Explanipedia

CT Pulmonary Angiogram Clinical Pretest Probability Tool: Impact on Emergency Department Utilization Open

Rachel Rosovsky, Mark Isabelle, Nooshin Abbasi, Nicole Vetrano, Sanjay Saini , et al. · 2024

Prospective Validation of a Prediction Model for the Diagnosis of Acute Pancreatitis Open

David X. Jin, Ronilda Lacson, Mahsa Eskian, Julia McNabb‐Baltar, Peter A. Banks , et al. · 2024

Importance While most patients with acute pancreatitis (AP) fulfill diagnostic criteria with characteristic abdominal pain and serum lipase levels of at least 3 times the upper limit of normal (reference range) at presentation, early imagi…

Magnetic Resonance Imaging, Clinical, and Biopsy Findings in Suspected Prostate Cancer Open

Arya Haj‐Mirzaian, Kristine S. Burk, Ronilda Lacson, Daniel I. Glazer, Sanjay Saini , et al. · 2024

Importance Multiple strategies integrating magnetic resonance imaging (MRI) and clinical data have been proposed to determine the need for a prostate biopsy in men with suspected clinically significant prostate cancer (csPCa) (Gleason scor…

Risk of Malignancy in Incidentally Detected Lung Nodules in Patients Aged Younger Than 35 Years Open

Suzanne Byrne, Caroline Peers, Mary Louise Gargan, Ronilda Lacson, Ramin Khorasani , et al. · 2024

Background The risk of malignancy in pulmonary nodules incidentally detected on computed tomography (CT) in patients who are aged younger than 35 years is unclear. Objective The aim of this study was to evaluate the incidence of lung cance…

Actionability of Recommendations for Additional Imaging in Head and Neck Radiology Open

Jeffrey P. Guenette, Elyse Lynch, Nooshin Abbasi, Kathryn Schulz, Shweta Kumar , et al. · 2024

MRI-Targeted, Systematic, or Combined Biopsy for Detecting Clinically Significant Prostate Cancer Open

Kristine S. Burk, Sachin Naik, Ronilda Lacson, Kemal Tuncali, Leslie K. Lee , et al. · 2023

Development and Assessment of an Information Technology Intervention to Improve the Clarity of Radiologist Follow-up Recommendations Open

Jeffrey P. Guenette, Neena Kapoor, Ronilda Lacson, Elyse Lynch, Nooshin Abbasi , et al. · 2023

Importance It is challenging to ensure timely performance of radiologist-recommended additional imaging when radiologist recommendation language is incomplete or ambiguous. Objective To evaluate whether voluntary use of an information tech…

Network Radiology: Future of Imaging Practice in the Post COVID-19 Era Open

Atul B. Shinagare, Ramin Khorasani · 2023

Radiologists’ Contribution to Variation in Detecting Clinically Significant Prostate Cancer in Men With Prostate MRI Open

Sachin Naik, Kristine S. Burk, Elvira Budiawan, Ronilda Lacson, Leslie K. Lee , et al. · 2022

Analytics to monitor local impact of the Protecting Access to Medicare Act’s imaging clinical decision support requirements Open

Vladimir I. Valtchinov, Shawn N. Murphy, Ronilda Lacson, Nikolay Ikonomov, Bingxue K. Zhai , et al. · 2022

Objective This study aimed is to: (1) extend the Integrating the Biology and the Bedside (i2b2) data and application models to include medical imaging appropriate use criteria, enabling it to serve as a platform to monitor local impact of …

Representing narrative evidence as clinical evidence logic statements Open

Ronilda Lacson, Mahsa Eskian, Laila Cochón, Isha Gujrathi, Andro Licaros , et al. · 2022

Objective Clinical evidence logic statements (CELS) are shareable knowledge artifacts in a semistructured “If-Then” format that can be used for clinical decision support systems. This project aimed to assess factors facilitating CELS repre…

Visceral Adiposity and Severe COVID-19 Disease: Application of an Artificial Intelligence Algorithm to Improve Clinical Risk Prediction Open

Alexander Goehler, Tzu-Ming Harry Hsu, Jacqueline A. Seiglie, Mark J. Siedner, Janet Lo , et al. · 2021

Background Obesity has been linked to severe clinical outcomes among people who are hospitalized with coronavirus disease 2019 (COVID-19). We tested the hypothesis that visceral adipose tissue (VAT) is associated with severe outcomes in pa…

Collaborative Case Review: A Systems-Based Approach to Patient Safety Event Investigation and Analysis Open

Ronilda Lacson, Ramin Khorasani, Karen Fiumara, Neena Kapoor, Patrick Curley , et al. · 2021

Objectives The aims of the study were to assess a system-based approach to event investigation and analysis—collaborative case reviews (CCRs)—and to measure impact of clinical specialty on strength of action items prescribed. Methods A ful…

The Diagnostic Error in Medicine 13th Annual International Conference Open

Andrew Olson, Chair, Ashley N. D. Meyer, Co-Chair, Gopi J. Astik , et al. · 2021

Purpose/Problem: Electronic health record (EHR) based simulation provides an opportunity to teach and evaluate clinical reasoning and decision-making skills in a high-fidelity environment.We developed an EHR-simulation session for pediatri…

Exacerbation of Inequities in Use of Diagnostic Radiology During the Early Stages of Reopening After COVID-19 Open

Ronilda Lacson, Junzi Shi, Neena Kapoor, Sunil Eappen, Giles W. Boland , et al. · 2021

Closing the Loop on Unscheduled Diagnostic Imaging Orders: A Systems-Based Approach Open

Ronilda Lacson, Isha Gujrathi, Mick Healey, Kelly Fanning, Fauvette Morisset , et al. · 2020

Radiology Workload Changes During the COVID-19 Pandemic: Implications for Staff Redeployment Open

Junzi Shi, Catherine S. Giess, Tyler D. Martin, Karen A. Lemaire, Patrick Curley , et al. · 2020

Can emergency department provider notes help to achieve more dynamic clinical decision support? Open

Justin F. Rousseau, Ivan K. Ip, Ali S. Raja, Jeremiah D. Schuur, Ramin Khorasani · 2020

Clinical notes are an underutilized source of clinical attributes needed for CDS, available in a substantial percentage of encounters at the time of imaging order. Automated pre-population of imaging order requisitions with relevant clinic…

Integrity of clinical information in radiology reports documenting pulmonary nodules Open

Ronilda Lacson, Laila Cochón, Patrick R Ching, Eseosa Odigie, Neena Kapoor , et al. · 2020

Objective Quantify the integrity, measured as completeness and concordance with a thoracic radiologist, of documenting pulmonary nodule characteristics in CT reports and assess impact on making follow-up recommendations. Materials and Meth…

Physician Agreement With Recommendations Contained in a National Guideline for the Management of Incidental Pulmonary Nodules: A Case Study Open

Neena Kapoor, Ronilda Lacson, Mark M. Hammer, Laila Cochón, Pamela J. DiPiro , et al. · 2020

Radiologist Reporting and Operational Management for Patients With Suspected COVID-19 Open

Mark M. Hammer, Anna H. Zhao, Andetta R. Hunsaker, Alejandra Duran Mendicuti, Aaron D. Sodickson , et al. · 2020

Patient-Level, Institutional, and Temporal Variations in Use of Imaging Modalities to Confirm Pulmonary Embolism Open

Ghazaleh Mehdipoor, David Jiménez, Laurent Bertoletti, Ángeles Fidalgo, Juan Francisco Sánchez Muñoz-Torrero , et al. · 2020

Background: The choice of the imaging modality for diagnosis of pulmonary embolism (PE) could be influenced by provider, patient or hospital characteristics, or over time. However, little is known about the choice of the diagnostic modalit…

Comparing Breast and Abdominal Subspecialists’ Follow-Up Recommendations for Incidental Liver Lesions on Breast MRI Open

Pamela J. DiPiro, David P. Alper, Catherine S. Giess, Daniel I. Glazer, Leslie K. Lee , et al. · 2020

Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Ambulatory Diagnostic Errors in Radiology Open

Ronilda Lacson, Mick Healey, Laila Cochón, Romeo Laroya, Keith Hentel , et al. · 2020

Appropriateness of inpatient stress testing: Implications for development of clinical decision support mechanisms and future criteria Open

Sanjay Divakaran, Avinainder Singh, Ersilia M. DeFilippis, Timothy W. Churchill, Sarah Cuddy , et al. · 2019

Factors Associated With Optimal Follow-up in Women With BI-RADS 3 Breast Findings Open

Ronilda Lacson, Aijia Wang, Laila Cochón, Catherine S. Giess, Sonali Desai , et al. · 2019

Information technology tools can automate imaging measures for Emergency Department patients with suspected pulmonary embolism Open

Vlad I Valtchinov, Ivan K. Ip, Ramin Khorasani, Laila Cochón, Ronilda Lacson , et al. · 2019

CT pulmonary angiography (CTPA) utilization rates for patients with suspected pulmonary embolism (PE) in the Emergency Department (ED) have increased steadily with associated radiation exposure, costs and overdiagnosis. A new measure is ne…

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer Open

Srinivas Emani, Thomas D. Sequist, Ronilda Lacson, Ramin Khorasani, Kunal Jajoo , et al. · 2019

Variation in Follow-up Imaging Recommendations in Radiology Reports: Patient, Modality, and Radiologist Predictors Open

Laila Cochón, Neena Kapoor, Emmanuel Carrodeguas, Ivan K. Ip, Ronilda Lacson , et al. · 2019

BACKGROUND: Variation between radiologists when making recommendations for additional imaging and associated factors are unknown. Clear identification of factors that account for variation in follow-up recommendations might prevent unneces…

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