2023
CT 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 ResearchMeSH KeywordsDizzinessEmergency Service, HospitalFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPropensity ScoreRetrospective StudiesStrokeTomography, X-Ray ComputedConceptsSecondary 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 ResearchMeSH KeywordsAdultAngiographyCross-Sectional StudiesDizzinessEmergency Service, HospitalHumansStrokeTomography, X-Ray ComputedVertigoConceptsAcute 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 complaintClinical Implementation of a Combined Artificial Intelligence and Natural Language Processing Quality Assurance Program for Pulmonary Nodule Detection in the Emergency Department Setting
Cavallo J, de Oliveira Santo I, Mezrich J, Forman H. Clinical Implementation of a Combined Artificial Intelligence and Natural Language Processing Quality Assurance Program for Pulmonary Nodule Detection in the Emergency Department Setting. Journal Of The American College Of Radiology 2023, 20: 438-445. PMID: 36736547, DOI: 10.1016/j.jacr.2022.12.016.Peer-Reviewed Original ResearchMeSH KeywordsArtificial IntelligenceEmergency Service, HospitalHumansLung NeoplasmsMultiple Pulmonary NodulesNatural Language ProcessingTomography, X-Ray ComputedConceptsEmergency department settingPulmonary nodulesCT examinationsDepartment settingSecondary reviewNumber of patientsQuality assurance studyMedian timeEmergent settingPatient followImaging recommendationsAppropriate followMajority of reviewsRadiological reportsAssurance studyClinical implementationLung anatomyQuality assurance programPatientsSignificant delayNodulesFollowExaminationPulmonary nodule detectionNodule detection
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 ResearchMeSH KeywordsEmergency Service, HospitalHeadHospitalsHumansPhysical ExaminationRetrospective StudiesSurgical ClearanceTomography, X-Ray Computed
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 ResearchMeSH KeywordsAdultAgedEmergency Service, HospitalHeadHeadacheHumansRetrospective StudiesTomography, X-Ray ComputedConceptsAdult 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 ResearchMeSH KeywordsAdultAgedComputed Tomography AngiographyEmergency Service, HospitalFemaleHeadHumansIschemic Attack, TransientMaleMiddle AgedNeckNeuroimagingRetrospective StudiesStrokeConceptsNeck 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 ResearchMeSH KeywordsChildCross-Sectional StudiesEmergency Service, HospitalHumansRadiologyRadiology Department, HospitalUnited StatesWorkforceConceptsAcademic 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 ResearchMeSH KeywordsAmbulatory CareDiagnostic ImagingEmergency Service, HospitalHumansMedicareSurveys and QuestionnairesUnited States
2018
Clinical Decision Support for Ordering CTA-PE Studies in the Emergency Department—A Pilot on Feasibility and Clinical Impact in a Tertiary Medical Center
Goehler A, Moore C, Manne-Goehler JM, Arango J, D'Amato L, Forman HP, Weinreb J. Clinical Decision Support for Ordering CTA-PE Studies in the Emergency Department—A Pilot on Feasibility and Clinical Impact in a Tertiary Medical Center. Academic Radiology 2018, 26: 1077-1083. PMID: 30389307, DOI: 10.1016/j.acra.2018.09.009.Peer-Reviewed Original ResearchConceptsPulmonary embolismClinical decision supportPositivity rateTertiary medical centerComputed tomography angiographyPhysician adherenceD-dimerGood discriminatory powerTomography angiographyEmergency providersClinical impactMedical CenterRisk scoreDiscriminatory powerEmbolismPatientsAngiographyComplianceStudy
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 ResearchMeSH KeywordsAdultDecision MakingEmergency Service, HospitalFemaleHumansInformed ConsentMaleMiddle AgedPractice Patterns, Physicians'Radiation DosageRiskTomography, X-Ray ComputedConceptsEmergency 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 criteriaPhysiciansRadiologistsProctoring of New Emergency Radiologists to Promote Clinical Excellence and Ensure Quality of Care
Kelleher MS, Forman HP, Goodman TR, Pahade JK. Proctoring of New Emergency Radiologists to Promote Clinical Excellence and Ensure Quality of Care. Journal Of The American College Of Radiology 2016, 13: 967-972. PMID: 27162039, DOI: 10.1016/j.jacr.2016.03.005.Peer-Reviewed Original ResearchMeSH KeywordsAfter-Hours CareConnecticutDiagnostic ErrorsEmergency Service, HospitalInternship and ResidencyMentoringQuality Assurance, Health CareQuality ImprovementQuality of Health CareRadiologistsConceptsClinical significanceRadiology fellowsClinical ExcellenceDiscrepancy rateRadiologist's final interpretationRate of discrepancySignificant differencesLow discrepancy rateRetrospective reviewInpatient studySubspecialty servicesAuthors' institutionImaging interpretationGroup of radiologistsHours coverageSubspecialty radiologistsRadiology facultyTimely interpretationRadiologistsStaff membersGroupOverreadEmergencyFinal interpretationNew emergencyCost‐effectiveness Analysis of Follow‐up Strategies for Thunderclap Headache Patients With Negative Noncontrast CT
Malhotra A, Wu X, Kalra VB, Schindler J, Forman HP. Cost‐effectiveness Analysis of Follow‐up Strategies for Thunderclap Headache Patients With Negative Noncontrast CT. Academic Emergency Medicine 2016, 23: 243-250. PMID: 26728524, DOI: 10.1111/acem.12891.Peer-Reviewed Original ResearchCost-effectiveness analysis of CTA and LP for evaluation of suspected SAH after negative non-contrast CT
Wu X, Kalra VB, Forman HP, Malhotra A. Cost-effectiveness analysis of CTA and LP for evaluation of suspected SAH after negative non-contrast CT. Clinical Neurology And Neurosurgery 2016, 142: 104-111. PMID: 26827168, DOI: 10.1016/j.clineuro.2015.12.021.Peer-Reviewed Original Research
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 ResearchMeSH KeywordsChi-Square DistributionEmergency Service, HospitalFemaleHumansLogistic ModelsMalePractice Patterns, Physicians'Tomography, X-Ray ComputedTriageUnited StatesWorkforceConceptsEmergency 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
Introducing Medical Students to Radiology as Paid Emergency Department Triage Assistants
Davis DJ, Moon M, Kennedy S, DelBasso S, Forman HP, Bokhari SA. Introducing Medical Students to Radiology as Paid Emergency Department Triage Assistants. Journal Of The American College Of Radiology 2011, 8: 710-715. PMID: 21962786, DOI: 10.1016/j.jacr.2011.06.002.Peer-Reviewed Original ResearchRising 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 ResearchMeSH KeywordsAdolescentChildChild, PreschoolChi-Square DistributionEmergency Service, HospitalFemaleHealth Care SurveysHumansInfantInfant, NewbornMaleTomography, X-Ray ComputedUnited StatesConceptsUse 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 oversightA survey of policies and procedures on the communication and documentation of radiologic interpretations
Monico EP, Forman HP, Goodman TR, Schwartz I, Larkin GL. A survey of policies and procedures on the communication and documentation of radiologic interpretations. Journal Of Healthcare Risk Management 2011, 30: 23-27. PMID: 21351193, DOI: 10.1002/jhrm.20057.Peer-Reviewed Original ResearchMeSH KeywordsDiagnostic ErrorsDiagnostic ImagingDocumentationEmergency Service, HospitalHealth PolicyHumansRadiology Department, HospitalRadiology Information Systems
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 ResearchMeSH KeywordsChi-Square DistributionEmergency Service, HospitalHealth Care SurveysHumansLogistic ModelsTomography, X-Ray ComputedUnited StatesConceptsComputed 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
2004
Emergency Department Image Interpretation Services at Private Community Hospitals
Saketkhoo DD, Bhargavan M, Sunshine JH, Forman HP. Emergency Department Image Interpretation Services at Private Community Hospitals. Radiology 2004, 231: 190-7. PMID: 15068948, DOI: 10.1148/radiol.2311030307.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersEmergency Service, HospitalHospitals, CommunityHospitals, PrivateHumansImage Interpretation, Computer-AssistedObserver VariationPhysiciansPractice Patterns, Physicians'Radiology Department, HospitalRadiology, InterventionalSurveys and QuestionnairesTime FactorsTomography, X-Ray ComputedTrauma CentersUltrasonography, InterventionalUnited StatesConceptsPrivate community hospitalED patient volumeLogistic regression analysisCommunity hospitalPatient volumeRadiology coverageTrauma center designationPatient care decisionsRegression analysisInterpretation servicesTrauma centerCenter designationRandom national sampleHospital radiologistsCT scanRadiologist coverageHospitalCare decisionsUltrasonographic imagesRadiologistsRadiology servicesHigh nighttime levelsEDNational sampleQuestionnaire