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1. Superficial thrombophlebitis in ipsilateral breast after COVID-19 vaccination

Author

Shima Aran, MD, Orest O. Kayder, DO, MA, Teena Chopra, MD, MPH, and Hani Abujudeh, MD, MBA

Subjects
COVID, mRNA vaccination, COVID19 vaccine, superficial thrombophlebitis, Mondor’s disease, Medical physics. Medical radiology. Nuclear medicine, R895-920
Abstract

On December 2020, the US Food and Drug Administration issued the first emergency use authorization for a vaccine for the prevention of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We report development of superficial thrombophlebitis in the ipsilateral breast of a 43-year-old female 7 days after receiving the first dose of the Pfizer-BioNTech COVID-19 vaccine. Given that this is the first case of superficial thrombophlebitis in the breast shortly after mRNA vaccination for COVID-19 reported to our knowledge, we suggest that this may be a rare vaccine-related event.

Published
2022
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2. ACR Appropriateness Criteria® Central Venous Access Device and Site Selection

Author

Alan Massouh, Sharon W. Kwan, Nicholas Fidelman, Mikhail Higgins, Hani Abujudeh, Resmi A. Charalel, Marcelo S. Guimaraes, Amit Gupta, Alexander Lam, Bill S. Majdalany, Parag J. Patel, Kevin S. Stadtlander, Terri Stillwell, Elrond Y.L. Teo, Ricky T. Tong, and Baljendra S. Kapoor

Subjects
Radiology, Nuclear Medicine and imaging
Published
2023

3. Imaging Utilization Patterns and Injury Characteristics Associated with Electric Standing Scooters in a Major Urban Area

Author

Akash Bhatnagar, Maysoon Al-Hihi, Rehan Ali, Neil Sharma, Patrick Lai, Akarshan Monga, Shahram Hadidchi, Orest Kayder, Benedict Amalraj, Hamed Kordbacheh, Samuel Johnson, Hani Abujudeh, James H. Paxton, and Nicholas Lewis

Subjects
Adult, Diagnostic Imaging, Electric Injuries, Emergency Medicine, Electronic Health Records, Humans, Emergency Service, Hospital, United States, Retrospective Studies
Abstract

The recent proliferation of electric standing scooters in major urban areas of the United States has been accompanied by injuries of varying severity and nature, representing a growing public health concern.Our aim was to characterize imaging utilization patterns for injuries associated with electric scooter (e-scooter) use, including their initial emergency department (ED) management.We conducted a retrospective review of the electronic medical record for all patients presenting to affiliated EDs for e-scooter-related injuries between July 2018 and April 2020. Demographics, date and time of presentation, imaging study type, resultant injury, and procedural details were recorded.Ninety-seven patients were included; mean age was 27.6 years. Of these, 55 patients (57%) had injuries identified on imaging and 40% of all imaging studies were positive. Most identified injuries (61%) were musculoskeletal, with a small number of neurological (2%) and genitourinary (1%) injuries. The highest prevalence of presentations occurred in August; most patients (72%) presented between 3 pm and 1 am and granular peaks were between 12 am and 1 am and 5 pm and 6 pm.Patients presenting with e-scooter injuries have a high likelihood of injury to the radial head, nasal bone, and malleoli. Emergency physicians should be especially vigilant for injuries in these areas at presentation. Visceral injuries are uncommon but may be severe enough to warrant surgery.

Published
2022

7. Contributors

Author

Hani Abujudeh, Andreas Adam, Hassan M. Ahmad, Sun Ho Ahn, Kamran Ahrar, Morvarid Alaghmand, Agaicha Alfidja, Ahmad I. Alomari, Gennaro Ambrosanio, Soon Ghee Ang, John Frederick Angle, Gary M. Ansel, Bassel Atassi, Julien Auriol, Juan Carlos Baez, Curtis W. Bakal, Jörn Oliver Balzer, Joel E. Barbato, Brad P. Barnett, Gamal Baroud, Carlo Bartolozzi, Jason R. Bauer, Richard Arthur Baum, Kevin Walter Bell, Jacqueline A. Bello, Jennifer L. Berkeley, Michael A. Bettmann, Mario Bezzi, José I. Bilbao, Deniz Bilecen, Christoph A. Binkert, Haraldur Bjarnason, James H. Black, Francine Blei, Brian M. Block, Marc Bohner, Amman Bolia, Irene Boos, Charles F. Botti, Louis Boyer, Elena Bozzi, Peter Reynolds Bream, Rachel F. Brem, Mark F. Brodie, Allan L. Brook, Benjamin S. Brooke, Duncan Mark Brooks, Daniel B. Brown, Karen T. Brown, James P. Burnes, Patricia E. Burrows, Justin John Campbell, Colin P. Cantwell, Thierry Carreres, John A. Carrino, Lucie Cassagnes, Pascal Chabrot, Abbas Afif Chamsuddin, Richard Chang, Lakhmir S. Chawla, Hank (Han) K. Chen, Yung-Hsin Chen, Rush Hamilton Chewning, Kenneth H. Cho, Albert K. Chun, Timothy W.I. Clark, Felipe B. Collares, Luca Cova, Laura Crocetti, Charles D. Crum, T. Andrew Currier, Ferenc Czeyda-Pommersheim, Michael D. Dake, Michael David Darcy, L. Mark Dean, Thierry De Baère, Sudhen B. Desai, Alvaro A. Diano, Robert G. Dixon, Pablo D. Dominguez, Robert F. Dondelinger, Gregory J. Dubel, Clifford J. Eskey, Jan A. Eubig, Salomão Faintuch, Ronald N. Fairman, Chieh-Min Fan, Fabrizio Fanelli, Mark A. Farber, Laura M. Fayad, Peter F. Ford, Brian Funaki, Andreas Gabelmann, Dmitri A. Gagarin, Philippe Gailloud, Suvranu Ganguli, Lorenzo García-García, Vanessa L. Gates, Tony Geoghegan, Debra A. Gervais, Jean-Francois H. Geschwind, Matthew B. Gillbert, Mark F. Given, Y. Pierre Gobin, S. Nahum Goldberg, Theodore S. Grawbow, Roy K. Greenberg, Brian Grieme, Klaus D. Hagspiel, Keith W. Hamilton, Klaus A. Hausegger, Markus H. Heim, Robert C. Heng, Joshua A. Hirsch, J. Todd Hobelmann, Andrew H. Holden, Ed Horn, Oluwatoyin R. Idowu, Tiziana Ierace, Elizabeth Ann Ignacio, Zubin Irani, Roberto Izzo, James E. Jackson, Augustinus L. Jacob, Priya Jaga, Francis Joffre, Matthew S. Johnson, Chauncey T. Jones, Sanjeeva P. Kalva, Anthony W. Kam, Sridhar Kamath, Krishna Kandarpa, Jeffrey M. Katz, John A. Kaufman, Alexis D. Kelekis, Frederick S. Keller, Robert K. Kerlan, David Kessel, Verena Khan, Kanika Khanna, Neil M. Khilnani, Hyun S. Kim, Hiro Kiyosue, Sebastian Kos, Gaurav Kumar, Maxim Kupershmidt, Vineel Kurli, Jeanne M. LaBerge, Pierre-Yves Laffy, Carlos Lanciego, Elvira V. Lang, Arcangelo L. Lavanga, Leo Patrick Lawler, Judy M. Lee, Michael J. Lee, Thomas Lemettre, Riccardo Lencioni, Yean L. Lim, Robert J. Lewandowski, John J. Lewin, Curtis Allen Lewis, Changqing Li, Eleni Liapi, Rafael H. Llinas, Reinhard Loose, Stuart M. Lyon, Patrick C. Malloy, Michael J. Manzano, Marie Agnes Marachet, Jean-Baptiste Martin, Antonio Martínez-Cuesta, M. Victoria Marx, John M. Mathis, Alan H. Matsumoto, Matthew A. Mauro, Gordon McLennan, Simon J. McPherson, Hugh McSwain, Steven Greene Meranze, Todd S. Miller, Robert J. Min, Sally E. Mitchell, Stephan Moll, Jeffrey I. Mondschein, Laurel E. Moore, Jose Pablo Morales, Robert A. Morgan, Hiromu Mori, Paul R. Morrison, Stefan Müller-Hülsbeck, Kieran P.J. Murphy, Timothy P. Murphy, Mario Muto, Aravinda Nanjundappa, Juan C. Narvaez, Rodrigo Gomes Do Nascimento, Albert A. Nemcek, Ali Noor, Luigi Novelli, Gianluigi Orgera, Philippe Otal, Randall P. Owen, Aalpen A. Patel, Sandra Pauls, Monica Smith Pearl, Giuseppe Pelle, Olivier Pellerin, Daniel Picus, Jeffrey S. Pollak, Rupert Horst Portugaller, Batya R. Radzik, Suman W. Rathbun, Anne Ravel, Charles E. Ray, Mahmood K. Razavi, Howard A. Riina, Anne Roberts, Alain Roche, Eric E. Roselli, Robert J. Rosen, Plinio Rossi, Hervé Rousseau, Stefan G. Ruehm, Diego San Millán Ruíz, John H. Rundback, Wael E.A. Saad, Tarun Sabharwal, Gloria Maria Martinez Salazar, John Vito Salerno, Riad Salem, Marc R. Sapoval, Shawn N. Sarin, Sanjiv Sharma, Ashot Shekoyan, Ji Hoon Shin, Naomi N. Silva, Stuart G. Silverman, Charan Kamal Singh, Constantinos T. Sofocleous, Luigi Solbiati, Stephen B. Solomon, Ho-Young Song, Kean H. Soon, Thomas A. Sos, Michael C. Soulen, James B. Spies, M.J. Bernadette Stallmeyer, Joseph M. Stavas, LeAnn Simmons Stokes, Ernst-Peter Strecker, Michael B. Streiff, Deepak Sudheendra, Walter A. Tan, Elizabeth R. Tang, Mahsa R. Tehrani, Mathew M. Thompson, Kenneth R. Thompson, Gina D. Tran, Scott O. Trerotola, David Trost, Nirman Tulsyan, Kemal Tuncali, Ulku Cenk Turba, Renan Uflacker, Eric van Sonnenberg, Prasanna Vasudevan, Anthony C. Venbrux, Tom Vesely, Bogdan Vierasu, Rachel L. Vile, Isabel Vivas, Dierk Vorwerk, David L. Waldman, Michael J. Wallace, Anthony F. Watkinson, Peter N. Waybill, Joshua L. Weintraub, Robert I. White, Mark H. Wholey, Bradford D. Winters, Robert Wityk, Edward Y. Woo, Bradford J. Wood, Gerald M. Wyse, Albert J. Yoo, Chang Jin Yoon, Rex C. Yung, Soraya Zaid, Steven M. Zangan, Grace M. Zawistowski, Fabio Zeccolini, Eberhard Zeitler, Dianbo Zhang, Gregg H. Zoarski, and Christoph L. Zollikofer

Published
2010

8. Intramural gastric abscess—preoperative diagnosis with CT.

Author

Ashwin Asrani, Robert Novelline, Hani Abujudeh, James Lawrason, and Rathachai Kaewlai

Subjects
MEDICAL imaging systems, TOMOGRAPHY, MEDICAL radiography, ENDOSCOPIC ultrasonography
Abstract

Abstract  Intramural gastric abscess is a rare condition representing a localized form of suppurative gastritis, which was described in the time of Galen. Cases are usually diagnosed either with a combination of imaging modalities such as upper gastrointestinal series, ultrasound, computed tomography (CT), and endoscopic ultrasound or in conjunction with endoscopy and laparotomy. The authors describe a case of intramural gastric abscess in which the diagnosis was made preoperatively using axial, coronal, and sagittal reformations obtained with multidetector CT. [ABSTRACT FROM AUTHOR]

Published
2007
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9. CT manifestations of adrenal trauma: experience with 73 cases.

Author

Alex Sinelnikov, Hani Abujudeh, David Chan, and Robert Novelline

Subjects
*ADRENAL diseases, *TOMOGRAPHY, *SURGERY, *LIVER
Abstract

Abstract??Adrenal injuries, although an uncommon consequence of abdominal trauma, are important to recognize. If bilateral, adrenal trauma could result in life-threatening adrenal insufficiency. Furthermore, in the setting of trauma, adrenal injury can point to other concomitant injuries and has been associated with overall increased morbidity and mortality. In the past, before the advent of computed tomography (CT), detection was difficult, and the diagnosis was often made only at surgery or postmortem. Today, the diagnosis of adrenal injuries can be quickly and accurately made with CT. This retrospective review was carried out to identify, describe, and analyze different CT appearances of adrenal injuries and correlated with associated injuries and observed clinical context and outcomes. A patient cohort of CT-detected adrenal injuries was identified through a radiology software research tool by searching for keywords in radiology reports. The identified CT scans were reviewed and correlated with the patients? available clinical chart data and follow-up. Between April 1995 and October 2004, 73 cases of CT-detected adrenal injuries were identified, including 48 men and 25 women, with an age range 6 to 90?years and a mean age of 42.7?years. Of the cases, 77% were right-sided, 15% were left-sided, and 8% were bilateral. The causes of injuries were motor vehicle collisions (75%), falls (14%), sports related (4%), and miscellaneous causes (7%). Associated trauma included injuries of the liver (43%), spleen (23%), lung (19%), and kidney (18%), as well as pneumothoraces/hemothoraces (22%). Skeletal injuries included fractures of the ribs, clavicles, and/or scapulae (39%), pelvis and hips (30%), and the spine (23%). Isolated adrenal trauma was seen in only 4% of the cases. The CT findings of adrenal trauma were focal hematoma (30%), indistinct (27%) or enlarged (18%) adrenal gland, gross (15%) or focal (7%) adrenal hemorrhage, and adrenal mass (11%). Associated CT findings included periadrenal fat stranding (93%), retroperitoneal hemorrhage (22%), and thickened diaphragmatic crura (10%). Active adrenal bleeding was seen in one case (1.4%). The incidence of adrenal trauma was estimated to be 0.86%. Surgical management was required only for the associated injuries. The most common CT manifestations of adrenal trauma include focal hematoma, indistinct or ill-defined adrenal gland, adrenal enlargement or mass, and gross or focal adrenal hemorrhage in a normal-sized gland. Periadrenal stranding is very common. Retroperitoneal hemorrhage and crural thickening are also important associated findings. Operative intervention is typically required only for the associated injuries, which commonly accompany adrenal trauma. [ABSTRACT FROM AUTHOR]

Published
2007
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10. Quality and operations of portable X-ray examination procedures in the emergency room: queuing theory at work.

Author

Hani Abujudeh, Bill Vuong, and Stephen R. Baker

Abstract

Abstract The objective of this study was to evaluate the operation of the portable X-ray machine in relation to examinations ordered by the Emergency Department at the University of Medicine and Dentistry of New Jersey, as well as to identify any bottlenecks hindering the performance of the aforementioned system. To do so, the activity of the portable X-ray was monitored in the period from 8 June 2004 to 24 June 2004, as well as from 6 July 2004 to 12 July 2004, yielding 11 days of data and 116 individual X-ray examinations. During observation times was noted for various checkpoints in the procedure. Using the data gathered, the average input, output, processing times, and variance were calculated. In turn, these values were used to calculate the response times for the Ordering Phase (5.502 min), traveling (2.483 min), Examination Phase (4.453 min), returning (3.855 min), Order Processing Phase (2.962 min), and the Development Phase (3.437 min). These phases were combined for a total of 22.721 min from the time the examination was placed to the time the X-ray films were uploaded to the PACS computer network. Based on these calculations, the Ordering Phase was determined to be the single largest bottleneck in the portable X-ray system. The Examination Phase also represented the second largest bottleneck for a combined total of 44% of the total response time. [ABSTRACT FROM AUTHOR]

Published
2005
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