Andrew Kesselman

All Publications

• Performance of RAPID noncontrast CT stroke platform in large vessel occlusion and intracranial hemorrhage detection. Frontiers in neurology Yedavalli, V., Heit, J. J., Dehkharghani, S., Haerian, H., Mcmenamy, J., Honce, J., Timpone, V. M., Harnain, C., Kesselman, A., Filly, A., Beardsley, A., Sakamoto, B., Song, C., Montuori, J., Navot, B., Mena, F. V., Giurgiutiu, D. V., Kitamura, F., Lima, F. O., Silva, H., Mont'Alverne, F. J., Albers, G. 2023; 14: 1324088

  Abstract

  Noncontrast CT (NCCT) is used to evaluate for intracerebral hemorrhage (ICH) and ischemia in acute ischemic stroke (AIS). Large vessel occlusions (LVOs) are a major cause of AIS, but challenging to detect on NCCT.The purpose of this study is to evaluate an AI software called RAPID NCCT Stroke (RAPID, iSchemaView, Menlo Park, CA) for ICH and LVO detection compared to expert readers.In this IRB approved retrospective, multicenter study, stand-alone performance of the software was assessed based on the consensus of 3 neuroradiologists and sensitivity and specificity were determined. The platform's performance was then compared to interpretation by readers comprised of eight general radiologists (GR) and three neuroradiologists (NR) in detecting ICH and hyperdense vessel sign (HVS) indicating LVO.A total of 244 cases were included. Of the 244, 115 were LVOs and 26 were ICHs. One hundred three cases did not have LVO nor ICH. Stand-alone performance of the software demonstrated sensitivities and specificities of 96.2 and 99.5% for ICH and 63.5 and 95.1% for LVO detection. Compared to all 11 readers and eight GR readers only respectively, the software demonstrated superiority, achieving significantly higher sensitivities (63.5% versus 43.6%, p < 0.0001 and 63.5% versus 40.9%, p = 0.001).The RAPID NCCT Stroke platform demonstrates superior performance to radiologists for detecting LVO from a NCCT. Use of this software platform could lead to earlier LVO detection and expedited transfer of these patients to a thrombectomy capable center.

  View details for DOI 10.3389/fneur.2023.1324088

  View details for PubMedID 38156093

  View details for PubMedCentralID PMC10753184

• Reply to "Improving Accuracy in ChatGPT". AJR. American journal of roentgenology Cao, J. J., Kamaya, A., Tse, J. R. 2023: 1-2

  View details for DOI 10.2214/AJR.23.29949

  View details for PubMedID 37703485

• Accuracy of Information Provided by ChatGPT Regarding Liver Cancer Surveillance and Diagnosis. AJR. American journal of roentgenology Cao, J. J., Kwon, D. H., Ghaziani, T. T., Kwo, P., Tse, G., Kesselman, A., Kamaya, A., Tse, J. R. 2023

  View details for DOI 10.2214/AJR.23.29493

  View details for PubMedID 37222278

• Beyond the AJR: The Excimer Laser-Assisted Retrieval of Embedded IVC Filters. AJR. American journal of roentgenology Kesselman, A., Kuo, W. 2023

  View details for DOI 10.2214/AJR.23.29323

  View details for PubMedID 36946896

• Implementation and Evaluation of a Comprehensive Simulation Curriculum for the IR/DR Integrated Residency. Academic radiology Khilnani, T. K., Kesselman, A., D'Angelo, D., RoyChoudhury, A., Lamparello, N. A. 2023

  Abstract

  Endovascular simulation is a validated training method, allowing residents to improve technical skills with interventional equipment in a risk-free environment. The purpose of this study was to assess the utility and efficacy of supplementing the IR/DR Integrated Residency training program with a dedicated 2-year endovascular simulation curriculum.Trainees participated in a 2-year curriculum that included the completion of 8 modules using a high-fidelity endovascular simulator (Mentice AB, Gothenberg, Sweden). Procedural modules included IVC filter placement, transarterial chemoembolization, trauma embolization, uterine artery embolization, prostate artery embolization, and peripheral arterial disease interventions. Each quarter, two trainees were filmed while completing an assigned module. Sessions led by IR faculty were held with film footage review and didactics on the assigned topic. Pre- and postcase surveys were collected to evaluate trainee comfort and confidence and assess the validity of the simulation. At the conclusion of the 2-year period, a postcurriculum survey was sent to all trainees to determine how residents viewed the utility of the simulation sessions.Eight residents participated in the pre- and postcase surveys. The simulation curriculum significantly increased trainee confidence for these 8 residents. A separate postcurriculum survey was completed by all 16 IR/DR residents. All 16 residents felt that simulation was a helpful addition to their education. A total of 87.5% of all residents felt that the sessions improved their confidence in the IR procedure room. A total of 75% of all residents believe that the simulation curriculum should be incorporated into the IR residency program.Adoption of a 2-year simulation curriculum can be considered for existing IR/DR training programs with access to high-fidelity endovascular simulators using the described approach.

  View details for DOI 10.1016/j.acra.2023.01.036

  View details for PubMedID 36849334

• Adverse Events Associated with New Nitinol Venous-Labeled Stents: A Review of the FDA MAUDE Database. Journal of vascular and interventional radiology : JVIR Yan, J., Datta, S., Kesselman, A., Malhotra, A., Scherer, K., Wadhwa, V. 2022

  View details for DOI 10.1016/j.jvir.2022.06.018

  View details for PubMedID 35781070

• Global Health and Interventional Radiology: Supporting Trainee Engagement and Diversity for Future Development. Journal of vascular and interventional radiology : JVIR Matsumoto, M. M., Dixon, R., Anton, K., Hunt, S. J., Kesselman, A. 2022; 33 (5): 604

  View details for DOI 10.1016/j.jvir.2022.01.005

  View details for PubMedID 35092852

• Redefining Intermediate-Stage HCC Treatment in the Era of Immune Therapies. JCO oncology practice Brar, G., Kesselman, A., Malhotra, A., Shah, M. A. 2022; 18 (1): 35-41

  Abstract

  Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality worldwide. At diagnosis, most patients are ineligible for curative surgery, and approximately 20% of patients are diagnosed with advanced-stage disease. A significant proportion of patients fall under an unresectable or intermediate-stage disease who have liver-limited disease but are not surgical candidates because of large tumor size, number of lesions, or technically inoperable disease. In this unique intermediate-stage patient population, locoregional therapies have been the de facto mainstay of treatment because of high local response rates and favorable safety profile, especially in the context of minimally effective systemic therapies. However, not all patients who receive locoregional therapy for incurable disease have improved survival, and importantly, some of these patients never receive systemic therapy because of disease progression or further decline in hepatic function. Meanwhile, with the remarkable progress that has been made with systemic therapy in the past few years, revisiting the treatment of intermediate-stage HCC seems prudent. In this review, we will highlight current and emerging strategies for treating patients with unresectable, liver-limited HCC.

  View details for DOI 10.1200/OP.21.00227

  View details for PubMedID 34255552

• Prevalence of hypercoagulable states in stented thrombotic iliac vein compression syndrome with comparison of re-intervention and anticoagulation regimens WORLD JOURNAL OF RADIOLOGY Cramer, P., Mensah, C., DeSancho, M., Malhotra, A., Winokur, R., Kesselman, A. 2021; 13 (12): 371-379

  Abstract

  Endovascular therapy is playing an increasing role in the treatment of iliofemoral venous disease. Iliac stent patency is multifactorial, and current management is based on best clinical practices, varying by institution.To evaluate how thrombophilia influences management and outcomes of patients who undergo venous stenting for thrombotic iliac vein compression syndromes.A retrospective observational analysis was performed on 65 patients with thrombotic iliac vein compression syndrome that underwent common iliac vein (CIV) stenting between December 2013 and December 2019 at a large academic center. Search criteria included CIV stenting and iliac vein compression. Non-thrombotic lesions and iliocaval thrombosis and/or occlusions were excluded. A total of 65 patients were selected for final analysis. Demographic information, procedural data points, and post-procedural management and outcomes were collected. Statistical analyses included Fisher's exact and Chi-square tests to compare discrete variables and the Wilcoxon rank-sum test to compare continuous variables between thrombophilia positive and negative patients.65 patients underwent successful balloon angioplasty and CIV stenting. Of these patients, 33 (50.8%) underwent thrombophilia testing, with 16 (48.5%) testing positive. Stent patency on ultrasound did not significantly differ between thrombophilia positive and negative patients at 1 mo (92.3% vs 81.3%, P = 0.6), 6 mo (83.3% vs 80%, P > 0.9), or 12 mo (77.8% vs 76.9%, P = 0.8). Immediately after stent placement, thrombophilia patients were more likely to be placed on dual therapy (aspirin and anticoagulation) or triple therapy (aspirin, clopidogrel, and anticoagulation) (50% vs 41.2%, P > 0.9), and remain on dual therapy at 6 mo (25% vs 12.5%, P = 0.5) and 12 mo (25% vs 6.7%, P = 0.6). There was no significant difference in re-intervention rates (25% vs 35.3%, P = 0.7) or number of re-interventions (average 2.3 vs 1.3 per patient, P = 0.4) between thrombophilia positive and negative patients.Half of patients with stented thrombotic iliac vein compression syndrome and thrombophilia testing were positive. The presence of thrombophilia did not significantly impact stent patency or re-intervention rates.

  View details for DOI 10.4329/wjr.v13.i12.371

  View details for Web of Science ID 000753662500001

  View details for PubMedID 35070117

  View details for PubMedCentralID PMC8716936

• Safety and Efficacy of Microwave Ablation for Hepatocellular Carcinoma in the Setting of Transjugular Intrahepatic Portosystemic Shunt CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY Yan, J., Ying, X., Malhotra, A., Talenfeld, A., Charalel, R., Lee, K., Trost, D., Kesselman, A. 2022; 45 (5): 578-581

  Abstract

  This retrospective analysis reviews five patients with transjugular intrahepatic portosystemic shunt (TIPS) who underwent percutaneous microwave ablation of hepatocellular carcinoma between January 2017 and September 2020. Mean tumor diameter was 2.0 cm (range 1.3-2.9 cm), and mean tumor distance from TIPS was 2.3 cm (range 1.5-3.3 cm). There were no major adverse events, and the TIPS patency was 100% post-ablation. The technical success rate was 100%, and the complete response rate was 100%. In this small study, percutaneous microwave ablation appears safe and effective for the treatment of hepatocellular carcinoma in patients with TIPS in the short-term follow-up period.

  View details for DOI 10.1007/s00270-021-03012-y

  View details for Web of Science ID 000725424100001

  View details for PubMedID 34859308

• Addressing Global Radiology Disparities: Increasing Access to Interventional Radiology Education RADIOGRAPHICS McKenney, A., Garg, T., Kim, E., Kesselman, A. 2021; 41 (5): E142-E144

  View details for DOI 10.1148/rg.2021210176

  View details for Web of Science ID 000692204400002

  View details for PubMedID 34469223

• Transjugular intrahepatic portosystemic shunt (TIPS) as rescue therapy for endoscopic glue migration and bleeding gastric varices. Radiology case reports Yan, J., Browne, W., Kesselman, A. 2021; 16 (8): 2035-2037

  Abstract

  Gastric variceal (GV) bleeding is an important and fatal complication for cirrhotic patients which has historically been controlled with sclerosants and band ligation. Cyanoacrylate glue therapy has emerged as a more favorable option with bleeding control of up to 90% and low complication rates; however, several reports show possible ectopic systemic glue migration, most commonly into the portomesenteric system and leading to portal hypertension. To decompress portal pressures and mitigate future complications, transjugular intrahepatic portosystemic shunt (TIPS) placement may be a viable rescue therapy. We present two cases of TIPS placement for an 18-year-old and 51-year-old male in the setting of endoscopic glue migration into the portomesenteric system that demonstrate feasibility and success in temporizing acute variceal bleeding. Both cases demonstrated decompressing portovenous pressures but may result in need for re-intervention.

  View details for DOI 10.1016/j.radcr.2021.05.005

  View details for PubMedID 34158887

• To New Heights: Interventional Radiology Outreach to Underserved Regions via Aircraft-Delivered Mobile Health Units CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY England, R. W., Gage, D., Kesselman, A., Mollura, D. J. 2021; 44 (9): 1478-1480

  View details for DOI 10.1007/s00270-021-02869-3

  View details for Web of Science ID 000652950500005

  View details for PubMedID 34019110

• Current Controversies in Inferior Vena Cava Filter Placement: AJR Expert Panel Narrative Review AMERICAN JOURNAL OF ROENTGENOLOGY Kesselman, A., Oo, T., Johnson, M., Stecker, M. S., Kaufman, J., Trost, D. 2021; 216 (3): 563-569

  Abstract

  Despite inferior vena cava (IVC) filter practice spanning over 50 years, interventionalists face many controversies in proper utilization and management. This article reviews recent literature and offers opinions on filter practices. IVC filtration is most likely to benefit patients at high risk of iatrogenic pulmonary embolus during endovenous intervention. Filters should be used selectively in patients with acute trauma or who are undergoing bariatric surgery. Retrieval should be attempted for perforating filter and fractured filter fragments when imaging suggests feasibility and favorable risk-to-benefit ratio. Antibiotic prophylaxis should be considered when removing filters with confirmed gastrointestinal penetration. Anticoagulation solely because of filter presence is not recommended except in patients with active malignancy. Anticoagulation while filters remain in place may decrease long-term filter complications in these patients. Patients with a filter and symptomatic IVC occlusion should be offered filter removal and IVC reconstruction. Physicians implanting filters may maximize retrieval by maintaining physician-patient relationships and scheduling follow-up at time of placement. Annual follow-up allows continued evaluation for removal or replacement as appropriate. Advanced retrieval techniques increase retrieval rates but require caution. Certain cases may require referral to experienced centers with additional retrieval resources. The views expressed should help guide clinical practice, future innovation, and research.

  View details for DOI 10.2214/AJR.20.24817

  View details for Web of Science ID 000642944100006

  View details for PubMedID 33206563

• Role of interventional radiology in the treatment of COVID-19 patients: Early experience from an epicenter CLINICAL IMAGING Lee, K., Talenfeld, A. D., Browne, W. F., Holzwanger, D. J., Harnain, C., Kesselman, A., Pua, B. B. 2021; 71: 143-146

  Abstract

  To highlight the role of interventional radiology (IR) in the treatment of patients hospitalized with coronavirus disease 2019 (COVID-19).Retrospective review of hospitalized patients who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and had one or more IR procedures at a tertiary referral hospital in New York City during a 6-week period in April and May of 2020.Of the 724 patients admitted with COVID-19, 92 (12.7%) underwent 124 interventional radiology procedures (79.8% in IR suite, 20.2% at bedside). The median age of IR patients was 63 years (range 24-86 years); 39.1% were female; 35.9% in the intensive care unit. The most commonly performed IR procedures were central venous catheter placement (31.5%), inferior vena cava filter placement (9.7%), angiography/embolization (4.8%), gastrostomy tube placement (9.7%), image-guided biopsy (10.5%), abscess drainage (9.7%), and cholecystostomy tube placement (6.5%). Thoracentesis/chest tube placement and nephrostomy tube placement were also performed as well as catheter-directed thrombolysis of massive pulmonary embolism and thrombectomy of deep vein thrombosis. General anesthesia (10.5%), monitored anesthesia care (18.5%), moderate sedation (29.8%), or local anesthetic (41.1%) was utilized. There were 3 (2.4%) minor complications (SIR adverse event class B), 1 (0.8%) major complication (class C), and no procedure-related death. With a median follow-up of 4.3 months, 1.1% of patients remain hospitalized, 16.3% died, and 82.6% were discharged.Interventional radiology participated in the care of hospitalized COVID-19 patients by performing a wide variety of necessary procedures.

  View details for DOI 10.1016/j.clinimag.2020.10.048

  View details for Web of Science ID 000615972600005

  View details for PubMedID 33259979

  View details for PubMedCentralID PMC7642741

• Endovascular simulation as a supplemental training tool during the COVID-19 national emergency CLINICAL IMAGING Kesselman, A., Lamparello, N. A., Malhotra, A., Winokur, R. S., Pua, B. B. 2020; 67: 72-73

  Abstract

  The ongoing COVID pandemic raises many concerns as our healthcare system is pushed to its limits and as a consequence, Interventional Radiology training may be compromised. Endovascular simulators allow trainees many benefits to build and maintain endovascular skills in a safe environment. Our experience demonstrates a methodology to maintain IR training with use of didactic and simulation supplementation during the COVID-19 pandemic, which may be helpful for incorporation at other institutions facing similar challenges.

  View details for DOI 10.1016/j.clinimag.2020.05.026

  View details for Web of Science ID 000569858500013

  View details for PubMedID 32526661

  View details for PubMedCentralID PMC7833009

• Transforming Positive Pressure IR Suites to Treat COVID-19 Patients JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Lamparello, N. A., Choi, S., Charalel, R., Lee, K., Kesselman, A., Scherer, K., Harnain, C. M., Browne, W. F., Shiffman, M., Holzwanger, D. J., Pua, B. B. 2020; 31 (9): 1496-1499

  View details for DOI 10.1016/j.jvir.2020.06.019

  View details for Web of Science ID 000577351600022

  View details for PubMedID 32747141

  View details for PubMedCentralID PMC7324314

• A Role for Virtual Reality in Planning Endovascular Procedures JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Mohammed, M., Khalaf, M. H., Kesselman, A., Wang, D. S., Kothary, N. 2018; 29 (7): 971–74

  View details for DOI 10.1016/j.jvir.2018.02.018

  View details for Web of Science ID 000438179300010

• Endovascular Removal of Fractured Inferior Vena Cava Filter Fragments: 5-Year Registry Data with Prospective Outcomes on Retained Fragments JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Kesselman, A. J., Hoang, N., Sheu, A. Y., Kuo, W. T. 2018; 29 (6): 758–64

  View details for DOI 10.1016/j.jvir.2018.01.786

  View details for Web of Science ID 000434906600002

• A Role for Virtual Reality in Planning Endovascular Procedures. Journal of vascular and interventional radiology : JVIR Mohammed, M. A., Khalaf, M. H., Kesselman, A., Wang, D. S., Kothary, N. 2018; 29 (7): 971–74

  Abstract

  Current imaging technologies are capable of acquiring volumetric data, but they are limited by the flat 2-dimensional representation of complex 3-dimensional data. This pictorial report illustrates the potential role of interactive virtual reality (VR) that enables physicians to visualize and interact with image data as if they were real physical objects. Increasing availability of tools that make the VR environment a possibility could potentially be valuable in the interventional radiology suite.

  View details for PubMedID 29935787

• Prophylactic IVC filter placement in bariatric surgery patients: results from a prospective filter registry CVIR ENDOVASCULAR Sheu, A. Y., Hoang, N., Kesselman, A. J., Liang, T., Rosenberg, J. K., Kuo, W. T. 2018; 1 (1)

  View details for DOI 10.1186/s42155-018-0021-5

  View details for Web of Science ID 000703109200008

• Endovascular Removal of Fractured Inferior Vena Cava Filter Fragments: 5-Year Registry Data with Prospective Outcomes on Retained Fragments. Journal of vascular and interventional radiology : JVIR Kesselman, A. J., Hoang, N. S., Sheu, A. Y., Kuo, W. T. 2018; 29 (6): 758–64

  Abstract

  To evaluate the safety and efficacy of attempted percutaneous filter fragment removal during retrieval of fractured inferior vena cava (IVC) filters and to report outcomes associated with retained filter fragments.Over a 5-year period, 82 consecutive patients presenting with a fractured IVC filter were prospectively enrolled into an institutional review board-approved registry. There were 27 men and 55 women (mean, 47 y; range, 19-85 y). After main filter removal, percutaneous removal of fragments was attempted if they were deemed intravascular and accessible on preprocedural computed tomography (CT), cone-beam CT, and/or intravascular ultrasound; distal pulmonary artery (PA) fragments were left alone. A total of 185 fragments were identified (81 IVC, 33 PA, 16 cardiac, 2 hepatic vein, 1 renal vein, 1 aorta, 51 retroperitoneal). Mean filter dwell time was 2,183 days (range, 59-9,936 d). Eighty-seven of 185 fragments (47%) were deemed amenable to attempted removal: 65 IVC, 11 PA, 8 cardiac, 2 hepatic, and 1 aortic. Primary safety outcomes were major procedure-related complications.Fragment removal was successful in 78 of 87 cases (89.7%; 95% confidence interval [CI], 81.3-95.2). There were 6 minor complications with no consequence (6.9%; 95% CI, 2.6-14.4) involving intraprocedural fragment embolization and 1 major complication (1.1%; 95% CI, 0.0-6.2), a cardiac tamponade that was successfully treated. The complication rate from attempted cardiac fragment removal was 12.5% (1 of 8; 95% CI, 0.3-52.7). Among patients with retained cardiopulmonary fragments (n = 19), 81% remained asymptomatic during long-term clinical follow-up of 845 days (range, 386-2,071 d).Percutaneous removal of filter fragments from the IVC and proximal PAs is safe and effective overall, but attempted intracardiac fragment removal carries a higher risk of complication. Most residual filter fragments not amenable to percutaneous removal remain asymptomatic and may be monitored clinically.

  View details for PubMedID 29706344

• 2016 RAD-AID Conference on International Radiology for Developing Countries: Gaps, Growth, and United Nations Sustainable Development Goals. Journal of the American College of Radiology Mollura, D. J., Soroosh, G., Culp, M. P. 2017; 14 (6): 841-847

  Abstract

  The 2016 RAD-AID Conference analyzed the accelerated global activity in the radiology community that is transforming medical imaging into an effective spearhead of health care capacity building in low- and middle-income countries. Global health efforts historically emphasized disaster response, crisis zones, and infectious disease outbreaks. However, the projected doubling of cancer and cardiovascular deaths in developing countries in the next 15 years and the need for higher technology screening and diagnostic technologies in low-resource regions, as articulated by the United Nations' new Sustainable Development Goals of 2016, is heightening the role of radiology in global health. Academic US-based radiology programs with RAD-AID chapters achieved a threefold increase in global health project offerings for trainees in the past 5 years. RAD-AID's nonprofit radiology volunteer corps continue to grow by more than 40% yearly, with a volunteer base of 5,750 radiology professionals, serving in 23 countries, donating close to 20,000 pro bono hours globally in 2016. As a high-technology specialty interfacing with nearly all medical and surgical disciplines, radiology underpins vital health technology infrastructure, such as digital imaging archives, electronic medical records, and advanced diagnosis and treatment, essential for long-term future health care capacity in underserved areas of the world.

  View details for DOI 10.1016/j.jacr.2017.01.049

  View details for PubMedID 28372963

• Successful Implementation of a PACS in Tanzania. Journal of the American College of Radiology Song, J. W., Mango, M. C., Museru, L. M., Kesselman, A., Foryoung, K., Kiloloma, O., Goodman, T. R., Minja, F. J. 2017

  View details for DOI 10.1016/j.jacr.2017.01.009

  View details for PubMedID 28259497

• Catheter-Directed Therapy for Acute Submassive Pulmonary Embolism: Summary of Current Evidence and Protocols. Catheter-Directed Therapy for Acute Submassive Pulmonary Embolism: Summary of Current Evidence and Protocols. Kesselman, A., Kuo, W. T. 2017; 20 (3): 193-196

  View details for DOI 10.1053/20170709

• 2015 RAD-AID Conference on International Radiology for Developing Countries: The Evolving Global Radiology Landscape JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY Kesselman, A., Soroosh, G., Mollura, D. J. 2016; 13 (9): 1139-1144

  Abstract

  Radiology in low- and middle-income (developing) countries continues to make progress. Research and international outreach projects presented at the 2015 annual RAD-AID conference emphasize important global themes, including (1) recent slowing of emerging market growth that threatens to constrain the advance of radiology, (2) increasing global noncommunicable diseases (such as cancer and cardiovascular disease) needing radiology for detection and management, (3) strategic prioritization for pediatric radiology in global public health initiatives, (4) continuous expansion of global health curricula at radiology residencies and the RAD-AID Chapter Network's participating institutions, and (5) technologic innovation for recently accelerated implementation of PACS in low-resource countries.

  View details for DOI 10.1016/j.jacr.2016.03.028

  View details for Web of Science ID 000383313400028

  View details for PubMedID 27233909

• Impact of Music in Reducing Patient Anxiety During Pediatric Ultrasound. Pediatric reports Kesselman, A., Bergen, M., Stefanov, D., Goldfisher, R., Amodio, J. 2016; 8 (1): 6349-?

  Abstract

  The use of noninvasive ultrasound examinations can potentially result in significant anxiety in the pediatric population. The purpose of this study was to assess the influence of music during pediatric ultrasound examinations to reduce anxiety measured by heart rate. A total of 44 patients were recruited; 21 controls and 23 experimental. Each participant was randomized to either music or no music (control) after parental consent was obtained. Pulse oximeters were used to monitor heart rate at 15 second intervals for a total of 1 minute, with mean values calculated prior to entering the procedure room, during the middle of the procedure, and after the procedure was completed. The total scan time was determined from the initial image acquisition until the last image recorded by the ultrasound technologist. At the completion of each procedure, the ultrasound technologist scored the ease of performance for the scan on a subjective scale of 1-10 based on prior experience. When utilizing music during pediatric ultrasounds examinations, our study demonstrated significantly decreased heart rate variability from pre-procedural to post-procedural periods. There was no statistical significant difference in total scan time or ultrasound technologist scoring between the two groups. This study demonstrates that music is an inexpensive and effective means of reducing anxiety during pediatric ultrasound as indicated by heart rate.

  View details for DOI 10.4081/pr.2016.6349

  View details for PubMedID 27114817

  View details for PubMedCentralID PMC4821217

• A Glance at Gender-Specific Preferences Influencing Interventional Radiology Selection JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Perez, Y. V., Kesselman, A., Abbey-Mensah, G., Walsh, J. 2016; 27 (1): 142-143

  View details for DOI 10.1016/j.jvir.2015.09.009

  View details for Web of Science ID 000367963600019

  View details for PubMedID 26723924

• 2014 RAD-AID Conference on International Radiology for Developing Countries: The Road Ahead for Global Health Radiology JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY Culp, M., Mollura, D. J., Mazal, J. 2015; 12 (5): 475-480

  View details for DOI 10.1016/j.jacr.2015.01.019

  View details for Web of Science ID 000354420900011

  View details for PubMedID 25940363

• Fracture of corpora cavernosa with massive cavernosalvenous shunts INTERNATIONAL BRAZ J UROL Lang, E. K., Zinn, H., Abbey-Mensah, G., Kesselman, A., Bergen, M. 2014; 40 (2): 277-278

  View details for DOI 10.1590/S1677-5538.IBJU.2014.02.20

  View details for Web of Science ID 000337913500022

  View details for PubMedID 24856497