2020
Thoracic aortic dissection classification among radiologists and surgeons and management trends
Grant J, Allen A, Traube L, Levsky J, Haramati L. Thoracic aortic dissection classification among radiologists and surgeons and management trends. Emergency Radiology 2020, 28: 297-301. PMID: 33025220, DOI: 10.1007/s10140-020-01861-7.Peer-Reviewed Original ResearchConceptsIntramural hematomaAortic dissectionDiscrepancy rateMean age 60Stanford type AElectronic health recordsB dissectionMedical managementStanford classificationPatient managementAge 60B classificationDissectionHealth recordsSurgeonsRadiology reportsType ARadiologistsCTHematomaObjectiveToManagementResultsNewlyImplementation 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
2013
Preliminary development of a clinical decision rule for acute aortic syndromes
Lovy A, Bellin E, Levsky J, Esses D, Haramati L. Preliminary development of a clinical decision rule for acute aortic syndromes. The American Journal Of Emergency Medicine 2013, 31: 1546-1550. PMID: 24055476, PMCID: PMC4275798, DOI: 10.1016/j.ajem.2013.06.005.Peer-Reviewed Original ResearchConceptsAcute aortic syndromeClinical decision ruleAcute chest painAbnormal chest radiographAortic syndromeChest painEmergency departmentChest radiographsRetrospective case-control reviewLow-risk patientsCase-control reviewNegative predictive valueAtherosclerotic ulcerIntramural hematomaOngoing painED presentationsAortic dissectionRisk factorsCT usageInclusion criteriaCT angiographyLower riskDiagnostic criteriaPatientsPrior traumaAcute aortic syndromes: a second look at dual-phase CT.
Lovy A, Rosenblum J, Levsky J, Godelman A, Zalta B, Jain V, Haramati L. Acute aortic syndromes: a second look at dual-phase CT. American Journal Of Roentgenology 2013, 200: 805-11. PMID: 23521452, PMCID: PMC3685820, DOI: 10.2214/ajr.12.8797.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAgedAged, 80 and overAortic DiseasesAortographyCase-Control StudiesChi-Square DistributionContrast MediaFemaleHumansIohexolLinear ModelsMaleMiddle AgedRadiation DosageRetrospective StudiesSensitivity and SpecificityStatistics, NonparametricSyndromeTomography, X-Ray ComputedTriiodobenzoic AcidsConceptsAcute aortic syndromeContrast-enhanced CTAAortic syndromeIntramural hematomaUnenhanced CTControl subjectsMore CT findingsType B dissectionCT dose length productHealthy control subjectsContrast-enhanced CTDose-length productDual-phase CTRadiation effective doseContrast-enhanced phasesMean radiation effective doseAtherosclerotic ulcerB dissectionAortic dissectionAortic ruptureCase patientsCT findingsEmergency departmentCTA examinationsStudy population