We describe a method of rapidly viewing age- and gender-matched normal musculoskeletal radiographic images for comparison during routine reading at the workstation. We created a plugin for the Picture Archiving and Communications System (PACS) that added a new option in the contextual menu. When the new option was selected, the plugin obtains information about the currently displayed exam. The patient’s gender and age (in years and months) and the type of study (e.g. humerus or ankle) are extracted and the plugin opens a new window. The window displays age- and gender-matched studies of the same body part from a database of normal images for rapid review by the user. The database consists of 35,514 images from 10,540 musculoskeletal examinations that were interpreted as normal by staff radiologists. Patients younger than two years of age are matched by months. The user may adjust the desired age and study type. The window displays the images in a grid with thumbnails. Users may choose to review the normal examples in full resolution. The images are displayed in a window adjacent to the PACS, permitting side-by-side comparison. Typical use cases display around 30 comparison examinations with approximately 90 images as a result. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Francavilla Michael

Keywords: plugin, normal, musculoskeletal

We sought to determine factors associated with sonographic non-visualization of the appendix in patients being evaluated for appendicitis. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Francavilla Michael, Mpoti Makhethe, Vossough Arastoo

Keywords: appendicitis, overweight, obesity

Although ultrasound has advantages for bowel assessment in infants, the majority of bowel evaluation still takes place by radiograph. Although radiographic signs of advanced necrotizing enterocolitis (NEC) have been well documented, there is poor understanding of gas patterns in less severe NEC or other causes of feeding intolerance. Progressively abnormal appearance of gas patterns in NEC has been described, but it is unclear what role a gastric sump plays. Because a sump decompresses bowel and changes the gas pattern, its role in the progression of abnormal bowel gas patterns warrants attention. Read More

Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018

Authors: Durand Rachelle, Francavilla Michael, Edgar Christopher, Maya Carolina, Kaplan Summer

Keywords: necrotizing enterocolitis, NEC, bowel

Learning at point of care has become the norm. There is endless unfiltered radiology educational material available on the internet. Radiology trainees and educators need a filtered high quality engine available at point of care to enable efficient and effective learning and teaching. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Reid Janet, Gandhi Trupti, Kazmi Parvez, Anupindi Sudha, Francavilla Michael, States Lisa

Keywords: education, CMS, LMS, learning, point-of-care

The tibiotalar joint is the third most common location for osteochondritis dissecans (OCD) lesions, which poses the risk of premature osteoarthritis, and often associates with a history of prior ankle sprains and fractures. Unstable lesions require surgical intervention. A 4-stage radiographic classification system has been previously proposed, but this system has a 50% false negative rate when compared to arthroscopic assessment (reference standard). Recently, MRI and arthroscopic findings have been correlated in adults, but no such validation study has been performed in children. Thus, the purpose of our study was to identify MRI findings that predict instability of OCD lesions of the ankle in children. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Patel Maya, Francavilla Michael, Longoria Cruz, Nguyen Michael, Barrera Christian, Nguyen Jie

Keywords: tibiotalar joint, OCD