1
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Peppiatt I, Retrouvey M, Conran RM. Educational Case: Neonatal respiratory distress syndrome. Acad Pathol 2024; 11:100115. [PMID: 38616953 PMCID: PMC11015107 DOI: 10.1016/j.acpath.2024.100115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 01/16/2024] [Accepted: 01/31/2024] [Indexed: 04/16/2024] Open
Affiliation(s)
- Irene Peppiatt
- School of Medicine, Eastern Virginia Medical School, Norfolk, VA, USA
| | - Michele Retrouvey
- Department of Radiology, Florida Atlantic University College of Medicine, FL, USA
| | - Richard M. Conran
- Department of Pathology & Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA
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2
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Sumner C, Kietzman A, Kadom N, Frigini A, Makary MS, Martin A, McKnight C, Retrouvey M, Spieler B, Griffith B. Medical Malpractice and Diagnostic Radiology: Challenges and Opportunities. Acad Radiol 2024; 31:233-241. [PMID: 37741730 DOI: 10.1016/j.acra.2023.08.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 08/10/2023] [Accepted: 08/14/2023] [Indexed: 09/25/2023]
Abstract
Medicolegal challenges in radiology are broad and impact both radiologists and patients. Radiologists may be affected directly by malpractice litigation or indirectly due to defensive imaging ordering practices. Patients also could be harmed physically, emotionally, or financially by unnecessary tests or procedures. As technology advances, the incorporation of artificial intelligence into medicine will bring with it new medicolegal challenges and opportunities. This article reviews the current and emerging direct and indirect effects of medical malpractice on radiologists and summarizes evidence-based solutions.
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Affiliation(s)
- Christina Sumner
- Department of Radiology and Imaging Sciences, Emory University (C.S., N.K.), Atlanta, GA
| | | | - Nadja Kadom
- Department of Radiology and Imaging Sciences, Emory University (C.S., N.K.), Atlanta, GA
| | - Alexandre Frigini
- Department of Radiology, Baylor College of Medicine (A.F.), Houston, TX
| | - Mina S Makary
- Department of Radiology, Ohio State University Wexner Medical Center (M.S.M.), Columbus, OH
| | - Ardenne Martin
- Louisiana State University Health Sciences Center (A.M.), New Orleans, LA
| | - Colin McKnight
- Department of Radiology, Vanderbilt University Medical Center (C.M.), Nashville, TN
| | - Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School/Medical Center Radiologists (M.R.), Norfolk, VA
| | - Bradley Spieler
- Department of Radiology, University Medical Center, Louisiana State University Health Sciences Center (B.S.), New Orleans, LA
| | - Brent Griffith
- Department of Radiology, Henry Ford Health (B.G.), Detroit, MI.
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3
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Retrouvey M. To Sedate or Not to Sedate: The Future of Pediatric Imaging. Acad Radiol 2023; 30:1989-1990. [PMID: 37474349 DOI: 10.1016/j.acra.2023.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Accepted: 06/20/2023] [Indexed: 07/22/2023]
Affiliation(s)
- Michele Retrouvey
- Florida Atlantic University Charles E Schmidt College of Medicine, Boca Raton, Florida.
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4
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Velez-Florez MC, Dougherty S, Ginader A, Hailu T, Bodo N, Poznick L, Retrouvey M, Reid JR, Gokli A. Hands-On Ultrasound Training for Radiology Residents: The Impact of an Ultrasound Scanning Curriculum. Acad Radiol 2023; 30:2059-2066. [PMID: 36914500 DOI: 10.1016/j.acra.2023.01.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Revised: 01/18/2023] [Accepted: 01/20/2023] [Indexed: 03/13/2023]
Abstract
RATIONALE AND OBJECTIVES Radiologists are responsible for interpreting ultrasound (US) images accurately, troubleshooting, aiding sonographers, and advancing technology and research. Despite this, most radiology residents do not feel confident performing US independently. The purpose of this study is to evaluate the impact of an abdominal US scanning rotation and digital curriculum on radiology residents' confidence and skills in performing US. MATERIALS AND METHODS All residents who were rotating in pediatric US at our institution for the first time were included (PGY 3-5). Those who agreed to participate were recruited sequentially from July 2018 to 2021 into (A) control and (B) intervention. B had a 1-week US scanning rotation and US digital course. Both groups completed a pre-and post-confidence self-assessment. Pre-and post-skills were objectively assessed by an expert technologist while participants scanned a volunteer. At completion, B completed an evaluation of the tutorial. Descriptive statistics summarized the demographics and closed questions. Pre-and post-test results were compared using paired-T tests, and effect size (ES) with Cohen's d. Open-ended questions were thematically analyzed. RESULTS PGY-3 and 4 residents participated, and were enrolled in A (N = 39) and B (N = 30). Scanning confidence significantly improved in both groups, with a greater ES in B (p < 0.01). Scanning skills significantly improved in B (p < 0.01) but not A. Eighty per cent of questionnaire responders used the integrative US tutorial and found it helpful. Free text responses were grouped into themes: 1) Technical issues, 2) Didn't complete course, 3) Didn't understand project, 4) Course was detailed and thorough. CONCLUSIONS Our scanning curriculum improved residents' confidence and skills in pediatric US and may encourage consistency in training, thus promoting stewardship of high-quality US.
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Affiliation(s)
- Maria Camila Velez-Florez
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104.
| | - Shauna Dougherty
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Abigail Ginader
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Tigist Hailu
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Nicole Bodo
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Laura Poznick
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Michele Retrouvey
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Janet R Reid
- Children's Hospital of Philadelphia, Department of Radiology, 3401 Civic Center Blvd., Philadelphia, PA 19104
| | - Ami Gokli
- Staten Island University Hospital, Department of Radiology, Staten Island, New York
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5
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Knopp BW, Weiss HZ, Retrouvey M, Luck G. Inhalational Heroin Use and Leukoencephalopathy: A Case Report. Cureus 2023; 15:e42323. [PMID: 37614254 PMCID: PMC10443436 DOI: 10.7759/cureus.42323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 07/23/2023] [Indexed: 08/25/2023] Open
Abstract
Heroin-induced leukoencephalopathy (HLE) is a rare condition with acute and chronic outcomes ranging from mild neurological symptoms to severe neurological deficits and death. HLE is caused by cerebral white matter damage secondary to exposure to toxic agents such as chemotherapeutic drugs, environmental toxins, and drugs of abuse. Here, we present the case of a 20-year-old woman with a past medical history significant for bipolar disorder and opioid use who presented to the emergency department with ataxia, involuntary movements, and altered mental status secondary to inhalational heroin use. The patient presented with symptoms including agitation, tremors, speech difficulty, confusion, memory loss, and weakness. Magnetic resonance imaging (MRI) showed diffuse cerebral atrophy and electroencephalography (EEG) was significant for cerebral dysfunction in the left hemisphere and diffuse encephalopathy. The patient was treated with intravenous (IV) steroids, vitamins, and fluids but failed to show improvement. She was subsequently discharged to hospice 17 days after admission. There are few reported cases of toxic leukoencephalopathy due to heroin inhalation. The patient's young age and presentation following one month of abstinence are particularly unique as she suffered an acute decompensation with severe, lasting neurological deficits. This case highlights a potential presentation of HLE and seeks to increase clinical recognition in patients with a recent history of substance use and unexplained neurological symptoms.
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Affiliation(s)
- Brandon W Knopp
- Endocrinology, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA
| | - Hannah Z Weiss
- Medical Education, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA
| | - Michele Retrouvey
- Radiology, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA
| | - George Luck
- Integrated Medical Science, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA
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6
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Light J, Retrouvey M, Conran RM. Educational Case: Osteogenesis imperfecta. Acad Pathol 2022; 9:100025. [PMID: 35600749 PMCID: PMC9115726 DOI: 10.1016/j.acpath.2022.100025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 10/30/2021] [Accepted: 11/07/2021] [Indexed: 11/17/2022] Open
Affiliation(s)
- Jonathan Light
- School of Medicine, Eastern Virginia Medical School, Norfolk, VA, USA
| | - Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School/Medical Center Radiologists, Norfolk, VA, USA
| | - Richard M. Conran
- Department of Pathology & Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA
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7
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Hodges H, Epstein KN, Retrouvey M, Wang SS, Richards AA, Lima D, Revels JW. Pitfalls in the interpretation of pediatric head CTs: what the emergency radiologist needs to know. Emerg Radiol 2022; 29:729-742. [PMID: 35394570 DOI: 10.1007/s10140-022-02042-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 03/29/2022] [Indexed: 11/28/2022]
Abstract
Pediatric radiology studies can be some of the most anxiety-inducing imaging examinations encountered in practice. This can be in part due to the wide range of normal anatomic appearances inherent to the pediatric population that create potential interpretive pitfalls for radiologists. The pediatric head is no exception; for instance, the inherent greater water content within the neonatal brain compared to older patients could easily be mistaken for cerebral edema, and anatomic variant calvarial sutures can be mistaken for skull fractures. This article reviews potential pitfalls emergency radiologists may encounter in practice when interpreting pediatric head CTs, including trauma, extra-axial fluid collections, intra-axial hemorrhage, and ventriculoperitoneal shunt complications.
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Affiliation(s)
- Hannah Hodges
- Department of Radiology, University of New Mexico, MSC 10 5530, 1, Albuquerque, NM, 87131, USA
| | - Katherine N Epstein
- Department of Radiology, University of New Mexico, MSC 10 5530, 1, Albuquerque, NM, 87131, USA
| | - Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School, Diagnostic Radiology, P.O. Box 1980, Norfolk, VA, 23501, USA
| | - Sherry S Wang
- Department of Radiology and Imaging Sciences, University of Utah, 30 North 1900 East #1A71, Salt Lake City, UT, 84132, USA
| | - Allyson A Richards
- Department of Radiology, University of New Mexico, MSC 10 5530, 1, Albuquerque, NM, 87131, USA
| | - Dustin Lima
- Department of Radiology, University of New Mexico, MSC 10 5530, 1, Albuquerque, NM, 87131, USA
| | - Jonathan W Revels
- Department of Radiology, University of New Mexico, MSC 10 5530, 1, Albuquerque, NM, 87131, USA.
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8
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Retrouvey M, Vossough A, Zandifar A, Bellah RD, Heuer GG, Flibotte J, Tierradentro-Garcia LO, Saade-Lemus S, Kim JDU, Back SJ, Kaplan SL. Validation of Sonographic Fronto-Occipital Ratio Based on Anatomical Landmarks Compared to MR/CT-Derived Indexes in Children with Chiari II and Ventriculomegaly. Pediatr Neurosurg 2022; 57:71-77. [PMID: 34937031 DOI: 10.1159/000521622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 12/20/2021] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Ultrasound (US)-based indexes such as fronto-occipital ratio (FOR) can be used to obtain an acceptable estimation of ventricular volume. Patients with colpocephaly present a unique challenge due to the shape of their ventricles. In the present study, we aimed to evaluate the validity and reproducibility of the modified US-FOR index in children with Chiari II-related ventriculomegaly. METHODS In this retrospective study, we evaluated Chiari II patients younger than 1 year who underwent head US and MR or CT scans for ventriculomegaly evaluation. MR/CT-based FOR was measured in the axial plane by identifying the widest diameter of frontal horns, occipital horns, and the interparietal diameter (IPD). US-based FOR (US-FOR) was measured using the largest diameter based on the following landmarks: frontal horn and IPD in the coronal plane at the level of the foramen of Monro, IPD just superior to the Sylvian fissures, and occipital horn posterior to the thalami and inferior to the superior margins of the thalami. Intraclass correlation coefficients (ICCs) were used to evaluate inter-rater reliability, and Pearson correlation coefficients and Bland-Altman plots were applied to assess agreement between US and other two modalities. RESULTS Sixty-three paired US and MR/CT exams were assessed for agreement between US-FOR and MR/CT-FOR measurements. ICC showed an excellent inter-rater reliability for US-FOR (ICC = 0.99, p < 0.001) and MR/CT-FOR (ICC = 0.99, p < 0.001) measurements. The mean (range) values based on US-FOR showed a slight overestimation in comparison with MR/CT-FOR (0.51 [0.36-0.68] vs. 0.46 [0.34-0.64]). The Pearson correlation coefficient showed high cross-modality agreement for the FOR index (r = 0.83, p < 0.001). The Bland-Altman plot showed excellent concordance between US-FOR and MR/CT-FOR with a bias of 0.05 (95% CI: -0.03 to 0.13). CONCLUSION US-FOR in the coronal plane is a comparable tool for evaluating ventriculomegaly in Chiari II patients when compared with MR/CT-FOR, even in the context of colpocephaly.
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Affiliation(s)
- Michele Retrouvey
- Department of Radiology, Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Medical Center Radiologists, Norfolk, Virginia, USA
| | - Arastoo Vossough
- Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.,Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Alireza Zandifar
- Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA,
| | - Richard D Bellah
- Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.,Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Gregory G Heuer
- Division of Neurosurgery, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - John Flibotte
- Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.,Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | | | - Sandra Saade-Lemus
- Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.,Department of Neurology, Brigham and Women's Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Jorge Du Ub Kim
- Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Susan J Back
- Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.,Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Summer L Kaplan
- Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.,Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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9
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Light J, Retrouvey M, Wellman LL, Conran RM. Educational Case: Rickets. Acad Pathol 2022; 9:100054. [PMID: 36177064 PMCID: PMC9512835 DOI: 10.1016/j.acpath.2022.100054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 07/11/2022] [Accepted: 08/15/2022] [Indexed: 11/17/2022] Open
Affiliation(s)
- Jonathan Light
- School of Medicine, Eastern Virginia Medical School, Norfolk, VA, USA
| | - Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School/Medical Center Radiologists, Norfolk, VA, USA
| | - Laurie L. Wellman
- Department of Pathology & Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA
| | - Richard M. Conran
- Department of Pathology & Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA
- Corresponding author. Pathology & Anatomy, Eastern Virginia Medical School, 700 West Olney Road, Norfolk, 23507, VA, USA.
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10
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Abstract
The following fictional case is intended as a learning tool within the
Pathology Competencies for Medical Education (PCME), a set of national
standards for teaching pathology. These are divided into three basic
competencies: Disease Mechanisms and Processes, Organ System Pathology, and
Diagnostic Medicine and Therapeutic Pathology. For additional information,
and a full list of learning objectives for all three competencies,
seehttp://journals.sagepub.com/doi/10.1177/2374289517715040.1
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Affiliation(s)
- Jonathan Light
- School of Medicine, Eastern Virginia Medical School, Norfolk, VA, USA
| | - Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School/Medical Center Radiologists, Norfolk, VA, USA
| | - Richard M. Conran
- Department of Pathology & Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA
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11
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Weaver JS, Revels JW, Elifritz JM, Whitlow B, Retrouvey M, Wang SS. Clinical Manifestations and Medical Imaging of Osteogenesis Imperfecta: Fetal Through Adulthood. Acta Med Acad 2021; 50:277-291. [PMID: 34847680 DOI: 10.5644/ama2006-124.343] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 05/27/2021] [Indexed: 11/09/2022] Open
Abstract
The aim of this paper is to describe the varying clinical and imaging manifestations of Osteogenesis Imperfecta (OI) in the fetus, the child, and the adult. OI is a genetic disorder with mutation of Type 1 and non-type 1 collagen genes that results in disruption of multiple collagen based organ systems, most notably bones, often leading to "brittle bones". Additional features such as blue sclera, dentinogenesis imperfecta, joint and ligamentous hyperlaxity, hearing loss and cardiac defects may be present. Currently, there are at least 30 recognized genetic forms of OI. Given the multiple genes involved, variable genetic inheritance, and the wide range in phenotype, diagnosis can be challenging. While OI may sometimes be diagnosed in the fetus, patients with mild forms of OI may be diagnosed in childhood or even in adulthood. Imaging, including ultrasound, radiography, computed tomography, and magnetic resonance imaging, plays an important role in the diagnoses of OI in the fetus, the child, and the adult. Imaging is also crucial in identifying the many multisystem manifestations of OI. In particular, imaging can help differentiate manifestations of OI from injuries sustained in non-accidental trauma. Age, severity and manner of presentation of OI vary broadly depending on the specific genetic mutation involved, mode of inheritance, and age of the patient. Successful diagnosis of OI hinges on a detailed knowledge of the variable presentation and complications that may be encountered with this disease. CONCLUSION: In conclusion, OI comprises a heterogeneous group of genetic disorders responsible for bone fragility and additional connective tissue disorders, which can result in specific clinical and imaging findings in the fetus, the child, and the adult.
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Affiliation(s)
| | | | | | | | | | - Sherry S Wang
- University of Utah, Department of Radiology and Imaging Sciences
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12
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Eccleston C, Retrouvey M, Conran RM. Educational Case: Ewing Sarcoma of Bone. Acad Pathol 2021; 8:23742895211040204. [PMID: 34485689 PMCID: PMC8411630 DOI: 10.1177/23742895211040204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 06/03/2021] [Accepted: 07/06/2021] [Indexed: 11/15/2022] Open
Abstract
The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three competencies, seehttp://journals.sagepub.com/doi/10.1177/2374289517715040. 1.
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Affiliation(s)
| | - Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School/Medical Center Radiologists, Norfolk, VA, USA
| | - Richard M Conran
- Department of Pathology & Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA
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13
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Grajo JR, Retrouvey M, Awan O, Catanzano T, Cheong LHA, Mankoff D, Burdette JH, Mendiratta-Lala M, Spalluto LB, Bronen RA, DeBenedectis CM. Transitioning from Radiology Training to Academic Faculty: Defining Your Role and Interests. Curr Probl Diagn Radiol 2019; 49:227-230. [PMID: 30929906 DOI: 10.1067/j.cpradiol.2019.03.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Accepted: 03/05/2019] [Indexed: 11/22/2022]
Abstract
Transitioning from radiology training to academic faculty presents many challenges. In this review, we discuss strategies to navigate this process and to facilitate success through appropriate selection of career tracks. Various modern avenues include roles as a Clinician-Educator, Clinician-Investigator, and Clinician-Administrator. Selection of the appropriate career track based on personal interests and institutional culture is critical for early and long-term career satisfaction.
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Affiliation(s)
- Joseph R Grajo
- Department of Radiology, University of Florida College of Medicine, Gainesville, FL
| | - Michele Retrouvey
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA
| | - Omer Awan
- Department of Radiology, Temple University Hospital, Philadelphia, PA
| | - Tara Catanzano
- Department of Radiology, University of Massachusetts Medical School-Baystate, Springfield, MA
| | | | - David Mankoff
- Department of Radiology, University of Pennsylvania School of Medicine, Philadelphia, PA
| | | | | | - Lucy B Spalluto
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN; Veteran's Health Administration-Tennessee Valley Healthcare System Geriatric Research, Education Clinical Center, Nashville, TN
| | - Richard A Bronen
- Department of Radiology and Biomedical Imaging, Yale University School of MedicineNew Haven, CT
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14
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Retrouvey M, Grajo JR, Awan O, Catanzano T, Cheong LHA, Mankoff D, Burdette JH, Mendiratta-Lala M, Spalluto LB, Bronen RA, DeBenedectis CM. Transitioning From Radiology Training to Academic Faculty: The Importance of Mentorship. Curr Probl Diagn Radiol 2019; 49:219-223. [PMID: 30904346 DOI: 10.1067/j.cpradiol.2019.02.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Accepted: 02/25/2019] [Indexed: 11/22/2022]
Abstract
Transitioning from radiology residency to academic faculty presents many challenges. In this review, we discuss the importance of introspection and mentorship to successfully navigate this process. Key points include alignment of goals with those of the institution, formation of a mentorship program, and periodic reassessment of career goals. These tips and tools can help make the transition from residency to academic faculty more seamless.
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Affiliation(s)
- Michele Retrouvey
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA
| | - Joseph R Grajo
- Department of Radiology, University of Florida College of Medicine, Gainesville, FL
| | - Omer Awan
- Department of Radiology, Temple University Hospital, Philadelphia, PA
| | - Tara Catanzano
- Department of Radiology, University of Massachusetts Medical School-Baystate, Springfield, MA
| | | | - David Mankoff
- Department of Radiology, University of Pennsylvania School of Medicine, Philadelphia, PA
| | | | | | - Lucy B Spalluto
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN; Veteran's Health Administration-Tennessee Valley Healthcare System Geriatric Research, Education Clinical Center, Nashville, TN
| | - Richard A Bronen
- Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT
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15
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Retrouvey M, Keefe B, Kotsenas A, McGinty G, Patel AK. Women in Radiology: Creating a Global Mentorship Network Through Social Media. J Am Coll Radiol 2018; 15:229-232. [DOI: 10.1016/j.jacr.2017.09.029] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Accepted: 09/09/2017] [Indexed: 10/18/2022]
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Affiliation(s)
- Daniel Andrew Ortiz
- Department of Radiology, Eastern Virginia Medical School, Norfolk, Virginia.
| | - Anthony Paul Trace
- Department of Radiology, Eastern Virginia Medical School, Norfolk, Virginia
| | - Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School, Norfolk, Virginia
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17
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Erickson J, Retrouvey M, Rush J, Trace AP. Simultaneous duodenal stenosis and duodenal web in a newborn. Radiol Case Rep 2016; 11:444-446. [PMID: 27920877 PMCID: PMC5128381 DOI: 10.1016/j.radcr.2016.08.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Revised: 08/23/2016] [Accepted: 08/28/2016] [Indexed: 01/01/2023] Open
Abstract
Failure of duodenal recanalization results in a spectrum of proximal bowel obstruction from stenosis to atresia. Associations between congenital duodenal obstruction and other congenital anomalies have been well documented although the coincidence of duodenal stenosis and duodenal web is incredibly rare, posing a unique diagnostic challenge. We report a case of a full-term 4-day-old female child presented with forceful, bilious emesis and poor oral intake with decreased frequency of urination, and stooling whose initial abdominal radiograph showed several loops of gas-filled bowel in the distal stomach and proximal duodenum mimicking the classic “double-bubble” sign. An upper gastrointestinal barium contrast study revealed distention of the duodenal bulb with an abrupt narrowing and subsequent dilation at the second portion of the duodenum raising the suggestion of multiple duodenal obstructions. Ladd’s procedure was performed, and the stenotic and webbed segments were bypassed with a Kimura diamond-shaped duodenoduodenostomy.
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Affiliation(s)
- James Erickson
- School of Medicine, Eastern Virginia Medical School, Norfolk, VA, USA
| | - Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School, PO Box 1980, Norfolk, VA 23501, USA
| | - Jennifer Rush
- Department of Radiology, Eastern Virginia Medical School, PO Box 1980, Norfolk, VA 23501, USA
| | - Anthony P Trace
- Department of Radiology, Eastern Virginia Medical School, PO Box 1980, Norfolk, VA 23501, USA
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Trace AP, Ortiz D, Deal A, Retrouvey M, Elzie C, Goodmurphy C, Morey J, Hawkins CM. Radiology’s Emerging Role in 3-D Printing Applications in Health Care. J Am Coll Radiol 2016; 13:856-862.e4. [DOI: 10.1016/j.jacr.2016.03.025] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2015] [Revised: 03/11/2016] [Accepted: 03/23/2016] [Indexed: 01/17/2023]
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Retrouvey M, Patel Z, Shaves S. US Preventive Services Task Force CT Lung Cancer Screening Recommendations: Community Awareness and Perceptions. J Am Coll Radiol 2016; 13:R35-7. [PMID: 26846534 DOI: 10.1016/j.jacr.2015.12.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Affiliation(s)
- Michele Retrouvey
- Department of Radiology, Eastern Virginia Medical School, Norfolk, Virginia.
| | - Zeal Patel
- Department of Radiology, Eastern Virginia Medical School, Norfolk, Virginia
| | - Sarah Shaves
- Department of Radiology, Eastern Virginia Medical School, Norfolk, Virginia
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Decker SJ, Grajo JR, Hazelton TR, Hoang KN, McDonald JS, Otero HJ, Patel MJ, Prober AS, Retrouvey M, Rosenkrantz AB, Roth CG, Ward RJ. Research Challenges and Opportunities for Clinically Oriented Academic Radiology Departments. Acad Radiol 2016; 23:43-52. [PMID: 26598485 DOI: 10.1016/j.acra.2015.10.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Revised: 10/13/2015] [Accepted: 10/14/2015] [Indexed: 12/26/2022]
Abstract
Between 2004 and 2012, US funding for the biomedical sciences decreased to historic lows. Health-related research was crippled by receiving only 1/20th of overall federal scientific funding. Despite the current funding climate, there is increased pressure on academic radiology programs to establish productive research programs. Whereas larger programs have resources that can be utilized at their institutions, small to medium-sized programs often struggle with lack of infrastructure and support. To address these concerns, the Association of University Radiologists' Radiology Research Alliance developed a task force to explore any untapped research productivity potential in these smaller radiology departments. We conducted an online survey of faculty at smaller clinically funded programs and found that while they were interested in doing research and felt it was important to the success of the field, barriers such as lack of resources and time were proving difficult to overcome. One potential solution proposed by this task force is a collaborative structured research model in which multiple participants from multiple institutions come together in well-defined roles that allow for an equitable distribution of research tasks and pooling of resources and expertise. Under this model, smaller programs will have an opportunity to share their unique perspective on how to address research topics and make a measureable impact on the field of radiology as a whole. Through a health services focus, projects are more likely to succeed in the context of limited funding and infrastructure while simultaneously providing value to the field.
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Retrouvey M, Patel Z, Shaves S. US Preventive Services Task Force CT Lung Cancer Screening Recommendations: Community Awareness and Perceptions. J Am Coll Radiol 2015; 12:114-5. [DOI: 10.1016/j.jacr.2014.09.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Revised: 09/02/2014] [Accepted: 09/16/2014] [Indexed: 11/26/2022]
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Retrouvey M, Chiodo T, Quidley-Nevares A, Strand J, Goodmurphy C. Use of ultrasound in needle placement in intercostal muscles: a method for increased accuracy in cadavers. Arch Phys Med Rehabil 2013; 94:1256-9. [PMID: 23402723 DOI: 10.1016/j.apmr.2013.01.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2012] [Revised: 01/08/2013] [Accepted: 01/09/2013] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To validate the use of ultrasound technology for the positioning and leveling of intercostal needle placement. DESIGN Double-blinded experimental study. SETTING An anatomy laboratory. PARTICIPANTS Two board-certified physical medicine and rehabilitation physicians, 2 first-year medical students, 1 anatomist, and 8 cadavers. INTERVENTIONS Four unfixed cadavers were used for unguided needle placement, and 3 unfixed and 1 partially fixed cadavers were used for ultrasound-guided needle placement. Ultrasound-guided needle placement was then confirmed with computed tomography and blind dissection. MAIN OUTCOME MEASURE The accuracy of needle placement. RESULTS The unguided study showed needle placement in an intercostal muscle 89% of the time, but in only 15.4% of the time was the correct level sampled. In the 96 needle placements completed, the unguided needle placements had an accuracy of 8.3%, while ultrasound-guided needle placements had an accuracy of 93% (χ(2) with P<.005). CONCLUSIONS Ultrasound guidance dramatically increases needle placement accuracy for intercostal nerve blocks and intercostal muscle sampling for electromyography.
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Affiliation(s)
- Michele Retrouvey
- Department of Anatomy, Eastern Virginia Medical School, Norfolk, VA 23507, USA.
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Abstract
A 19-month-old boy was evaluated for a skin eruption after recent vaccinations. Clinical and histopathologic findings supported a diagnosis of Gianotti-Crosti syndrome (GCS). This case report examines the link between GCS and vaccinations, particularly the diphtheria, tetanus, and pertussis vaccine and the varicella virus live vaccine.
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Abstract
A 19-month-old boy was evaluated for a skin eruption after recent vaccinations. Clinical and histopathologic findings supported a diagnosis of Gianotti-Crosti syndrome (GCS). This case report examines the link between GCS and vaccinations, particularly the diphtheria, tetanus, and pertussis vaccine and the varicella virus live vaccine.
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