2024
Abbreviated MRI in the evaluation of dizziness: report turnaround times and impact on length of stay compared to CT, CTA, and conventional MRI
Tu L, Tegtmeyer K, de Oliveira Santo I, Venkatesh A, Forman H, Mahajan A, Melnick E. Abbreviated MRI in the evaluation of dizziness: report turnaround times and impact on length of stay compared to CT, CTA, and conventional MRI. Emergency Radiology 2024, 31: 705-711. PMID: 39034381, DOI: 10.1007/s10140-024-02273-7.Peer-Reviewed Original ResearchLength of stayEvaluation of dizzinessAbbreviated MRIConventional MRIMRI protocolEmergency departmentNon-contrast CT headConventional MRI protocolHead and neckPosterior circulation strokeAnalysis of length of stayTurnaround timeED length of stayCT headNo significant differenceAcute dizzinessCirculation strokeRetrospective analysisDizzinessAcute settingAssociated with greater impactMRI studiesImaging modalitiesMRIPatientsDisorders with Ophthalmic and Thoracic Involvement.
Gosangi B, Lang P, Johnson M, Zukerman R, Tu L, Traube L, Bader A, Rubinowitz A. Disorders with Ophthalmic and Thoracic Involvement. Radio Graphics 2024, 44: e230132. PMID: 38870047, DOI: 10.1148/rg.230132.Peer-Reviewed Original ResearchConceptsClinical manifestationsExamination of family membersEhlers-Danlos syndromeAffecting patient outcomesAcute sarcoidosisOphthalmologic examinationThoracic symptomsDry eyeThoracic involvementOphthalmological symptomsOphthalmologic manifestationsEye symptomsMarfan syndromeSjogren's syndromeImaging findingsRadiological studiesLung diseasePatient outcomesEhlers-DanlosFamily membersMultimodal imagingSystem conditionsSyndromeThoracicSarcoidosisMigration of Iophendylate Myelography Contrast to the Brain With Successful Thrombectomy.
Tu L, Hegde R, Prust M, Mageid R, Hebert R, Jasne A. Migration of Iophendylate Myelography Contrast to the Brain With Successful Thrombectomy. Neurology 2024, 102: e209314. PMID: 38547442, DOI: 10.1212/wnl.0000000000209314.Peer-Reviewed Original ResearchReply to "Considering Health Systems Worldwide: Point of View From a Middle-Income Country".
Tu L, Melnick E, Venkatesh A, Sheth K, Navaratnam D, Yaesoubi R, Forman H, Mahajan A. Reply to "Considering Health Systems Worldwide: Point of View From a Middle-Income Country". American Journal Of Roentgenology 2024, 222: e2430900. PMID: 38294162, DOI: 10.2214/ajr.24.30900.Peer-Reviewed Original Research
2023
Overview of Effective Reporting
Tu LH, Safinia C, Hegde R. “Overview of Effective Reporting.” How to be a More Efficient Radiologist: A Guide to Practice, Reporting, and Workflow Optimization. Salem Publishers; 2023 Nov 22. pp. 43-58.ChaptersCost-Effectiveness of CT, CTA, MRI, and Specialized MRI for Evaluation of Patients Presenting to the Emergency Department With Dizziness.
Tu L, Melnick E, Venkatesh A, Sheth K, Navaratnam D, Yaesoubi R, Forman H, Mahajan A. Cost-Effectiveness of CT, CTA, MRI, and Specialized MRI for Evaluation of Patients Presenting to the Emergency Department With Dizziness. American Journal Of Roentgenology 2023, 222: e2330060. PMID: 37937837, DOI: 10.2214/ajr.23.30060.Peer-Reviewed Original ResearchQuality-adjusted life yearsEvaluation of patientsSecondary prevention measuresEmergency departmentProbabilistic sensitivity analysesConventional MRICumulative quality-adjusted life yearsCost-effective strategyIncremental costNoncontrast CT headAcute stroke treatmentSpecialized MRISelection of patientsHigher quality-adjusted life yearsConventional brain MRIMarkov decision-analytic modelNon-contrast CTNoncontrast head CTHealthcare system perspectiveUse of MRIBase-case analysisPrevention measuresDecision analytic modelGreater quality-adjusted life yearsDeterministic sensitivity analysesCT 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 CTADizzinessPatientsClinical criteria to exclude acute vascular pathology on CT angiogram in patients with dizziness
Tu L, Malhotra A, Venkatesh A, Taylor R, Sheth K, Yaesoubi R, Forman H, Sureshanand S, Navaratnam D. Clinical criteria to exclude acute vascular pathology on CT angiogram in patients with dizziness. PLOS ONE 2023, 18: e0280752. PMID: 36893103, PMCID: PMC9997874, DOI: 10.1371/journal.pone.0280752.Peer-Reviewed Original ResearchConceptsAcute vascular pathologyEmergency departmentVascular pathologyNegative predictive valueDizzy patientsStroke codeCTA headPredictive valueAdult ED encountersTransient ischemic attackHalf of patientsLong-term smokersLarge vessel occlusionCoronary artery diseasePast medical historySeparate validation cohortCross-sectional analysisIschemic attackAnalysis cohortArterial dissectionArtery diseaseClinical factorsED encountersMedication useChief complaintHow to be a More Efficient Radiologist: A Guide to Practice, Reporting, and Workflow Optimization
Tu LH. How to be a More Efficient Radiologist: A Guide to Practice, Reporting, and Workflow Optimization. Salem Publishers; 2023, Nov 22. ISBN: 979-8218324025.BooksEfficient Dictation Tips
Tu LH, Ly Q, Hegde R. “Efficient Dictation Tips.” How to be a More Efficient Radiologist: A Guide to Practice, Reporting, and Workflow Optimization. Salem Publishers; 2023 Nov 22. pp. 59-73.Chapters
2022
Yield of Head Computed Tomography Examinations for Common Psychiatric Presentations and Implications for Medical Clearance From a 6-Year Analysis of Acute Hospital Visits
Tu LH, Malhotra A, Sheth KN, Yaesoubi R, Forman HP, Venkatesh AK. Yield of Head Computed Tomography Examinations for Common Psychiatric Presentations and Implications for Medical Clearance From a 6-Year Analysis of Acute Hospital Visits. JAMA Internal Medicine 2022, 182: 879-881. PMID: 35727595, PMCID: PMC9214629, DOI: 10.1001/jamainternmed.2022.2198.Peer-Reviewed Original ResearchThe Critical Shortage of Iodinated Contrast Material — Will Value Prevail?
Tu LH, Miller JE, Forman HP. The Critical Shortage of Iodinated Contrast Material — Will Value Prevail? New England Journal Of Medicine 2022, 387: 491-493. PMID: 35704416, DOI: 10.1056/nejmp2206996.Peer-Reviewed Original Research
2021
Magic Dr.T? Tuberculous brain lesions in an immunocompetent patient-A case report
Saleh MA, Tu L, Mango M, Jacob M, Minja F. Magic Dr.T? Tuberculous brain lesions in an immunocompetent patient-A case report. Radiology Case Reports 2021, 17: 581-586. PMID: 34976263, PMCID: PMC8688167, DOI: 10.1016/j.radcr.2021.11.074.Peer-Reviewed Original ResearchCentral nervous system tuberculosisNervous system tuberculosisImmunocompetent patientsBrain lesionsPatient - A Case ReportSpecific antibiotic combinationsRespiratory tract infectionsRing-enhancing brain lesionsSerious neurological sequelaeSolid organ transplantationHealth care workersCNS tuberculomasNeurological sequelaeClinical suspicionTract infectionsHIV infectionActive infectionCase reportAntibiotic combinationsDifferential considerationsOrgan transplantationEarly diagnosisEndemic areasCare workersPatientsPilot MRI-based strategies to improve the detection of stroke in patients with dizziness/vertigo
Tu LH, Mahajan A, Minja FJ, Navaratnam D, Melnick ER. Pilot MRI-based strategies to improve the detection of stroke in patients with dizziness/vertigo. Clinical Imaging 2021, 82: 234-236. PMID: 34902799, DOI: 10.1016/j.clinimag.2021.12.001.Peer-Reviewed Original ResearchConceptsDizziness/vertigoCT/CTAPosterior strokeNon-specific complaintsEmergency department practiceSuch patientsPosterior circulationStroke evaluationDetection of strokeFalse reassuranceConventional MRIStrokePatientsMRIVertigoDepartment practiceHigh rateSpecialized MRICTALow sensitivityDizzinessComplaintsCTScenarios to improve CT head utilization in the emergency department delineated by critical results reporting
Tu LH, Venkatesh AK, Malhotra A, Taylor RA, Sheth KN, Forman HP, Yaesoubi R. Scenarios to improve CT head utilization in the emergency department delineated by critical results reporting. Emergency Radiology 2021, 29: 81-88. PMID: 34617133, DOI: 10.1007/s10140-021-01947-w.Peer-Reviewed Original ResearchConceptsAdult ED encountersCommon chief complaintChief complaintEmergency departmentED encountersPatient selectionHead examsLoss of consciousnessAcademic medical centerChest painBlood sugarRetrospective studyHead injuryMental statusNew headacheMedical CenterPsychiatric evaluationConclusionOur studyBetter outcomesAdvanced imagingAlcohol intoxicationTotal encountersComplaintsHeadacheSignificant differencesHead 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 resultsHigh-Yield Learning Resources
Tu LH, Schrickel EB, Zucconi W. “High-Yield Learning Resources.” A Brief Guide to the Neuroradiology Fellowship. Independently Published; 2021 Jun 27. Pp. 1-13.ChaptersBlind spots on CT imaging of the head: Insights from 5 years of report addenda at a single institution
Tu LH, Bokhari SAJ. Blind spots on CT imaging of the head: Insights from 5 years of report addenda at a single institution. Clinical Imaging 2021, 76: 189-194. PMID: 33957385, DOI: 10.1016/j.clinimag.2021.04.026.Peer-Reviewed Original ResearchConceptsCT headSingle institutionCT imagingCross-sectional studyExtracranial soft tissuesType of pathologyCarotid terminusDistal MCAAnatomic subsiteJugular bulbBrain parenchymaVascular lesionsCommon siteConsecutive reportsAnatomic locationParotid glandCSF spaceFrontal scalpOccipital boneOsseous structuresSoft tissueA Brief Guide to the Neuroradiology Fellowship
Tu LH (Ed.). A Brief Guide to the Neuroradiology Fellowship. Independently Published; 2021 Jun 27. ISBN: 979-8524122469.Books
2020
Total and Stroke Related Imaging Utilization Patterns During the COVID-19 Pandemic
Tu LH, Sharma R, Malhotra A, Schindler JL, Forman HP. Total and Stroke Related Imaging Utilization Patterns During the COVID-19 Pandemic. medRxiv. 2020 May 26:2020-05.Peer-Reviewed Original Research