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3221. Incidental pulmonary emboli in oncology patients: prevalence, CT evaluation, and natural history. (Abstract)

Incidental pulmonary emboli in oncology patients: prevalence, CT evaluation, and natural history. To retrospectively determine the prevalence and natural history of incidental pulmonary emboli in oncology patients, the number of such cases reported at initial thoracic computed tomographic (CT) image interpretation, and the factors that contribute to underdiagnosis.Institutional review board approval, which included HIPAA-compliant access to protected health information and waived patient

2006 Radiology

3222. Accuracy of stepping-table lower extremity MR angiography with dual-level bolus timing and separate calf acquisition: hybrid peripheral MR angiography. (Abstract)

for the Protection of Research Subjects. Informed consent was waived for this HIPAA-compliant study. One hundred twenty-one consecutive patients (67 men: mean age, 66 years +/- 12 [standard deviation]; 54 women: mean age, 69 years +/- 14), who were referred for evaluation of peripheral vascular disease, underwent peripheral contrast material-enhanced MR angiography. By using a hybrid technique, two independent timing measurements were performed in the pelvis and calves followed by MR angiography of the calves

2006 Radiology

3223. CT colonography: influence of 3D viewing and polyp candidate features on interpretation with computer-aided detection. (Abstract)

review board approval and informed consent were obtained; this study was HIPAA compliant. Forty-seven computed tomographic (CT) colonography data sets were obtained in 26 men and 10 women (age range, 42-76 years). Four radiologists classified 705 polyp candidates (53 TP candidates, 652 FP candidates) identified with CAD; initially, only two-dimensional images were used, but these were later supplemented with 3D rendering. Another radiologist unblinded to colonoscopy findings characterized

2006 Radiology

3224. Lateral meniscus root tear and meniscus extrusion with anterior cruciate ligament tear. Full Text available with Trip Pro

Lateral meniscus root tear and meniscus extrusion with anterior cruciate ligament tear. To retrospectively determine the prevalence of posterior lateral meniscus root tears (LMRTs), as depicted on magnetic resonance (MR) images, in patients with an anterior cruciate ligament (ACL) tear and to investigate the association of LMRTs with lateral meniscus extrusion and other ligament injuries.Institutional review board approval was obtained; informed consent was not required. This study was HIPAA

2006 Radiology

3225. Early emphysematous changes in asymptomatic smokers: detection with 3He MR imaging. (Abstract)

Early emphysematous changes in asymptomatic smokers: detection with 3He MR imaging. To prospectively compare apparent diffusion coefficient (ADC) measurements derived from diffusion-weighted hyperpolarized helium 3 (3He) magnetic resonance (MR) imaging with functional and structural findings using spirometric tests and thin-section computed tomography (CT) of the lungs in asymptomatic smokers and healthy nonsmokers of similar age.All studies were HIPAA compliant and were approved

2006 Radiology

3226. MR elastography of the liver: preliminary results. (Abstract)

MR elastography of the liver: preliminary results. To develop a method for measuring liver stiffness with magnetic resonance (MR) elastography and to prospectively test this technique in healthy volunteers and patients with liver fibrosis.This HIPAA-compliant study was approved by an institutional review board, and informed consent was obtained from each subject. First, to determine the feasibility of applying shear waves to the liver, a pneumatic acoustic wave generator was developed

2006 Radiology

3227. Comparison of symptomatic and asymptomatic atherosclerotic carotid plaque features with in vivo MR imaging. Full Text available with Trip Pro

Comparison of symptomatic and asymptomatic atherosclerotic carotid plaque features with in vivo MR imaging. To retrospectively determine if in vivo magnetic resonance (MR) imaging can simultaneously depict differences between symptomatic and asymptomatic carotid atherosclerotic plaque.Institutional review board approval and informed consent were obtained for this HIPAA-compliant study. Twenty-three patients (21 men, two women; mean age, 66.1 years +/- 11.0 [standard deviation]) with unilateral

2006 Radiology

3228. Parsonage-Turner syndrome: MR imaging findings and clinical information of 27 patients. Full Text available with Trip Pro

Parsonage-Turner syndrome: MR imaging findings and clinical information of 27 patients. To review retrospectively the magnetic resonance (MR) imaging findings and clinical information of patients with Parsonage-Turner syndrome (PTS).The institutional review board did not require its formal approval or informed patient consent at the time of the study. However, the study was HIPAA compliant. The information in a computerized database of 2875 consecutive shoulder MR examinations

2006 Radiology

3229. Imaging of myeloperoxidase in mice by using novel amplifiable paramagnetic substrates. (Abstract)

review board. Informed consent was obtained from each donor, and HIPAA guidelines were followed for humans. Two paramagnetic myeloperoxidase substrates--that is, gadolinium-5-hydroxytryptamide-tetraazacyclododecane tetraacetic acid (Gd-5-HT-DOTA) and Gd-bis-5-HT-diethylenetriaminepentaacetic acid (Gd-bis-5-HT-DTPA)--were synthesized. Indium 111-labeled bis-5-HT-DTPA was used to determine biodistribution and target localization. A total of 22 mice were used in three models. In the first model, human

2006 Radiology

3230. Salvage of nonmaturing native fistulas by using angioplasty. (Abstract)

Salvage of nonmaturing native fistulas by using angioplasty. To retrospectively review outcomes following angioplasty of nonmaturing autogenous hemodialysis fistulas.Institutional review board exemption was received for this HIPAA-compliant retrospective study; informed consent was waived. During 48 months, 101 patients underwent fistulography for percutaneous salvage of nonmaturing native fistulas. Clinical and technical success, need for secondary interventions, and complications were

2007 Radiology

3231. Sporadic lymphangioleiomyomatosis and tuberous sclerosis complex with lymphangioleiomyomatosis: comparison of CT features. Full Text available with Trip Pro

Sporadic lymphangioleiomyomatosis and tuberous sclerosis complex with lymphangioleiomyomatosis: comparison of CT features. To retrospectively compare the frequencies of computed tomographic (CT) findings in patients with lymphangioleiomyomatosis (LAM) and patients with tuberous sclerosis complex (TSC) and LAM.Institutional review board approval and informed consent were obtained for the HIPAA-compliant study. In 256 patients with LAM (mean age, 44 years) and 67 patients with TSC/LAM (mean age

2007 Radiology

3232. Liver fibrosis: noninvasive diagnosis with double contrast material-enhanced MR imaging. (Abstract)

Liver fibrosis: noninvasive diagnosis with double contrast material-enhanced MR imaging. To retrospectively evaluate the accuracy of double contrast material-enhanced (hereafter double-enhanced) magnetic resonance (MR) imaging depiction of hepatic fibrosis, with histopathologic analysis findings as the reference standard.The institutional review board approved this HIPAA-compliant study and waived the requirement for informed consent. One hundred one patients (58 men, 43 women; mean age

2006 Radiology

3233. Performance benchmarks for screening mammography. (Abstract)

Performance benchmarks for screening mammography. To retrospectively evaluate the range of performance outcomes of the radiologist in an audit of screening mammography by using a representative sample of U.S. radiologists to allow development of performance benchmarks for screening mammography.Institutional review board approval was obtained, and study was HIPAA compliant. Informed consent was or was not obtained according to institutional review board guidelines. Data from 188 mammographic

2006 Radiology

3234. Improving the concordance of mammography assessment and management recommendations. (Abstract)

was used to measure change in concordance over time. Each registry and the BCSC Statistical Coordinating Center had a Federal Certificate of Confidentiality and approval from each institution's review board for protection of human subjects to collect and send data to coordinating center and conduct research with these data. Active consent was required at only one site in this HIPAA-compliant study.Concordance increased significantly in the post-MQSA period for Breast Imaging Reporting and Data System

2006 Radiology

3235. The Health Insurance Portability and Accountability Act Privacy Rule: a practical guide for researchers. (Abstract)

The Health Insurance Portability and Accountability Act Privacy Rule: a practical guide for researchers. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, intended to address potential threats to patient privacy posed by the computerization and standardization of medical records, provides a new floor level of federal protection for health information in all 50 states. In most cases, compliance with the Privacy Rule was required as of April 2003. Yet considerable

2004 Medical Care

3236. AOFAS member experience with computerization of the office. (Abstract)

AOFAS member experience with computerization of the office. The combination of the implementation of the Healthcare Information Portability and Accountability Act (HIPAA) and the widespread publicity surrounding the report by the Institute of Medicine on preventable medical errors has increased interest of AOFAS members in the use of office-based electronic medical record (EMR) systems. Despite the large number of vendors for office-based EMR systems, little has been written to guide

2005 Foot & Ankle International

3237. The impaired hypothyroid patient: ethical considerations and obligations. (Abstract)

safety. Severely hypothyroid patients may lack the capacity to make an informed decision, even when warned against driving or other tasks, and some may ignore such warnings.The legal and ethical "duty to warn" may trump confidentiality and HIPAA in cases where the activity of impaired patients seriously affects public safety. Not only do health care providers have a clear duty to warn patients not to drive, but in some extreme cases, may have a duty to warn third parties when a patient's driving

2007 Thyroid

3238. Use of a wireless local area network in an orthodontic clinic. (Abstract)

hardware devices that are used by the orthodontist, office staff, and patients. This article details the standards and choices in wireless technology that can be implemented in an orthodontic clinic and suggests how to select suitable mobile hardware for accessing or adding data to a preexisting network. The network security protocols discussed comply with HIPAA regulations and boost the efficiency of a modern orthodontic clinic.

2005 American journal of orthodontics and dentofacial orthopedics

3239. Relational databases for rare disease study: application to vascular anomalies. Full Text available with Trip Pro

Relational databases for rare disease study: application to vascular anomalies. To design a relational database integrating clinical and basic science data needed for multidisciplinary treatment and research in the field of vascular anomalies. Based on data points agreed on by the American Society of Pediatric Otolaryngology (ASPO) Vascular Anomalies Task Force. The database design enables sharing of data subsets in a Health Insurance Portability and Accountability Act (HIPAA)-compliant manner (...) . Proof of concept for independent site data gathering and HIPAA-compliant sharing of data subsets was demonstrated.The collaborative effort by the ASPO Vascular Anomalies Task Force to create the database helped define a common vascular anomaly data set. The resulting relational database software is a powerful tool to further the study of vascular anomalies and the development of evidence-based treatment innovation.

2008 Archives of Otolaryngology Head and Neck Surgery

3240. Development and evaluation of an open source software tool for deidentification of pathology reports. Full Text available with Trip Pro

Development and evaluation of an open source software tool for deidentification of pathology reports. Electronic medical records, including pathology reports, are often used for research purposes. Currently, there are few programs freely available to remove identifiers while leaving the remainder of the pathology report text intact. Our goal was to produce an open source, Health Insurance Portability and Accountability Act (HIPAA) compliant, deidentification tool tailored for pathology reports (...) in the test set were removed. Only 19 HIPAA-specified identifiers (mainly consult accession numbers and misspelled names) were missed. Of 41 non-HIPAA identifiers missed, the majority were partial institutional addresses and ages. Outside consultation case reports typically contain numerous identifiers and were the most challenging to deidentify comprehensively. There was variation in performance among reports from the three institutions, highlighting the need for site-specific customization, which

2006 Medical Informatics and Decision Making

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