To evaluate patterns of advanced imaging utilization and associated costs over an 8-year period in one of the largest pediatric Accountable Care Organizations (ACO) in the US covering over 300,000 children. Read More

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

Authors: Shah Summit, Krishnamurthy Ramkumar, Wang Ling, Krishnamurthy Rajesh

Keywords: Utilization, Cost, Radiation

To analyze regional disparities in imaging utilization over an 8-year period in one of the largest pediatric Accountable Care Organizations (ACO) in the US covering over 300,000 children. Read More

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

Authors: Krishnamurthy Ramkumar, Shah Summit, Wang Ling, Krishnamurthy Rajesh

Keywords: Disparities, Economics, Quality

RADPEER has been criticized for lack of clinical implications, yet few studies have compared RADPEER to alternative peer-review systems or correlated peer review scores with changes in patient management. We aimed to implement a pediatric subspecialty over-read program and compare RADPEER to a Clinical Outcomes Scale, which graded impact on patient outcomes. Read More

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

Authors: Shah Summit, Rusin Jerome, Krishnamurthy Rajesh, Adler Brent H.

Keywords: Quality, Safety, Neuroradiology

Two major insurance companies have recently enacted policies requiring outpatient advanced imaging at free-standing imaging facilities for adults. Examining the potential clinical and economic implications of non-subspecialized interpretations in children is important. We evaluated the rate of major discrepancies and changes in management arising from second interpretations by a dedicated pediatric facility. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Shah Summit, Krishnamurthy Ramkumar, Kelleher Sean, Krishnamurthy Rajesh

Keywords: Healthcare Policy, Reimbursement, Quality Improvement

1. To demonstrate the appropriate technique for performing a contrast enema in symptomatic post-surgical Hirschsprung disease (HD). 2. To review the three major surgical procedures used for the primary treatment of HD, their complications, and imaging manifestations. Read More

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

Authors: Shah Summit, Bates D. Gregory, Levitt Marc, Wood Richard, Thompson Benjamin

Keywords: Hirschsprung, Anorectal, Enema

The likelihood of sedation for an MRI exam in a patient under 8 years is high. Disadvantages of sedation usage include direct complications, suspected long-term effects, and higher costs. Sedation reduction techniques include the use of an MRI simulator, accelerated MRI scans, abbreviated protocols, and swaddle and sleep techniques. We evaluated the clinical image quality and cost effectiveness associated with an MRI simulator training program. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Shah Summit, Mcgonagill Phillip, Hu Houchon, Sankaran Akila, Krishnamurthy Rajesh, Krishnamurthy Ramkumar

Keywords: MRI Sedation, Quality Improvement, Cost

Computed tomography (CT) imaging protocols and prescribing practices vary across institutions. Pediatric trauma patients treated at a pediatric trauma center (PTC) may receive less radiation if their CT imaging is performed at a PTC rather than at non-PTCs prior to transfer. The objective of the study was to determine differences in radiation exposure from CT imaging in pediatric trauma patients initially treated at a PTC center compared to non-PTCs. Read More

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

Authors: Lodwick Daniel, Krishnamurthy Rajesh, Deans Katherine, Cooper Jennifer, Groner Jonathan, Gonzalez Dani, Lee Choonsik, Kelleher Kelly, Minneci Peter, Shah Summit, Stanley Rachel

Keywords: Radiation, Computed Tomography, Trauma