2023
Predictive Value of CT Biomarkers in Lung Transplantation Survival: Preliminary Investigation in a Diverse, Underserved, Urban Population
Friedman R, Tarasova A, Jain V, Ye K, Mansour A, Haramati L. Predictive Value of CT Biomarkers in Lung Transplantation Survival: Preliminary Investigation in a Diverse, Underserved, Urban Population. Lung 2023, 201: 581-590. PMID: 37917190, DOI: 10.1007/s00408-023-00650-6.Peer-Reviewed Original ResearchConceptsCT biomarkersPredictive valueHounsfield unitsFat areaErector spinaeSingle-center retrospective cohort studyHigh visceral fat areaDonor lung availabilityLung transplant programsLung transplant survivalLung transplantation survivalResultsThe study cohortRetrospective cohort studyPost-transplant survivalVertebral body Hounsfield unitsVisceral fat areaKaplan-Meier curvesSubcutaneous fat areaAbsence of sarcopeniaMuscle areaCox proportional hazardsPectoralis muscle areaLung transplantCohort studyStudy cohortLung Cancer Screening Among Mammography Patients: Knowledge, Eligibility, Participation, and Interest
Novogrodsky E, Haramati L, Villasana-Gomez G, Goldman J, Rosenfeld C, Rosenblum J, Sayre J, Hoyt A, Goldin J, Milch H. Lung Cancer Screening Among Mammography Patients: Knowledge, Eligibility, Participation, and Interest. The Journal Of The American Board Of Family Medicine 2023, 36: 557-564. PMID: 37321658, DOI: 10.3122/jabfm.2022.220423r1.Peer-Reviewed Original ResearchConceptsLung cancer screeningCancer screeningLung cancerUSPSTF criteriaMammography patientsLung cancer screening eligibilityLung cancer screening participationCancer screening participationAcademic medical centerLow education levelChi-square testMann-Whitney nonparametric testScreening eligibilityUSPSTF guidelinesLDCT screeningEligible womenFormer smokersSmoking historyCurrent smokersScreening participationSingle-page surveyMedical CenterEligibility criteriaPatientsCancerBend 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
Influence of BMI on virtual coronary artery calcium scoring
Perez-Cervera J, Arce J, Fattouh M, Kuno T, Schenone A, Brahmanandam V, Lee U, Haramati L, Levsky J, Villines T, Garcia M, Slipczuk L. Influence of BMI on virtual coronary artery calcium scoring. The International Journal Of Cardiovascular Imaging 2022, 39: 863-872. PMID: 36583813, DOI: 10.1007/s10554-022-02785-8.Peer-Reviewed Original ResearchUsing Routine Chest Computed Tomography to Diagnose Pulmonary Embolism
Chan J, Ho B, Ye K, Haramati L, Jain V. Using Routine Chest Computed Tomography to Diagnose Pulmonary Embolism. Journal Of Computer Assisted Tomography 2022, 46: 888-893. PMID: 36399535, DOI: 10.1097/rct.0000000000001372.Peer-Reviewed Original ResearchConceptsPulmonary embolismPulmonary artery enhancementContrast-enhanced chest CT scansHU thresholdContrast-enhanced chest CTAbsence of PEUnsuspected pulmonary embolismContrast-enhanced chestHounsfield unitsChest CT scanLogistic regression analysisPeripheral enhancementPulmonary vasculatureChest CTFemale sexRoutine chestContrast amountCT scanPulmonary enhancementTotal casesOlder ageEmbolismRegression analysisChestDescriptive statisticsProne Chest Radiographs: Distinguishing Features and Identification of Support Devices
Lazarus M, Hossain R, Villasana G, Herring A, Ye K, Jeudy J, Levsky J, White C, Haramati L. Prone Chest Radiographs: Distinguishing Features and Identification of Support Devices. Lung 2022, 200: 441-445. PMID: 35708780, PMCID: PMC9201801, DOI: 10.1007/s00408-022-00545-y.Peer-Reviewed Original ResearchConceptsSupine radiographsSupport devicesStomach bubbleAcute lung injuryBreast shadowPaucity of literatureLung injuryLung basesProne positionSupine positionChest radiographsProne patientsProne techniqueIRB approvalScapula tipRadiographsCardiothoracic radiologistsDevice placementInformed consentTube positionPatientsCOVID-19 pandemicResultsRadiographsInjuryDiseaseCOVID-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
A 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 ARadiologistsCTHematomaObjectiveToManagementResultsNewlyDiagnostic Performance of Pulmonary Embolism Imaging in Patients with History of Asthma.
Lazarus M, Kim Y, Mathai B, Levsky J, Freeman L, Haramati L, Moadel R. Diagnostic Performance of Pulmonary Embolism Imaging in Patients with History of Asthma. Journal Of Nuclear Medicine 2020, 62: 399-404. PMID: 32680927, DOI: 10.2967/jnumed.120.242776.Peer-Reviewed Original ResearchConceptsHistory of asthmaPulmonary embolismFalse negative rateRepeat examsDiagnostic performanceChronic lung diseaseVentilation-perfusion scanningHigh false-negative rateLung diseaseCT pulmonaryNegative imagingNondiagnostic resultsVentilation defectsAsthmaCTPANegative casesEmbolismPatientsHigh rateAdultsExamPulmonaryHistorySymptomsDiseaseBovine 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 protocolHaving a Primary Care Provider is the Strongest Predictor of Successful Follow-up of Participants in a Clinical Trial
Friedman S, Cunningham C, Lin J, Haramati L, Levsky J. Having a Primary Care Provider is the Strongest Predictor of Successful Follow-up of Participants in a Clinical Trial. The Journal Of The American Board Of Family Medicine 2020, 33: 431-439. PMID: 32430375, DOI: 10.3122/jabfm.2020.03.190018.Peer-Reviewed Original ResearchConceptsPrimary care physiciansClinical trialsCare providersHigher Charlson Comorbidity Index scoresMultivariate analysisCharlson Comorbidity Index scoreProspective randomized control trialBivariate analysisComorbidity Index scoreChest pain patientsPrimary care providersHealth care providersRandomized control trialLow socioeconomic statusSocioeconomic status scoresHealth care systemPain patientsPatient characteristicsCare physiciansInsurance statusStatus scoreMedical historyFollow-upControl trialIndex scoreCT 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 manifestationsMeeting ACR Dose Guidelines for CT Lung Cancer Screening in an Overweight and Obese Population
Peng R, Mardakhaev E, Shmukler A, Levsky J, Haramati L. Meeting ACR Dose Guidelines for CT Lung Cancer Screening in an Overweight and Obese Population. Academic Radiology 2020, 28: 381-386. PMID: 32284173, DOI: 10.1016/j.acra.2020.02.009.Peer-Reviewed Original ResearchConceptsBody mass indexLung cancer screeningBMI classificationDose guidelinesObese patientsDose metricsObese populationCancer screeningLung cancerCT lung cancer screeningRadiation doseMedian effective doseLow radiation doseMass indexStudy populationAmerican CollegeObesity epidemicDose requirementsEffective doseClinical programsPatientsDoseWomenSignificant differencesCTDIvolComparison 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 utilityPerformance 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 disease
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