Publications by authors named "T A Hutchins"
Article Synopsis
- Facets synovial cysts (FSCs) are benign growths from facet joints that can lead to nerve pain, and this study explored the effectiveness of CT-guided procedures for their treatment, comparing IPCR and DF methods.
- The retrospective review examined 90 FSC rupture attempts on 75 patients over 10 years, revealing that IPCR alone had a 70% success rate, but when combined with DF after IPCR failure, the success rate rose to 90.6%.
- The study concluded that having the option to use DF after IPCR failure significantly improves treatment outcomes, highlighting the advantages of using CT guidance for these procedures.
Thoracic back pain is a common site for inflammatory, neoplastic, metabolic, infectious, and degenerative conditions, and may be associated with significant disability and morbidity. Uncomplicated acute thoracic back pain and/or radiculopathy does not typically warrant imaging. Imaging may be considered in those patients who have persistent pain despite 6 weeks of conservative treatment.
View Article and Find Full Text PDFACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension.
J Am Coll Radiol
November 2024
The clinical syndrome of intracranial hypotension refers to the symptoms caused by cerebrospinal fluid hypovolemia and is primarily characterized by postural headaches, but can be associated with a multitude of other neurological symptoms. Imaging plays a critical role in helping to establish a diagnosis of intracranial hypotension, localize the source of cerebrospinal fluid leak, and assist in directing targeted treatments. Using the best available evidence, this document provides diagnostic imaging recommendations for the workup of intracranial hypotension across various clinical presentations.
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- - Localized scleroderma (LS) is an autoimmune disease that causes skin inflammation and fibrosis, leading to symptoms like hardening and discoloration of the skin, which can result in disability.
- - This study utilized single-cell RNA sequencing (scRNA-seq) to analyze skin cells from 27 LS patients and 17 healthy controls, focusing primarily on endothelial cells due to their known role in a related condition, systemic sclerosis (SSc).
- - The analysis identified eight subclusters of endothelial cells, with certain pathways upregulated in LS, suggesting these cells may contribute to disease progression and associated skin abnormalities.
Background And Purpose: Low back pain commonly causes disability, often managed with conservative image-guided interventions before surgery. Research has documented racial disparities with these and other non-pharmacologic treatments. We posited that individual chart reviews may provide insight into the disparity of care types through documented patient/provider discussions and their effect on treatment plans.
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