Publications by authors named "Dheeraj Gandhi"

Physician-industry financial relationships can drive research and innovation, improving patient care and outcomes, but potentially raise ethical concerns if not disclosed appropriately. This study shows high rates of non-disclosures by authors/presenters at the ASNR 2024 annual meeting, despite strict requirements. 86.

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Background: Recent radiologist compensation and clinical productivity trends have not been well characterized, especially across academic vs. non-academic practice settings.

Purpose: To assess recent trends in in financial compensation and clinical productivity between academic and non-academic settings in diagnostic (DR) and interventional radiology (IR).

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Article Synopsis
  • This study analyzed demographic data from academic radiology faculty to evaluate rank equity by gender and race/ethnicity from 2000 to 2023.
  • It found that the percentage of women faculty increased but disparities remained, particularly for underrepresented minorities (URM) and Asian women, in terms of rank equity.
  • The study concluded that while progress was made for women, significant barriers still exist for URM and Asian faculty, necessitating targeted efforts to promote diversity within the field.
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Background And Purpose: Recent randomized trials have suggested that endovascular thrombectomy (EVT) is superior to medical management (MM) for stroke patients with large infarcts. However, whether or how perfusion metrics should be used to guide optimal patient selection for treatment is largely unknown.

Materials And Methods: This was a meta-analysis of randomized controlled trials reporting the effectiveness of EVT for large infarcts stratified by perfusion mismatch profiles.

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Purpose: To assess recent U.S. medical school trends in compensation for academic interventional radiology (IR) faculty and compensation characteristics based on rank, gender, and race/ethnicity.

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Article Synopsis
  • Ischemic changes in the brain are hard to detect on regular head CT scans for several hours after an infarct, but deep learning models may help identify these changes using advanced imaging techniques.
  • This study evaluates the use of dual-energy CT (DECT) to enhance early visibility of brain infarcts for machine learning applications, using a dataset of 330 DECTs collected within 48 hours of confirming an infarct via MRI.
  • Results showed that combining images from both standard 120 kV and 190 keV DECT significantly improved the algorithm's performance in accurately segmenting brain infarcts, especially notable within 6 to 12 hours after the last known well time.
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Article Synopsis
  • The study examines trends in compensation for academic radiologists from 2017 to 2023, focusing on factors like rank, gender, race/ethnicity, and geographic location.
  • It used data from the AAMC Faculty Salary Report, analyzing responses from 5847 faculty members across multiple radiology ranks, showing an overall median compensation increase of 2.6%-4.4% per year.
  • Results highlight persistent gender and racial pay gaps, with male faculty earning more than females ($483,000 vs. $455,000) and Black/African American faculty earning less than White peers ($452,000 vs. $472,000), along with regional disparities
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MR-guided focused ultrasound (FUS) represents a promising alternative for patients with chronic neuropathic who have failed medical management and other treatment options. Early single-center experience with chronic neuropathic pain and trigeminal neuralgia has demonstrated favorable long-term outcomes. Excellent safety profile with low risk of motor and sensory complications and so far anecdotal permanent neurologic deficits make FUS a powerful tool to treat patients who are otherwise hopeless.

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The history of focused ultrasound is a parallel history of neuroradiology, functional neurosurgery, and physics and engineering. Multiple pioneers collaborated as ultrasound transitioned from a wartime technology to a therapeutic one, particularly in using it to ablate the brain to treat movement disorders. Several competing technologies ensured that this "ultrasonic neurosurgery" remained in a lull.

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Background: The safety and efficacy of endovascular thrombectomy (EVT) for large vessel occlusion (LVO) strokes associated with infective endocarditis (IE) compared with medical management (MM) is unclear.

Methods: In this nationwide analysis of hospitalizations in the United States, we assessed the outcomes of EVT versus medical management (MM) for patients with LVO and IE. Primary outcome was routine home discharge with self-care.

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Background: Subarachnoid hemorrhage (SAH) following endovascular thrombectomy (EVT) is a poorly understood phenomenon, and whether it is associated with clinical detriment is unclear.

Methods: This was an explorative analysis of a national database of real-world hospitalizations in the United States. Patients who underwent EVT were included.

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Background And Purpose: Physician-industry relationships can be useful for driving innovation and technologic progress, though little is known about the scale or impact of industry involvement in neuroradiology. The purpose of this study was to assess the trends and distributions of industry payments to neuroradiologists.

Materials And Methods: Neuroradiologists were identified using a previously-validated method based on Work Relative Value Units and Neiman Imaging Types of Service classification.

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Background And Purpose: The efficacy and safety of endovascular thrombectomy (EVT) for elderly basilar artery occlusion (BAO) stroke patients is unclear.

Materials And Methods: This was an explorative retrospective analysis of the 2016-21 National Inpatient Sample in the United States. Elderly BAO stroke patients (80 years or older) with NIH stroke scale of at least 5 were included.

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Background: Industry payments to physicians are common, but it is unknown how the payments in different categories to radiologists compare to other specialties.

Objective: The aim of this study is to assess the proportion of industry payments to physicians in radiology in certain categories relative to other specialties.

Methods: The Open Payments Database was analyzed from January 1, 2017 to December 31, 2021 for industry payments to all allopathic & osteopathic physicians, and classified into distinct clinical specialties.

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Segmentation of infarcts is clinically important in ischemic stroke management and prognostication. It is unclear what role the combination of DWI, ADC, and FLAIR MRI sequences provide for deep learning in infarct segmentation. Recent technologies in model self-configuration have promised greater performance and generalizability through automated optimization.

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Purpose: To identify characteristics of interventional radiologists receiving more than $100,000 in general industry payments over a 5-year period (2017-2021).

Methods: The Open Payments database was queried to identify interventional radiologists who received more than $100,000 in consulting fees, speaker fees, education, and/or gifts over a 5-year period from 2017 to 2021. The national provider identifier registry, Scopus, and a web-based search were used to identify physician characteristics, such as demographics, research profile, leadership positions, and social media presence.

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Background: There are no established patient selection criteria for endovascular thrombectomy (EVT) for anterior cerebral artery (ACA) stroke.

Methods: This was a retrospective cohort study of the 2016-2020 National Inpatient Sample in the United States. Isolated ACA-occlusion stroke patients with moderate-to-severe stroke symptoms (NIH stroke scale [NIHSS] ≥ 6) were included.

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Background: The impact of intersectionality on academic radiology physician compensation is not well known.

Purpose: The aim of this study was to assess impact of intersectionality on academic radiology financial compensation, based on rank, gender and race/ethnicity in US medical schools.

Methods: Data were collected from the AAMC Faculty Salary Survey, which collects information for full-time faculty at U.

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Background: Mechanical thrombectomy (MT) is the standard of care for acute ischemic stroke (AIS) patients with large vessel occlusion (LVO). The SOFAST study collected clinical evidence on the safety and efficacy of the 6 French SOFIA Flow Plus aspiration catheter (SOFIA 6F) when used as first-line treatment.

Methods: This was a prospective, multicenter investigation to assess the safety and efficacy of SOFIA 6F used for first-line aspiration.

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Background: Equity in faculty compensation in U.S. academic radiology physicians relative to other specialties is not well known.

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