Browsing by Author "Chong, Suzanne"

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    Correction to: In‑person radiologist to review the trauma panscan: a high‑fidelity simulation training program for radiology trainees at an academic level 1 trauma center
    (Springer, 2023) Yang, Allison Y.; Patel, Nishant A.; Khan, Mansoor; Cherry‑Bukowiec, Jill R.; Brown, Laura R.; Machado‑Aranda, David A.; Mazza, Michael B.; Chong, Suzanne; Radiology and Imaging Sciences, School of Medicine
    Correction to: Emergency Radiology (2022) https://doi.org/10.1007/s10140-022-02109-2 The above article was published with error in author name. The correct spelling is David Machado-Aranda (not "Arancha"). The Original article has been corrected.
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    In-person radiologist to review the trauma panscan: a high-fidelity simulation training program for radiology trainees at an academic level 1 trauma center
    (Springer, 2023) Yang, Allison Y.; Patel, Nishant A.; Khan, Mansoor; Cherry‑Bukowiec, Jill R.; Brown, Laura R.; Machado‑Aranda, David A.; Mazza, Michael B.; Chong, Suzanne; Radiology and Imaging Sciences, School of Medicine
    Background: Radiology trainees were uncomfortable going to the CT scanner to review trauma panscans and interacting with trauma surgeons. Objective: This study aims to determine if radiology residents can be trained to accurately identify injuries requiring immediate surgical attention at the CT scanner. Methods: A high-fidelity simulation model was created to provide an immersive training experience. Between February 2015 and April 2017, 62 class 1 trauma panscans were read at the CT scanner by 11 PGY-3 radiology residents. Findings made at the scanner were compared to resident preliminary and attending radiology reports and correlated with clinical outcomes. Timestamps were recorded and analyzed. Surveys were administered to assess the impact of training on radiology residents' self-confidence and to assess trauma surgeons' preference for radiology at the scanner. Significance level was set at p < 0.05. Results: The mean time to provide results at the CT scanner was 11.1 min. Mean time for the preliminary report for CT head and cervical spine was 24.4 ± 9.8 min, and for the CT chest, abdomen, and pelvis was 16.3 ± 6.9 min. 53 traumatic findings on 62 panscans were identified at the scanner and confirmed at preliminary and final reports, for a concordance rate of 85%, compared to 72% for the control group. Radiology residents agreed or strongly agreed the training prepared them for trauma panscan reporting. Trauma surgeons shifted in favor of radiology presence at the scanner. Conclusion: Radiology residents can be trained to accurately and rapidly identify injuries requiring immediate surgical attention at the CT scanner. Clinical impact: These findings support the value-added of an in-person radiologist at the CT scanner for whole-body trauma panscans to facilitate timely detection of life-threatening injuries and improve professional relations between radiologists and trauma surgeons.
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    Management of Nephrolithiasis in Pregnancy: Multi-Disciplinary Guidelines From an Academic Medical Center
    (Frontiers Media, 2021-12-22) Lee, Matthew S.; Fenstermaker, Michael A.; Naoum, Emily E.; Chong, Suzanne; Van de Ven, Cosmas J.; Bauer, Melissa E.; Kountanis, Joanna A.; Ellis, James H.; Shields, James; Ambani, Sapan; Krambeck, Amy E.; Roberts, William W.; Ghani, Khurshid R.; Radiology and Imaging Sciences, School of Medicine
    Introduction: The management of nephrolithiasis during pregnancy can be stressful for urologists due to concerns for investigations and treatments that may pose risk of fetal harm, and unfamiliarity with optimal management of these complex patients. In response, we created multi-disciplinary evidence-based guidelines to standardize the care for obstetric patients presenting with flank pain and suspicion for nephrolithiasis. Methods: A multi-disciplinary team involving Urology, Obstetric Anesthesiology, Obstetrics and Gynecology, Diagnostic Radiology, and Interventional Radiology from a single academic medical center was assembled. A PubMed search was performed using keywords of pregnancy/antepartum, nephrolithiasis/calculi/kidney stones, ureteroscopy, non-obstetric surgery, complications, preterm delivery, MRI, computerized tomography, renal bladder ultrasound (RBUS), and anesthesia to identify relevant articles. Team members reviewed their respective areas to create a comprehensive set of guidelines. One invited external expert reviewed the guidelines for validation purposes. Results: A total of 54 articles were reviewed for evidence synthesis. Four guideline statements were constructed to guide diagnosis and imaging, and seven statements to guide intervention. Guidelines were then used to create a diagnostic and intervention flowchart for ease of use. In summary, RBUS should be the initial diagnostic study. If diagnostic uncertainty still exists, a non-contrast CT scan should be obtained. For obstetric patients presenting with a septic obstructing stone, urgent decompression should be achieved. We recommend ureteral stent placement as the preferred intervention if local factors allow. Conclusions: We present a standardized care pathway for the management of nephrolithiasis during pregnancy. Our aim is to standardize and simplify the clinical management of these complex scenarios for urologists.