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 ComputedThe Critical Shortage of Iodinated Contrast Material — Will Value Prevail?
Tu LH, Miller JE, Forman HP. The Critical Shortage of Iodinated Contrast Material — Will Value Prevail? New England Journal Of Medicine 2022, 387: 491-493. PMID: 35704416, DOI: 10.1056/nejmp2206996.Peer-Reviewed Original Research
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 differences
2020
Night and Day: Confounding Factors Complicate Comparison and Generalizability of Radiology Error Rates.
Dym RJ, Forman HP, Scheinfeld MH. Night and Day: Confounding Factors Complicate Comparison and Generalizability of Radiology Error Rates. Radiology 2020, 298: e115-e116. PMID: 33320068, DOI: 10.1148/radiol.2020203577.Peer-Reviewed Original ResearchImpact of Radiologist-Driven Change-Order Requests on Outpatient CT and MRI Examinations
Pourjabbar S, Cavallo JJ, Arango J, Tocino I, Staib LH, Imanzadeh A, Forman HP, Pahade JK. Impact of Radiologist-Driven Change-Order Requests on Outpatient CT and MRI Examinations. Journal Of The American College Of Radiology 2020, 17: 1014-1024. PMID: 31954708, DOI: 10.1016/j.jacr.2019.12.017.Peer-Reviewed Original ResearchMeSH KeywordsHumansMagnetic Resonance ImagingOutpatientsPhysical ExaminationRadiologistsTomography, X-Ray Computed
2018
Cost-effectiveness of Magnetic Resonance Imaging in Cervical Clearance of Obtunded Blunt Trauma After a Normal Computed Tomographic Finding
Wu X, Malhotra A, Geng B, Kalra VB, Abbed K, Forman HP, Sanelli P. Cost-effectiveness of Magnetic Resonance Imaging in Cervical Clearance of Obtunded Blunt Trauma After a Normal Computed Tomographic Finding. JAMA Surgery 2018, 153: 625-632. PMID: 29541757, PMCID: PMC5875318, DOI: 10.1001/jamasurg.2018.0099.Peer-Reviewed Original ResearchMeSH KeywordsAdultCervical VertebraeCost-Benefit AnalysisFollow-Up StudiesHumansMagnetic Resonance ImagingSpinal InjuriesTomography, X-Ray ComputedWounds, NonpenetratingConceptsMagnetic resonance imagingBlunt traumaResonance imagingCervical clearanceNeurologic deficitsTomographic findingsHealth benefitsNational Spinal Cord Injury DatabaseSpinal Cord Injury DatabaseCost of MRISpecificity of MRIUse of MRIPermanent neurologic deficitsGroup of patientsComputed tomographic findingsNegative predictive valueProbabilistic sensitivity analysesCost-effectiveness analysisLower health benefitsCervical CTCT findingsInitial CTNormal CTCervical collarCervical spine
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 riskRadiologistsScansCost-effectiveness of Magnetic Resonance Imaging in Cervical Spine Clearance of Neurologically Intact Patients With Blunt Trauma
Wu X, Malhotra A, Geng B, Liu R, Abbed K, Forman HP, Sanelli P. Cost-effectiveness of Magnetic Resonance Imaging in Cervical Spine Clearance of Neurologically Intact Patients With Blunt Trauma. Annals Of Emergency Medicine 2017, 71: 64-73. PMID: 28826754, DOI: 10.1016/j.annemergmed.2017.07.006.Peer-Reviewed Original ResearchMeSH KeywordsAdultAftercareCervical VertebraeCost-Benefit AnalysisDecision Support TechniquesHealth Care CostsHumansMagnetic Resonance ImagingMarkov ChainsModels, EconomicQuality-Adjusted Life YearsSensitivity and SpecificitySpinal InjuriesTomography, X-Ray ComputedUnited StatesWounds, NonpenetratingConceptsMagnetic resonance imagingCervical computed tomographyBlunt traumaIntact patientsUnstable injuriesCT resultsResonance imagingCost of MRICervical spine clearanceIncidence of patientsPermanent neurologic deficitsHealth benefitsNegative predictive valueProbabilistic sensitivity analysesInitial CT resultsCervical clearanceSpine clearanceNeurologic deficitsHard collarCord injuryPatient populationAlert patientsComputed tomographyPredictive valuePatients
2016
DSA of Perimesencephalic Hemorrhage.
Malhotra A, Wu X, Durand D, Kalra VB, Forman HP. DSA of Perimesencephalic Hemorrhage. Radiology 2016, 281: 981-982. PMID: 27870633, DOI: 10.1148/radiol.2016161414.Peer-Reviewed Original ResearchAngiography, Digital SubtractionCerebral AngiographySubarachnoid HemorrhageTomography, X-Ray ComputedUtility of MRI for cervical spine clearance after blunt traumatic injury: a meta-analysis
Malhotra A, Wu X, Kalra VB, Nardini HK, Liu R, Abbed KM, Forman HP. Utility of MRI for cervical spine clearance after blunt traumatic injury: a meta-analysis. European Radiology 2016, 27: 1148-1160. PMID: 27334017, DOI: 10.1007/s00330-016-4426-z.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeCost-Benefit AnalysisDatabases, FactualHumansMagnetic Resonance ImagingSpinal InjuriesTomography, X-Ray ComputedWounds, NonpenetratingConceptsPositive finding rateUnstable injuriesUtility of MRIAlert patientsPooled incidenceCervical spine trauma patientsCervical spine clearanceBlunt traumatic injurySpine trauma patientsMajor medical databasesFurther studiesCS clearanceSpine clearanceTrauma patientsAwake patientsNegative CTTraumatic injuryPatientsUnique citationsSystematic reviewInjuryPositive findingsIncidenceMRIHigh false positive rateRegarding “Cerebral Angiography for Evaluation of Patients with CT Angiogram-Negative Subarachnoid Hemorrhage: An 11-Year Experience”
Wu X, Kalra VB, Forman HP, Matouk CC, Mongelluzzo G, Liu R, Malhotra A. Regarding “Cerebral Angiography for Evaluation of Patients with CT Angiogram-Negative Subarachnoid Hemorrhage: An 11-Year Experience”. American Journal Of Neuroradiology 2016, 37: e52-e53. PMID: 27056430, PMCID: PMC7963535, DOI: 10.3174/ajnr.a4794.Peer-Reviewed Original ResearchComparison of CT and MRI findings for cervical spine clearance in obtunded patients without high impact trauma
Wu X, Durand D, Kalra VB, Liu R, Forman HP, Malhotra A. Comparison of CT and MRI findings for cervical spine clearance in obtunded patients without high impact trauma. Clinical Neurology And Neurosurgery 2016, 145: 106-107. PMID: 26996972, DOI: 10.1016/j.clineuro.2016.03.004.Peer-Reviewed Original ResearchCost‐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 Research
2015
Letter to the Editor regarding “is magnetic resonance imaging in addition to a computed tomographic scan necessary to identify clinically significant cervical spine injuries in obtunded blunt trauma patients?”
Wu X, Kalra VB, Forman HP, Malhotra A. Letter to the Editor regarding “is magnetic resonance imaging in addition to a computed tomographic scan necessary to identify clinically significant cervical spine injuries in obtunded blunt trauma patients?”. The American Journal Of Surgery 2015, 211: 825-826. PMID: 26782805, DOI: 10.1016/j.amjsurg.2015.07.032.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeFemaleHumansMagnetic Resonance ImagingMalePractice Guidelines as TopicSpinal InjuriesTomography, X-Ray ComputedWounds, NonpenetratingEvaluation for Blunt Cerebrovascular Injury: Review of the Literature and a Cost-Effectiveness Analysis
Malhotra A, Wu X, Kalra VB, Schindler J, Matouk CC, Forman HP. Evaluation for Blunt Cerebrovascular Injury: Review of the Literature and a Cost-Effectiveness Analysis. American Journal Of Neuroradiology 2015, 37: 330-335. PMID: 26450540, PMCID: PMC7959958, DOI: 10.3174/ajnr.a4515.Peer-Reviewed Original ResearchConceptsCost-effective imaging strategyNet monetary benefitHealth care payer perspectiveIncremental cost-effectiveness ratioCare payer perspectiveCost-effectiveness analysisCost-effective strategyCost-effectiveness ratioEconomic evaluationMonetary benefitsDominant strategyMain indicatorsPayer perspectiveSelective DSAComparable utilityUtility perspectiveDecision tree analysisSelective anticoagulationSensitivity analysisCostImmense controversyHigh costCTA sensitivityParameter valuesHorizonLetter to the Editor regarding “Systematic review of flexion/extension radiography of the cervical spine in trauma patients”
Wu X, Kalra VB, Forman HP, Malhotra A. Letter to the Editor regarding “Systematic review of flexion/extension radiography of the cervical spine in trauma patients”. European Journal Of Radiology 2015, 84: 2686-2687. PMID: 26381447, DOI: 10.1016/j.ejrad.2015.09.002.Peer-Reviewed Original ResearchScreening for Pediatric Blunt Cerebrovascular Injury: Review of Literature and a Cost-Effectiveness Analysis
Malhotra A, Wu X, Kalra VB, Goodman TR, Schindler J, Forman HP. Screening for Pediatric Blunt Cerebrovascular Injury: Review of Literature and a Cost-Effectiveness Analysis. Journal Of Pediatric Surgery 2015, 50: 1751-1757. PMID: 26546389, DOI: 10.1016/j.jpedsurg.2015.05.005.Peer-Reviewed Original ResearchMeSH KeywordsCerebral AngiographyCerebrovascular TraumaChildCost-Benefit AnalysisDecision TreesHead Injuries, ClosedHumansMonte Carlo MethodTomography, X-Ray ComputedConceptsBlunt cerebrovascular injuryPediatric blunt cerebrovascular injurySelective computed tomography angiographyComputed tomography angiographyOptimal imaging strategyCost-effectiveness analysisAnticoagulation therapyCerebrovascular injuryManagement of BCVIAppropriate anticoagulation therapyHigh-risk patientsHigh-risk factorsImaging strategiesPossible screening strategiesReview of literatureSelective anticoagulationPediatric patientsAnticoagulation complicationsTomography angiographySystematic reviewPatientsSocietal perspectiveCost-effective strategyData extractionScreening strategy