2023
Distribution and Disparities of Industry Payments to Radiologists (2016-2020)
Khunte M, Zhong A, Wu X, Payabvash S, Gandhi D, Forman H, Malhotra A. Distribution and Disparities of Industry Payments to Radiologists (2016-2020). Academic Radiology 2023, 30: 3056-3063. PMID: 37210267, DOI: 10.1016/j.acra.2023.04.020.Peer-Reviewed Original Research
2022
Perioperative magnetic resonance imaging in breast cancer care: Distinct adoption trajectories among physician patient-sharing networks
Xu X, Soulos PR, Herrin J, Wang SY, Pollack CE, Killelea BK, Forman HP, Gross CP. Perioperative magnetic resonance imaging in breast cancer care: Distinct adoption trajectories among physician patient-sharing networks. PLOS ONE 2022, 17: e0265188. PMID: 35290417, PMCID: PMC8923453, DOI: 10.1371/journal.pone.0265188.Peer-Reviewed Original ResearchConceptsPhysician patient-sharing networksPerioperative magnetic resonance imagingClinical risk factorsMagnetic resonance imagingPatient clinical risk factorsPatient-sharing networksBreast cancer careRisk-adjusted ratesMastectomy usePhysician networksCancer careRisk factorsEnd Results-Medicare databaseCharacteristics of patientsProportion of patientsBreast cancer surgeryComposition of patientsMRI adoptionDistinct trajectoriesMore patientsCancer surgeryClinical outcomesCancer specialistsMRI usePatients
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 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 decreaseAdultsMulticentre methodological study to create a publicly available score of hospital financial standing in the USA
Zinoviev R, Krumholz HM, Ciccarone R, Antle R, Forman HP. Multicentre methodological study to create a publicly available score of hospital financial standing in the USA. BMJ Open 2021, 11: e046500. PMID: 34301654, PMCID: PMC8311305, DOI: 10.1136/bmjopen-2020-046500.Peer-Reviewed Original ResearchConceptsCredit ratingsFinancial dataBond ratingsMoody’s credit ratingsHospital's financial standingHospital financial dataFinancial literatureFinancial stabilityFinancial indicatorsFinancial scoresFinancial trendsFinancial healthFinancial standingFinancial metricsGreater shareMedicare dischargesWeighted variablesShareHospital operationsUnique variablesSingle composite scoreVariablesMoodyHealth systemModel
2019
Low-Volume and High-Volume Readers of Neurological and Musculoskeletal MRI: Achieving Subspecialization in Radiology
Trinh B, Calabrese E, Vu T, Forman HP, Haas BM. Low-Volume and High-Volume Readers of Neurological and Musculoskeletal MRI: Achieving Subspecialization in Radiology. Journal Of The American College Of Radiology 2019, 17: 314-322. PMID: 31883842, DOI: 10.1016/j.jacr.2019.10.006.Peer-Reviewed Original ResearchIncome disparities in needle biopsy patients prior to breast cancer surgery across physician peer groups
Killelea BK, Herrin J, Soulos PR, Pollack CE, Forman HP, Yu J, Xu X, Tannenbaum S, Wang SY, Gross CP. Income disparities in needle biopsy patients prior to breast cancer surgery across physician peer groups. Breast Cancer 2019, 27: 381-388. PMID: 31792804, PMCID: PMC7512133, DOI: 10.1007/s12282-019-01028-4.Peer-Reviewed Original ResearchConceptsPhysician peer groupsLow-income patientsNeedle biopsyOdds ratioHigh-income patientsBreast cancer surgeryMethodsThe SurveillanceCancer surgeryIncome patientsMedicare databaseBiopsy patientsMedicare beneficiariesPatientsBiopsyLow incomeGroupDisparitiesReceiptEnd resultHigher incomeSurgeryPeer groupEpidemiologyFurther workGroup-level effectsManagement of Unruptured Intracranial Aneurysms in Older Adults: A Cost-effectiveness Analysis.
Malhotra A, Wu X, Forman HP, Matouk CC, Hughes DR, Gandhi D, Sanelli P. Management of Unruptured Intracranial Aneurysms in Older Adults: A Cost-effectiveness Analysis. Radiology 2019, 291: 411-417. PMID: 30888931, DOI: 10.1148/radiol.2019182353.Peer-Reviewed Original Research
2018
Surgeon peer network characteristics and adoption of new imaging techniques in breast cancer: A study of perioperative MRI
Tannenbaum SS, Soulos PR, Herrin J, Pollack CE, Xu X, Christakis NA, Forman HP, Yu JB, Killelea BK, Wang S, Gross CP. Surgeon peer network characteristics and adoption of new imaging techniques in breast cancer: A study of perioperative MRI. Cancer Medicine 2018, 7: 5901-5909. PMID: 30444005, PMCID: PMC6308117, DOI: 10.1002/cam4.1821.Peer-Reviewed Original ResearchConceptsPrimary care physiciansPatient-sharing networksBreast cancerPerioperative MRISubsequent receiptNon-cancer patientsBreast cancer practiceMultivariable hierarchical modelsUse of MRIClinical characteristicsCare physiciansFemale patientsCancer practiceMedicare databaseNew imaging techniquesMedicare sampleStage 0Claims dataPatientsPhysician groupsMRISurgeonsCancerEquivocal evidencePhysicians
2017
The Impact of Social Contagion on Physician Adoption of Advanced Imaging Tests in Breast Cancer
Pollack CE, Soulos PR, Herrin J, Xu X, Christakis NA, Forman HP, Yu JB, Killelea BK, Wang SY, Gross CP. The Impact of Social Contagion on Physician Adoption of Advanced Imaging Tests in Breast Cancer. Journal Of The National Cancer Institute 2017, 109: djw330. PMID: 28376191, PMCID: PMC6059114, DOI: 10.1093/jnci/djw330.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingBaseline usePositron emission tomography scanEnd Results-MedicareEmission tomography scanBreast cancer practiceImaging modalitiesAdvanced imaging testsHierarchical logistic regression modelsLogistic regression modelsPatient characteristicsUnproven benefitCancer practiceMRI/PETTomography scanBreast cancerMRI useImaging testsClinical practicePET useResonance imagingPET imagingPhysician peersPhysician adoptionBaseline period
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
2011
Physician Self-Referral for Imaging and the Cost of Chronic Care for Medicare Beneficiaries
Hughes DR, Sunshine JH, Bhargavan M, Forman H. Physician Self-Referral for Imaging and the Cost of Chronic Care for Medicare Beneficiaries. Medical Care 2011, 49: 857-864. PMID: 21577161, DOI: 10.1097/mlr.0b013e31821b35ee.Peer-Reviewed Original ResearchConceptsTotal episode costsChronic careEpisode costsCare costsPhysician Self-ReferralCosts of episodesEpisode of careCost of careResearch Identifiable FilesAcute illnessPatient characteristicsMedicare 5Chronic conditionsChronic illnessPhysician specialtyMedical conditionsMedicare beneficiariesSelf referralsCondition severityDiagnostic imagingImaging costsCareDemonstrable benefitPhysiciansIncreases utilization
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
2004
Diagnostic 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
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
Chest Radiography in Patients With Early Stage Prostatic Carcinoma Effect on Treatment Planning and Cost Analysis
Forman H, Fox L, Glazer H, McClennan B, Anderson D, Sagel S. Chest Radiography in Patients With Early Stage Prostatic Carcinoma Effect on Treatment Planning and Cost Analysis. CHEST Journal 1994, 106: 1036-1041. PMID: 7523036, DOI: 10.1378/chest.106.4.1036.Peer-Reviewed Original ResearchConceptsProstatic carcinomaChest radiographyChest radiographsRoutine preoperative chest radiographsChest radiography findingsRoutine chest radiographyRetropubic radical prostatectomyHospital-based outpatientPreoperative chest radiographProstate-specific antigenCost-effectiveness modelIntrathoracic metastasesRadiography findingsProspective studyPatient populationRadical prostatectomyClinical impactProstate carcinomaPatientsSpecific antigenPositive findingsFurther evaluationCarcinomaTreatment planningRadiographsCT screening for comorbid disease in patients with prostatic carcinoma: is it cost-effective?
Forman H, Heiken J, Brink J, Glazer H, Fox L, McClennan B. CT screening for comorbid disease in patients with prostatic carcinoma: is it cost-effective? American Journal Of Roentgenology 1994, 162: 1125-8; discussion 1129-30. PMID: 8165996, DOI: 10.2214/ajr.162.5.8165996.Peer-Reviewed Original ResearchConceptsComorbid diseasesProstatic carcinomaCT findingsFalse-positive CT findingsTime of diagnosisPopulation of patientsLack of efficacyScreening CT scanConsecutive patientsPreoperative evaluationProstatic surgeryMedical recordsClinical impactCT scanRadiation therapyPatientsCarcinomaFurther evaluationDiseaseCTMedicare reimbursementSurgeryTreatmentFindingsTherapy