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Spring Programme 2011
Faculty of Radiologists Royal College of Surgeons in Ireland Combined Spring Meeting 8th & 9 th April 2011 Venue: Castlemartyr Hotel, Co. Cork. Programme Faculty of Radiologists, Royal College of Surgeons in Ireland CPD Credits Awarded: 5 Royal College of Radiologists credits are applied for. Friday 8 th April 2011 3.30-4.30pm Registration 4.30-5.30pm Stroke in 2011, Moderator: Dr. Ian Kelly, Waterford Regional Hospital 4.30-5.00pm Acute Stoke Imaging. Dr Noel Fanning, Cork University Hospital, Cork 5.00-5.30pm Stroke: A clinical perspective. Dr. George Pope, John Radcliffe Hospitals, Oxford 5.30-6.30pm Moderator: Dr. Adrian Brady, Dean, Faculty of Radiologists Belfast to Bosnia and Autopsy to Virtopsy Dr. Jack Crane, State Pathologist, NI 8pm Dinner Saturday 9 th April 2011 8.30-9.00am Registration 9.00-10.00am Liver hour. Moderator: Dr John Feeney, AMNCH, Dublin 9.00-9.30am Liver imaging pre metastatectomy. Dr. Peter MacEneaney, Mercy University Hospital, Cork 9.30-10.00am Parenchymal and focal liver biopsy - when and how. Dr Stephen J Skehan St Vincent's University Hospital, Dublin 10.00-11.00am Paediatric Hour. Moderator: Dr. Stephanie Ryan, The Children’s University Hospital Temple Street, Dublin 10.00-10.30am Paediatric Abdominal Emergencies. Dr Eoghan Laffan, The Children’s, University Hospital Temple Street, Dublin 10.30-11.00am Non Accidental Injury. Dr Conor Bogue, Cork University Hospital, Cork 11.00-11.30am Tea/Coffee Break and Poster Exhibition 11.30-12.30pm MSK Hour. Moderator: Dr Orla Buckley, AMNCH, Dublin 11.30-12.00pm Image guided joint interventions. -
ICD~10~PCS Complete Code Set Procedural Coding System Sample
ICD~10~PCS Complete Code Set Procedural Coding System Sample Table.of.Contents Preface....................................................................................00 Mouth and Throat ............................................................................. 00 Introducton...........................................................................00 Gastrointestinal System .................................................................. 00 Hepatobiliary System and Pancreas ........................................... 00 What is ICD-10-PCS? ........................................................................ 00 Endocrine System ............................................................................. 00 ICD-10-PCS Code Structure ........................................................... 00 Skin and Breast .................................................................................. 00 ICD-10-PCS Design ........................................................................... 00 Subcutaneous Tissue and Fascia ................................................. 00 ICD-10-PCS Additional Characteristics ...................................... 00 Muscles ................................................................................................. 00 ICD-10-PCS Applications ................................................................ 00 Tendons ................................................................................................ 00 Understandng.Root.Operatons..........................................00 -
Virtopsy and Living Individuals Evaluation Using Computed
Virtopsy and Living Individuals Evaluation Using Computed Tomography in Forensic Diagnostic Imaging Giuseppe Lo Re, MD, Sergio Salerno, MD, Maria Chiara Terranova, MD Antonella Argo, MD, Antonio Lo Casto, MD, Stefania Zerbo, MD, and Roberto Lagalla, MD The applications of forensic radiology involve both Virtopsy both studies on living people À to demonstrate bone age, search for foreign bodies, such as voluntary injection of drug ovules or surgical sponges accidentally forgotten, to assess gunshot wounds, to evaluate injuries by road accidents, and cases of violence or abuse (both in adults and in children). Computed tomography is the most used imaging tool used in forensic pathology and its indications are mainly focused on cases of unnatural deaths or when a crime is suspected. It is preferred over the standard autopsy in selected cases, such as in putrefied, carbonized or badly damaged bodies; or as a preliminary evaluation in mass disasters. Semin Ultrasound CT MRI 40:67-78 © 2018 Elsevier Inc. All rights reserved. Introduction also preserving evidence in an undisturbed state. Diag- nostic imaging plays a pivotal role in the preliminary he applications of forensic radiology (FR) involve both evaluation in the “safety screening” prior to forensic À T studies on living people and cadavers to demonstrate assessment of the remains; thus, preventing dangers to bone age, search for foreign bodies, such as voluntary injec- the workers who handle the corpses, or in case of infec- tion of drug ovules or surgical sponges accidentally forgot- tion surveillance, such as pulmonary tuberculosis, con- ten, to assess gunshot wounds, to evaluating injuries by road firmed by CT examination before autopsy.16-18 accidents and cases of violence or abuse (both in adults and Although the costs and availability of CT scanners and 1-3 in children). -
New Phase in Forensic Odontology
International Journal of Dental and Health Sciences Review Article Volume 02,Issue 06 VIRTOPSY: NEW PHASE IN FORENSIC ODONTOLOGY Yogish.P 1, Asha Yogish 2 1.Assisstant Professor in Department of Oral Pathology and Microbiology, Sharavathi Dental College and Hospital, Shivamogga. 2.Postgraduate student in Department of Oral Medicine and Radiology, Coorg Institute of Dental Sciences, Virajpet. ABSTRACT: Nowadays, technological advances are becoming more and more important in forensic sciences. Yet autopsy is still one of the very traditional methods. This also applies for dental autopsies, in which visual, photographic and radiological evidences are collected. Virtual Autopsy appears as a helpful and complementary tool for dental and medical cadaveric examination. Using high-tech radiological approaches, Virtual Autopsy may provide, through images, an efficient and more accurate view on the individual case. This critical review aims to update on the origin, applications of virtopsy and also the role of dentists in this field. Keywords: Autopsy; Radiology; Forensic Odontology INTRODUCTION: Death is an inevitable part of life and at psychiatry and behavioural science, few occasions scientific examination of questioned documents, toxicology and bodies after death becomes mandatory. physical anthropology. Modern day investigations have reached a point of sophistication interconnecting Forensic pathology is a discipline of the involvement of many different Forensic science which deals with disciplines to serve problems including pathologic and -
Introduction
RIMS, IMPHAL ANNUAL REPORT 2014-15 INTRODUCTION 1. DESCRIPTION : The Regional Institute of Medical Sciences (RIMS), Imphal was established in the year 1972. It is an institution of regional importance catering to the needs of the North Eastern Region in the field of imparting undergraduate and post graduate medical education.The Institution brings together educational facilities for the training of personnel in all important branches of medical specialities including Dental and Nursing education in one place. The Institute is affiliated to the Manipur University, Canchipur, Imphal. 2. MANAGEMENT : The Institute was transferred to the Ministry of Health & Family Welfare, Government of India from North Eastern Council, Shillong (under Ministry of DoNER, Government of India) w.e.f. 1st April, 2007. Under the existing administrative set-up, the highest decision making body is the Board of Governors headed by the Union Minister of Health & Family Welfare as the President and the Director of the Institute as the Secretary. The Executive Council is responsible for the management of the Institute. The Secretary, Ministry of Health & Family Welfare, Government of India is the Chairman of the Executive Council while the head of the Institute remains as Secretary. Thus, the institute is managed at two levels, namely the Board of Governors and the Executive Council. A. Board of Governors : 1. Hon’ble Union Minister, - President Health & Family Welfare, Government of India. 2. Hon’ble Chief Minister, Manipur. - Vice-President 3. A Representative of the Planning Commission, - Member Government of India. 4. Health Ministers of the Beneficiary States - Member 5. Secretary, Ministry of Health & Family Welfare, - Member Government of India. -
Using Sound Advice—Intravascular Ultrasound As a Diagnostic Tool
Commentary Using sound advice—intravascular ultrasound as a diagnostic tool Yasir Parviz1, Khady N. Fall1, Ziad A. Ali1,2 1Center for Interventional Vascular Therapy, Division of Cardiology, Presbyterian Hospital and Columbia University, New York, USA; 2Cardiovascular Research Foundation, New York, USA Correspondence to: Ziad A. Ali. Center for Interventional Vascular Therapy, Division of Cardiology, Presbyterian Hospital and Columbia University, New York, NY, USA; Cardiovascular Research Foundation, New York, NY, USA. Email: [email protected]. Submitted Sep 06, 2016. Accepted for publication Sep 08, 2016. doi: 10.21037/jtd.2016.10.64 View this article at: http://dx.doi.org/10.21037/jtd.2016.10.64 Intravascular ultrasound (IVUS) uses varying-frequency (6.0% vs. 13.6%) (5). catheter-based transducers for assessment of blood vessel By extrapolation, IVUS may also have utility in the dimensions and morphology. Along with advances in the emergency setting for pathologies involving the LMCA field of interventional cardiology, IVUS technology has such as spontaneous or iatrogenic dissection. The incidence progressed in the last two decades. Dedicated training of spontaneous dissection in the LMCA has been reported centers in combination with enthusiasm from a new to be ~1% of all epicardial coronary arteries (6,7). Similar generation of cardiologists complemented by well- to aortic dissection, a spontaneous dissection of the established evidence for simplicity, safety and efficacy of LMCA leads to generation of a false lumen and intramural IVUS systems have led to increased routine use of this hematoma with or without intimal tear that may propagate imaging modality. Currently available catheters use sound retrograde into the aorta. -
Crucial Role of Carotid Ultrasound for the Rapid Diagnosis Of
m e d i c i n a 5 2 ( 2 0 1 6 ) 3 7 8 – 3 8 8 Available online at www.sciencedirect.com ScienceDirect journal homepage: http://www.elsevier.com/locate/medici Clinical Case Report Crucial role of carotid ultrasound for the rapid diagnosis of hyperacute aortic dissection complicated by cerebral infarction: A case report and literature review a a, b a Eglė Sukockienė , Kristina Laučkaitė *, Antanas Jankauskas , Dalia Mickevičienė , a a c a Giedrė Jurkevičienė , Antanas Vaitkus , Edgaras Stankevičius , Kęstutis Petrikonis , a Daiva Rastenytė a Department of Neurology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania b Department of Radiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania c Institute of Physiology and Pharmacology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania a r t i c l e i n f o a b s t r a c t Article history: Aortic dissection is a life-threatening rare condition that may virtually present by any organ Received 24 January 2016 system dysfunction, the nervous system included. Acute cerebral infarction among multiple Received in revised form other neurological and non-neurological presentations is part of this acute aortic syndrome. 14 September 2016 Rapid and correct diagnosis is of extreme importance keeping in mind the possibility of Accepted 8 November 2016 thrombolytic treatment if a patient with a suspected ischemic stroke arrives to the Emergency Available online 19 November 2016 Department within a 4.5-h window after symptom onset. Systemic intravenous thrombolysis in the case of an acute brain infarction due to aortic dissection may lead to fatal outcomes. -
Acute Chest Pain-Suspected Aortic Dissection
Revised 2021 American College of Radiology ACR Appropriateness Criteria® Suspected Acute Aortic Syndrome Variant 1: Acute chest pain; suspected acute aortic syndrome. Procedure Appropriateness Category Relative Radiation Level US echocardiography transesophageal Usually Appropriate O Radiography chest Usually Appropriate ☢ MRA chest abdomen pelvis without and with Usually Appropriate IV contrast O MRA chest without and with IV contrast Usually Appropriate O CT chest with IV contrast Usually Appropriate ☢☢☢ CT chest without and with IV contrast Usually Appropriate ☢☢☢ CTA chest with IV contrast Usually Appropriate ☢☢☢ CTA chest abdomen pelvis with IV contrast Usually Appropriate ☢☢☢☢☢ US echocardiography transthoracic resting May Be Appropriate O Aortography chest May Be Appropriate ☢☢☢ MRA chest abdomen pelvis without IV May Be Appropriate contrast O MRA chest without IV contrast May Be Appropriate O MRI chest abdomen pelvis without IV May Be Appropriate contrast O CT chest without IV contrast May Be Appropriate ☢☢☢ CTA coronary arteries with IV contrast May Be Appropriate ☢☢☢ MRI chest abdomen pelvis without and with Usually Not Appropriate IV contrast O ACR Appropriateness Criteria® 1 Suspected Acute Aortic Syndrome SUSPECTED ACUTE AORTIC SYNDROME Expert Panel on Cardiac Imaging: Gregory A. Kicska, MD, PhDa; Lynne M. Hurwitz Koweek, MDb; Brian B. Ghoshhajra, MD, MBAc; Garth M. Beache, MDd; Richard K.J. Brown, MDe; Andrew M. Davis, MD, MPHf; Joe Y. Hsu, MDg; Faisal Khosa, MD, MBAh; Seth J. Kligerman, MDi; Diana Litmanovich, MDj; Bruce M. Lo, MD, RDMS, MBAk; Christopher D. Maroules, MDl; Nandini M. Meyersohn, MDm; Saurabh Rajpal, MDn; Todd C. Villines, MDo; Samuel Wann, MDp; Suhny Abbara, MD.q Summary of Literature Review Introduction/Background Acute aortic syndrome (AAS) includes the entities of acute aortic dissection (AD), intramural hematoma (IMH), and penetrating atherosclerotic ulcer (PAU). -
Initial Observations Comparing MDCT and 3.0T MRI Findings with Autopsy Findings
Utility of Postmortem Autopsy via Whole- Body Imaging: Initial Observations Comparing MDCT and 3.0T MRI Findings with Autopsy Findings Jang Gyu Cha, MD1 Dong Hun Kim, MD1 Objective: We prospectively compared whole-body multidetector computed Dae Ho Kim, MD2 tomography (MDCT) and 3.0T magnetic resonance (MR) images with autopsy Sang Hyun Paik, MD1 findings. Jai Soung Park, MD1 Materials and Methods: Five cadavers were subjected to whole-body, 16- Seong Jin Park, MD1 channel MDCT and 3.0T MR imaging within two hours before an autopsy. A radi- Hae Kyung Lee, MD1 ologist classified the MDCT and 3.0T MRI findings into major and minor findings, Hyun Sook Hong, MD1 which were compared with autopsy findings. 3 Duek Lin Choi, MD Results: Most of the imaging findings, pertaining to head and neck, heart and 4 Kyung Moo Yang, MD vascular, chest, abdomen, spine, and musculoskeletal lesions, corresponded to 4 Nak Eun Chung, MD autopsy findings. The causes of death that were determined on the bases of 4 Bong Woo Lee, MD MDCT and 3.0T MRI findings were consistent with the autopsy findings in four of 4 Joong Seok Seo, MD five cases. CT was useful in diagnosing fatal hemorrhage and pneumothorax, as well as determining the shapes and characteristics of the fractures and the direc- Index terms: tion of external force. MRI was effective in evaluating and tracing the route of a Computed tomography (CT) metallic object, soft tissue lesions, chronicity of hemorrhage, and bone bruises. Magnetic resonance (MR) Whole-body imaging Conclusion: A postmortem MDCT combined with MRI is a potentially powerful Forensic autopsy tool, providing noninvasive and objective measurements for forensic investiga- DOI:10.3348/kjr.2010.11.4.395 tions. -
Virtopsy Working on the Future of Forensic Medicine
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by RERO DOC Digital Library Leitthema Rechtsmedizin 2007 · 17:7–12 M.J. Thali1 · S. Ross1 · L. Oesterhelweg1 · S. Grabherr1 · U. Buck1 · S. Naether1 · DOI 10.1007/s00194-006-0419-6 C. Jackowski1 · S.A. Bolliger1 · P. Vock2 · A. Christe2 · R. Dirnhofer1 Online publiziert: 30. Dezember 2006 1 Center of Forensic Imaging, Institute of Forensic Medicine, University, Bern © Springer Medizin Verlag 2006 2 Institute of Diagnostic Radiology, University Hospital, Bern Virtopsy Working on the future of forensic medicine In recent times, few fields have witnessed 3D Photogrammetry-based This allows for a more detailed surface such impressive progress as imaging optical scanning documentation compared to 3D recon- methods and radiology: digital data ac- structions based on high resolution CT quisition and post-processing of images The standard for the documentation of in- data. have revolutionized the practice of imag- juries in forensic medicine is still photog- The color information is acquired us- ing and radiology and have determined a raphy with exact measurements. Howev- ing the Tritop software that combines dig- growing interest in this field on the part er, the photographic process reduces a 3D ital photography of the surface from many of other medical professions. The applica- wound to a 2D level in the same way as different angles into 3D color information tion of imaging methods for non-invasive classical x-ray documentation. of the object that can be correctly matched documentation and analysis of relevant Using the TRITOP/ATOS III (GOM, on the digital 3D surface model using cod- forensic findings in living and deceased Braunschweig, Germany) system the col- ed and uncoded markers placed on the persons has lagged behind the enormous ored 3D surface can be documented via object. -
Public Use Data File Documentation
Public Use Data File Documentation Part III - Medical Coding Manual and Short Index National Health Interview Survey, 1995 From the CENTERSFOR DISEASECONTROL AND PREVENTION/NationalCenter for Health Statistics U.S. DEPARTMENTOF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics CDCCENTERS FOR DlSEASE CONTROL AND PREVENTlON Public Use Data File Documentation Part Ill - Medical Coding Manual and Short Index National Health Interview Survey, 1995 U.S. DEPARTMENT OF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Hyattsville, Maryland October 1997 TABLE OF CONTENTS Page SECTION I. INTRODUCTION AND ORIENTATION GUIDES A. Brief Description of the Health Interview Survey ............. .............. 1 B. Importance of the Medical Coding ...................... .............. 1 C. Codes Used (described briefly) ......................... .............. 2 D. Appendix III ...................................... .............. 2 E, The Short Index .................................... .............. 2 F. Abbreviations and References ......................... .............. 3 G. Training Preliminary to Coding ......................... .............. 4 SECTION II. CLASSES OF CHRONIC AND ACUTE CONDITIONS A. General Rules ................................................... 6 B. When to Assign “1” (Chronic) ........................................ 6 C. Selected Conditions Coded ” 1” Regardless of Onset ......................... 7 D. When to Assign -
Computed Tomography Angiographic Assessment of Acute Chest Pain
SA-CME ARTICLE Computed Tomography Angiographic Assessment of Acute Chest Pain Matthew M. Miller, MD, PhD,* Carole A. Ridge, FFRRCSI,w and Diana E. Litmanovich, MDz Acute chest pain leads to 6 million Emergency Depart- Abstract: Acute chest pain is a leading cause of Emergency Depart- ment visits per year in the United States.1 Evaluation of acute ment visits. Computed tomography angiography plays a vital diag- chest pain often leads to a prolonged inpatient assessment, nostic role in such cases, but there are several common challenges with assessment duration often exceeding 12 hours. The associated with the imaging of acute chest pain, which, if unrecog- estimated cost of a negative inpatient chest pain assessment nized, can lead to an inconclusive or incorrect diagnosis. These 2,3 imaging challenges fall broadly into 3 categories: (1) image acquis- amounts to $8 billion per year in the United States. ition, (2) image interpretation (including physiological and pathologic The main challenge to diagnosis is the broad range of mimics), and (3) result communication. The aims of this review are to pathologies that can cause chest pain. Vascular causes describe and illustrate the most common challenges in the imaging of include pulmonary embolism (PE), traumatic and acute chest pain and to provide solutions that will facilitate accurate spontaneous aortic syndromes including aortic transection, diagnosis of the causes of acute chest pain in the emergency setting. dissection, intramural hematoma, and penetrating athero- sclerotic ulcer, aortitis, and coronary artery disease. The Key Words: acute chest pain, challenges, pulmonary angiography, latter will not be discussed in detail because of the com- aortography, computed tomography plexity and breadth of this topic alone.