2023
Bend but don't break: Experience of a diverse New York City lung cancer screening program during the first year of the COVID-19 pandemic
Stahl M, Shamah S, Wattamwar K, Furlani A, Serrano M, Haramati L. Bend but don't break: Experience of a diverse New York City lung cancer screening program during the first year of the COVID-19 pandemic. Clinical Imaging 2023, 100: 1-6. PMID: 37120922, PMCID: PMC10129344, DOI: 10.1016/j.clinimag.2023.04.011.Peer-Reviewed Original ResearchConceptsCancer screening programsLung cancer screening programsScreening programLung cancerPre-pandemic periodCOVID-19 pandemicLung-RADS scorePercentage of examsPandemic periodFirst yearRetrospective cohortAppropriate followPandemic surgeScreening volumeHigh mortalityPatientsCOVID surgeNew York StateCancerCOVID-19Significant differencesDemographic subgroupsCohortFollowInner-city programLung Cancer Screening Penetration in an Urban Underserved County
Lee K, Haramati L, Ye K, Lin J, Mardakhaev E, Gohari A. Lung Cancer Screening Penetration in an Urban Underserved County. Lung 2023, 201: 243-249. PMID: 36892635, DOI: 10.1007/s00408-023-00609-7.Peer-Reviewed Original ResearchConceptsLung cancer screening programsCancer screening programsRace/ethnicityLung cancerScreening programSocioeconomic statusMethodsThis retrospective cohort studyRetrospective cohort studyInstitutional review board approvalLung cancer screeningUrban medical centerReview board approvalSignificant differencesTwo-sample t-testLower SES neighborhoodsCohort studyMore patientsHispanic patientsCancer screeningCancer cohortUnderserved countiesInclusion criteriaMedical CenterBoard approvalPatients
2022
COVID-19 in Kidney Transplant Recipient and Waitlist Patients
Dong Y, Dhingra A, Shamir S, Azzi Y, Ye K, Greenstein S, Haramati L. COVID-19 in Kidney Transplant Recipient and Waitlist Patients. Journal Of Thoracic Imaging 2022, 37: 133-139. PMID: 35439238, PMCID: PMC9018208, DOI: 10.1097/rti.0000000000000640.Peer-Reviewed Original ResearchConceptsKidney transplant recipientsTransplant recipientsICU admissionHospital admissionSecondary outcomesWaitlist patientsIntensive care unit admissionCoronavirus disease 2019 (COVID-19) patientsCOVID-19Care unit admissionKidney transplant patientsPatient's chest radiographReverse transcriptase-polymerase chain reactionTranscriptase-polymerase chain reactionMultivariate regression analysisRadiographic severity scoreUnit admissionTransplant patientsRetrospective cohortPrimary outcomeSeverity scoreTransplant waitlistWorse outcomesChest radiographsPatients
2021
Clearing the Congestion
Berman J, Lee L, Monga R, Ye K, Sprayregen S, Haramati L. Clearing the Congestion. Journal Of Thoracic Imaging 2021, 38: 18-22. PMID: 34739426, DOI: 10.1097/rti.0000000000000625.Peer-Reviewed Original ResearchConceptsNormal brain natriuretic peptideBrain natriuretic peptideCongestive heart failureHistory of CHFSerum brain natriuretic peptideHigher body mass indexBody mass indexBNP levelsMass indexPresence of CHFHigher serum BNP levelsSerum BNP levelsEmergency department patientsED cohortCXR resultsHeart failureDepartment patientsED patientsStudy cohortNatriuretic peptideClinical dilemmaChest radiographsPatientsCXRLogistic regressionA Retrospective Multi-Site Academic Center Analysis of Pneumothorax and Associated Risk Factors after CT-Guided Percutaneous Lung Biopsy
Rong E, Hirschl D, Zalta B, Shmukler A, Krausz S, Levsky J, Lin J, Haramati L, Gohari A. A Retrospective Multi-Site Academic Center Analysis of Pneumothorax and Associated Risk Factors after CT-Guided Percutaneous Lung Biopsy. Lung 2021, 199: 299-305. PMID: 33876295, DOI: 10.1007/s00408-021-00445-7.Peer-Reviewed Original ResearchConceptsChest tube placementLung biopsyPneumothorax riskTube placementRisk factorsSmaller lesion sizeLung surgeryLesion sizeSubcutaneous tissueCT-guided lung biopsyPercutaneous lung biopsyFrequency of complicationsAssociated risk factorsChest X-rayImmediate pneumothoraxSmoking historyDelayed pneumothoraxLung cancerChest radiographsWall biopsyPneumothoraxPatientsBiopsyBiopsy techniqueCenter analysis
2020
Utility of Apical Lung Assessment on Computed Tomography Angiography as a COVID-19 Screen in Acute Stroke
Esenwa C, Lee J, Nisar T, Shmukler A, Goldman I, Zampolin R, Hsu K, Labovitz D, Altschul D, Haramati L. Utility of Apical Lung Assessment on Computed Tomography Angiography as a COVID-19 Screen in Acute Stroke. Stroke 2020, 51: 3765-3769. PMID: 33115325, PMCID: PMC7678646, DOI: 10.1161/strokeaha.120.030959.Peer-Reviewed Original ResearchConceptsAcute ischemic strokeComputed tomography angiographyLung assessmentTomography angiographyPredictive valuePatient-reported symptomsShortness of breathCoronavirus disease 2019Self-reported clinical symptomsCOVID-19Negative predictive valuePositive predictive valueAccurate screening toolAcute strokeIschemic strokeLung findingsClinical symptomsLung apexDisease 2019Lung examAngiographyDiagnostic accuracyScreening toolPatientsSymptomsThoracic aortic dissection classification among radiologists and surgeons and management trends
Grant J, Allen A, Traube L, Levsky J, Haramati L. Thoracic aortic dissection classification among radiologists and surgeons and management trends. Emergency Radiology 2020, 28: 297-301. PMID: 33025220, DOI: 10.1007/s10140-020-01861-7.Peer-Reviewed Original ResearchConceptsIntramural hematomaAortic dissectionDiscrepancy rateMean age 60Stanford type AElectronic health recordsB dissectionMedical managementStanford classificationPatient managementAge 60B classificationDissectionHealth recordsSurgeonsRadiology reportsType ARadiologistsCTHematomaObjectiveToManagementResultsNewlyBovine Arch and Stroke Laterality
Matakas J, Gold M, Sterman J, Haramati L, Allen M, Labovitz D, Slasky S. Bovine Arch and Stroke Laterality. Journal Of The American Heart Association 2020, 9: e015390. PMID: 32552234, PMCID: PMC7670536, DOI: 10.1161/jaha.119.015390.Peer-Reviewed Original ResearchConceptsBovine archStroke lateralityCardioembolic strokeAcute cardioembolic strokeInstitutional stroke databaseLeft hemispheric strokeAortic arch configurationLeft-sided strokeCommon carotid arteryAge 77 yearsRight-hemispheric counterpartsChi-square testIschemic infarctFinal cohortStroke distributionBrachiocephalic trunkStroke databaseAtrial fibrillationAortic archBlack raceUnivariate analysisWorse outcomesCarotid arteryInclusion criteriaHemodynamic factorsImplementation 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 protocolCT 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 manifestationsPerformance of the Vancouver Risk Calculator Compared with Lung-RADS in an Urban, Diverse Clinical Lung Cancer Screening Cohort
Kessler A, Peng R, Mardakhaev E, Haramati L, White C. Performance of the Vancouver Risk Calculator Compared with Lung-RADS in an Urban, Diverse Clinical Lung Cancer Screening Cohort. Radiology Imaging Cancer 2020, 2: e190021. PMID: 33778703, PMCID: PMC7983652, DOI: 10.1148/rycan.2020190021.Peer-Reviewed Original ResearchConceptsLung CT Screening ReportingLung-RADSFalse-negative findingsRadiology's Lung CT Screening ReportingLung cancer screening cohortAccountability Act-compliant retrospective studyLung cancer screening programsLung-RADS scoreInstitutional review board approvalCancer screening programsLung nodulesLung cancer screeningRisk of cancerReview board approvalDiverse clinical settingsMean followScreening cohortRetrospective studyRisk calculatorCancer screeningLung cancerScreening programStudy populationLung cancer detectionAmerican College
2019
The relationship between adrenal incidentalomas and mortality risk
Taya M, Paroder V, Bellin E, Haramati L. The relationship between adrenal incidentalomas and mortality risk. European Radiology 2019, 29: 6245-6255. PMID: 30993434, PMCID: PMC6801004, DOI: 10.1007/s00330-019-06202-y.Peer-Reviewed Original ResearchConceptsAdrenal incidentalomasMortality riskSurvival analysisNational Death Index queryCox proportional hazards modelAdrenal incidentaloma patientsMethodsRetrospective cohort studyPeripheral vascular diseaseChronic pulmonary diseaseCause mortality riskIncidence of malignancyKaplan-Meier curvesEmergency room presentationProportional hazards modelAcademic medical centerAbdominal CT examsIncidentaloma patientsCause mortalityHospital deathCohort studyAdrenal diseaseCT abdomenHeart failurePulmonary diseaseRenal diseaseVancouver Risk Calculator Compared with ACR Lung-RADS in Predicting Malignancy: Analysis of the National Lung Screening Trial
White C, Dharaiya E, Dalal S, Chen R, Haramati L. Vancouver Risk Calculator Compared with ACR Lung-RADS in Predicting Malignancy: Analysis of the National Lung Screening Trial. Radiology 2019, 291: 205-211. PMID: 30667335, DOI: 10.1148/radiol.2018181050.Peer-Reviewed Original ResearchConceptsNational Lung Screening TrialLung-RADSLung Imaging ReportingPatient basisRisk calculatorScreening TrialImaging ReportingRadiology Lung Imaging ReportingRisk of malignancyAmerican CollegeSolid nodulesSubsolid nodulesNodule basisMalignancyTotal nodulesNodulesData SystemTrialsSpecificityPatientsReporting
2018
Effectiveness of Lung-RADS in Reducing False-Positive Results in a Diverse, Underserved, Urban Lung Cancer Screening Cohort
Kaminetzky M, Milch H, Shmukler A, Kessler A, Peng R, Mardakhaev E, Bellin E, Levsky J, Haramati L. Effectiveness of Lung-RADS in Reducing False-Positive Results in a Diverse, Underserved, Urban Lung Cancer Screening Cohort. Journal Of The American College Of Radiology 2018, 16: 419-426. PMID: 30146484, DOI: 10.1016/j.jacr.2018.07.011.Peer-Reviewed Original ResearchConceptsLung cancer screening cohortNational Lung Screening TrialPercent of patientsNational Death IndexLung cancer screeningLung-RADSLung cancer ratesCancer ratesScreening cohortDeath IndexCancer screeningLung cancerScreening TrialCT resultsLung CT Screening ReportingFirst annual examinationLung cancer prevalenceLung-RADS 1Lung-RADS 2Lung-RADS 3Institutional review board approvalLung-RADS categoriesClinical screening programReview board approvalUnderserved urban populationVentricular Myocardial Fat: An Unexpected Biomarker for Long-term Survival?
Bader AS, Levsky JM, Zalta BA, Shmukler A, Gohari A, Jain VR, Chernyak V, Lovihayeem M, Bellin EY, Haramati LB. Ventricular Myocardial Fat: An Unexpected Biomarker for Long-term Survival? European Radiology 2018, 29: 241-250. PMID: 29948081, DOI: 10.1007/s00330-018-5546-4.Peer-Reviewed Original ResearchConceptsMyocardial fatMI groupCharlson scoreCause mortalityPrior MIRisk stratificationChest CTBetter survivalChronic myocardial infarction patientsTraditional risk prediction modelsCox proportional hazards analysisNon-contrast chest CTMethodsA retrospective cohortCardiovascular risk factorsAge-matched patientsProportional hazards analysisTraditional cardiovascular riskNet reclassification improvementMyocardial infarction patientsUrban academic centerNon-contrast CTMeaningful prognostic valueLong-term survivalRisk prediction modelAdjusted hazardScreening Patterns and Mortality Differences in Patients With Lung Cancer at an Urban Underserved Community
Su C, Bhargava A, Shah C, Halmos B, Gucalp R, Packer S, Ohri N, Haramati L, Perez-Soler R, Cheng H. Screening Patterns and Mortality Differences in Patients With Lung Cancer at an Urban Underserved Community. Clinical Lung Cancer 2018, 19: e767-e773. PMID: 29937386, DOI: 10.1016/j.cllc.2018.05.019.Peer-Reviewed Original ResearchMeSH KeywordsAdenocarcinomaAgedCarcinoma, Squamous CellCombined Modality TherapyDecision Support TechniquesEarly Detection of CancerFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMedically Underserved AreaMiddle AgedPrognosisRetrospective StudiesSmall Cell Lung CarcinomaSurvival RateTomography, X-Ray ComputedUrban PopulationConceptsUnited States Preventative Services Task Force guidelinesPrimary lung cancerTask Force guidelinesLung cancerScreening TrialMortality differencesPrimary care provider statusScreen-detected lung cancersNational Lung Screening TrialLung cancer-related mortalityLung Cancer Screening TrialActive smoking statusTime of diagnosisCancer Screening TrialCancer-related mortalityUnderserved communitiesUrban underserved communitiesLCS eligibilityCause mortalityPatient characteristicsProspective trialCurative treatmentSmoking statusSurgical managementCox regressionCardiothoracic MRI in the ICU A 10-Year Experience
Kumarasamy N, Tishbi N, Mukundan S, Shiloh A, Levsky J, Haramati L. Cardiothoracic MRI in the ICU A 10-Year Experience. Academic Radiology 2018, 25: 359-364. PMID: 29426683, DOI: 10.1016/j.acra.2017.09.017.Peer-Reviewed Original ResearchConceptsBrain magnetic resonance imagingMagnetic resonance imagingICU patientsMechanical ventilationMRI patientsIntensive care unit patientsHigher glomerular filtration rateAdult ICU patientsLower serum creatinineCare unit patientsGlomerular filtration rateIntact renal functionChart reviewICU populationRenal functionSerum creatinineUnit patientsAortic diseaseIntravenous contrastRetrospective studyVasoactive agentsFiltration rateClinical indicationsPatient's abilityMyocardial disease
2017
Patent foramen ovale in patients with pulmonary embolism: A prognostic factor on CT pulmonary angiography?
Zhang M, Tan S, Patel V, Zalta B, Shmukler A, Levsky J, Jain V, Shaban N, Haramati L. Patent foramen ovale in patients with pulmonary embolism: A prognostic factor on CT pulmonary angiography? Journal Of Cardiovascular Computed Tomography 2017, 12: 271-274. PMID: 29217343, DOI: 10.1016/j.jcct.2017.11.009.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overComputed Tomography AngiographyEchocardiographyFemaleForamen Ovale, PatentHumansMaleMiddle AgedMultidetector Computed TomographyPredictive Value of TestsPrevalencePrognosisPulmonary ArteryPulmonary EmbolismReproducibility of ResultsRetrospective StudiesRisk FactorsTime FactorsYoung AdultConceptsAcute pulmonary embolismRight heart strainPulmonary embolismTransthoracic echocardiogramHeart strainPatent foramenRight ventricularCT pulmonaryCT signsExact testVentricular diameter ratioRoutine transthoracic echocardiogramFischer's exact testYears of experiencePFO prevalenceSeptal bowingPrognostic factorsContrast refluxRetrospective studyRisk factorsMedical CenterMAIN OUTCOMEPopulation prevalencePatientsAdvanced imagingCircumferential 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
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