Exposure From Medical Imaging in Patients With Chronic and Recurrent Conditions. Journal Of The American College Of Radiology 2010, 7: 351-359. PMID: 20439078, DOI: 10.1016/j.jacr.2009.12.015.Peer-Reviewed Original ResearchConceptsPulmonary thromboembolic diseaseRenal colicThromboembolic diseaseCardiac diseaseTotal effective dosesRadiation exposureRecurrent conditionEffective dosesProportion of patientsMedical radiation exposureCumulative radiation dosesOrgan-specific dosesRadiation dosesTotal effective doseDiagnostic cohortIndividual patientsPatientsHydrocephalusDiagnostic strategiesEffective doseDiseaseChronicColicDosesCohortSuccess of a safe and simple algorithm to reduce use of CT pulmonary angiography in the emergency department.
Stein E, Haramati L, Chamarthy M, Sprayregen S, Davitt M, Freeman L. Success of a safe and simple algorithm to reduce use of CT pulmonary angiography in the emergency department. American Journal Of Roentgenology 2010, 194: 392-7. PMID: 20093601, DOI: 10.2214/ajr.09.2499.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsAngiographyChi-Square DistributionContrast MediaFalse Negative ReactionsFemaleGadolinium DTPAHumansInservice TrainingMaleMiddle AgedPulmonary EmbolismPulmonary MedicineRadiation DosageRadiation InjuriesRadiographic Image Interpretation, Computer-AssistedRadiologyRetrospective StudiesTomography, X-Ray ComputedTreatment OutcomeConceptsEmergency department patientsPulmonary embolismQ scanningDepartment patientsRadiation exposureEffective doseUnderwent chest radiographyEducational interventionVentilation-perfusion scanningCT pulmonary angiographyMean effective doseEmergency medicine departmentRadiation effective doseMean radiation effective doseFalse-negative findingsResults of CTPAClinical suspicionSubsequent thromboembolismPulmonary angiographyEmergency departmentCT pulmonaryPractice patternsChest radiographyChest radiographsCTPA examinations
2008
Ethical Trials to Determine the Risks and Benefits of Radiation Exposure from Coronary CT Angiography
Haramati L. Ethical Trials to Determine the Risks and Benefits of Radiation Exposure from Coronary CT Angiography. Journal Of The American College Of Radiology 2008, 5: 1073-1076. PMID: 18812151, DOI: 10.1016/j.jacr.2008.05.004.Commentaries, Editorials and LettersConceptsCoronary artery diseaseCoronary CT angiographyArtery diseaseCT angiographyFuture patientsRadiation exposureManagement of patientsDiagnostic radiation exposureRadiation-related cancerCommon causeAmerican CollegeDiagnostic radiationClinical researchPatientsAngiographyMedical researchRiskGenetic damageDiseaseHeritable genetic damageExposureEthical trialsCancerTrialsBenefits
This site is protected by hCaptcha and its Privacy Policy and Terms of Service apply