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 modalitiesMRIPatients
2023
Cost-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 complaint
2021
Scenarios 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 resultsPediatric Emergency Imaging Studies in Academic Radiology Departments: A Nationwide Survey of Staffing Practices
Sutton R, Silvestri DM, Sodagari F, Krishnamurthy R, Forman HP. Pediatric Emergency Imaging Studies in Academic Radiology Departments: A Nationwide Survey of Staffing Practices. Journal Of The American College Of Radiology 2021, 18: 1351-1358. PMID: 33989533, DOI: 10.1016/j.jacr.2021.04.008.Peer-Reviewed Original ResearchConceptsAcademic pediatric hospitalStandard of carePediatric hospitalReporting radiologistExact testResident radiologistsImaging studiesAcademic pediatric emergency departmentPediatric emergency departmentMinority of hospitalsInitial reportFisher's exact testAccredited radiology residency programsAnonymous telephone surveySignificant differencesRadiology departmentCross-sectional surveyRadiologist supervisionPediatric patientsEmergency departmentAcute conditionsImaging requestsImaging interpretationRadiologist coverageHospital
2019
Use of Advanced Imaging in the Emergency Department: New Obstacles or New Opportunities to Improve Patient Care?
Forman HP. Use of Advanced Imaging in the Emergency Department: New Obstacles or New Opportunities to Improve Patient Care? Radiology 2019, 291: 194-195. PMID: 30694157, DOI: 10.1148/radiol.2019190006.Peer-Reviewed Original Research
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
The Use of High-Risk Criteria in Screening Patients for Blunt Cerebrovascular Injury A Survey
Wu X, Malhotra A, Forman HP, Nunez D, Sanelli P. The Use of High-Risk Criteria in Screening Patients for Blunt Cerebrovascular Injury A Survey. Academic Radiology 2016, 24: 456-461. PMID: 27979639, DOI: 10.1016/j.acra.2016.11.010.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelCerebral AngiographyCerebrovascular TraumaComputed Tomography AngiographyDatabases, FactualDelayed DiagnosisEmergency Service, HospitalHumansMagnetic Resonance AngiographyMass ScreeningRadiologistsRisk AssessmentRisk FactorsSurveys and QuestionnairesUnited StatesWounds, NonpenetratingConceptsBlunt cerebrovascular injuryRisk factorsEmergency departmentCT angiographyDenver criteriaMR angiographyC1-C3 fracturesUtilization of imagingCerebrovascular injuryBlunt injuryBlunt traumaScreening ratesAngiographic studiesLarge academic institutionVascular injuryScreening patientsPatientsPreferred modalityRoutine useInjurySubsequent strokeAngiographyScreening criteriaPhysiciansRadiologists
2012
Ordering of CT by emergency department provider type: analysis of a nationally representative sample.
Lee CI, Ponce NA, Ettner SL, Kahn KL, Bassett LW, Forman HP. Ordering of CT by emergency department provider type: analysis of a nationally representative sample. American Journal Of Roentgenology 2012, 199: 1054-9. PMID: 23096179, DOI: 10.2214/ajr.11.8303.Peer-Reviewed Original ResearchConceptsEmergency department visitsNonphysician health care providersHealth care providersU.S. emergency departmentsDepartment visitsCare providersCT studiesNonphysician providersCT utilizationEmergency departmentPatient visitsMultivariate logistic regressionPatient-level variablesProvider typeProvider groupsLogistic regressionDescriptive trend analysisVisitsCTPhysiciansSignificant differencesRepresentative sampleProvidersSame periodTotal number
2011
Rising Use of CT in Child Visits to the Emergency Department in the United States, 1995–2008
Larson DB, Johnson LW, Schnell BM, Goske MJ, Salisbury SR, Forman HP. Rising Use of CT in Child Visits to the Emergency Department in the United States, 1995–2008. Radiology 2011, 259: 793-801. PMID: 21467249, DOI: 10.1148/radiol.11101939.Peer-Reviewed Original ResearchConceptsUse of CTPercentage of visitsEmergency departmentComputed tomographyNational Hospital Ambulatory Medical Care SurveyAmbulatory Medical Care SurveyTop chief complaintsPediatric ED visitsAbdominal painED visitsChief complaintCare SurveyHead injuryHospital characteristicsChild visitsCT useCT examinationsNumber of visitsRao-ScottMultiple patientsNationwide trendsStudy periodVisitsVulnerable populationsInstitutional review board oversight
2010
National Trends in CT Use in the Emergency Department: 1995–20071
Larson DB, Johnson LW, Schnell BM, Salisbury SR, Forman HP. National Trends in CT Use in the Emergency Department: 1995–20071. Radiology 2010, 258: 164-73. PMID: 21115875, DOI: 10.1148/radiol.10100640.Peer-Reviewed Original ResearchConceptsComputed tomographyCT useEmergency departmentChest painED visitsChief complaintNational Hospital Ambulatory Medical Care SurveyAmbulatory Medical Care SurveyUse of CTTop chief complaintsInstitutional review board approvalPercentage of visitsReview board approvalAbdominal painOlder patientsWhite patientsCare SurveyHospital characteristicsPatient visitsCT examinationsBoard approvalPatientsRao-ScottPainMultiple patients
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