Outcomes in pediatric patients with documented delays between ileocolic intussusception diagnosis and therapeutic enema attempt: evaluation of reduction efficacy and complication rate.

Background: Ileocolic intussusception is considered a pediatric emergency, with concerns for risk of significant morbidity in children with a prolonged intussusception state. Emergent therapy is standard of care, as prior studies have shown poor outcomes in patients with long delays (> 24 h) before intervention. Various factors can result in shorter delays, and there are limited studies evaluating outcomes in these patients.

The Effect of Faster Reporting Speed for Imaging Studies on the Number of Misses and Interpretation Errors: A Pilot Study.

Purpose: The purpose of the study was to determine if increasing radiologist reading speed results in more misses and interpretation errors.

Methods: We selected a sample set of 53 abdomen-pelvis CT scans of variable complexity performed at a teaching hospital during the study period. We classified the CT scans into 4 categories based on their level of difficulty, with level 4 representing the most-complex cases.

Job satisfaction of program directors in radiology: a survey of current program directors.

Objective: Informal conversations and anecdotal evidence suggest that the job turnover rate among radiology residency program directors is disproportionately high. The purpose of our study was to assess the characteristics of current program directors and determine factors that may be affecting overall job satisfaction and job turnover rate.

Subjects And Methods: A survey that combined facet-specific measurements and global assessment was sent to current program directors in Accreditation Council for Graduate Medical Education (ACGME)-approved diagnostic radiology programs.

The written clinical diagnosis board examination: survey of program director and resident opinions.

Objective: The purpose of our study was to assess the perceived value of the American Board of Radiology written clinical diagnosis board examination.

Materials And Methods: Two online surveys were distributed to diagnostic radiology programs approved by the Accreditation Council for Graduate Medical Education. Program directors were asked about the importance of the examination, and residents were asked about the importance and composition (proportion of repeated questions, known as recalls) of the examination and about preparation strategies.

CT and appendicitis: evaluation of correlation between CT diagnosis and pathological diagnosis.

Purpose: To evaluate the correlation between appendiceal size measured by contrast-enhanced CT of the abdomen and pelvis and the size of surgically removed appendixes on gross pathological examination.

Materials And Methods: The initial database consisted of the cases of 301 children, collected over 2 years, of which 56 met inclusion criteria. Both the radiology and surgical pathology reports of these patients were reviewed.

Preliminary radiology resident interpretations versus final attending radiologist interpretations and the impact on patient care in a community hospital.

Objective: At academic institutions, overnight emergency radiology examinations are interpreted by the on-call radiology resident and are reviewed by an attending radiologist in the morning. The objective of our study was to determine the rate of discrepancies between the two interpretations and the possible effect, if any, on patient care.

Materials And Methods: The preliminary reports for 11,908 emergency diagnostic imaging examinations interpreted after hours by residents over a 3-year period (January 2002-January 2005) were reviewed retrospectively for any discrepancy with the attending radiologist's final interpretation.

Case report: intraspinal synovial cyst containing gas.

With MRI, an intraspinal synovial cyst appears as a hypointense, rounded, intraspinal lesion bearing similar signal characteristics to cerebrospinal fluid containing a signal void within it; this can be confused with calcium or hemosiderin within the cyst. In such cases, CT imaging can lead to a diagnosis.

Adenosquamous carcinoma of the pancreas.

Adenosquamous carcinoma of the pancreas is an unusual tumor. The authors review the case report of a 70-year-old male. Radiologic and computer tomography (CT) findings for adenosquamous carcinoma were indistinguishable from adenocarcinoma of the pancreas.

MRI and CT features of polycystic liver disease.

The authors report two cases of polycystic liver (PCL) disease with no other organ involvement. PCL, an uncommon disease that usually is asymptomatic, was diagnosed using computed tomography for one patient and magnetic resonance imaging for the other patient.

CT diagnosis of postlaparoscopic hernia.

Laparoscopic cholecystectomy is becoming increasingly popular as an alternative to more traditional surgical and medical therapy. We report a case of incisional hernia following laparoscopic cholecystectomy.

CT appearance of diffuse peritoneal endometriosis.

The CT appearance of diffuse peritoneal endometriosis is presented. This entity may mimic peritoneal carcinomatosis and should be considered in females of childbearing age.

CT demonstration of retrohepatic gallbladder in severe cirrhosis.

In two patients with hepatic cirrhosis and marked morphological distortion of the liver, the gallbladder was identified in a retrohepatic position on ultrasound and CT. The etiology of this anomalous position and the importance of the preoperative diagnosis of both congenital and acquired anomalous position of the gallbladder in patients with acute cholecystitis is discussed.