2023
CT With CTA Versus MRI in Patients Presenting to the Emergency Department With Dizziness: Analysis Using Propensity Score Matching.
Tu L, Navaratnam D, Melnick E, Forman H, Venkatesh A, Malhotra A, Yaesoubi R, Sureshanand S, Sheth K, Mahajan A. CT With CTA Versus MRI in Patients Presenting to the Emergency Department With Dizziness: Analysis Using Propensity Score Matching. American Journal Of Roentgenology 2023, 221: 836-845. PMID: 37404082, DOI: 10.2214/ajr.23.29617.Peer-Reviewed Original ResearchConceptsSecondary stroke prevention medicationsStroke prevention medicationsEmergency departmentPrevention medicationsEchocardiography evaluationPosterior circulation strokeProportion of patientsGroup of patientsPhysical examination findingsNeuroimaging resultsUse of MRIReview of systemsGreater frequencyPropensity-score matchingExamination findingsRetrospective studyED readmissionMedical historyHead CTClinical impactMRI examinationsBrain MRINeck CTADizzinessPatients
2022
Evaluation of Temporal Trends in Racial and Ethnic Disparities in Sleep Duration Among US Adults, 2004-2018
Caraballo C, Mahajan S, Valero-Elizondo J, Massey D, Lu Y, Roy B, Riley C, Annapureddy AR, Murugiah K, Elumn J, Nasir K, Nunez-Smith M, Forman HP, Jackson CL, Herrin J, Krumholz HM. Evaluation of Temporal Trends in Racial and Ethnic Disparities in Sleep Duration Among US Adults, 2004-2018. JAMA Network Open 2022, 5: e226385. PMID: 35389500, PMCID: PMC8990329, DOI: 10.1001/jamanetworkopen.2022.6385.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlack PeopleCross-Sectional StudiesEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedSleepConceptsCross-sectional studyLong sleep durationSleep durationWhite individualsBlack individualsLatino individualsEthnic differencesSerial cross-sectional studyNational Health Interview Survey dataHealth Interview Survey dataSelf-reported sleep durationShort sleep durationInterview Survey dataMiddle-aged adultsSelf-reported raceEstimated prevalenceMAIN OUTCOMELong sleepSleep deficiencyHigher household incomeEthnic disparitiesAge groupsHealth disparitiesPrevalenceSleep disparities
2021
Head and Neck CTA Utilization: Analysis of Ordering Frequency and Nonroutine Results Communication, With Focus on the 50 Most Common Emergency Department Clinical Presentations.
Tu LH, Malhotra A, Venkatesh AK, Taylor RA, Sheth KN, Forman HP, Yaesoubi R. Head and Neck CTA Utilization: Analysis of Ordering Frequency and Nonroutine Results Communication, With Focus on the 50 Most Common Emergency Department Clinical Presentations. American Journal Of Roentgenology 2021, 218: 544-551. PMID: 34585611, DOI: 10.2214/ajr.21.26543.Peer-Reviewed Original ResearchConceptsNeck CTAED visitsEmergency departmentNonroutine communicationSingle health care systemAdult ED visitsSubset of reportsRadiologist communicationResult communicationPatient's chief concernHealth care systemFrequency of headCTA utilizationAcute findingsClinical presentationED settingPatient selectionIncidental findingClinical impactCTA examinationsCare systemCTAVisitsHigher numberNegative resultsTrends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018
Mahajan S, Caraballo C, Lu Y, Valero-Elizondo J, Massey D, Annapureddy AR, Roy B, Riley C, Murugiah K, Onuma O, Nunez-Smith M, Forman HP, Nasir K, Herrin J, Krumholz HM. Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018. JAMA 2021, 326: 637-648. PMID: 34402830, PMCID: PMC8371573, DOI: 10.1001/jama.2021.9907.Peer-Reviewed Original ResearchConceptsHealth care accessFair health statusSelf-reported health statusCare accessHealth statusWhite individualsEthnic differencesLatino/HispanicNational Health Interview Survey dataSerial cross-sectional studySelf-reported functional limitationsBlack individualsHealth Interview Survey dataLow incomeCross-sectional studyCross-sectional survey studyInterview Survey dataSelf-reported raceSelf-report measuresMAIN OUTCOMEUS adultsFunctional limitationsPercentage of peopleSignificant decreaseAdultsSARS-CoV-2 Infection Hospitalization Rate and Infection Fatality Rate Among the Non-Congregate Population in Connecticut
Mahajan S, Caraballo C, Li SX, Dong Y, Chen L, Huston SK, Srinivasan R, Redlich CA, Ko AI, Faust JS, Forman HP, Krumholz HM. SARS-CoV-2 Infection Hospitalization Rate and Infection Fatality Rate Among the Non-Congregate Population in Connecticut. The American Journal Of Medicine 2021, 134: 812-816.e2. PMID: 33617808, PMCID: PMC7895685, DOI: 10.1016/j.amjmed.2021.01.020.Peer-Reviewed Original ResearchConceptsInfection hospitalization rateInfection fatality rateHospitalization ratesFatality rateSeroprevalence estimatesSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodiesSARS-CoV-2 antibodiesConnecticut Hospital AssociationNon-Hispanic black peopleProportion of deathsCoronavirus disease 2019Total infected individualsTotal hospitalizationsAdverse outcomesNon-congregate settingsHigh burdenDisease 2019Prevalence studyMost subgroupsInfected individualsHospitalizationOlder peopleHospital AssociationConnecticut DepartmentDeath
2019
Cost-Effectiveness of Computed Tomography Angiography in Management of Tiny Unruptured Intracranial Aneurysms in the United States
Wu X, Matouk CC, Mangla R, Forman HP, Gandhi D, Sanelli P, Malhotra A. Cost-Effectiveness of Computed Tomography Angiography in Management of Tiny Unruptured Intracranial Aneurysms in the United States. Stroke 2019, 50: 2396-2403. PMID: 31340732, DOI: 10.1161/strokeaha.119.025600.Peer-Reviewed Original ResearchConceptsComputed tomography angiographyUnruptured intracranial aneurysmsIntracranial aneurysmsTomography angiographyCancer riskCTA surveillanceCost-effective strategyRadiation-induced brain tumorsRadiation-induced cancer riskSubsequent magnetic resonanceBrain cancer riskBetter health outcomesAnnual rupture riskProbabilistic sensitivity analysesRupture riskLower healthcare spendingAggressive managementPatients 30Subarachnoid hemorrhageIncidental detectionPrior historyHigh riskBrain tumorsAneurysmsHealth outcomes
2018
Clinical Decision Support for Ordering CTA-PE Studies in the Emergency Department—A Pilot on Feasibility and Clinical Impact in a Tertiary Medical Center
Goehler A, Moore C, Manne-Goehler JM, Arango J, D'Amato L, Forman HP, Weinreb J. Clinical Decision Support for Ordering CTA-PE Studies in the Emergency Department—A Pilot on Feasibility and Clinical Impact in a Tertiary Medical Center. Academic Radiology 2018, 26: 1077-1083. PMID: 30389307, DOI: 10.1016/j.acra.2018.09.009.Peer-Reviewed Original ResearchConceptsPulmonary embolismClinical decision supportPositivity rateTertiary medical centerComputed tomography angiographyPhysician adherenceD-dimerGood discriminatory powerTomography angiographyEmergency providersClinical impactMedical CenterRisk scoreDiscriminatory powerEmbolismPatientsAngiographyComplianceStudyManagement of Tiny Unruptured Intracranial Aneurysms: A Comparative Effectiveness Analysis
Malhotra A, Wu X, Forman HP, Matouk CC, Gandhi D, Sanelli P. Management of Tiny Unruptured Intracranial Aneurysms: A Comparative Effectiveness Analysis. JAMA Neurology 2018, 75: 27-34. PMID: 29159405, PMCID: PMC5833486, DOI: 10.1001/jamaneurol.2017.3232.Peer-Reviewed Original ResearchConceptsUnruptured intracranial aneurysmsComparative effectiveness analysisPreventive treatmentAdult patientsAnnual riskIntracranial aneurysmsHealth benefitsFollow-up imagingCurrent clinical practiceBetter health outcomesRisk of ruptureImaging surveillanceTiny aneurysmsMean ageSubarachnoid hemorrhageRoutine treatmentIncidental detectionEffectiveness analysisClinical studiesMAIN OUTCOMEHigh riskGeneral populationPatientsPubMed searchClinical practice
2017
Awareness of radiation risks from CT scans among patients and providers and obstacles for informed decision-making
Schuster AL, Forman HP, Strassle PD, Meyer LT, Connelly SV, Lee CI. Awareness of radiation risks from CT scans among patients and providers and obstacles for informed decision-making. Emergency Radiology 2017, 25: 41-49. PMID: 28948391, DOI: 10.1007/s10140-017-1557-8.Peer-Reviewed Original ResearchConceptsEmergency providersCT scanRadiation doseCT radiationPercent of patientsTertiary care centerCT scan radiation exposureAbdominopelvic CT scansChest X-rayRisk/benefitModerate painAbdominopelvic CTRadiologist awarenessResultsA totalEmergency departmentCare centerPatientsStudy designDoseDose rangeRadiation exposureCTRadiation riskRadiologistsScans
2016
Cost-Effectiveness of Tomosynthesis in Annual Screening Mammography.
Kalra VB, Wu X, Haas BM, Forman HP, Philpotts LE. Cost-Effectiveness of Tomosynthesis in Annual Screening Mammography. American Journal Of Roentgenology 2016, 207: 1152-1155. PMID: 27547861, DOI: 10.2214/ajr.15.14487.Peer-Reviewed Original ResearchTomosynthesis in the Diagnostic Setting: Changing Rates of BI-RADS Final Assessment over Time.
Raghu M, Durand MA, Andrejeva L, Goehler A, Michalski MH, Geisel JL, Hooley RJ, Horvath LJ, Butler R, Forman HP, Philpotts LE. Tomosynthesis in the Diagnostic Setting: Changing Rates of BI-RADS Final Assessment over Time. Radiology 2016, 281: 54-61. PMID: 27139264, DOI: 10.1148/radiol.2016151999.Peer-Reviewed Original Research
2010
Renal Ultrasonography in the Evaluation of Acute Kidney Injury: Developing a Risk Stratification Framework
Licurse A, Kim MC, Dziura J, Forman HP, Formica RN, Makarov DV, Parikh CR, Gross CP. Renal Ultrasonography in the Evaluation of Acute Kidney Injury: Developing a Risk Stratification Framework. JAMA Internal Medicine 2010, 170: 1900-1907. PMID: 21098348, DOI: 10.1001/archinternmed.2010.419.Peer-Reviewed Original ResearchMeSH KeywordsAcute Kidney InjuryAgedCreatinineCross-Sectional StudiesDecision Support TechniquesFemaleHospitalizationHumansHydronephrosisKidneyLikelihood FunctionsMaleMiddle AgedMultivariate AnalysisPredictive Value of TestsRacial GroupsRecurrenceRetrospective StudiesRisk AssessmentRisk FactorsUltrasonographyUreteral ObstructionUrinary Tract InfectionsConceptsAcute kidney injuryKidney injuryAdult inpatientsIncidental findingPrerenal acute kidney injuryRecurrent urinary tract infectionsMultivariable logistic regression modelYale-New Haven HospitalHistory of hydronephrosisElevated creatinine levelRenal transplant recipientsCongestive heart failureUrinary tract infectionHigh-risk groupLow-risk groupCross-sectional studyLogistic regression modelsNephrotoxic medicationsTransplant recipientsClinical characteristicsCreatinine levelsNonblack raceRenal ultrasonographyTract infectionsHeart failure
2006
Radiation dose associated with unenhanced CT for suspected renal colic: impact of repetitive studies.
Katz SI, Saluja S, Brink JA, Forman HP. Radiation dose associated with unenhanced CT for suspected renal colic: impact of repetitive studies. American Journal Of Roentgenology 2006, 186: 1120-4. PMID: 16554590, DOI: 10.2214/ajr.04.1838.Peer-Reviewed Original ResearchConceptsDose-length productSingle-detector CTHistory of nephrolithiasisRenal colicEffective dosesUnenhanced CT examinationsCT examinationsUnenhanced CTMean dose-length productCumulative effective dosesRadiation doseCumulative radiation doseMean effective dosesTotal effective dosesPain examinationFlank painAdult patientsPatient agePediatric ageSerial CTPatientsColicDosesMultiple examinationsCT
2004
MRI in the diagnosis of cartilage injury in the wrist.
Haims AH, Moore AE, Schweitzer ME, Morrison WB, Deely D, Culp RW, Forman HP. MRI in the diagnosis of cartilage injury in the wrist. American Journal Of Roentgenology 2004, 182: 1267-70. PMID: 15100130, DOI: 10.2214/ajr.182.5.1821267.Peer-Reviewed Original ResearchDiagnostic CT Scans: Assessment of Patient, Physician, and Radiologist Awareness of Radiation Dose and Possible Risks1
Lee CI, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT Scans: Assessment of Patient, Physician, and Radiologist Awareness of Radiation Dose and Possible Risks1. Radiology 2004, 231: 393-8. PMID: 15031431, DOI: 10.1148/radiol.2312030767.Peer-Reviewed Original ResearchConceptsED physiciansCT scanCancer riskRadiation doseChest radiographsMost ED physiciansPercent of patientsAbdominopelvic CT scansAssessment of patientsEmergency department physiciansU.S. academic medical centersAcademic medical centerFlank painAdult patientsRadiologist awarenessDepartment physiciansMedical CenterPatientsCT dosesPhysiciansLifetime cancer riskDoseScansRadiologistsRisk
2002
Evaluation of an Emergency Radiology Quality Assurance Program at a Level I Trauma Center: Abdominal and Pelvic CT Studies
Yoon LS, Haims AH, Brink JA, Rabinovici R, Forman HP. Evaluation of an Emergency Radiology Quality Assurance Program at a Level I Trauma Center: Abdominal and Pelvic CT Studies. Radiology 2002, 224: 42-6. PMID: 12091660, DOI: 10.1148/radiol.2241011470.Peer-Reviewed Original ResearchConceptsLevel I trauma centerI trauma centerTrauma centerQuality assurance programPatient careAdditional diagnostic imagingAbdominal imaging radiologistsQuality of careAssurance programEmergency departmentCT reportsTrauma casesTrauma surgeryCT studiesNumber of casesPatient recordsRadiologic interpretationCare changesMortality recordsDiscordant readingsDiagnostic imagingDiscordant interpretationsPelvic CT studiesCareImportant additional findings
2001
Pediatric Radiology at the Millennium
Forman HP, Traubici J, Covey AM, Kamin DS, Leonidas JC, Sunshine JH. Pediatric Radiology at the Millennium. Radiology 2001, 220: 109-14. PMID: 11425981, DOI: 10.1148/radiology.220.1.r01jl42109.Peer-Reviewed Original Research
1995
Hepatic spiral CT: reduction of dose of intravenous contrast material.
Brink J, Heiken J, Forman H, Sagel S, Molina P, Brown P. Hepatic spiral CT: reduction of dose of intravenous contrast material. Radiology 1995, 197: 83-8. PMID: 7568859, DOI: 10.1148/radiology.197.1.7568859.Peer-Reviewed Original ResearchConceptsMaximum hepatic enhancementContrast material doseSpiral computed tomographyContrast enhancement indexUniphasic injectionComputed tomographyThin patientsContrast materialGrams of iodineIntravenous contrast materialMaterial doseReduction of doseHeavier patientsHepatic enhancementBiphasic injectionPatientsInjection protocolAdequate enhancementSubstantial cost savingsDoseSignificant differencesInjectionContrast enhancementEnhancement indexOutpatients
1994
NEOPLASMS OF THE BLADDER, PROSTATE, AND TESTIS
Heiken J, Forman H, Brown J. NEOPLASMS OF THE BLADDER, PROSTATE, AND TESTIS. Radiologic Clinics Of North America 1994, 32: 81-98. PMID: 8284363, DOI: 10.1016/s0033-8389(22)00339-6.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingProstate cancerResonance imagingProcedure of choiceTesticular cancerBladder cancerClinical trialsTransrectal ultrasonographyUrinary bladderTransurethral ultrasonographyComputed tomographyCancerBladderStagingJudicious useUltrasonographyProstateTomographyTestisImagingCarcinomaNeoplasmsTrials
1993
Hyperechoic renal cell carcinomas: increase in detection at US.
Forman H, Middleton W, Melson G, McClennan B. Hyperechoic renal cell carcinomas: increase in detection at US. Radiology 1993, 188: 431-4. PMID: 8327692, DOI: 10.1148/radiology.188.2.8327692.Peer-Reviewed Original ResearchConceptsRenal cell carcinomaSmall cancersSmall renal cell carcinomaNormal renal parenchymaNumber of cancersTumor sizeCell carcinomaLarge tumorsRenal parenchymaTumor echogenicityFrequency of detectionSonographic featuresSmall tumorsIncreased detectionAngiomyolipomaTumorsCancerRecent reportsPatientsCarcinomaEchogenicityParenchyma