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Sumner C, Ikuta I, Garg T, Martin JG, Mansoori B, Chalian M, Englander BS, Chertoff J, Woolen S, Caplin D, Sneider MB, Desouches SL, Chan TL, Kadom N. Approaches to Greening Radiology. Acad Radiol 2023; 30:528-535. [PMID: 36114076 DOI: 10.1016/j.acra.2022.08.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [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: 07/10/2022] [Revised: 07/31/2022] [Accepted: 08/09/2022] [Indexed: 01/25/2023]
Abstract
The health care sector is a resource-intensive industry, consuming significant amounts of water and energy, and producing a multitude of waste. Health care providers are increasingly implementing strategies to reduce energy use and waste. Little is currently known about existing sustainability strategies and how they may be supported by radiology practices. Here, we review concepts and ideas that minimize energy use and waste, and that can be supported or implemented by radiologists.
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Affiliation(s)
- Christina Sumner
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Ichiro Ikuta
- Department of Radiology & Biomedical Imaging, Yale Program for Innovation in Imaging Informatics, Department of Radiology, Yale University School of Medicine, New Haven, CT; Mayo Clinic Arizona, Phoenix, Arizona
| | - Tushar Garg
- Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Jonathan G Martin
- Department of Radiology, Duke University School of Medicine, Durham, North Carolina
| | - Bahar Mansoori
- Department of Radiology, University of Washington, Seattle, Washington
| | - Majid Chalian
- Department of Radiology, University of Washington, Seattle, Washington
| | - Brian S Englander
- Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Jocelyn Chertoff
- Department of Radiology, Dartmouth Health and the Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
| | - Sean Woolen
- Department of Radiology and Biomedical Imaging, UCSF, San Francisco, California
| | - Drew Caplin
- Division of Interventional Radiology, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, New Hyde Park, New York
| | - Michael B Sneider
- Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Virginia
| | | | - Tiffany L Chan
- Department of Radiology, University of California, Los Angeles, California
| | - Nadja Kadom
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia; Department of Radiology, Children's Healthcare of Atlanta- Egleston Campus, Atlanta, Georgia.
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Spieler B, Ballard DH, Mazaheri P, Legro N, Catanzano T, Dey C, Prejean E, Fontentot J, Martin MD, Danrad R, Kim HHR, Caplin D, Gettle LM, Awan O. Social Media in Radiology: Overview and Usefulness of Online Professional #SoMe Profiles. Acad Radiol 2021; 28:526-539. [PMID: 32482471 DOI: 10.1016/j.acra.2020.03.014] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 03/10/2020] [Accepted: 03/12/2020] [Indexed: 12/18/2022]
Abstract
Social media is a ubiquitous part of society and used by many healthcare professionals, including radiologists. This article prepared by the 2019-2020 Radiology Research Alliance Social Media Task Force presents different uses and benefits of an online professional social media profile. Physician and healthcare-specific issues along with popular platforms such as LinkedIn, Facebook, Twitter, Instagram, and YouTube are used to explore topics including education, branding, research, mentorship, promotion, and leadership.
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Cahill AM, Annam A, Baskin KM, Caplin D, Cramer HR, Connolly B, Crowley J, Heran M, Himes EA, Hogan MJ, Josephs S, Pabon-Ramos W, Prajapati H, Shivaram G, Towbin R, Vaidya SS. Society of Interventional Radiology Quality Improvement Standards for Percutaneous Nephrostomy in the Pediatric Population. J Vasc Interv Radiol 2021; 32:146-149. [PMID: 33388108 DOI: 10.1016/j.jvir.2020.07.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 07/30/2020] [Indexed: 01/25/2023] Open
Affiliation(s)
- Anne Marie Cahill
- Department of Interventional Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
| | - Aparna Annam
- Department of Radiology, University of Colorado, School of Medicine, Aurora, Colorado; Interventional Radiology, Children's Hospital Colorado, Aurora, Colorado
| | - Kevin M Baskin
- Department of Interventional Radiology, Sharon Regional Medical Center, Hermitage, Pennsylvania
| | - Drew Caplin
- Division of Interventional Radiology, Department of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York
| | - Harry R Cramer
- Section of Inverventional Radiology, Coastal Vascular and Interventional, PLLC, Pensacola, Florida
| | - Bairbre Connolly
- Image Guided Therapy, Diagnostic Imaging, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
| | - John Crowley
- Department of Radiology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania
| | - Manraj Heran
- Pediatric Interventional Radiology, British Columbia Children's Hospital, Vancouver, British Columbia, Canada; Diagnostic and Therapeutic Neuroradiology, Vancouver General Hospital, Vancouver, British Columbia, Canada
| | | | - Mark J Hogan
- Department of Radiology, Nationwide Children's Hospital, Columbus, Ohio
| | - Shellie Josephs
- Department of Radiology, Stanford Medicine, Palo Alto, California
| | - Waleska Pabon-Ramos
- Department of Radiology, Duke University Medical Center, Durham, North Carolina
| | - Hasmukh Prajapati
- Division of Interventional Radiology, Department of Pediatric Radiology, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Giridhar Shivaram
- Department of Radiology, Seattle Children's Hospital, Seattle, Washington
| | - Richard Towbin
- Department of Radiology, Phoenix Children's Hospital, Phoenix, Arizona
| | - Sandeep S Vaidya
- Department of Interventional Radiology, University of Washington Medical Center, Seattle, Washington
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Americo L, Ramjit A, Wu M, Jensen L, Caplin D, Mazzie J, Gaviola GC, Milburn J, Ho CP, Patel MD, DeBenedectis CM, Heitkamp DE, Sarkany D. Health Care Disparities in Radiology: A Primer for Resident Education. Curr Probl Diagn Radiol 2019; 48:108-110. [DOI: 10.1067/j.cpradiol.2018.05.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Revised: 05/18/2018] [Accepted: 05/18/2018] [Indexed: 11/22/2022]
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Greben CR, Setton A, Putterman D, Caplin D, Lenner R, Gandras EJ. Pulmonary Arteriovenous Malformation Embolization: How We Do It. Tech Vasc Interv Radiol 2013; 16:39-44. [DOI: 10.1053/j.tvir.2013.01.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Siskind E, Lombardi P, Blum M, Tyrell R, Villa M, Kuncewitch M, Olsen EM, Alex A, Lumermann L, Bhaskaran MC, Jhaveri KD, Sachdeva M, Calderon K, Greben C, Putterman D, Gandras E, Caplin D, D’ Agostino C, Pellerito J, Coppa G, Molmenti EP. Significance of elevated transplant renal artery velocities in the postoperative renal transplant patient. Clin Transplant 2013; 27:E157-60. [DOI: 10.1111/ctr.12075] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/20/2012] [Indexed: 12/18/2022]
Affiliation(s)
- Eric Siskind
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Pamela Lombardi
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Mark Blum
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Richard Tyrell
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Manuel Villa
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Michael Kuncewitch
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Elizabeth M. Olsen
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Asha Alex
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Leandro Lumermann
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Madhu C. Bhaskaran
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Kenar D. Jhaveri
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Mala Sachdeva
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Kellie Calderon
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Craig Greben
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Daniel Putterman
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Eric Gandras
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Drew Caplin
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Catherine D’ Agostino
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - John Pellerito
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Gene Coppa
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
| | - Ernesto P. Molmenti
- Department of Transplantation; North Shore Long Island Jewish Health System; Hofstra University School of Medicine; Manhasset; NY; USA
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Greben CR, Setton A, Putterman D, Caplin D, Naidich J, Gandras E. Double Microcatheter Single Vascular Access Embolization Technique for Complex Peripheral Vascular Pathology. Vasc Endovascular Surg 2010; 44:217-22. [DOI: 10.1177/1538574410361786] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The authors describe an embolization technique that allows safe, controllable exclusion of complex vascular pathologies using a single vascular access and 2 microcatheters. This technique is particularly useful in situations where high flow increases the risk of coil migration and nontarget embolization and in large aneurysms. It affords precise placement and repositioning of coils. This method was used to treat patients with pulmonary arteriovenous malformations, renal arteriovenous fistulae and aneurysms, visceral arterial aneurysms and pseudoaneurysms, an aortic pseudoaneurysm, and occlusion of native parent vessels. The technique facilitated safe and successful endovascular closure in all cases.
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Affiliation(s)
- Craig R. Greben
- Radiology, North Shore University Hospital, Manhasset, NY, USA,
| | - Avi Setton
- Radiology, North Shore University Hospital, Manhasset, NY, USA
| | | | - Drew Caplin
- Radiology, North Shore University Hospital, Manhasset, NY, USA
| | - James Naidich
- Radiology, North Shore University Hospital, Manhasset, NY, USA
| | - Eric Gandras
- Radiology, North Shore University Hospital, Manhasset, NY, USA
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Magnus F, Wood B, Moore J, Morrison K, Perkins G, Fyson J, Wiltshire MCK, Caplin D, Cohen LF, Pendry JB. A d.c. magnetic metamaterial. Nat Mater 2008; 7:295-297. [PMID: 18297077 DOI: 10.1038/nmat2126] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2007] [Accepted: 01/21/2008] [Indexed: 05/25/2023]
Abstract
Electromagnetic metamaterials are a class of materials that have been artificially structured on a subwavelength scale. They are currently the focus of a great deal of interest because they allow access to previously unrealizable properties such as a negative refractive index. Most metamaterial designs have so far been based on resonant elements, such as split rings, and research has concentrated on microwave frequencies and above. Here, we present the first experimental realization of a non-resonant metamaterial designed to operate at zero frequency. Our samples are based on a recently proposed template for an anisotropic magnetic metamaterial consisting of an array of superconducting plates. Magnetometry experiments show a strong, adjustable diamagnetic response when a field is applied perpendicular to the plates. We have calculated the corresponding effective permeability, which agrees well with theoretical predictions. Applications for this metamaterial may include non-intrusive screening of weak d.c. magnetic fields.
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Affiliation(s)
- F Magnus
- Physics Department, Imperial College London, Exhibition Road, London SW7 2AZ, UK
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Hansen E, Greben C, Putterman D, Lovecchio J, Caplin D, Gandras E. Abstract No. 364: Percutaneous Insertion of Peritoneal Infusion Ports. J Vasc Interv Radiol 2008. [DOI: 10.1016/j.jvir.2007.12.420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Vanderbrink BA, Rastinehad A, Caplin D, Ost MC, Lobko I, Lee BR. Case Report: Successful Conservative Management of Colorenal Fistula after Percutaneous Cryoablation of Renal-Cell Carcinoma. J Endourol 2007; 21:726-9. [PMID: 17705759 DOI: 10.1089/end.2006.0211] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Cryoablation is an increasingly utilized treatment for renal-cell carcinoma. We describe the first reported case of colorenal fistula resulting from percutaneous renal cryoablation. CASE REPORT A 63-year-old man with hematuria was found to have an enhancing renal mass that was treated with percutaneous CT-guided cryoablation. Two months later, he presented with lower urinary-tract symptoms, and CT imaging revealed a colorenal fistula at the ablation site. Ureteral stent placement resulted in resolution of the fistula. CONCLUSIONS Contrary to previously reported animal and clinical studies, our case report demonstrates that it is possible to incur serious harm to the renal collecting system as a result of percutaneous renal cryoablation. In stable patients, an attempt at conservative management of a fistula should precede extensive reconstructive efforts.
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Affiliation(s)
- Brian A Vanderbrink
- Department of Urology, North Shore-Long Island Jewish Health Care System, Long Island Jewish Medical Center, New Hyde Park, New York 11040, USA.
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McNelis J, Marini CP, Jurkiewicz A, Fields S, Caplin D, Stein D, Ritter G, Nathan I, Simms HH. Predictive factors associated with the development of abdominal compartment syndrome in the surgical intensive care unit. Arch Surg 2002; 137:133-6. [PMID: 11822945 DOI: 10.1001/archsurg.137.2.133] [Citation(s) in RCA: 99] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
HYPOTHESIS Intraoperative and postoperative variables contribute to the development of abdominal compartment syndrome (ACS) in general surgical patients. DESIGN Case-control cohort study of 44 patients admitted to the surgical intensive care unit from March 1, 1995, to January 1, 2001. Groups were matched with respect to age, sex, diagnosis, and procedure. Prospectively collected data included demographics, ventilatory parameters, fluid requirements, hemodynamic and oxygen-derived variables, length of stay, and mortality rates. Statistical analysis was done with the Fisher exact test and/or chi(2) analysis. Continuous variables were analyzed with multivariate and univariate analysis. Data are presented as mean +/- SD. Statistical significance is defined as P<.05. SETTING Long Island Jewish Medical Center (New Hyde Park, NY) is a large tertiary teaching hospital. PATIENTS Twenty-two patients admitted to the surgical intensive care unit who developed ACS, and 22 case-control patients without ACS. MAIN OUTCOME MEASURES Identification of variables that predict the development of ACS. RESULTS Twenty-two patients with episodes of ACS (group 1) were examined and contrasted with 22 matched patients without ACS (group 2). Using univariate analysis, the groups differed with respect to 24-hour fluid administration and balance, number of emergency procedures, peak airway pressure, central venous pressure, pulmonary artery occlusion pressure, lengths of stay in the hospital and intensive care unit, and mortality rates. With multivariate analysis, only 24-hour fluid balance and peak airway pressure (group 1 vs group 2: mean +/- SD, 15.9 +/- 10.3 L vs 7.0 +/- 3.5 L, and 57.9 +/- 11.9 mm Hg vs 32.2 +/- 7.1 mm Hg, respectively; P<.05) remained significantly different. The groups did not differ with regard to age, cardiac index, operative blood loss, duration of surgery, intraoperative fluid input, or balance. A predictive equation for ACS development was created: P = 1/(1 +e(-z)), where z= -18.6763 + 0.1671 (peak airway pressure) + 0.0009 (fluid balance). CONCLUSION The results of this study indicate that 24-hour fluid balance and peak airway pressure are 2 independent variables predictive of the development of ACS in nontrauma surgical patients.
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Affiliation(s)
- John McNelis
- Department of Surgery, Northshore-Long Island Jewish Health System, Albert Einstein College of Medicine, New Hyde Park, NY, USA.
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Kalimi R, Gecelter GR, Caplin D, Brickman M, Tronco GT, Love C, Yao J, Simms HH, Marini CP. Diagnosis of acute cholecystitis: sensitivity of sonography, cholescintigraphy, and combined sonography-cholescintigraphy. J Am Coll Surg 2001; 193:609-13. [PMID: 11768676 DOI: 10.1016/s1072-7515(01)01092-4] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Radiographic diagnosis of acute cholecystitis can be established using ultrasonography (US), cholecystoscintigraphy (HIDA), or both. Although both modalities have been effective in diagnosing acute cholecystitis (AC), physicians from the emergency department and admitting surgeons continue to request both tests in an attempt to increase the diagnostic accuracy of AC. This article reports the institutional experience of a large tertiary care health care facility, with respect to the sensitivity of US, HIDA, and combined US and HIDA. STUDY DESIGN We conducted a retrospective review of 132 patients diagnosed with AC who underwent laparoscopic cholecystectomy during the same hospitalization. Patients were stratified into three groups: Group 1 (Gp1, n = 50) included patients who underwent US alone, group 2 (Gp2, n = 28) included patients who underwent HIDA scan alone, and group 3 (Gp3, n = 54) included patients who underwent both US and HIDA. RESULTS The three groups did not differ with respect to age, liver chemistry, time to operation, and hospital length of stay. The sensitivity of US, HIDA, and combined US/HIDA as diagnostic modalities for acute cholecystitis was referenced to histopathologic confirmation. Sensitivity was 24 of 50 (48%), 24 of 28 (86%), and 49 of 54 (90%) for US, HIDA, and the combination of US/HIDA, respectively. CONCLUSIONS HIDA scan is a more sensitive test than US in diagnosing patients with AC. Based on the results of this study, we recommend that HIDA scan should be used as the first diagnostic modality in patients with suspected acute cholecystitis; US should be used to confirm the presence of gallbladder stones rather than to diagnose AC.
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Affiliation(s)
- R Kalimi
- Department of Surgery, North Shore-Long Island Jewish Health System, Albert Einstein College of Medicine, New York, NY, USA
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