2020
Implementation 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
2017
Circumferential strain acquired by CMR early after acute myocardial infarction adds incremental predictive value to late gadolinium enhancement imaging to predict late myocardial remodeling and subsequent risk of sudden cardiac death
Holmes A, Romero J, Levsky J, Haramati L, Phuong N, Rezai-Gharai L, Cohen S, Restrepo L, Ruiz-Guerrero L, Fisher J, Taub C, Di Biase L, Garcia M. Circumferential strain acquired by CMR early after acute myocardial infarction adds incremental predictive value to late gadolinium enhancement imaging to predict late myocardial remodeling and subsequent risk of sudden cardiac death. Journal Of Interventional Cardiac Electrophysiology 2017, 50: 211-218. PMID: 29143170, DOI: 10.1007/s10840-017-0296-9.Peer-Reviewed Original ResearchMeSH KeywordsAgedAnalysis of VarianceAngioplasty, Balloon, CoronaryCohort StudiesContrast MediaDeath, Sudden, CardiacFemaleFollow-Up StudiesGadoliniumHumansMagnetic Resonance Imaging, CineMaleMiddle AgedMyocardial InfarctionPredictive Value of TestsProspective StudiesRadiographic Image EnhancementRisk AssessmentROC CurveST Elevation Myocardial InfarctionTime FactorsVentricular RemodelingConceptsAcute myocardial infarctionSudden cardiac deathLate gadolinium enhancementCardiac magnetic resonancePercutaneous coronary interventionWall motion scorePrimary endpointAdverse remodelingLate remodelingMyocardial remodelingCardiac deathMicrovascular obstructionMyocardial infarctionGadolinium enhancementSegmental wall motion scoreCircumferential strainAdverse myocardial remodelingIncremental predictive valueIncremental predictive informationEchocardiography 3Coronary interventionSCD riskResultsA totalLGE volumeSubsequent riskPerformance 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 changesAorta
2014
Can non-contrast-enhanced CT (NECT) triage patients suspected of having non-traumatic acute aortic syndromes (AAS)?
Vantine P, Rosenblum J, Schaeffer W, Williams K, Dockray D, Levsky J, Haramati L, Ketai L. Can non-contrast-enhanced CT (NECT) triage patients suspected of having non-traumatic acute aortic syndromes (AAS)? Emergency Radiology 2014, 22: 19-24. PMID: 24939821, DOI: 10.1007/s10140-014-1239-8.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdultAgedAged, 80 and overAortic DiseasesContrast MediaDecision Support TechniquesDiagnosis, DifferentialHumansIohexolIopamidolMiddle AgedRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesSensitivity and SpecificitySyndromeTomography, X-Ray ComputedTriageConceptsAcute aortic syndromeContrast-enhanced CT angiographyAortic diameterAortic syndromeNegative casesCTA resultsAbnormal aortic contourLower likelihoodMaximal aortic diameterIndependent positive predictorsCT of patientsLogistic regression analysisSecond institutionNegative predictive valueMean sensitivityDerivation phaseIndependent predictorsAortic diseaseTriage patientsAortic contourCT angiographyAortic wallPatientsPositive diagnosisPredictive valueEvaluation of the Cardiac Chambers on Axial CT
Ramanathan R, Anumandla A, Haramati L, Spevack D, Godelman A, Jain V, Kazam J, Burton W, Levsky J. Evaluation of the Cardiac Chambers on Axial CT. Journal Of Computer Assisted Tomography 2014, 38: 53-60. PMID: 24378891, DOI: 10.1097/rct.0b013e3182a75fbe.Peer-Reviewed Original ResearchConceptsTransthoracic echocardiographyComputed tomographyChamber enlargementLinear CT measurementsCardiac computed tomographyCardiac chamber sizeRight heart measurementsAxial computed tomographyChamber sizeRight atriumLeft atriumVentricle sizeCardiac chambersTomography sensitivityVentricle measurementsHeart measurementsCT measurementsCohen's κEchocardiographySignificant correlationInterrater agreementAtriumEnlargementVolume measurementsPearson correlation
2013
Acute 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 populationResting cardiac 64-MDCT does not reliably detect myocardial ischemia identified by radionuclide imaging.
Spiro A, Haramati L, Jain V, Godelman A, Travin M, Levsky J. Resting cardiac 64-MDCT does not reliably detect myocardial ischemia identified by radionuclide imaging. American Journal Of Roentgenology 2013, 200: 337-42. PMID: 23345355, DOI: 10.2214/ajr.11.8171.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedCardiac-Gated Imaging TechniquesContrast MediaCoronary AngiographyFemaleHumansMaleMiddle AgedMyocardial IschemiaPositron-Emission TomographyPredictive Value of TestsRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesSensitivity and SpecificityStatistics, NonparametricTomography, X-Ray ComputedTriiodobenzoic AcidsConceptsMyocardial perfusion imagingNegative predictive valuePositive predictive valuePredictive valueSubendocardial perfusionMyocardial ischemiaMyocardial segmentsPerfusion imagingObstructive coronary artery diseaseRadionuclide myocardial perfusion imagingCoronary artery diseaseCT myocardial perfusion imagingSignificant differencesAmerican Heart Association segmentsArtery diseaseDiastolic perfusionNonischemic segmentsCT perfusionDiagnostic modalitiesCT angiographyMyocardial perfusionClinical practiceIschemiaPerfusionClinical use
2012
Simple Cardiac Shunts in Adults
Berko N, Haramati L. Simple Cardiac Shunts in Adults. Seminars In Roentgenology 2012, 47: 277-288. PMID: 22657117, DOI: 10.1053/j.ro.2011.12.003.ChaptersAdultCardiac-Gated Imaging TechniquesContrast MediaDiagnostic ImagingDuctus Arteriosus, PatentEchocardiographyForamen Ovale, PatentHeart Defects, CongenitalHeart Septal Defects, AtrialHeart Septal Defects, VentricularHemodynamicsHumansImage EnhancementImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMagnetic Resonance Imaging, CinePrognosisScimitar SyndromeTomography, X-Ray ComputedPanel discussion: pulmonary embolism imaging and outcomes.
Araoz P, Haramati L, Mayo J, Barbosa E, Rybicki F, Colletti P. Panel discussion: pulmonary embolism imaging and outcomes. American Journal Of Roentgenology 2012, 198: 1313-9. PMID: 22623543, DOI: 10.2214/ajr.11.8461.Commentaries, Editorials and Letters
2010
Success of a safe and simple algorithm to reduce use of CT pulmonary angiography in the emergency department.
Stein E, Haramati L, Chamarthy M, Sprayregen S, Davitt M, Freeman L. Success of a safe and simple algorithm to reduce use of CT pulmonary angiography in the emergency department. American Journal Of Roentgenology 2010, 194: 392-7. PMID: 20093601, DOI: 10.2214/ajr.09.2499.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsAngiographyChi-Square DistributionContrast MediaFalse Negative ReactionsFemaleGadolinium DTPAHumansInservice TrainingMaleMiddle AgedPulmonary EmbolismPulmonary MedicineRadiation DosageRadiation InjuriesRadiographic Image Interpretation, Computer-AssistedRadiologyRetrospective StudiesTomography, X-Ray ComputedTreatment OutcomeConceptsEmergency department patientsPulmonary embolismQ scanningDepartment patientsRadiation exposureEffective doseUnderwent chest radiographyEducational interventionVentilation-perfusion scanningCT pulmonary angiographyMean effective doseEmergency medicine departmentRadiation effective doseMean radiation effective doseFalse-negative findingsResults of CTPAClinical suspicionSubsequent thromboembolismPulmonary angiographyEmergency departmentCT pulmonaryPractice patternsChest radiographyChest radiographsCTPA examinations
2009
Ejection Fractions Determined by Cardiac Computed Tomographic Angiography and Single Photon Emission Computed Tomographic Myocardial Perfusion Imaging Are Not Interchangeable
Mehta A, Travin M, Levsky J, Jain V, Burton W, Haramati L. Ejection Fractions Determined by Cardiac Computed Tomographic Angiography and Single Photon Emission Computed Tomographic Myocardial Perfusion Imaging Are Not Interchangeable. Journal Of Computer Assisted Tomography 2009, 33: 489-497. PMID: 19638838, DOI: 10.1097/rct.0b013e3181a1c820.Peer-Reviewed Original ResearchMeSH KeywordsContrast MediaCoronary AngiographyElectrocardiographyExercise TestFemaleHeartHeart VentriclesHumansMaleMiddle AgedObserver VariationRadiographic Image EnhancementReproducibility of ResultsSex FactorsStroke VolumeTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedTriiodobenzoic AcidsVentricular Dysfunction, LeftConceptsEnd-diastolic volumeEnd-systolic volumeHigher end-diastolic volumeMyocardial perfusion imagingQuantitative gated SPECTComputed tomographyEjection fractionVentricular volumeSingle-photon emission CT myocardial perfusion imagingVentricular ejection fractionCT myocardial perfusion imagingCardiac Computed Tomographic AngiographyComputed Tomographic AngiographyTomographic myocardial perfusionMultidetector Computed TomographyMultiple regression analysisRegression analysisSingle photon emissionBland-Altman plotsImaging evaluationTomographic angiographyLVEFPatient managementLVEF valuesMyocardial perfusion
2008
CT angiography for evaluation of coronary artery disease in inner-city outpatients: an initial prospective comparison with stress myocardial perfusion imaging
Haramati L, Levsky J, Jain V, Altman E, Spindola-Franco H, Bobra S, Doddamani S, Travin M. CT angiography for evaluation of coronary artery disease in inner-city outpatients: an initial prospective comparison with stress myocardial perfusion imaging. The International Journal Of Cardiovascular Imaging 2008, 25: 303-313. PMID: 18979224, DOI: 10.1007/s10554-008-9382-5.Peer-Reviewed Original ResearchMeSH KeywordsContrast MediaCoronary AngiographyCoronary Artery DiseaseFemaleHumansLogistic ModelsMaleMiddle AgedOutpatientsPredictive Value of TestsProspective StudiesRadiographic Image Interpretation, Computer-AssistedRadiopharmaceuticalsSensitivity and SpecificityStatistics, NonparametricTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedUrban PopulationConceptsCT coronary angiographyCoronary artery diseaseNegative predictive valuePositive predictive valueInner-city outpatientsPredictive valueArtery diseaseCoronary angiographyMyocardial perfusionStress SPECT myocardial perfusionHigh negative predictive valueSubsequent cardiac catheterizationStress myocardial perfusionEvaluation of CADSPECT myocardial perfusionHIPAA-compliant studyPositive SPECTCardiac catheterizationClinical endpointsOutpatient populationPatient outcomesPerfusion defectsProspective comparisonCT angiographyMore homogenous groupsCoronary Sinus Compression
Gold M, Spindola-Franco H, Jain V, Spevack D, Haramati L. Coronary Sinus Compression. Journal Of Computer Assisted Tomography 2008, 32: 72-77. PMID: 18303292, DOI: 10.1097/rct.0b013e31815b3ebf.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overCardiac TamponadeCardiomyopathy, DilatedConstriction, PathologicContrast MediaCoronary SinusFemaleHumansMaleMiddle AgedObserver VariationPericardial EffusionPredictive Value of TestsRadiographic Image EnhancementRetrospective StudiesTomography, X-Ray ComputedVena Cava, InferiorConceptsInferior vena cavaSinus compressionFluid attenuationCardiac tamponadeControl group variablesSpecific pathological diagnosisCases of tamponadeLogistic regression analysisFisher's exact testShort-axis diameterBlinded retrospective analysisEchocardiographic evidenceTamponade casesContrast refluxSuperior venaVena cavaTomographic scanCT signsPathological diagnosisPericardial fluidAzygos veinRetrospective analysisTamponadeIVC dilatationConventional chest
2006
Computed Tomography Evaluation of Right Heart Dysfunction in Patients With Acute Pulmonary Embolism
He H, Stein M, Zalta B, Haramati L. Computed Tomography Evaluation of Right Heart Dysfunction in Patients With Acute Pulmonary Embolism. Journal Of Computer Assisted Tomography 2006, 30: 262-266. PMID: 16628044, DOI: 10.1097/00004728-200603000-00018.Peer-Reviewed Original ResearchConceptsRight heart dysfunctionAcute pulmonary embolismPulmonary embolismPulmonary vascular obstructionHeart dysfunctionSpecificity of CTClot burdenVascular obstructionRight ventricleInterventricular septumCT scanRight ventricular dilatationComputed Tomography EvaluationHours of CTSignificant differencesAdequate echocardiogramsTomography findingsConsecutive adultsMost patientsVentricular dilatationMean ageChest CTTomography evaluationNongated CTEmbolism
2004
Pulmonary atelectasis: a frequent alternative diagnosis in patients undergoing CT-PA for suspected pulmonary embolism
Tsai K, Gupta E, Haramati L. Pulmonary atelectasis: a frequent alternative diagnosis in patients undergoing CT-PA for suspected pulmonary embolism. Emergency Radiology 2004, 10: 282-286. PMID: 15290480, DOI: 10.1007/s10140-004-0328-5.Peer-Reviewed Original ResearchConceptsPulmonary embolismAlternative diagnosesMean PaO2Pulmonary atelectasisStudy populationGroup 2Group 1Group 3CT-PAConsecutive emergency department patientsCommon alternative diagnosesFrequent alternative diagnosesCongestive heart failureLarge pleural effusionEmergency department patientsVentilation-perfusion mismatchPrevalence of atelectasisMost patientsPleural massHeart failureDepartment patientsPatient's symptomsPleural effusionSevere kyphosisLung disease
1995
CT Evaluation of Mediastinal Lymphadenopathy
Haramati L, Cartagena A, Austin J. CT Evaluation of Mediastinal Lymphadenopathy. Journal Of Computer Assisted Tomography 1995, 19: 375-378. PMID: 7790545, DOI: 10.1097/00004728-199505000-00007.Peer-Reviewed Original ResearchConceptsIntravenous contrast mediumMediastinal lymph nodesLymph nodesContrast mediumMediastinal lymphadenopathyRight middle lobe bronchusMiddle lobe bronchusShort-axis diameterCT techniqueAppropriate scanning techniquesAdult patientsLobe bronchusCT evaluationAortic archChest CTChest radiologistsAxis diameterLymphadenopathyPatientsThick sectionsLarge nodesCTPresent studyShort axisLymph