2024
Imaging Utilization and Cost of Substance Use in an Urban Academic Medical Center During the Contemporary Opioid Epidemic
Blinick R, Felsen A, Ye K, Lewis A, Kargoli F, Bellin E, Naji L, Haramati L. Imaging Utilization and Cost of Substance Use in an Urban Academic Medical Center During the Contemporary Opioid Epidemic. Academic Radiology 2024, 31: 5217-5225. PMID: 38582686, DOI: 10.1016/j.acra.2024.02.023.Peer-Reviewed Original ResearchPositive urine toxicologyUrine toxicologyComparison cohortInstitutional review boardAcademic medical centerNegative urine toxicologyEmergency departmentMedical CenterImaging utilizationGroup of ED patientsIn-hospital mortalityCharlson Comorbidity IndexSubstance useICD codesRetrospective studyUrban academic medical centerUnderserved urban populationIllicit substance useComorbidity indexContemporary opioid epidemicED patientsOpioid epidemicImaging studiesPatientsED population
2020
CT Scans Obtained for Nonpulmonary Indications: Associated Respiratory Findings of COVID-19
Hossain R, Lazarus M, Roudenko A, Dako F, Mehta V, Alis J, Zalta B, Lei B, Haramati L, White C. CT Scans Obtained for Nonpulmonary Indications: Associated Respiratory Findings of COVID-19. Radiology 2020, 296: 201743. PMID: 32391741, PMCID: PMC7437495, DOI: 10.1148/radiol.2020201743.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBetacoronavirusCoronavirus InfectionsCOVID-19Emergency Service, HospitalFemaleGastrointestinal DiseasesHumansIncidental FindingsLungMaleMiddle AgedPandemicsPneumonia, ViralRadiography, AbdominalRetrospective StudiesSARS-CoV-2Spinal DiseasesSpineTomography, X-Ray ComputedConceptsCoronavirus disease 2019Nonrespiratory symptomsGroup 2Emergency departmentCervical spineCT scanGroup 1CT findingsDisease 2019COVID-19COVID-19-related pneumoniaLung parenchymal findingsPulmonary COVID-19Results Group 1Group 1 patientsCommon CT findingsGround-glass opacitiesReverse transcription-polymerase chain reaction resultsFisher's exact testTranscription-polymerase chain reaction resultsCOVID-19 testingPolymerase chain reaction resultsPulmonary diseaseRT-PCR resultsAtypical manifestationsComparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department
Kargoli F, Levsky J, Bulcha N, Mustehsan M, Brown-Manhertz D, Furlani A, Polanco D, Mizrachi S, Makkiya M, Golive A, Haramati L, Taub C, Garcia M. Comparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department. The American Journal Of Cardiology 2020, 125: 1809-1814. PMID: 32345475, DOI: 10.1016/j.amjcard.2020.03.024.Peer-Reviewed Original ResearchConceptsMyocardial perfusion imagingStress echocardiographyEmergency departmentChest painRehospitalization ratesCoronary angiographyLeast intermediate riskNegative initial troponinUrban ED settingDiagnostic coronary angiographyRetrospective cohort studyHospital emergency departmentUrban hospital emergency departmentFunctional imaging modalitiesCCTA groupInitial troponinED dischargeCohort studyIntermediate riskSecondary outcomesNondiagnostic electrocardiogramPrimary outcomeED settingTomography angiographyClinical utility
2013
Rationale and Design of a Randomized Trial Comparing Initial Stress Echocardiography versus Coronary CT Angiography in Low‐to‐Intermediate Risk Emergency Department Patients with Chest Pain
Levsky J, Haramati L, Taub C, Spevack D, Menegus M, Travin M, Vega S, Lerer R, Brown‐Manhertz D, Hirschhorn E, Tobin J, Garcia M. Rationale and Design of a Randomized Trial Comparing Initial Stress Echocardiography versus Coronary CT Angiography in Low‐to‐Intermediate Risk Emergency Department Patients with Chest Pain. Echocardiography 2013, 31: 744-750. PMID: 24372760, DOI: 10.1111/echo.12464.Peer-Reviewed Original ResearchMeSH KeywordsAdultAged, 80 and overCausalityChest PainComorbidityCoronary AngiographyCoronary Artery DiseaseEchocardiographyEmergency Service, HospitalExercise TestFemaleHealth Care CostsHospitalizationHumansIncidenceMaleMiddle AgedNew YorkResearch DesignRisk AssessmentTomography, X-Ray ComputedYoung AdultConceptsTreadmill stress echocardiographyStress echocardiographyEmergency departmentComparative effectiveness researchChest painED chest pain patientsMajor adverse cardiovascular eventsRisk Emergency Department PatientsSignificant coronary artery diseaseED/hospitalAcute chest painAdverse cardiovascular eventsIncidence of hospitalizationChest pain patientsCoronary artery diseaseEmergency department patientsImaging modalitiesLength of stayCoronary CT angiographyDecrease healthcare expendituresNoninvasive diagnostic algorithmCost of careNoninvasive imaging modalityCardiovascular eventsObservational registryPreliminary 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
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
2008
The Current and Continuing Important Role of Ventilation-Perfusion Scintigraphy in Evaluating Patients With Suspected Pulmonary Embolism
Freeman L, Stein E, Sprayregen S, Chamarthy M, Haramati L. The Current and Continuing Important Role of Ventilation-Perfusion Scintigraphy in Evaluating Patients With Suspected Pulmonary Embolism. Seminars In Nuclear Medicine 2008, 38: 432-440. PMID: 19331837, DOI: 10.1053/j.semnuclmed.2008.07.001.Commentaries, Editorials and LettersConceptsComputed tomography angiographyPulmonary embolismChest X-rayPulmonary Embolism Diagnosis (PIOPED) studyAbnormal chest X-rayChest X-ray appearancesNormal chest X-rayPIOPED II studyVentilation-perfusion scintigraphyVentilation-perfusion studiesProcedure of choiceD-dimer assayObjective clinical assessmentX-ray appearanceSimilar diagnostic accuracyLarge radiation doseII studyLung scanRetrospective studyEmergency departmentInpatient populationProspective InvestigationTomography angiographyClinical assessmentMedical Center
2002
Utilization of CT-PA in an emergency department with readily available V/Q scintigraphy
Grishina A, Haramati L, Hoppenfeld B, Freeman L. Utilization of CT-PA in an emergency department with readily available V/Q scintigraphy. Emergency Radiology 2002, 9: 75-78. PMID: 15290581, DOI: 10.1007/s10140-002-0197-8.Peer-Reviewed Original ResearchDeep vein thrombosisPulmonary embolismEmergency departmentPrimary imaging modalityQ scanCT-PADoppler evidenceClinical presentationQ scintigraphyAlternative diagnosesChest radiographsStudy periodVentilation-perfusion scintigraphyMajority of patientsImaging modalitiesInitial imaging testSame study periodPulmonary emboliConsecutive patientsVein thrombosisPatient's symptomsDischarge diagnosisDoppler ultrasonographyMean agePatient management
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