Hematospermia is an uncommon source of referral for imaging. When considering the adequate modalities for its evaluation, the patient’s age, duration, and associated symptomatology need to be taken into consideration. Younger patients with transient hematospermia and without associated signs or symptoms usually require a clinical approach and reassurance. In the setting of symptomatic hematospermia, persistent hematospermia, and in older patients, imaging may be indicated to assess for possible …
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ACR Appropriateness Criteria® Management of Acute Pulmonary Embolism
Acute pulmonary embolism (PE) is a subclass of venous thromboembolism, which can be associated with significant morbidity and mortality. Risk stratification algorithms classify PE into high-risk (massive), intermediate-risk (submassive), and low-risk groups, with management guidelines determined based on clinical risk. For high-risk PE, first-line treatment options may include anticoagulation, systemic thrombolysis, catheter-directed therapies, and surgical embolectomy. For intermediate-risk PE,…
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ACR Appropriateness Criteria® Male Breast Cancer Screening
Breast cancer screening recommendations have been established historically for women, but, have been less clearly outlined for men. For average-risk men and younger men less than 25 year of age, imaging is not usually appropriate as a screening test for breast cancer. For men of higher-than-average risk, screening with mammography as annual surveillance imaging is usually appropriate.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical co…
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ACR Appropriateness Criteria® Acute Left Upper Quadrant Pain
Acute abdominal pain is one of the most common chief complaints encountered in the emergency department and outpatient setting. Across all sites, the left upper quadrant (LUQ) is the least common location for abdominal pain with reportedly the lowest physical examination interrater agreement. The limited sensitivity of physical examination, combined with an uncommon and nonspecific clinical presentation, make assessment of LUQ pain challenging. Acute LUQ pain may arise directly from the spleen o…
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Utilization of Arterial and Venous Thrombectomy in the United States: A 6-Year Evaluation of Medicare Claims
The aim of this study was to understand the utilization of arterial thrombectomy (AT) and venous thrombectomy (VT) by provider specialty, region, and diagnosis code in the Medicare population.
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Artificial Intelligence in Radiology: Performance of ChatGPT-4v and GPT-4o on Diagnostic Radiology In-Training (DXIT) Examination Questions
The purpose of this study is to examine the performance of GPT-4vision (GPT-4v) and GPT-4omni (GPT-4o) on the American College of Radiology’s Diagnostic Radiology In-Training (DXIT) examination, comparing performance on image-based and text-only questions.
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Leveraging a Quality and Safety Continuous Process Improvement Framework to Increase Breast Cancer Screening Access
To apply a Quality and Safety Continuous Process Improvement approach guided by Continuous Quality Improvement and Plan-Do-Study-Act (PDSA) cycles to develop, refine and assess a digital reminder program’s effect on Screening Mammography Missed Care Opportunity (SM-MCO) rates.