Computed tomography angiography may show significant incidental findings that ED physicians should act upon.
Emergency room physicians need to be aware of the potential for clinically significant incidental findings and recommendations associated with CT angiography (CTA), according to a study published in The American Journal of Emergency Medicine.
Researchers from Harvard Medical School, in Boston, MA, performed a retrospective study to assess the outcomes, incidental findings, recommendations, and adherence to the recommendations on CTA studies that were performed at the request of ED physicians who were concerned about the potential for aortic dissection.
The researchers reviewed 370 dissection CTAs performed over 12 months. Patient mean age was 63 (15 to 97). The findings were:
Thirty (28.3%) recommendations were acted upon, most commonly related to pulmonary nodule.
“CT angiography is useful in detecting aortic pathology,” the authors concluded. “However, ED physicians should be aware of the potential for clinically significant incidental findings and recommendations. Adherence to recommendations was limited and future research could investigate mechanisms to improve compliance.”
Study Reveals Benefits of Photon-Counting CT for Assessing Acute Pulmonary Embolism
April 23rd 2024In comparison to energy-integrating detector CT for the workup of suspected acute pulmonary embolism, the use of photon-counting detector CT reduced radiation dosing by 48 percent, according to newly published research.
The Reading Room: Racial and Ethnic Minorities, Cancer Screenings, and COVID-19
November 3rd 2020In this podcast episode, Dr. Shalom Kalnicki, from Montefiore and Albert Einstein College of Medicine, discusses the disparities minority patients face with cancer screenings and what can be done to increase access during the pandemic.
AI Adjudication Bolsters Chest CT Assessment of Lung Adenocarcinoma
April 11th 2024The inclusion of simulated adjudication for resolving discordant nodule classifications in a deep learning model for assessing lung adenocarcinoma on chest CT resulted in a 12 percent increase in sensitivity rate.