2020
Utility of Apical Lung Assessment on Computed Tomography Angiography as a COVID-19 Screen in Acute Stroke
Esenwa C, Lee J, Nisar T, Shmukler A, Goldman I, Zampolin R, Hsu K, Labovitz D, Altschul D, Haramati L. Utility of Apical Lung Assessment on Computed Tomography Angiography as a COVID-19 Screen in Acute Stroke. Stroke 2020, 51: 3765-3769. PMID: 33115325, PMCID: PMC7678646, DOI: 10.1161/strokeaha.120.030959.Peer-Reviewed Original ResearchConceptsAcute ischemic strokeComputed tomography angiographyLung assessmentTomography angiographyPredictive valuePatient-reported symptomsShortness of breathCoronavirus disease 2019Self-reported clinical symptomsCOVID-19Negative predictive valuePositive predictive valueAccurate screening toolAcute strokeIschemic strokeLung findingsClinical symptomsLung apexDisease 2019Lung examAngiographyDiagnostic accuracyScreening toolPatientsSymptomsDiagnostic Performance of Pulmonary Embolism Imaging in Patients with History of Asthma.
Lazarus M, Kim Y, Mathai B, Levsky J, Freeman L, Haramati L, Moadel R. Diagnostic Performance of Pulmonary Embolism Imaging in Patients with History of Asthma. Journal Of Nuclear Medicine 2020, 62: 399-404. PMID: 32680927, DOI: 10.2967/jnumed.120.242776.Peer-Reviewed Original ResearchMeSH KeywordsAdultAsthmaCohort StudiesComputed Tomography AngiographyFemaleHumansMaleMiddle AgedPulmonary EmbolismRetrospective StudiesVentilation-Perfusion RatioConceptsHistory of asthmaPulmonary embolismFalse negative rateRepeat examsDiagnostic performanceChronic lung diseaseVentilation-perfusion scanningHigh false-negative rateLung diseaseCT pulmonaryNegative imagingNondiagnostic resultsVentilation defectsAsthmaCTPANegative casesEmbolismPatientsHigh rateAdultsExamPulmonaryHistorySymptomsDiseaseImplementation 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 protocolComparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department
Kargoli F, Levsky J, Bulcha N, Mustehsan M, Brown-Manhertz D, Furlani A, Polanco D, Mizrachi S, Makkiya M, Golive A, Haramati L, Taub C, Garcia M. Comparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department. The American Journal Of Cardiology 2020, 125: 1809-1814. PMID: 32345475, DOI: 10.1016/j.amjcard.2020.03.024.Peer-Reviewed Original ResearchConceptsMyocardial perfusion imagingStress echocardiographyEmergency departmentChest painRehospitalization ratesCoronary angiographyLeast intermediate riskNegative initial troponinUrban ED settingDiagnostic coronary angiographyRetrospective cohort studyHospital emergency departmentUrban hospital emergency departmentFunctional imaging modalitiesCCTA groupInitial troponinED dischargeCohort studyIntermediate riskSecondary outcomesNondiagnostic electrocardiogramPrimary outcomeED settingTomography angiographyClinical utility
2018
American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembolism
Lim W, Le Gal G, Bates S, Righini M, Haramati L, Lang E, Kline J, Chasteen S, Snyder M, Patel P, Bhatt M, Patel P, Braun C, Begum H, Wiercioch W, SchĂĽnemann H, Mustafa R. American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembolism. Blood Advances 2018, 2: 3226-3256. PMID: 30482764, PMCID: PMC6258916, DOI: 10.1182/bloodadvances.2018024828.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsDeep vein thrombosisRecurrent venous thromboembolismExtremity deep vein thrombosisVenous thromboembolismPulmonary embolismVTE riskUpper extremity deep vein thrombosisLower extremity deep vein thrombosisMcMaster University GRADE CentreDiagnostic strategiesHematology 2018 guidelinesHigh VTE riskLower VTE riskPretest probability assessmentTomography pulmonary angiographyVentilation-perfusion scanningClinical decision ruleEvidence-based guidelinesNew diagnostic modalitiesHealth care professionalsAmerican SocietyModern diagnostic strategiesVTE diagnosisVTE prevalenceRecommendations AssessmentAre We Overdiagnosing Pulmonary Embolism? Yes!
Tan S, Haramati L. Are We Overdiagnosing Pulmonary Embolism? Yes! Journal Of Thoracic Imaging 2018, 33: 346-347. PMID: 30239459, DOI: 10.1097/rti.0000000000000365.Commentaries, Editorials and LettersNavigating the Pulmonary Perfusion Map
Alis J, Latson L, Haramati L, Shmukler A. Navigating the Pulmonary Perfusion Map. Journal Of Computer Assisted Tomography 2018, 42: 840-849. PMID: 30371612, DOI: 10.1097/rct.0000000000000801.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsAlgorithmsArtifactsComputed Tomography AngiographyHumansPulmonary EmbolismRadiographic Image Interpretation, Computer-AssistedRadiography, Dual-Energy Scanned ProjectionTomography, X-Ray ComputedConceptsPulmonary embolismCommon acute cardiovascular diseaseComputed tomography pulmonary angiographyAcute pulmonary embolismTomography pulmonary angiographyAcute cardiovascular diseaseTomography perfusion imagingAcute PEVascular causesPulmonary angiographyPerfusion defectsCardiovascular diseaseCommon causePulmonary perfusionFunctional assessmentHigh-resolution morphological informationPerfusion imagingPerfusion mapsEmbolismUnderstanding of physiologyCauseAngiographyPathophysiologyPerfusionDiseaseStarfish in the heart: Congenital anomaly of the papillary muscles
Makkiya M, Villablanca P, Walker J, Haramati L, Garcia M, Zaidi A, Taub C. Starfish in the heart: Congenital anomaly of the papillary muscles. Echocardiography 2018, 35: 1872-1877. PMID: 30324627, DOI: 10.1111/echo.14164.Peer-Reviewed Case Reports and Technical NotesMeSH KeywordsAdultComputed Tomography AngiographyEchocardiographyElectrocardiographyHeart Defects, CongenitalHumansMalePapillary MusclesConceptsAnatomical abnormalitiesMitral valveCongenital anatomical abnormalitiesHeart failure symptomsPossible related complicationsRelated complicationsPediatric populationAdult casesFailure symptomsCongenital anomaliesSubvalvular apparatusPapillary musclesAtypical variantsMultimodality imagingAbnormalitiesComplicationsSymptomsValveImportant roleImaging 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 StatementsMeSH KeywordsComputed Tomography AngiographyHumansObesityPhlebographyPulmonary EmbolismRadiation DosageRadiography, InterventionalTomography, X-Ray ComputedUltrasonographyVenous ThrombosisConceptsDeep 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 echocardiographyImaging for Pulmonary Embolism in Sickle Cell Disease: A 17-Year Experience
Tivnan P, Billett H, Freeman L, Haramati L. Imaging for Pulmonary Embolism in Sickle Cell Disease: A 17-Year Experience. Journal Of Nuclear Medicine 2018, 59: 1255-1259. PMID: 29419477, DOI: 10.2967/jnumed.117.205641.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnemia, Sickle CellComputed Tomography AngiographyFemaleHumansMalePulmonary EmbolismRetrospective StudiesVentilation-Perfusion RatioConceptsSickle cell diseaseSickle cell disease patientsPulmonary embolismNormal chest radiographPulmonary embolism diagnosisCell diseaseChoice of imagingChest radiographsDisease patientsChest radiographyStudy periodChest radiographic resultsVentilation-perfusion scintigraphyReasonable first choicePulmonary embolism imagingPulmonary complicationsRetrospective cohortStable patientsClinical presentationRadiographic resultsMean ageCT pulmonaryEmbolismIndeterminate resultsComparable diagnostic performance
2017
Patent foramen ovale in patients with pulmonary embolism: A prognostic factor on CT pulmonary angiography?
Zhang M, Tan S, Patel V, Zalta B, Shmukler A, Levsky J, Jain V, Shaban N, Haramati L. Patent foramen ovale in patients with pulmonary embolism: A prognostic factor on CT pulmonary angiography? Journal Of Cardiovascular Computed Tomography 2017, 12: 271-274. PMID: 29217343, DOI: 10.1016/j.jcct.2017.11.009.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overComputed Tomography AngiographyEchocardiographyFemaleForamen Ovale, PatentHumansMaleMiddle AgedMultidetector Computed TomographyPredictive Value of TestsPrevalencePrognosisPulmonary ArteryPulmonary EmbolismReproducibility of ResultsRetrospective StudiesRisk FactorsTime FactorsYoung AdultConceptsAcute pulmonary embolismRight heart strainPulmonary embolismTransthoracic echocardiogramHeart strainPatent foramenRight ventricularCT pulmonaryCT signsExact testVentricular diameter ratioRoutine transthoracic echocardiogramFischer's exact testYears of experiencePFO prevalenceSeptal bowingPrognostic factorsContrast refluxRetrospective studyRisk factorsMedical CenterMAIN OUTCOMEPopulation prevalencePatientsAdvanced imagingPerformance 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 studiesCan Discrepancies Between Coronary Computed Tomography Angiography and Cardiac Catheterization in High-Risk Patients be Overcome With Consensus Reading?
Steinberger S, Plodkowski A, Latson L, Levsky J, Zalta B, Godelman A, Cohen H, Haramati L. Can Discrepancies Between Coronary Computed Tomography Angiography and Cardiac Catheterization in High-Risk Patients be Overcome With Consensus Reading? Journal Of Computer Assisted Tomography 2017, 41: 159-164. PMID: 27560020, DOI: 10.1097/rct.0000000000000481.Peer-Reviewed Original ResearchConceptsCoronary CTA interpretationCTA interpretationSevere stenosisCoronary CTATomography angiographyHigh-risk patientsQuarter of patientsInner-city populationCatheterization resultsCardiac catheterizationCatheterizationClinical reportsClinical practiceStenosisPatientsDiagnostic profileAngiographyPanel interpretationCTAReview panelCauses of discrepanciesCoronariesIncidence
2016
Illness Severity and Comorbidities Are Associated With Limitations in Computed Tomography Pulmonary Angiography
Nayak G, Yu S, Levsky J, Haramati L. Illness Severity and Comorbidities Are Associated With Limitations in Computed Tomography Pulmonary Angiography. Journal Of Thoracic Imaging 2016, 31: w60-w61. PMID: 27428023, DOI: 10.1097/rti.0000000000000222.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseComorbidityComputed Tomography AngiographyFemaleHumansLungMaleMiddle AgedPulmonary EmbolismReproducibility of ResultsRetrospective StudiesSeverity of Illness Index
This site is protected by hCaptcha and its Privacy Policy and Terms of Service apply