Quality and Efficiency Improvement Tools for Every Radiologist.

In an era of value-based medicine, data-driven quality improvement is more important than ever to ensure safe and efficient imaging services. Familiarity with high-value tools enables all radiologists to successfully engage in quality and efficiency improvement. In this article, we review the model for improvement, strategies for measurement, and common practical tools with real-life examples that include Run chart, Control chart (Shewhart chart), Fishbone (Cause-and-Effect or Ishikawa) diagram, Pareto chart, 5 Whys, and Root Cause Analysis.

Appendicitis during pregnancy with a normal MRI.

Abdominal pain frequently represents a diagnostic challenge in the acute setting. In pregnant patients, the gravid abdomen and concern for ionizing radiation exposure further limit evaluation. If undiagnosed, appendicitis may cause disastrous consequences for the mother and fetus.

Colloquium paper: patterns of biodiversity and endemism on Indo-West Pacific coral reefs.

Diversity of the primary groups of contemporary Indo-West Pacific coral reef organisms, including mantis shrimps (stomatopod crustaceans), peaks in the Indo-Australian Archipelago (IAA), reaches a lower peak in East Africa and Madagascar [Indian Ocean continental (IOC)], and declines in the central Indian Ocean (IO) and Central Pacific (CP). Percent endemism in stomatopods (highest in the IAA, high in the IOC, lower in regions adjacent to centers, and moderate in the CP) correlates positively with species diversity (this varies with scale) and inversely with species body size. Because it constrains reproductive traits and dispersal, body size is a reliable indicator of speciation and extinction potential in reef stomatopods and probably most marine organisms.