{
  "version": 3,
  "sources": ["ssg:https://framerusercontent.com/modules/WhNPubJwAds4SLZJpavZ/1PsAN5YYbc2DyoNSyi9y/imi88037I-2.js"],
  "sourcesContent": ["import{jsx as e,jsxs as i}from\"react/jsx-runtime\";import{Link as n}from\"framer\";import{motion as t}from\"framer-motion\";import*as a from\"react\";export const richText=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"p\",{children:\"Lung cancer is the leading cause of cancer-related death in both men and women. It has consistently held this position for over three decades, largely due to challenges in early detection. Fortunately, widespread adoption of low-dose CT lung cancer screening in at-risk individuals now offers a life-saving avenue for timely detection. When caught early, lung cancer can be treated quickly and, in many cases, cured.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"What is a Low-Dose CT Scan?\"}),/*#__PURE__*/e(\"p\",{children:\"The desire to screen the lungs has a long history, beginning with chest X-rays. Computed tomography (CT), however, produces more detailed images. Unlike X-ray studies, which pass radiation through the body to produce single-angle images, CT scans create volumetric images of the body\u2019s structures. This advanced technology is superior in sensitivity when it comes to detecting small nodules or lesions.\"}),/*#__PURE__*/i(\"blockquote\",{children:[/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"When caught before it spreads, the likelihood of surviving five years or more improves to 63% compared to 7% for late-stage diagnosis.\"})})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"American Lung Association\"})})})]}),/*#__PURE__*/e(\"p\",{children:\"Low-dose CT (LDCT) scans became the preferred modality for screening lung cancer following the results of the National Lung Screening Trial (NLST), a large-scale clinical trial conducted in the United States. The trial compared LDCT screening to chest X-rays for lung cancer screening in high-risk individuals. The NLST found that LDCT screening reduced lung cancer mortality by 20% compared to chest X-rays in the study population. The NLST results were published in 2011, and based on these findings, various medical organizations and guidelines started recommending LDCT screening for certain high-risk groups.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"Lung Cancer Screening Guidelines\"}),/*#__PURE__*/e(\"p\",{children:\"In 2013, the United States Preventive Services Task Force (USPSTF) issued a recommendation for annual LDCT screening for lung cancer in adults aged 55 to 77 years who have a 30-pack-year smoking history and currently smoke or have quit within the past 15 years. In 2021, they updated their recommendation to include adults aged 50 to 80 years who have a 20-pack-year (or greater) smoking history and currently smoke or have quit within the past 15 years.\"}),/*#__PURE__*/e(\"img\",{alt:\"\",className:\"framer-image\",height:\"382\",src:\"https://framerusercontent.com/images/OswXUjFYb8oEcLsBbtWGuN6ct34.png\",srcSet:\"https://framerusercontent.com/images/OswXUjFYb8oEcLsBbtWGuN6ct34.png?scale-down-to=512 512w,https://framerusercontent.com/images/OswXUjFYb8oEcLsBbtWGuN6ct34.png?scale-down-to=1024 1024w,https://framerusercontent.com/images/OswXUjFYb8oEcLsBbtWGuN6ct34.png 1348w\",style:{aspectRatio:\"1348 / 764\"},width:\"674\"}),/*#__PURE__*/e(\"p\",{children:\"If you think you may fall into the at-risk category, talk with your doctor about lung cancer screening. LDCT is widely available in community settings.\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"What is the Difference Between a Low-Dose CT Scan and a Regular CT Scan\"})}),/*#__PURE__*/e(\"p\",{children:\"Like a standard CT scan, low-dose CT involves passing X-ray beams through the body from various angles. These X-rays are absorbed differently by different tissues in the body. Detectors on the opposite side of the body measure the amount of X-rays that pass through the body. A computer then processes the information collected by the detectors to create detailed cross-sectional images, or slices, of the body.\"}),/*#__PURE__*/i(\"blockquote\",{children:[/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"Lung cancer screening finds over half of lung cancer at an early stage when it is more curable, compared to only about 25% without screening.\"})})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://pubmed.ncbi.nlm.nih.gov/36773935/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"CHESTJOURNAL\"})})})})})]}),/*#__PURE__*/e(\"p\",{children:\"The key difference between low-dose and standard-dose CT scans is that they use five times less radiation. This reduced dose helps minimize the potential risks associated with radiation exposure while still providing clear images for diagnostic purposes, making it safer for individuals to undergo regular screenings.\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"How Long Does a Low-Dose CT Scan Take\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"A low-dose screening CT is one of the quickest and easiest imaging tests. The scan itself takes only about a minute. Including the time it takes to check in at the facility, most patients are in and out of the door within 15-20 minutes. No medications or contrast are administered, you can eat before and after the exam, and you don\u2019t even need to change clothes so long as there is no metal near your chest.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"Challenges in Diagnosing Lung Cancer\"})}),/*#__PURE__*/e(\"p\",{children:\"Diagnosing lung cancer can be challenging, particularly in its early stages. The disease often does not cause noticeable symptoms early on or may produce symptoms easily dismissed or attributed to other respiratory conditions, such as coughing, fatigue, or mild chest pain. This overlap can result in patients not seeking medical attention until the disease has progressed, stressing the importance of annual screening for at-risk individuals.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Access to healthcare services and resources can also influence the timing of lung cancer diagnosis as a definitive diagnosis generally requires imaging studies and procedures, such as biopsies, to confirm the presence of cancer. Individuals with limited access to healthcare may delay seeking medical attention or may not have access to timely diagnostic tests and subspecialty care, leading to delayed diagnosis and advanced disease at presentation.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"From an imaging perspective, while early detection of small lung abnormalities can be life-saving, identifying small lesions and distinguishing between benign and potentially malignant findings can be difficult. Routine screening provides the advantage of surveillance, equipping patients and their doctors with the ability to compare and monitor any suspicious changes over the years.\\xa0\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"A More Personalized Experience with Low-Dose CT Scanning\"})}),/*#__PURE__*/i(\"p\",{children:[\"Results for LDCT are typically delivered to a patient\u2019s doctor with structured reporting and guidelines for recommended follow-up. Getting a\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/radiology-second-opinion/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"subspecialty second opinion\"})}),\"\\xa0is a valuable resource that can elevate patient care through direct communication with the reading radiologist. A second opinion allows for a more personalized experience, helps ensure accuracy, and can provide peace of mind and reassurance that nothing was missed or misdiagnosed. DocPanel can connect you with a subspecialty-trained thoracic radiologist who can bring decades of experience diagnosing lung cancer from LDCT scans.\"]}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"\u201CDocPanel radiologists are here to help you understand your scans and risk factors to maximize your health and provide early diagnosis of lung cancer,\u201D says Dr. Francine Jacobson, a Thoracic Radiology Specialist at DocPanel.\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"Second opinions through the DocPanel platform enable patients worldwide to access US-based subspecialty radiologists virtually. Patients can upload low-dose CT scans and other chest imaging studies, submit specific questions, and engage with the chest or thoracic radiologist reviewing their case. Radiologists provide a detailed evaluation and report within 1-2 business days that a patient can then share with their doctors if they wish to do so. Patients can also submit prior LDCT scans or other chest studies for comparison to aid in the evaluation.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"Determining if Lung Cancer Screening with Low-Dose CT is Right for You\"})}),/*#__PURE__*/i(\"p\",{children:[\"Lung cancer screening is proven to save lives. However, less than 10% of eligible Americans have been screened. In some states, screening rates are as low as 1%. If you currently smoke or have smoked in the past, it\u2019s important to talk with your doctor about screening recommendations. The American Lung Cancer Association also offers a\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/saved-by-the-scan/quiz\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"quick and easy tool to assess screening eligibility\"})}),\".\\xa0\"]}),/*#__PURE__*/i(\"blockquote\",{children:[/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"14.2 million Americans meet the US Preventive Services Task Force guidelines for lung cancer screening.\"})})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.lung.org/media/press-releases/state-of-lung-cancer-2022#:~:text=If%20you%20are%20eligible%20for,Task%20Force%20guidelines%20for%20screening.\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"LUNG CANCER ASSOCIATION\"})})})}),/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"\\xa0\"})})]})]}),/*#__PURE__*/i(\"p\",{children:[\"Similar to mammograms and other screening tests, annual lung cancer screening with low-dose CT is fully covered by\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.medicare.gov/coverage/lung-cancer-screenings\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Medicare\"})}),\"\\xa0and the majority of private insurance plans for those meeting certain at-risk criteria. The requirements vary slightly for each entity, so it is recommended to verify coverage directly with your provider. The American Lung Association offers a handy\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/screening-resources/insurance-checklist\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"insurance checklist\"})}),\"\\xa0that guides patients on what questions to ask when determining coverage eligibility.\\xa0\"]})]});export const richText1=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/i(\"p\",{children:[\"The recognition of breast density as a crucial factor in cancer detection has led to a more personalized and comprehensive approach to breast cancer screening. At\\xa0\",/*#__PURE__*/e(n,{href:\"https://thesonocenter.com/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!0,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Sono Center\"})}),\"\\xa0in Pasadena, California, women can access one of the latest life-saving technologies \u2014 the SonoCine automated whole breast ultrasound (AWBUS). Developed by Dr. Kevin Kelly, founder of the center, SonoCine AWBUS uses advanced technology that is 300 percent more accurate than mammography when detecting small (1 cm or less) invasive cancers.\"]}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"How SonoCine AWBUS Works\\xa0\"})}),/*#__PURE__*/e(\"img\",{alt:\"sono_cine_awbus\",className:\"framer-image\",height:\"341\",src:\"https://framerusercontent.com/images/x32aV7QEiWKPHtXzLjgfEdtyk.jpg\",srcSet:\"https://framerusercontent.com/images/x32aV7QEiWKPHtXzLjgfEdtyk.jpg?scale-down-to=512 512w,https://framerusercontent.com/images/x32aV7QEiWKPHtXzLjgfEdtyk.jpg 1024w\",style:{aspectRatio:\"1024 / 683\"},width:\"512\"}),/*#__PURE__*/e(\"p\",{children:\"SonoCine AWBUS is a computer-guided ultrasound system designed to detect the lesions that mammography most frequently misses. The ultrasound technology captures thousands of high-resolution images covering the whole breast, including the underarm, clavicle, between the breasts, the sides of the breasts, and the back to the chest wall. The images are then pieced into a movie and read by a specially trained breast radiologist. AWBUS is not meant to replace mammography, which remains the primary screening tool, but is a complementary modality that offers numerous benefits in the early detection of breast cancer.\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"\u201CSonoCine AWBUS is a non-invasive, radiation-free option that provides peace of mind to our patients and increases the detection of small invasive cancers, especially in women with dense breasts and implants,\u201D says Dr. Edmond Ohanian, Medical Director at the Sono Center.\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"Women with dense breast tissue or implants benefit most from SonoCine AWBUS because it can be more difficult to detect abnormalities for these groups. Dense tissue and implants impact the sensitivity of mammography and its ability to produce clear images. SonoCine technology captures 100 percent of breast tissue and is FDA-cleared for all dense-breasted women. AWBUS can also provide a better view of suspicious areas that were initially seen on a mammogram.\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"The Importance of Knowing Your Breast Density\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"Breast density measures the amount of fibrous and glandular tissue (fibroglandular tissue) compared to fatty tissue in the breast. Dense breasts have a higher proportion of non-fatty tissue, which can make it more challenging to detect abnormalities on mammograms, as both cancerous and dense breast tissue appear white on the images. Women who have dense breast tissue are also in a higher risk bracket for developing breast cancer than women with less dense breast tissue.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"\u201CAs a healthcare provider, I emphasize the importance of breast density awareness. Knowing one\u2019s breast density level can make a significant difference in early breast cancer detection,\u201D says Dr. Edmond Ohanian. \u201CMany of our patients owe their survival to being informed about breast density and choosing comprehensive screening methods like SonoCine.\u201D\"})}),/*#__PURE__*/e(\"p\",{children:\"Women typically learn about their breast density through mammogram reports. There are four categories of breast density that range from almost all fatty tissue to extremely dense tissue with very little fat. The radiologist who interprets the mammogram will determine which of the four categories best describes how dense the breasts are. Dense breast tissue is normal and common, with nearly half of women in their 40s having dense breasts.\"}),/*#__PURE__*/e(\"img\",{alt:\"Breast Density Categories \",className:\"framer-image\",height:\"390\",src:\"https://framerusercontent.com/images/bx2tP3sD4YwNThwrKH3LWjvLM.png\",srcSet:\"https://framerusercontent.com/images/bx2tP3sD4YwNThwrKH3LWjvLM.png?scale-down-to=512 512w,https://framerusercontent.com/images/bx2tP3sD4YwNThwrKH3LWjvLM.png 1024w\",style:{aspectRatio:\"1024 / 780\"},width:\"512\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"Peace of Mind with Subspecialty AWBUS Interpretations\"})}),/*#__PURE__*/i(\"p\",{children:[\"Breast imaging, whether mammography, ultrasound, MRI, or any other modality, is complex. Having breast imaging scans read by a subspecialty breast radiologist contributes to more accurate and reliable diagnoses, which, in turn, can lead to better patient care and outcomes. Sono Center and\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!0,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"DocPanel\"})}),\"\\xa0have partnered to ensure subspecialty interpretations on all SonoCine AWBUS scans.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"AWBUS scans performed at Sono Center are read by a specific subset of DocPanel breast radiologists specially trained to interpret the SonoCine AWBUS images. Familiarity with the intricacies of SonoCine\u2019s unique technology enables them to confidently evaluate the images to detect cancerous lesions in their earliest and most treatable stages. Sono Center\u2019s commitment to subspecialty interpretations gives patients in the LA area access to SonoCine\u2019s advanced technology with the peace of mind that a specially trained breast radiologist will read their studies.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"Determining If SonoCine AWBUS Is Right For You\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"AWBUS is recommended for women with dense breasts, implants, an abnormal mammogram result that requires follow-up, or for those who are at high risk of developing breast cancer. The first step is to ensure you have already received or are scheduled for your annual mammogram, as mammography remains the primary breast screening and diagnostic tool. Patients can then utilize SonoCine AWBUS technology to gain additional and valuable information that further evaluates the whole breast. Understanding the significant value that AWBUS offers when paired with mammograms is essential.\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"\u201CBy screening annually with both mammography and AWBUS, the detection rate and sensitivity of cancer detection is increased by approximately 25%,\u201D says Breast Radiologist Dr. Caroline Moss, who provides interpretation coverage at Sono Center through the DocPanel platform. \u201CThe ACS recommends that all women over 40 obtain comprehensive breast health screening. Though, it should be emphasized that the best way to detect early cancers is with the combination of AWBUS\\xa0 and annual mammograms.\u201D\"})}),/*#__PURE__*/e(\"p\",{children:\"You can discuss AWBUS with your primary provider or reach out to the Sono Center for more information. While a referral is not required to schedule an appointment with Sono Center, your provider can help you obtain a copy of your medical records and prior breast imaging to bring to your appointment.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"Scheduling a SonoCine AWBUS Appointment\\xa0\"})}),/*#__PURE__*/i(\"p\",{children:[\"SonoCine AWBUS exam appointments can be scheduled directly through the\\xa0\",/*#__PURE__*/e(n,{href:\"https://thesonocenter.com/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Sono Center\\xa0\"})}),/*#__PURE__*/e(n,{href:\"https://sonocenter.as.me/schedule.php\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!0,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"website\"})}),\". Information on pricing, insurance coverage, and what to expect during the exam can all be found on the site as well. For those living outside of the Los Angeles area, the\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.sonocine.com/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!0,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"SonoCine website\"})}),\"\\xa0offers a helpful tool to locate other imaging facilities that offer the advanced ultrasound technology.\\xa0\"]}),/*#__PURE__*/e(\"h2\",{children:/*#__PURE__*/e(\"strong\",{children:\"About Sono Center\\xa0\"})}),/*#__PURE__*/i(\"p\",{children:[\"The Sono Center is located at 960 E Green St #166 in Pasadena, CA. You can reach their office at (626) 381-9430, or\\xa0\",/*#__PURE__*/e(n,{href:\"https://sonocenter.as.me/schedule.php\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"book an appointment here\"})}),\".\"]}),/*#__PURE__*/e(\"img\",{alt:\"sono_center_california_improves_breast_cancer_detection_sonocine_awbus\",className:\"framer-image\",height:\"370\",src:\"https://framerusercontent.com/images/v0ZjK7Q6yii2cqKrqxkF051umOA.jpg\",srcSet:\"https://framerusercontent.com/images/v0ZjK7Q6yii2cqKrqxkF051umOA.jpg?scale-down-to=512 512w,https://framerusercontent.com/images/v0ZjK7Q6yii2cqKrqxkF051umOA.jpg 1024w\",style:{aspectRatio:\"1024 / 741\"},width:\"512\"})]});export const richText2=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Types of Spine MRI\"}),/*#__PURE__*/e(\"p\",{children:\"Imaging of the spine splits the vertebrae into three regions: cervical, thoracic, and lumbar. Your doctor will choose the appropriate type of MRI based on your symptoms, medical history, and suspected spinal condition.\"}),/*#__PURE__*/e(\"h3\",{children:\"Cervical Spine MRI:\"}),/*#__PURE__*/i(\"p\",{children:[\"The cervical spine comprises the seven vertebrae (C1-C7) in the neck area. A\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/5-things-know-about-your-cervical-mri\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"cervical spine MRI\"})}),\"\\xa0is commonly used to assess conditions like herniated discs, spinal stenosis, nerve impingement, fractures, tumors, and other abnormalities that may affect the neck and upper limbs.\"]}),/*#__PURE__*/e(\"h3\",{children:\"Thoracic Spine MRI:\"}),/*#__PURE__*/i(\"p\",{children:[\"The thoracic spine is the middle portion corresponding to the chest region, extending from the base of the neck to the lower back. It consists of twelve vertebrae (T1-T12). A\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/understanding-your-thoracic-spine-mri-report\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"thoracic spine MRI\"})}),\"\\xa0is primarily used to evaluate issues like spinal deformities, tumors, spinal cord compression, and other conditions that may affect the chest area.\"]}),/*#__PURE__*/e(\"h3\",{children:\"Lumbar Spine MRI:\"}),/*#__PURE__*/i(\"p\",{children:[\"The lumbar spine is the lower portion of the spine, consisting of five vertebrae (L1-L5) that span the lower back. A\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/what-know-about-your-lumbar-spine-mri\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"lumbar spine MRI\"})}),\"\\xa0is commonly used to assess conditions like herniated discs, spinal stenosis, degenerative disc disease, sciatica, and other problems that may affect the lower back and legs.\"]}),/*#__PURE__*/e(\"p\",{children:\"In some cases, your doctor may request a whole spine MRI that includes all three studies. This evaluation is typically required when there is a suspicion of widespread spinal issues or when a condition affecting multiple areas of the spine is suspected.\"}),/*#__PURE__*/e(\"h2\",{children:\"Spine MRI vs Spine CT\"}),/*#__PURE__*/e(\"p\",{children:\"Unlike computed tomography (CT), MRI does not use ionizing radiation. It generates images using a strong magnetic field and radio waves. CT scans involve exposure to X-rays, which carry a small risk of radiation exposure. The level of radiation exposure in a CT scan is generally higher than in a standard X-ray but still within acceptable limits.\"}),/*#__PURE__*/e(\"p\",{children:\"Each modality has its strengths and limitations. A spine MRI is preferred when studying soft tissues, such as the spinal cord, muscles, ligaments, and discs, due to its superiority in differentiating between normal and abnormal soft tissue. It is also the preferred modality to look for subtle bone marrow edema. A CT of the spine is superior in its ability to visualize bone and calcium, making it particularly useful for assessing fractures, bony abnormalities, or bony alignment. It may also be used over MRI in emergent settings due to quicker exam time.\"}),/*#__PURE__*/e(\"h2\",{children:\"Spine MRI With or Without Contrast\"}),/*#__PURE__*/e(\"p\",{children:\"Contrast agents help enhance the visibility of specific tissues and structures. Depending on the clinical question and any suspected or known medical conditions, your doctors will decide whether to use contrast in a spine MRI.\"}),/*#__PURE__*/e(\"p\",{children:\"Some instances where a contrast-enhanced spine MRI may be helpful include:\"}),/*#__PURE__*/i(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Identifying and characterizing tumors or abnormal growths\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Distinguishing areas of active infection or inflammation\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Improving the detection and characterization of vascular malformations\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Assessing the presence of postoperative complications\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Identifying nerve abnormalities or compression (in some instances)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Diagnosing certain demyelinating diseases of the spinal cord, such as multiple sclerosis\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Visualizing suspected vascular injuries or dissections involving the blood vessels\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Wait Time to Receive Results of a Spine MRI\"}),/*#__PURE__*/e(\"p\",{children:\"The time it takes to receive the results of a spine MRI can vary depending on several factors, including the imaging facility\u2019s protocol, medical urgency, and the availability of reading radiologists. In most cases, the results are available within one to two weeks. However, the exact turnaround time can differ from one healthcare facility to another.\"}),/*#__PURE__*/i(\"p\",{children:[\"You can learn more about the factors influencing wait time in our article:\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/how-long-does-it-take-get-mri-results\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"How Long Does It Take To Get MRI Results\"})})}),\".\"]}),/*#__PURE__*/e(\"h2\",{children:\"Appropriate Type of Radiologist to Read a Spine MRI\"}),/*#__PURE__*/e(\"p\",{children:\"A radiologist specializing in neuroradiology or musculoskeletal radiology is the best type of specialist to read a spine MRI. Both subspecialties within radiology involve extensive training in evaluating the nervous system (including the spine) and the musculoskeletal system, respectively. Depending on your symptoms, a neuroradiologist or musculoskeletal radiologist may be preferred over the other. Their skill and experience ensure a thorough spine assessment, which is critical for providing an accurate diagnosis and guiding appropriate treatment plans.\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Neuroradiologist:\"}),\"\\xa0A neuroradiologist is a radiologist with additional fellowship training focused explicitly on interpreting images of the brain, spinal cord, and nerves. They are well-versed in identifying and diagnosing various spinal conditions, such as disc herniation, spinal cord compression, spinal tumors, spinal stenosis, and other neurological abnormalities.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Musculoskeletal Radiologist:\"}),\"\\xa0Musculoskeletal radiologists have undergone fellowship training in interpreting images of the body\u2019s bones, joints, muscles, and soft tissues, including the spine. They are skilled at evaluating spinal anatomy, bone structures, and musculoskeletal disorders affecting the spine, such as fractures, degenerative changes, and inflammatory conditions.\"]}),/*#__PURE__*/e(\"p\",{children:\"In some cases, general radiologists with experience interpreting spine MRIs may also read these studies effectively. However, when there are specific concerns related to neurological or musculoskeletal issues, consulting a subspecialty radiologist can lead to a more comprehensive and precise evaluation. A subspecialty second opinion is a great avenue to have your spine MRI interpreted by a qualified and experienced radiologist. Appropriate specialization helps ensure the best possible diagnostic outcome.\"}),/*#__PURE__*/i(\"p\",{children:[\"You can learn more about whether a second opinion is right for you in our article \u2013\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/5-signs-you-should-get-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Should I Get a Radiologist Second Opinion\"})}),\".\"]}),/*#__PURE__*/e(\"h2\",{children:\"What To Do If Your Spine MRI Findings Do Not Explain Your Symptoms\"}),/*#__PURE__*/e(\"p\",{children:\"If your spine MRI results do not fully explain your symptoms, try not to be discouraged and focus on continuing to investigate other options. You can start by following up with your healthcare provider who ordered the spine MRI. Discuss why the MRI results did not provide a conclusive explanation, ask questions, and revisit your symptoms. Your doctor may reevaluate your medical history, conduct a physical examination, and consider other potential causes for your symptoms.\"}),/*#__PURE__*/e(\"p\",{children:\"If your doctors remain unsure about the cause of your symptoms, they may refer you to another type of specialist. Neurologists, orthopedic spine specialists, rheumatologists, or other relevant specialists can provide specialized assessments and opinions. Your doctor may also recommend additional imaging studies or tests. These can range from CT or bone scans to specialized MRI sequences that further investigate certain areas or structures. You can also consider seeking a second opinion from a subspecialty radiologist. Another radiologist\u2019s interpretation of the MRI might provide additional insights into your condition.\"}),/*#__PURE__*/e(\"p\",{children:\"If you feel that your concerns are not being adequately addressed, or that your symptoms are being dismissed, be proactive and advocate for yourself. Try to be patient, and don\u2019t hesitate to seek the opinion of other specialists or request further tests to get to the root of your symptoms. Your health and well-being are important, and a thorough evaluation is essential for an accurate diagnosis and appropriate treatment plan.\"})]});export const richText3=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Eric\u2019s Story\"}),/*#__PURE__*/e(\"p\",{children:\"In November 2019, I began experiencing spasm-type sensations and movement in my upper ribs and sternum. My lower ribs also started to flare out. Over the next 18 months, I had numerous diagnostic studies. Each doctor I sought care with insisted that nothing was physically wrong with me. They began attributing my symptoms to PTSD and anxiety, even though my rib cage had become deformed.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"As time passed, my condition worsened, but I could not find a doctor to take me seriously. It reached the point where I needed to lay on my back for almost the entire day. I knew something was wrong, yet doctors continuously minimized and dismissed my symptoms despite their progression.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:'At a loss for any answers or medical guidance, I did my own research. I eventually stumbled upon \"Slipping Rib Syndrome,\" a condition where the ribs become detached from the costal cartilage. My symptoms matched a hundred percent. Only a handful of surgeons in the US are familiar with slipping rib syndrome, one of whom officially diagnosed me. In September 2021, I received the necessary surgery. However, post-op, my sternum issues persisted.'}),/*#__PURE__*/i(\"p\",{children:[\"In continuing my research, I found DocPanel and decided it was worth the money to have another set of eyes take a look at my medical imaging.\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/our-radiologists/william-morrison-md\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Dr. William Morrison\"})}),\", a musculoskeletal radiologist, provided my second opinion. Upon reviewing my chest CT scan, he discovered a pseudoarthrosis (transverse non-union) in my manubriosternal joint, a rather rare injury. Because the joint was unstable, the mechanics of my entire rib cage had become altered.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"When I read Dr. Morrison\u2019s radiology report, the only thing I could do was cry. I finally got the answers I was so desperately seeking. Naturally, I had a few follow-up questions. Dr. Morrison answered quickly and comprehensively, providing me with even more guidance. Over the past year and a half, I have sent several other studies to Dr. Morrison for review. I trust his opinions without question!\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"br\",{className:\"trailing-break\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"br\",{className:\"trailing-break\"})}),/*#__PURE__*/e(\"p\",{children:\"After my initial second opinion, I emailed Dr. Morrison\u2019s report to my chest trauma surgeon. He immediately made a plan to stabilize the manubriosternal joint with hardware.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"My surgeon determined that the original sternum injury occurred upon a deliberate vehicle strike I endured as a police officer. Because the site never healed correctly, what started years ago as occasional, painless clicking and popping in my upper ribs and sternum eventually became a debilitating injury.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"If you are reading this, you are likely desperate for answers, as I was. If you feel totally dismissed and abandoned by doctors, I\u2019ve been there. Of course, DocPanel is a business, but it comprises people who genuinely care about you and your future.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"It\u2019s so easy to feel helpless and on the verge of giving up when you know something is terribly wrong, but no one will listen. Your instincts are what brought you to DocPanel in the first place. Please do yourself a favor and follow through with matching with a specialist and getting the second opinion you deserve.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"em\",{children:\"DocPanel is committed to making sure every patient receives excellent care. If you would like an expert second opinion on your medical imaging from a fellowship-trained subspecialty radiologists, you can learn more\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/radiology-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:\"here\"})})}),/*#__PURE__*/e(\"em\",{children:\".\"})]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"NEXT: Read our blog post on\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/5-signs-you-should-get-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"Should I Get A Radiology Second Opinion?\"})})})]})]});export const richText4=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Radiology scans are indispensable in diagnosing, monitoring, and treating various health conditions.\"}),/*#__PURE__*/e(\"p\",{children:'The reports, however, are primarily intended for healthcare professionals, often filled with complex medical terminology that can be daunting and challenging for patients to comprehend. Among the terms frequently utilized in radiology interpretations, \"unremarkable\" can be particularly perplexing when encountered on your radiology report.\\xa0'}),/*#__PURE__*/e(\"h2\",{children:'What Does \"Unremarkable\" Mean In A CT Scan Report'}),/*#__PURE__*/e(\"p\",{children:'In the context of a CT scan, or any other type of medical imaging, the term \"unremarkable\" typically means that no abnormal or significant findings were observed. When a radiologist reviews an imaging scan, they carefully examine each image to look for any indications of pathology or abnormalities. If they describe the findings as \"unremarkable,\" it suggests that the scanned area or structure appears normal and does not exhibit any noticeable abnormalities, lesions, or signs of disease.\\xa0'}),/*#__PURE__*/e(\"h2\",{children:'What Does \"Grossly Unremarkable\" Mean In A CT Scan Report'}),/*#__PURE__*/e(\"p\",{children:'While \"grossly unremarkable\" and \"unremarkable\" generally convey a similar meaning, there can be subtle differences in their usage and interpretation within a radiology report. These differences can vary depending on the specific context and the preference of the radiologist providing the report. Here are a couple of potential distinctions:'}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Level of detail:\"}),'\\xa0The term \"grossly unremarkable\" may suggest a higher level of scrutiny or attention to detail during the examination. It implies that the radiologist carefully evaluated the images and specifically looked for gross or obvious abnormalities, indicating a thorough analysis. On the other hand, \"unremarkable\" might be used in a broader sense, indicating that no notable abnormalities were detected but without emphasizing the level of scrutiny or attention given to the examination.']}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Interpretation subjectivity:\"}),'\\xa0Adding \"grossly\" in front of \"unremarkable\" can introduce an element of subjectivity. It acknowledges that radiology interpretation is not an entirely objective science and that there can be variations in perception or judgment. The term \"grossly unremarkable\" recognizes that different radiologists may have slightly different interpretations, but overall, they did not identify any significant abnormalities.']}),/*#__PURE__*/e(\"p\",{children:\"It\u2019s important to note that these distinctions may not be universally applied and can vary based on individual radiologists\u2019 preferences and regional practices. Ultimately, it\u2019s best to discuss your radiology report\u2019s specific details and clinical implications with your referring provider. They can help ensure a comprehensive understanding of the findings.\"}),/*#__PURE__*/e(\"h2\",{children:\"Significance for Healthcare Professionals\"}),/*#__PURE__*/e(\"p\",{children:'The term \"unremarkable\" holds significance for healthcare professionals who read or use a radiology report when caring for a patient in several ways:'}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Exclusion of significant abnormalities:\"}),'\\xa0When a radiology report describes findings as \"unremarkable,\" it indicates that no significant abnormalities or clinically significant findings were observed on the scan. This information provides reassurance to healthcare professionals that there are no obvious signs of pathology or concerning conditions affecting the scanned area or structure.']}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Baseline for comparison:\"}),'\\xa0The term \"unremarkable\" establishes a baseline or reference point for future evaluations. If subsequent scans or assessments are performed, healthcare professionals can compare the new findings with the previous unremarkable report. Any changes or developments in the patient\u2019s condition can be identified and investigated further, as deviations from the established baseline may indicate the presence of a new pathology or disease progression.']}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Clinical decision-making:\"}),'\\xa0The designation of \"unremarkable\" assists healthcare professionals in making clinical decisions. It helps them prioritize further investigations or interventions based on the absence of significant abnormalities. Suppose the imaging scan is part of a diagnostic workup. In that case, an unremarkable report may indicate that the search for the underlying cause of the patient\u2019s symptoms should focus on factors other than the imaged area.']}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Communication and collaboration:\"}),'\\xa0Radiology reports, including the term \"unremarkable,\" serve as a means of communication and collaboration among healthcare professionals. When multiple healthcare providers are involved in a patient\u2019s care, the report helps ensure that everyone clearly understands the imaging findings and can make informed decisions based on that information. The term \"unremarkable\" provides a concise and standardized way to communicate that the scanned area or structure appears normal, facilitating effective interdisciplinary collaboration.']}),/*#__PURE__*/e(\"p\",{children:'While the term \"unremarkable\" provides valuable information, healthcare professionals need to consider the clinical context, patient history, and the limitations of imaging studies to form a comprehensive assessment and develop an appropriate care plan for the patient.'}),/*#__PURE__*/e(\"h2\",{children:\"Limitations of Imaging Studies Within the Diagnostic Process\"}),/*#__PURE__*/e(\"p\",{children:'While imaging studies are valuable tools in medical diagnosis and assessment, it\u2019s essential to recognize their limitations in providing a comprehensive evaluation. \"Unremarkable\" does not imply a comprehensive evaluation of all possible conditions or diseases. It simply suggests that no significant abnormalities were identified during the examination of the specific area or structure that was imaged. Further clinical assessment and consideration of other factors may still be necessary to make a complete diagnosis or evaluate a patient\u2019s condition comprehensively. Here are a few key points to consider:'}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Sensitivity and specificity:\"}),'\\xa0Imaging studies have varying levels of sensitivity and specificity for detecting certain conditions. Sensitivity refers to the ability of a test to correctly identify individuals with a particular condition, while specificity refers to the ability to correctly identify those without the condition. While modern imaging techniques have high sensitivity and specificity for many conditions, they may still have limitations in certain cases, leading to false-negative or false-positive results. An \"unremarkable\" finding should be interpreted with the awareness that it does not completely rule out the presence of a subtle or early-stage abnormality.']}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Variability and interpretation:\"}),'\\xa0The interpretation of imaging studies can be subjective to some extent, as it relies on the expertise and experience of the radiologist reviewing the scans. Different interpretations or variations in perception may exist, which can impact the characterization of findings as \"unremarkable.\" This highlights the importance of ensuring a radiologist with the proper subspecialization interprets your scan. Subspecialty radiologists, such as neuroradiologists or abdominal radiologists, have expertise in specific body systems and are more familiar with the nuances of visualizing the respective areas. Subspecialists can also perform informed clinical correlation by integrating imaging findings with other essential clinical information, including the patient\u2019s medical history, physical examination, and relevant clinical data. If you are unsure whether a subspecialist interpreted your scan, a radiology second opinion may be of great value.']}),/*#__PURE__*/i(\"p\",{children:[\"To learn more, check out our article on\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/5-signs-you-should-get-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"Should I Get a Radiology Second Opinion\"})})})]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Limitations of the imaging modality:\"}),'\\xa0Each imaging modality has its own strengths and limitations. For example, certain conditions may be better visualized with one modality compared to another. Additionally, certain structures or pathologies may be challenging to visualize clearly with imaging alone, requiring additional diagnostic tests or procedures to supplement the evaluation. Consequently, an \"unremarkable\" finding on an imaging scan may not provide a complete assessment of a patient\u2019s condition, and further investigation or clinical evaluation may be necessary.']}),/*#__PURE__*/e(\"p\",{children:'Considering these limitations, healthcare professionals must interpret an \"unremarkable\" finding within the broader clinical context. They should evaluate the patient\u2019s symptoms, medical history, physical examination findings, and other relevant diagnostic information to form a comprehensive assessment and determine the most appropriate course of action. Collaboration and communication among healthcare professionals involved in the patient\u2019s care are essential to ensure a holistic approach to diagnosis and treatment.'})]});export const richText5=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Precision and accuracy are crucial in the field of medicine.\"}),/*#__PURE__*/e(\"p\",{children:\"Radiology reports aid in developing effective diagnostic and treatment strategies tailored to a patient\u2019s specific needs. They\u2019re used to evaluate changes in a patient\u2019s condition. And they help track the effectiveness of therapies. Though primarily intended for referring providers, understanding our radiology report\u2019s basic structure and key terms can help alleviate some confusion. This knowledge can empower us to ask questions and initiate valuable conversations with our doctors.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"Radiology Report Structure\"}),/*#__PURE__*/e(\"p\",{children:\"While standardized guidelines exist, radiology reports can differ between institutions based on a facility\u2019s established protocols. For example, certain institutions may incorporate additional sections based on their internal workflows and referring physician preferences. The specific requirements for each subspecialty or imaging modality, such as oncological imaging or mammography, may also vary from practice to practice.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[\"These factors often influence the level of detail provided in a report. Some institutions may prefer concise reports focusing on essential findings, while others may include more detailed descriptions or additional information to aid clinical decision-making. A radiologist\u2019s experience and specialty training may also impact the thoroughness\",/*#__PURE__*/e(\"br\",{}),\"of a report. Despite the variability, certain common elements are typically in all radiology reports to ensure clarity and consistency.\\xa0\"]}),/*#__PURE__*/e(\"h2\",{children:\"Understanding the Main Sections in a Radiology Report\"}),/*#__PURE__*/e(\"p\",{children:\"Radiology reports typically include the following five sections: indication, technique, comparison, findings, and impression. Each serves an essential purpose in communicating the details and results of an imaging procedure.\\xa0\"}),/*#__PURE__*/e(\"h3\",{children:/*#__PURE__*/e(\"strong\",{children:\"Indication\"})}),/*#__PURE__*/e(\"p\",{children:'A radiology report\u2019s \"indication\" section provides a concise description of the clinical reason or suspicion that led to the ordering of the imaging study. It is a communication bridge between the referring healthcare provider and the radiologist interpreting the images.\\xa0'}),/*#__PURE__*/e(\"p\",{children:\"Details typically found in this section include:\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Patient Information:\"}),\"\\xa0The patient\u2019s name, age, and gender.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Clinical Indication:\"}),'\\xa0An outline of any symptoms or specific diagnostic questions the referring physician wants to address through the imaging examination. For example, \"lower back pain,\" \"evaluation of a suspected fracture,\" or \"assessment of abdominal mass.\"']}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Relevant Clinical Findings:\"}),\"\\xa0In some cases, the indication section may include relevant findings from the patient\u2019s physical examination, laboratory tests, or prior imaging studies.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"The indication section is crucial for radiologists, as it guides their interpretation and helps them focus on the specific clinical question at hand. By understanding the clinical indication, the radiologist can tailor their analysis and provide a more accurate and relevant report to the referring physician.\"}),/*#__PURE__*/e(\"h3\",{children:/*#__PURE__*/e(\"strong\",{children:\"Technique\"})}),/*#__PURE__*/e(\"p\",{children:\"The technique section in a radiology report typically includes information about the imaging modality used, the specific imaging parameters, and any additional details relevant to the acquisition of the images.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Key elements commonly found in the technique section include:\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Imaging Modality:\"}),\"\\xa0The imaging technique employed, such as X-ray, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, or nuclear medicine study.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Imaging Protocol:\"}),\"\\xa0Details of the imaging sequences or the specific views acquired during the study. For example, this section may specify the slice thickness or reconstructions involved in a CT scan.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Equipment:\"}),\"\\xa0Information about the imaging equipment used, including the manufacturer, model, and relevant technical specifications, may be noted. This can be important for quality control.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Contrast Administration:\"}),\"\\xa0If a contrast agent was used during the study, this section outlines the type of contrast (e.g., iodinated contrast, gadolinium-based contrast), the route of administration (intravenous, oral, intra-articular), and the timing of the contrast injection.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Limitations:\"}),\"\\xa0The technique section may mention any limitations or challenges encountered during the study that could affect image quality or diagnostic interpretation. For example, patient motion, obesity, or poor breath-holding.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Radiology Report Example:\"}),/*#__PURE__*/e(\"br\",{}),/*#__PURE__*/e(\"em\",{children:\"Multiplanar multisequence MR imaging was performed of the brain and IACs with and without contrast.\"})]}),/*#__PURE__*/e(\"h3\",{children:/*#__PURE__*/e(\"strong\",{children:\"Comparison\"})}),/*#__PURE__*/e(\"p\",{children:'The \"comparison\" section in a radiology report provides information about any previous imaging studies available for comparison with the current study. The type of imaging modality (e.g., CT, MRI, X-ray) and the date of the previous study will be specified. This section will also state whether there are any limitations or challenges in comparing the current study with prior images, such as different imaging techniques, incomplete or unavailable prior imaging reports, or significant time gaps between the studies.'}),/*#__PURE__*/e(\"p\",{children:\"The comparison section allows the radiologist to provide a more accurate assessment by considering the evolution of findings. It aids in diagnosis, evaluation of treatment response, and identification of new or changing pathology. Additionally, it helps the referring physician understand the significance of any changes in the imaging findings and guides subsequent management decisions.\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Radiology Report Example:\"}),/*#__PURE__*/e(\"br\",{}),/*#__PURE__*/e(\"em\",{children:\"Comparison made with previous cervical spine MRI dated June-17-2018.\"})]}),/*#__PURE__*/e(\"h3\",{children:/*#__PURE__*/e(\"strong\",{children:\"Findings\"})}),/*#__PURE__*/e(\"p\",{children:'A radiology report\u2019s \"findings\" section contains a detailed description and interpretation of the imaging findings observed during the examination. It provides a comprehensive assessment of the patient\u2019s anatomy, any abnormalities or pathologies detected, and their significance.\\xa0'}),/*#__PURE__*/e(\"p\",{children:\"The findings section typically includes:\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Anatomic Description:\"}),\"\\xa0The anatomy visualized in the imaging study, including specific structures, organs, tissues, or regions of interest relevant to the examination.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Abnormal Findings:\"}),\"\\xa0Any visualized abnormalities, pathologies, or variations from the expected normal anatomy. Each finding is described in detail, including its location, size, shape, density, signal characteristics, or other pertinent features.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Radiology Report Example:\"}),/*#__PURE__*/e(\"br\",{}),/*#__PURE__*/e(\"em\",{children:\"Lungs: Scattered centrilobular ground-glass nodules, most prominent in the right middle lobe.\"}),/*#__PURE__*/e(\"br\",{}),/*#__PURE__*/e(\"em\",{children:\"Pleural space: Unremarkable. No pneumothorax. No effusion.\"}),/*#__PURE__*/e(\"br\",{}),/*#__PURE__*/e(\"em\",{children:\"Heart: Unremarkable. No cardiomegaly. No pericardial effusion.\"})]}),/*#__PURE__*/i(\"p\",{children:[\"Read Next:\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/what-does-unremarkable-mean-ct-scan-report\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:'What \"Unremarkable\" Means In a CT Scan Report'})})})]}),/*#__PURE__*/e(\"h3\",{children:/*#__PURE__*/e(\"strong\",{children:\"Impression\"})}),/*#__PURE__*/e(\"p\",{children:'A radiology report\u2019s \"impression\" section provides a concise summary and interpretation of the imaging findings. It is the final part of the report intended to convey the radiologist\u2019s overall assessment of the study.\\xa0'}),/*#__PURE__*/e(\"p\",{children:\"The impression may include:\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Summary of Findings:\"}),\"\\xa0A summary of the key findings observed during the imaging examination, such as significant abnormalities, areas of concern, or clinically relevant findings that are important for the referring physician to consider.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Diagnosis:\"}),\"\\xa0The radiologist may state in the impression section if a specific diagnosis can be confidently made based on the imaging findings. This is particularly true when the imaging features are highly characteristic of a particular condition or pathology.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Differential Diagnosis:\"}),\"\\xa0In cases where the diagnosis is uncertain, or there are multiple possible explanations for the findings, the radiologist may provide a list of potential diagnoses. This helps guide further investigations or consultations with other specialists to narrow the possibilities.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Clinical Correlation:\"}),\"\\xa0If applicable, the radiologist may relate the imaging findings to the patient\u2019s clinical presentation or history.\\xa0\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Recommendations:\"}),\"\\xa0If further imaging studies, procedures, or consultations are warranted based on the imaging findings, the radiologist may provide specific recommendations. This helps guide the referring physician in subsequent management decisions or additional investigations.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Radiology Report Example:\"}),/*#__PURE__*/e(\"br\",{}),/*#__PURE__*/e(\"em\",{children:\"Scattered centrilobular ground-glass nodules are more prominent in the right middle lobe. Differential diagnosis includes hypersensitivity pneumonitis, respiratory bronchiolitis, endobronchial spread of infection (TB, non-tuberculous mycobacterial infection, aspergillosis).\"})]}),/*#__PURE__*/e(\"h2\",{children:\"Still have questions about your radiology report?\"}),/*#__PURE__*/e(\"p\",{children:\"Here are some steps you can take to get the answers you need.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"Discuss the results with your referring provider.\"})}),/*#__PURE__*/e(\"p\",{children:\"Scheduling an appointment to discuss imaging findings with your referring provider is highly encouraged. Your doctor\u2019s office should facilitate the scheduling, but you can also request an appointment. Our doctors play a vital role in helping us understand our radiology reports by explaining the findings in less technical terms; an in-person or virtual meeting is an excellent opportunity to address your questions.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"Get a subspecialty second opinion.\"})}),/*#__PURE__*/i(\"p\",{children:[\"A\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/5-signs-you-should-get-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"second opinion\"})}),\"\\xa0from a subspecialty radiologist is an opportunity to equip you and your doctors with more information. It can help alleviate concerns about a missed diagnosis or misdiagnosis. It can help you and your doctors make confident decisions about your health. And it can provide peace of mind before an operation or treatment.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"Subspecialty radiologists are deeply familiar with the nuances of imaging in their respective areas of expertise. Getting a second set of eyes on your images will empower you with additional insight. If a subspecialist did not initially read your scan, a second opinion is especially valuable.\"})]});export const richText6=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Making important decisions about our health and well-being can be daunting.\"}),/*#__PURE__*/e(\"p\",{children:\"Whether facing a complex diagnosis or contemplating a treatment plan, obtaining a second opinion is a valuable resource that empowers us to make informed choices. However, the traditional route of seeking a second opinion often involves obtaining a referral from a primary care physician, adding layers of bureaucracy and potential delays to the process. Fortunately, advancements in technology and a shift toward virtual healthcare options have opened up alternative pathways, allowing individuals to pursue second opinions without the need for a referral.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"For many areas of medicine, virtual second opinions are also paving a way for improved access to subspecialized expertise. While clinical check-ups often rely on in-person evaluations, other types of specialized care do not necessarily require our presence. For such specialties, geography no longer has to limit us from getting subspecialized care. Through DocPanel, patients worldwide can get a subspecialty radiology second opinion without any referral requirements. Provided by top radiologists in the US, the price is affordable, the process is easy, and the wait time is only 24-48 hours.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Here\u2019s everything you need to know about getting a radiology second opinion without a referral.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"Getting Started\"}),/*#__PURE__*/e(\"h4\",{children:\"Create an Account\"}),/*#__PURE__*/i(\"p\",{children:[\"The first step to get a second opinion is to\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/radiology-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"create an account\"})})}),\". Simply enter your email address and a password of your choice. You\u2019ll then receive an email to verify your account and log in.\"]}),/*#__PURE__*/e(\"h3\",{children:\"Upload Your Scans\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"br\",{}),\"The next step is to upload the scans. DocPanel only accepts images in DICOM format (.dcm). A DICOM file is an image saved in the Digital Imaging and Communications in Medicine (DICOM) format. It is the file type radiologists need to view and interpret your scans. Other file formats, like JPG and PDF, are not accepted because the image quality is not the diagnostic quality that is needed for an accurate diagnosis.\\xa0\"]}),/*#__PURE__*/i(\"p\",{children:[\"Usually, after getting a scan, you\u2019ll be given a CD with digital copies of the images. To upload your scans, select the entire CD (you do\\xa0\",/*#__PURE__*/e(\"strong\",{children:\"not\"}),\"\\xa0need to click into it and select any folders) and click upload. Our system will pull all of the images from your scan directly from the CD. (A CD will usually always have the appropriate DICOM files.)\"]}),/*#__PURE__*/e(\"p\",{children:\"Once your scans have successfully uploaded, you will see a preview of the image.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"What types of scans are covered by DocPanel?\"}),/*#__PURE__*/e(\"br\",{}),/*#__PURE__*/e(\"br\",{}),\"DocPanel has expert radiologists proficient in all image types, including x-ray, ultrasound, CT/CAT, MRI, mammogram, and nuclear medical imaging such as PET.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"What if I don\u2019t have a copy of my scans?\"})}),/*#__PURE__*/e(\"p\",{children:\"Call or visit the imaging center, hospital, or clinic where you had the scan done, and ask them for a digital copy. Most centers will provide you with a CD.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"I tried uploading my CD but it says I need a password\"})}),/*#__PURE__*/e(\"p\",{children:\"If your CD is locked with a password, you can call the facility where you received your scan to retrieve the password. Unlock the CD on your computer and save the files to your desktop. Now you can upload the scans from your desktop (not the CD) to your DocPanel account.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[\"Read Lindsey\u2019s full story\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/mammogram-second-opinion-helped-me-thousands-miles-away\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"here\"})}),\".\\xa0\"]}),/*#__PURE__*/e(\"h3\",{children:\"Upload Your Doctor\u2019s Report\"}),/*#__PURE__*/e(\"p\",{children:\"Doctors\u2019 reports can be uploaded in whatever file you have them in. (JPGs, PDFs, etc. are fine here.)\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"Do I have to upload a doctor\u2019s report?\"})}),/*#__PURE__*/e(\"p\",{children:\"No, doctors\u2019 reports are not required. However, while the radiologist will provide a second opinion report based on their unbiased review of the scans you have uploaded, prior reports can be very useful. They help the radiologist identify specific techniques used by the technician who performed the scan, as well as provide a base for them to address any findings in a more specific way, as well as better answer your specific questions. The more information you provide, the more definitive and clear your second opinion will be.\\xa0\"}),/*#__PURE__*/e(\"h3\",{children:\"Enter Your Clinical Details\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"br\",{}),\"In the next section, enter your patient information and your reason for getting a second opinion. This will be sent to the radiologist, so it\u2019s good to make it as detailed as possible. Include information about symptoms, medical history, previous surgeries in the area being examined, and anything else that you think will be useful for the radiologist. You will also be able to ask specific questions you might have for the radiologist to answer.\"]}),/*#__PURE__*/i(\"p\",{children:[\"Ready to get started?\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/radiology-second-opinion#get-started\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Create an account here.\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Choosing Your Radiologist\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"br\",{}),\"You have the option to choose a radiologist yourself or have DocPanel select the one best suited for your particular case.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"Given the complexities of your case, we always suggest letting our medical team match you up with the right specialist for your needs.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[\"Read Peter\u2019s full story\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/overseas-second-opinion-catches-rare-gastrinoma\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"here\"})}),\".\\xa0\"]}),/*#__PURE__*/e(\"h2\",{children:\"Review and Submit Payment\"}),/*#__PURE__*/e(\"p\",{children:\"The final step before submitting is to review your information and enter your payment details.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"Does DocPanel accept insurance?\"})}),/*#__PURE__*/i(\"p\",{children:[\"No, at this time DocPanel is an out of pocket service. With that being said, DocPanel\u2019s prices are much lower than\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/access-top-specialty-radiologists-us-without-associated-costs\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"other subspecialty second opinion services\"})}),\".\\xa0\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"em\",{children:\"DocPanel is committed to making sure every patient receives excellent care. If you would like an expert second opinion on your medical imaging from a fellowship-trained subspecialty radiologists, you can learn more\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/radiology-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:\"here\"})})}),/*#__PURE__*/e(\"em\",{children:\".\"})]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"NEXT: Read our blog post on the\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/5-signs-you-should-get-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"Should I Get A Radiology Second Opinion?\"})})})]})]});export const richText7=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Magnetic Resonance Imaging (MRI) plays a vital role in detecting and evaluating numerous medical conditions.\"}),/*#__PURE__*/e(\"p\",{children:\"A non-invasive test, MRI scans provide detailed images of our internal body structures, including the organs, tissues, and skeletal system. Your doctor will likely order this type of scan, particularly when evaluating soft tissue, joints, ligaments, tendons, the spine, or the brain.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"It typically takes one to two weeks to get your MRI results. There are several factors, however, that may shorten or prolong the waiting time.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"Emergent vs. Non-Emergent MRI Scans\"}),/*#__PURE__*/e(\"p\",{children:\"An emergent MRI is a medical imaging procedure conducted in response to a time-sensitive or urgent medical condition. These conditions typically involve acute symptoms, severe injuries, or life-threatening situations where immediate diagnosis and intervention are necessary. On the other hand, a non-emergent MRI refers to a scheduled or routine imaging examination performed for non-urgent medical purposes, such as routine check-ups, monitoring chronic conditions, or investigating non-life-threatening symptoms. The key distinction between the two lies in the urgency and prioritization of the cases. Consequently, the time it takes to receive the MRI results can vary significantly. In emergent cases, the time it takes to get the MRI results is typically much shorter as the imaging is conducted promptly to aid in diagnosing and initiating immediate decision-making and treatment. Conversely, non-emergent MRI results may take longer to be reviewed and communicated to the patient, as they are usually not time-sensitive and may follow a regular workflow.\"}),/*#__PURE__*/e(\"h2\",{children:\"Where You Receive Your MRI Scan\"}),/*#__PURE__*/e(\"p\",{children:\"The geographical location where you undergo an imaging test can impact the time it takes to receive your MRI results. In areas with limited healthcare resources or high patient demand, there might be longer waiting times for MRI appointments. Consequently, this can lead to delays in scheduling the procedure itself and, subsequently, in obtaining the results. In regions with a higher concentration of medical facilities and specialized radiologists, the process of reviewing and interpreting the MRI scans may be expedited, resulting in shorter turnaround times for receiving the results. Moreover, the efficiency of the healthcare system and its infrastructure, including the availability of advanced imaging technologies and streamlined communication channels, can also influence the time it takes for you to obtain your MRI results.\"}),/*#__PURE__*/e(\"h2\",{children:\"Availability of Subspecialty Radiologists\"}),/*#__PURE__*/e(\"p\",{children:\"The availability of subspecialty radiologists can directly impact the time it takes to receive MRI results. Subspecialty radiologists are specialized experts who possess in-depth knowledge and experience in specific areas of radiology, such as neuroradiology, musculoskeletal radiology, or cardiovascular radiology. When an MRI scan involves a particular body part or condition requiring specialized expertise, the images must be reviewed and interpreted by these subspecialty radiologists. If there is a shortage of such radiologists in a given healthcare system or region, it can lead to longer turnaround times for MRI results. The demand for their expertise, combined with their limited availability, may result in a backlog of cases awaiting review. In such situations, patients may experience delays in receiving their MRI reports as they are prioritized based on the urgency and complexity of their condition.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"The Body Part or System Being Evaluated By the MRI Scan\"}),/*#__PURE__*/e(\"p\",{children:\"The type of MRI performed and the specific body part being analyzed can impact the time it takes to receive results. Different types of MRI scans, such as brain, spine, abdomen, or extremities, may vary in complexity and duration. Some MRI examinations require additional specialized sequences or contrast agents, which can prolong the imaging process. Furthermore, depending on the specific condition being evaluated, certain body parts may require a more detailed analysis or consultation with specialized physicians, such as neurologists, orthopedic surgeons, or abdominal specialists. Consequently, the interpretation time may vary based on the complexity of the scan and the availability of specialized expertise. Additionally, further consultations or additional imaging may be necessary if the MRI detects an unexpected or complex finding, which can extend the time it takes to receive the final results.\"}),/*#__PURE__*/e(\"h2\",{children:\"How Can I Reduce the Wait Time For My MRI Results?\"}),/*#__PURE__*/e(\"p\",{children:\"Online subspecialty second opinions offer an avenue to get your MRI results quickly. If your estimated wait time is days or weeks, using such a service can ensure you receive your results sooner. You can request a copy of your MRI images from the imaging facility or hospital. A staff member will prepare a CD with a copy of all your images. Typically, this can be made available immediately after your appointment. The study images can then be uploaded directly from the CD to a second opinion provider for interpretation. Be sure to choose a company that connects you with a subspecialty radiologist and not a generalist. Subspecialists will have specific training and expertise in reading MRI scans of the particular body part or system your scan evaluates. DocPanel, for example, is a subspecialty second opinion provider that ensures the best-suited subspecialist reads every case. Once you submit your scan, you will receive your MRI results within 24-48 hours. You can share the report with your healthcare team, including your primary care physician or doctor who referred you for the MRI.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"If MRI Results Are Bad, Do They Tell You Right Away?\"}),/*#__PURE__*/e(\"p\",{children:\"The timing of delivering MRI results depends on several factors, including the healthcare facility\u2019s protocols and the urgency of the situation. In cases where MRI results reveal significant abnormalities or findings that require immediate attention, medical professionals typically strive to communicate the results promptly. The severity of the condition and the potential impact on the patient\u2019s health play a crucial role in expediting the communication process. However, it\u2019s important to note that the exact timeframe for sharing bad MRI results can vary. In some instances, the healthcare provider may discuss the preliminary findings immediately after the scan or within a relatively short period. However, the process might take longer in more complex cases or when additional consultations or specialist opinions are required for accurate interpretation. Medical professionals aim to balance the need for prompt communication with ensuring accurate and comprehensive information, providing appropriate support and guidance for patients upon receiving potentially concerning MRI results.\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"em\",{children:\"DocPanel is committed to making sure every patient receives excellent care. If you would like an expert second opinion on your medical imaging from a fellowship-trained subspecialty radiologists, you can learn more\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/radiology-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:\"here\"})})}),/*#__PURE__*/e(\"em\",{children:\".\"})]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"NEXT: Read our blog post on the\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/5-signs-you-should-get-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"Should I Get A Radiology Second Opinion?\"})})})]})]});export const richText8=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Getting a medical diagnosis can be a nerve-wracking experience, especially if it\u2019s for a serious condition.\"}),/*#__PURE__*/e(\"p\",{children:\"As patients, we trust our doctors and radiologists to provide accurate and reliable information to guide our treatment plans. However, even the best healthcare professionals can make mistakes or miss important details, which can lead to misdiagnosis, delayed treatment, or unnecessary procedures.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"With medical imaging playing a significant role in the diagnosis process, it\u2019s natural to consider a radiology second opinion before making decisions about your health. Exploring the benefits can help you determine if a second opinion is the right choice to give you confidence and peace of mind in your medical journey.\"}),/*#__PURE__*/e(\"h2\",{children:\"1. A Radiology Second Opinion Before a Major Procedure of Course of Treatment\"}),/*#__PURE__*/e(\"p\",{children:\"Whether it be surgery for a torn ACL, a biopsy for prostate cancer screening, or chemotherapy to shrink a tumor, Medical treatments can be life-changing and life-saving. But under the wrong circumstances, they can be harmful and toxic. In conjunction with clinical evaluation, radiology reports help our doctors determine if and when such treatments are necessary.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/i(\"p\",{children:[\"75% of prostate cancer biopsies are unnecessary, some of which can be prevented with\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/3-ways-prostate-mri-can-improve-diagnostic-accuracy\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"prostate MRI\"})}),\". \u2013\",/*#__PURE__*/e(n,{href:\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7801171/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"NIH\"})})]})}),/*#__PURE__*/e(\"p\",{children:\"Seeking a radiology second opinion can help your healthcare team ensure the accuracy of a diagnosis and, thus, the effectiveness of subsequent treatment. By taking advantage of the expertise of multiple radiologists, you can gain a more comprehensive understanding of your condition and perhaps learn of other treatment options available. While it may require additional time and effort, the benefits of a second opinion far outweigh the potential risks of proceeding with a misdiagnosis or inappropriate treatment plan. Peace of mind can also relieve some anxiety, helping your immune system stay its strongest as you respond to treatment and heal.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"2. A Radiology Second Opinion When Your Original Report Is Inconclusive\"}),/*#__PURE__*/e(\"p\",{children:\"When the results of a medical imaging study are inconclusive, it can leave you and your healthcare providers uncertain about the best course of action. Seeking a radiology second opinion from a subspecialty radiologist can provide valuable insights, such as identifying potential errors or oversights in the original report. A radiology second opinion can also clarify any ambiguous findings, offering an alternative interpretation of something that may have been initially deemed insignificant.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"In some cases, an inconclusive report may be due to technical limitations or inconsistencies in the imaging itself. A second set of eyes can provide a fresh perspective on the images to identify other diagnostic options.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"3. A Radiology Second Opinion For Symptoms That Persist After a Procedure or Course of Treatment\"}),/*#__PURE__*/e(\"p\",{children:\"A radiology second opinion can be particularly valuable if you continue to experience concerning symptoms after undergoing a procedure or treatment. It can help identify any underlying issues that may have been missed or overlooked in the initial diagnosis, leading to a new or revised treatment plan. A comprehensive review comparing imaging performed before and after the treatment can also bring to light possible issues with treatment response.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/i(\"p\",{children:[\"Over 12 million American adults seeking outpatient medical care are misdiagnosed yearly. \u2013\",/*#__PURE__*/e(n,{href:\"https://qualitysafety.bmj.com/content/23/9/727\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"BMJ\"})})]})}),/*#__PURE__*/e(\"h2\",{children:\"4. A Radiology Second Opinion When You Are Not Confident a Subspecialist Read Your Scans\"}),/*#__PURE__*/e(\"p\",{children:\"When it comes to interpreting medical imaging, not all radiologists have the same level of expertise or subspecialty training. A fellowship trained radiologist is a medical doctor who has completed a specialized training program, called a fellowship, in a particular area of radiology. After completing a residency in diagnostic radiology, which typically takes four years, some radiologists pursue additional subspecialty training through a one or two-year fellowship program. During this fellowship, they receive specialized training in a specific area of radiology, such as neuroradiology, musculoskeletal radiology, or breast imaging, among others. Fellowship training enables radiologists to develop advanced skills and knowledge within their subspecialty, equiping them with the expertise to interpret and diagnose complex cases within their area of focus.\"}),/*#__PURE__*/e(\"p\",{children:\"A radiology second opinion provides an opportunity to ensure you have the best-suited subspecialist interpreting your images. In addition to nuanced expertise, subspecialists may have access to more advanced imaging techniques and tools, which can provide a more detailed and comprehensive assessment.\"}),/*#__PURE__*/e(\"h2\",{children:\"5. A Radiology Second Opinion for Pediatric Studies\"}),/*#__PURE__*/i(\"p\",{children:[\"Obtaining a radiology\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/importance-pediatric-neuroradiology-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"second opinion for pediatric studies\"})}),\"\\xa0can be especially crucial in getting an accurate diagnosis. Pediatric radiology requires specialized knowledge and expertise as children\u2019s bodies are still developing and are more susceptible to certain conditions than adults.\\xa0\"]}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/i(\"p\",{children:[\"A pediatric radiologist does not interpret an estimated 85% of pediatric imaging studies. \u2013\",/*#__PURE__*/e(n,{href:\"https://www.itnonline.com/article/pediatric-imaging-growing-fast\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Imaging Technology News\"})})]})}),/*#__PURE__*/e(\"p\",{children:\"Even an experienced, subspecialty-trained adult radiologist will have a different level of experience in interpreting pediatric studies. Seeking a second opinion from a radiologist specifically trained and experienced in pediatric radiology can help ensure the most appropriate and effective care.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Regardless of the scenario, a radiology second opinion brings new knowledge and experience to the table. It\u2019s an opportunity for us \u2013 as patients, parents, or family members \u2013 to take control of our health and well-being, offering assurance amidst what can often be a stressful experience.\"})]});export const richText9=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/i(\"p\",{children:[\"Advanced cardiac imaging is quickly becoming the standard of care for diagnosing and treating cardiovascular disease. A \",/*#__PURE__*/e(n,{href:\"https://pubs.rsna.org/doi/10.1148/ryct.2021200112\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"recent study\"})}),\" found that among Medicare beneficiaries, magnetic resonance imaging of the heart leapt 75.5% between 2012-2017, while cardiovascular computed tomography increased 97.4%. But despite increasing demand, there are a few challenges slowing adoption within the provider networks. Scanner and post-processing technology can be expensive, and shortages in trained cardiac CT and MRI physicians make it difficult to access the required expertise. These limitations make cardiac exams especially difficult to implement across larger hospital systems and in remote areas.\"]}),/*#__PURE__*/e(\"p\",{children:\"Dr. Rahul Sawlani, Cardiothoracic/Cardiovascular Radiologist and Associate Physician Diplomate at the University of California Davis, is helping healthcare facilities overcome these obstacles. After building a cardiopulmonary imaging program as Chair of Cardiothoracic Imaging at Advocate Aurora, he is now working with facilities across the country through the DocPanel platform. We spoke with Dr. Sawlani to learn more about his journey and hear how providers can leverage new technologies to bring advanced cardiac imaging to their communities.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What are the biggest challenges healthcare providers face today in delivering advanced cardiac imaging services? What impact do they have on patient care?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Sawlani]\"}),\" Managing and interpreting advanced cardiac exams requires additional, dedicated post-graduate training. But there is a major shortage of cardiovascular and cardiothoracic radiologists, even more so than other radiology specialties. In addition, there are not many institutions offering cardiothoracic imaging fellowships, meaning that we are not training enough of these radiologists or cardiologists every year to make up for the shortage.\"]}),/*#__PURE__*/e(\"p\",{children:\"As a result, cardiac studies are being read by nonspecialists and, more often, services are limited to specific hours or days or just altogether not available. In many places, a hospital may only have one physician available to interpret exams, meaning there is no one around when that physician is unavailable. This can be significantly limiting, especially for more urgent or emergent scenarios.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] You helped build the cardiac imaging program for Aurora, what was that experience like? What did you learn, and is your implementation method something that can easily be replicated at other facilities?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Sawlani]\"}),\" Building the cardiac program was challenging, but very rewarding and definitely a joy. Aurora (now Advocate Aurora) is a large Wisconsin hospital system with a wonderful group of advanced cardiologists that are at the cutting edge of cardiac care across all subspecialties. As such, their expectations were high.\"]}),/*#__PURE__*/e(\"p\",{children:\"I learned a lot building and running that program, but the most important lesson was that a high-quality cardiac imaging program can truly have a positive impact on patient care. Once we deployed our imaging protocols and hired enough regional experts to cover the clinical volume, the program grew tremendously.\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"After that experience, I am confident that with the right tools and expertise, cardiac imaging can be deployed nationwide at any hospital or imaging center willing and able to put in the appropriate investment. In turn, patients can enjoy the benefits of a more confident diagnosis and targeted treatment plan.\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What new techniques and technology are available for facilities that may not have the in-house expertise to launch a cardiac imaging program?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Sawlani]\"}),\" With recent improvements in technology, we were able to deploy remote monitoring, protocolling, and interpreting of advanced cardiac MRI at Aurora. Not a small task, but it is possible!\"]}),/*#__PURE__*/e(\"p\",{children:\"Scanners can now be equipped with remote control and monitoring software that allows the cardiac imaging physician to assist the technologist in getting the right images for that particular case. In addition, scanners are becoming faster and more automated, utilizing AI to automatically select complex imaging planes that are normally difficult to teach and prone to error. From there it requires a dedicated expert, or group of experts, willing to train hospital staff on the appropriate use and acquisition of those cardiac studies.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What does a healthcare facility need to have in place to launch a cardiac program if they leverage remote subspecialty support through DocPanel?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Sawlani]\"}),\" The biggest investment a healthcare facility needs is an appropriate scanner with the associated cardiac scanning software package. With this in place, as long as the facility has a good technologist or group of technologists willing to learn, we have the expertise to train those technologists and implement high-quality protocols to cover any clinical situation.\"]}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What are the biggest pain points for cardiac imaging referring providers? How can imaging facilities best support their referring community?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Sawlani]\"}),\" Referring providers want access for their patients and clinically effective results once the imaging has been performed. Cardiac imaging can be technically challenging, and sometimes we have to report with uncertainty due to image artifacts or quality issues. A good cardiac imaging program should minimize those issues while maintaining a reasonably short protocol which, in turn, improves access. It\u2019s hard to fit too many patients in your schedule if your protocols are taking multiple hours, not to mention the discomfort for the patient.\"]}),/*#__PURE__*/e(\"p\",{children:\"In addition, it is very important that referring providers get useful results that answer the clinical question at hand. Cardiac imaging (cardiac MRI in particular) contains a gargantuan amount of data and many images to interpret. A good cardiac imager needs to synthesize this information with the available clinical history and the ordering clinician\u2019s questions to provide a usable result that addresses the patient\u2019s immediate needs. This is easier said than done, but there are many wonderful expert cardiac imagers in the world who have the training, expertise, and experience to do just that.\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"While there are not enough experts out there to staff all the institutions that need them, a remote consulting service like DocPanel is the perfect platform to disseminate that expertise across the country.\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What initially attracted you to cardiac imaging? Can you share a bit about your journey into the field?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Sawlani]\"}),\" I started my undergraduate journey as an engineer. Through some twists and turns, I ended up in an MRI engineering tract and eventually switched to medicine. Being a radiologist and imaging expert became my dream after that, and I also always favored heart and lungs in my college and medical school coursework.\"]}),/*#__PURE__*/e(\"p\",{children:\"Cardiothoracic imaging was the natural next step for me in training. It combined my favorite body systems with all the great new technology that I love to tinker with, and the engineering background made it a perfect fit.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What drives and inspires you in your work today? What are you most passionate about?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Sawlani]\"}),\" Leaving Aurora was a tough choice, but when I left, I knew my mission would be to lend the expertise of cardiothoracic imagers to as many patients as possible. There is a significant shortage of cardiothoracic imagers, but it is our duty as physicians to make sure that patients have access to the right diagnosis in a reasonable timeframe as often as possible. This is a tall task, but when I set out with this goal in mind, it wasn\u2019t long before I realized DocPanel was the perfect platform to carry it forward. This company was co-founded by a cardiothoracic radiologist who understands this issue, and it is clear in my short time working with them that we share the same values and goals in this regard.\"]}),/*#__PURE__*/e(\"p\",{children:'When a patient sees a physician with expertise in the heart or lungs, it is a baseline expectation for that physician\u2019s supporting cast to have intimate knowledge of that field as well. Whether it be radiologists, anesthesiologists, or pathologists, the supporting \"behind the scenes\" physicians need to have the same subspecialty mindset as the frontline physician. That is what we aim to provide.'}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"em\",{children:\"Interested in learning how DocPanel can connect you with fellowship-trained Cardiothoracic and Cardiovascular Radiologists? \"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/contact-us\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:\"Send us a note here\"})})}),/*#__PURE__*/e(\"em\",{children:\" and we\u2019ll set up a time chat.\"})]})]});export const richText10=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Breast Imaging facilities across the nation are under pressure as service demands increase amidst a shortage of radiologists.\"}),/*#__PURE__*/i(\"p\",{children:[\"The ACR job board is a testament, with over 1,500 active breast radiologist job listings, a number expected to remain on the rise due to predicted retirement rates. Of the\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.acr.org/Practice-Management-Quality-Informatics/ACR-Bulletin/Articles/March-2022/The-Radiology-Labor-Shortage\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"20,970\"})}),\"radiologists engaged in active patient care, 82% are aged 45 and over, while 53% are aged 55 and over. Factor in radiologist burnout, which is particularly\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.auntminnie.com/index.aspx?sec=sup&sub=wom&pag=dis&itemId=135896#nav-right\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"high\"})}),\"\\xa0amongst breast radiologists, and practices are faced with a unique workforce condition to staff departments and continue delivering vital care to patients.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"One solution proving to address radiologist shortages without sacrificing the quality of care is utilizing remote fellowship-trained breast radiologists. While previously identified with outsourcing evening/night work, teleradiology has expanded into a much more comprehensive workflow solution that enables practices to access highly skilled radiologists that operate as an extension of their in-house team. On-site breast radiologists remain crucial for many departments, but internalizing remote readers to offset volume burden can improve turnaround times, reduce callbacks, and guarantee subspecialty interpretations.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"em\",{children:\"Interested in learning how DocPanel can connect you with fellowship-trained Breast Radiologists? Send us a note\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/contact-us\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"here\"})})})}),/*#__PURE__*/e(\"em\",{children:\"\\xa0and we\u2019ll set up a time chat.\"})]}),/*#__PURE__*/e(\"h2\",{children:\"Improved TAT\"}),/*#__PURE__*/e(\"p\",{children:\"As we begin to recover from pandemic-related screening dips, practices are experiencing a spike in volumes. Opportunities to extend hours are fruitful but coverage gaps are causing delays in turnaround time. Having remote readers to help tackle the low-priority screening exams frees up valuable time for in-house radiologists to focus on diagnostic studies and patient follow-up.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"\u201COne huge benefit that I experience in reading remotely for my clients is that, because I\u2019m not tied to any specific time during the day, I\u2019m able to dedicate my evenings to providing coverage,\u201D explains Dr. Geraldine Liao, Breast Imaging Specialist and DocPanel Radiologist. \u201CI have one client who does screening mammograms at their practice late into the evening, so many of the cases I receive are from same-day appointments that happened around 7:30 PM or 8:00 PM. Normally, these screens would probably be read the next morning. I\u2019m able to read them that evening.\u201D\"}),/*#__PURE__*/e(\"p\",{children:\"Dr. Liao adds that this is also helpful for her East Coast clients, as she is located on the West Coast.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"\u201COther clients may have weeks of backlog, which can be stressful to in-house readers, even if they are not responsible for them. Seeing a huge list creates a stressful environment not just for radiologists, but also for the rest of the staff,\u201D says Dr. Liao. \u201CWhen you know that you have a specialty fellowship-trained radiologist helping to handle the volume, workflow optimization naturally follows.\u201D\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"br\",{className:\"trailing-break\"})}),/*#__PURE__*/i(\"p\",{children:[\"SUBSPECIALTY RADIOLOGY SOLUTIONSGrow Your Business with DocPanelOn demand specialty coverage with no contract minimums. Create a free account and get set up and running within 24 hours.\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/docpanel-platform-demo\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!0,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Learn More\\xa0\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Reduced Callbacks\"}),/*#__PURE__*/e(\"p\",{children:\"While there is some debate around recall rates, it\u2019s widely accepted and anticipated that around 10% of screened women will receive a callback. Ensuring interpretive skills and technical quality are up to the highest standard can help practices stay within this window, without missing cancers.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"\u201CThrough the DocPanel platform, I\u2019m able to provide more than just reads. I can provide direct feedback to technologists to improve quality and provide protocol optimization and implementation support, which increases overall efficiency helping to improve technical recall rates and reduce callbacks,\u201D says Dr. Liao.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://pubmed.ncbi.nlm.nih.gov/32861601/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Studies\"})}),\"\\xa0have also shown that recall rates improve with batch reading compared to reading with interrupted interpretation.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"\u201COftentimes, and especially at small clinics, practices perform screening and diagnostic exams at the same time throughout the day. But there\u2019s no dedicated shift for one person to tackle the list for each type of study. That interruption in flow can disrupt the sensitivity for reading screening studies. This can ultimately lead to an increase in callbacks,\u201D says Dr. Liao\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"With additional support from subspecialty remote readers, facilities can incorporate batch reading into their workflow.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"Subspecialized Interpretations\"}),/*#__PURE__*/e(\"p\",{children:\"As facilities deal with staffing shortages, some are turning to non-fellowship trained radiologists for support. But this could jeopardize accuracy and can have huge consequences on patient outcomes.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"\u201CWhile there is indeed a shortage of fellowship-trained breast radiologists who are available for full-time in-house positions, there are many who can still dedicate a substantial breadth of coverage when they can do so remotely from home. \u201C says Dr. Liao. \u201CConnecting with specialists who have a fellowship training alleviates the concern that you may have a general radiologist without substantial experience in breast imaging reading exams and potentially misinterpreting studies.\u201D\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"In a session at the Society of Breast Imaging/American College of Radiology symposium last month, Dr. Jay Parikh noted that \u201Cefforts to prevent physician burnout should focus more on redesigning work processes rather than redesigning physicians\u201D. Reading remotely offers a solution to widen the reach of subspecialized care while supporting a healthy lifestyle for radiologists. MQSA certification of remote monitors, fast and secure PACS integrations, and physician satisfaction come together in the remote reading world and, ultimately, help ensure an accurate diagnosis for patients while overcoming delays in care.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Every state in the US is looking for breast radiologists, and though it is often seen as a challenge it also presents an opportunity. Facilities can benefit from a new remote reading model that offers a fresh way to enhance workflows, better utilize subspecialized expertise, and tackle factors that lead to burnout.\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"em\",{children:\"Interested in learning how DocPanel can connect you with fellowship-trained Breast Radiologists? Send us a note\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/contact-us\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"here\"})})})}),/*#__PURE__*/e(\"em\",{children:\"\\xa0and we\u2019ll set up a time chat.\"})]})]});export const richText11=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Rotator cuff tears can happen suddenly, from an injury such as a fall, or they may develop slowly due to overuse or the natural aging process.\"}),/*#__PURE__*/e(\"p\",{children:\"In addition to a clinical exam, medical imaging is used to help determine whether a suspected tear is present. But accurately confirming the diagnosis, and correctly evaluating the severity of the injury, are both pertinent to deciding the best treatment path. While not all injuries will require surgery, when left untreated or improperly diagnosed, the condition may worsen with time.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"To learn more about how to ensure an accurate diagnosis, we spoke with two Musculoskeletal Radiologists, Dr. Andrew Kompel and Dr. Nicholas Lewis. Here, they explain the different types of rotator cuff injuries, strengths of rotator cuff tear MRI evaluation, and more.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"em\",{children:\"DocPanel is committed to providing radiology second opinions as specialized as the human body. Upload your scans, connect with the best-suite subspecialist, and have your questions answered by a leading radiologist in the US. Learn more\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/radiology-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:\"here\"})})}),/*#__PURE__*/e(\"em\",{children:\".\"})]}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] Why is MRI considered the best test to diagnose a rotator cuff tear?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Kompel]\"}),/*#__PURE__*/e(\"br\",{}),\"The rotator cuff is a group of four muscles that surround the shoulder and assist with keeping the upper arm bone (humerus) in place with arm movement. The rotator cuff tendons, the portion of the muscle that connects to the bone, are prone to tear, especially as we age, and with repetitive motion because of their propensity to be impinged by the surrounding bones.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"MRI is the best imaging test to evaluate the rotator cuff tendons because of the soft tissue contrast. This means that the tendons can be easily identified from the surrounding muscles and bones. A tendon tear will alter the normal MRI appearance, leading to the diagnosis.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"X-Ray and CT scans have much lower contrast so the tendons blend with the surrounding tissues. Visualizing and diagnosing a tear on these studies can be difficult, or even impossible. Ultrasound does have the ability to identify rotator cuff tendon tears but with certain limitations. One factor is that it requires special training for the staff, as this is a less commonly performed imaging test. Second, the tendons may not be adequately seen in obese patients or those with a limited range of motion.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] Should a rotator cuff tear MRI be performed with or without contrast?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Kompel]\"}),/*#__PURE__*/e(\"br\",{}),\"In general, MRIs can be performed with or without contrast. If performed with contrast, that could include either IV contrast or intra-articular contrast. When a rotator cuff tear is suspected, the MRI is almost always performed without contrast. There is never a need for IV contrast when evaluating for a rotator cuff tear.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"If you have had prior surgical rotator cuff repair, then your orthopedic surgeon may request intra-articular contrast. Intra-articular contrast requires an injection immediately before the MRI which is typically performed under fluoroscopy (a type of X-Ray) or ultrasound to place the contrast within the shoulder joint space.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] Will rotator cuff tears show up on an X-Ray?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Kompel]\"}),/*#__PURE__*/e(\"br\",{}),\"X-Ray is a quick and easy way to take an initial look at the shoulder joint. However, a rotator cuff tear will not be identifiable on the X-Ray. The bones and arthritis show up well on the X-Ray while the soft tissues, which include the tendons, are not able to be separated meaning tears cannot be identified.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"One exception could be if you have a large, chronic rotator cuff tear. In that case, the bones may have mild alterations in their alignment which can suggest the presence of the tear. Though, even in this example, your doctor may still recommend an MRI for confirmation.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"br\",{className:\"trailing-break\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What are the differences between a\\xa0\"}),/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"full-thickness rotator cuff tear\"})}),/*#__PURE__*/e(\"strong\",{children:\",\\xa0\"}),/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"partial-thickness rotator cuff tear\"})}),/*#__PURE__*/e(\"strong\",{children:\", and\\xa0\"}),/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"rotator cuff tendon impingement\"})}),/*#__PURE__*/e(\"strong\",{children:\"?\"})]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Lewis]\"}),/*#__PURE__*/e(\"br\",{}),\"Rotator cuff tendon disease (tendinopathy or tendinosis) can be broken down into two categories: injuries and degenerative changes. Degenerative changes are to blame for the majority of painful tendons and can occur due to normal aging as well as overuse. This can happen at any age but starts to become more common after age 40.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"Tendon degeneration might be accelerated if there are bone spurs rubbing against the tendon, causing it to fray and weaken over time. This rubbing against the tendon is called rotator cuff impingement. Impingement can be diagnosed without an imaging test, by the physical exam of an experienced doctor, but can also be directly diagnosed on live ultrasound while moving your arm.\"}),/*#__PURE__*/e(\"p\",{children:'Certain hobbies and occupations can exacerbate this impingement and associated tendon damage. The resulting tendon fraying requires an MRI or ultrasound to be seen, and is sometimes described as a \"partial-thickness tear.\" The terminology can be confusing since some patients (and their doctors) assume that the word \"tear\" means there had to be an injury, and that surgery is required to fix the tear (not always true).'}),/*#__PURE__*/e(\"p\",{children:'Of course, injuries to the rotator cuff also happen and can lead to tears. Often the two categories of tendon disease happen together. For example, if you injure your rotator cuff from a fall, it is more likely to result in a \"full-thickness\" tear if pre-existing degenerative changes were weakening the tendon.'}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What are the associated risks with delayed or misdiagnosis?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Lewis]\"}),/*#__PURE__*/e(\"br\",{}),\"Getting the correct diagnosis on any imaging test ensures that you get the right treatment, and rotator cuff tears are no exception. In general, some partial-thickness rotator cuff tears do not require surgery and can be managed with physical therapy in the same way that rotator cuff tendinopathy (degeneration without a tear) is managed. Full-thickness tears, and partial-thickness that involve a majority of the tendon, usually will require surgery to restore function and reduce pain.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:'If the tendon is detached from the bone as in a full-thickness tear, the associated rotator cuff muscle begins to weaken and become replaced by fat over a matter of several months. This is called \"fatty atrophy\" and is an irreversible process. Even if surgery were done to repair the tendon, the muscle would remain weak and nonfunctional if atrophy has advanced too much. So getting the right diagnosis can be time-sensitive to ensure the best possible outcome.\\xa0'}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] How do you know if your rotator cuff injury requires surgery?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Lewis]\"}),/*#__PURE__*/e(\"br\",{}),'MRI and ultrasound are both good at diagnosing the type of tears which require surgery. However, MRI is the only reliable method to determine how much (if any) muscle atrophy has occurred, and therefore whether a patient would benefit from surgical repair of the tendon. If the tendon is not repairable for any reason, there are alternative surgeries that can be performed to restore shoulder motion and improve pain, such as reconstructing the superior joint capsule or replacing the shoulder joint with a \"reverse\" total shoulder arthroplasty. The latter is a more common procedure, especially if there is coexisting shoulder joint arthritis, and is called \"reverse\" because it switches the ball-and-socket arrangement of the normal joint to be opposite. This reversal of the ball and socket anatomy allows for greater shoulder stability without a functioning rotator cuff. So having your shoulder MRI correctly interpreted is essential to selecting the right treatment for you, whether nonsurgical or surgical.']}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What can patients do to help ensure their rotator cuff tear MRI is accurately interpreted?\"})}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[Dr. Lewis]\"}),/*#__PURE__*/e(\"br\",{}),'While both MRI and ultrasound can reliably diagnose rotator cuff tears, no test is perfect, so there are some cases of \"false negatives\" (reported normal when actually there is a missed tear), and even \"false positives\" (called a tear when the tendon is in fact not torn). Generally, these tests are cited as being over 90% accurate. However, that figure is certainly much higher if your test is being read by an experienced radiologist with fellowship training in musculoskeletal imaging.']}),/*#__PURE__*/e(\"h2\",{children:\"About the Contributing Radiologists:\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Andrew Kompel, MD\"}),\"\\xa0is a Musculoskeletal Imaging Radiologist and an Assistant Professor of Radiology at Boston University School of Medicine. Dr. Kompel completed his Diagnostic Radiology Residency at Boston University Medical Center followed by a fellowship in Musculoskeletal Imaging and Intervention at Johns Hopkins Hospital. His areas of clinical and research interests include collaboration with orthopedists in quantitative cartilage analysis, sports-related injuries, and advanced MRI imaging. He has co-authored multiple peer-reviewed papers, authored book chapters and review articles on musculoskeletal topics, and has given invited lectures and instructed at national Musculoskeletal Ultrasound Courses.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Nicholas Lewis, MD\"}),\"\\xa0is an academic Musculoskeletal Imaging Radiologist and Assistant Professor at Wayne State University, School Of Medicine. Dr. Lewis completed his Diagnostic Radiology Residency at Wayne State University, School Of Medicine followed by a fellowship in Musculoskeletal Imaging at the University of Southern California. Dr. Lewis is a former consultant radiologist for the Detroit Tigers and Red Wings teams. His clinical interests include sports medicine, musculoskeletal intervention, ultrasound, as well as diagnosis and treatment of rare bone tumors.\"]}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Interested in getting a second opinion from Dr. Kompel, Dr. Lewis, or one of our other subspecialists? Learn more\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/patients/msk-radiology\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"here\"})})}),/*#__PURE__*/e(\"strong\",{children:\".\"})]})]});export const richText12=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Spontaneous intracranial hypotension (SIH) is an important cause of secondary headaches, yet it is frequently misdiagnosed and mistreated.\"}),/*#__PURE__*/e(\"p\",{children:\"Characterized by severe and often debilitating positional headaches, intracranial hypotension is a condition in which the cerebrospinal fluid (CSF) pressure inside the cranium and the spine are lower than normal. Almost always, intracranial hypotension occurs when there is a CSF leak in the spine.\"}),/*#__PURE__*/e(\"p\",{children:\"While some CSF leaks are easier to catch \u2013 particularly those caused by spinal procedures such as lumbar puncture, myelography, and surgery \u2013 leaks that happen spontaneously for unknown reasons can be sometimes difficult to diagnose. Many patients who seek care are told they have migraines and are prescribed treatments that offer no relief. Others who are evaluated for a CSF leak may be imaged incorrectly, resulting in missed or delayed diagnosis.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"To better understand how patients can navigate such a challenging diagnosis, we spoke with Academic Neuroradiologist and Spine Interventionist, Dr. Majid Khan. An integral member of the Jefferson Headache Center, one of the nation\u2019s top referral centers for spontaneous CSF leak treatment, Dr. Khan walks us through the steps of proper evaluation and discusses the types of imaging tests patients should request to prevent misdiagnosis.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"em\",{children:\"DocPanel is committed to making sure every patient receives excellent care. If you believe you or a loved one may have a CSF leak and would like an expert second opinion on your medical imaging from Dr. Khan or one of our other fellowship-trained subspecialty radiologists, you can learn more\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/radiology-second-opinion\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"em\",{children:\"here\"})})}),/*#__PURE__*/e(\"em\",{children:\".\"})]}),/*#__PURE__*/e(\"h2\",{children:\"What is spontaneous intracranial hypotension?\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What is the difference between intracranial hypotension and\\xa0\"}),/*#__PURE__*/e(\"em\",{children:/*#__PURE__*/e(\"strong\",{children:\"spontaneous\"})}),/*#__PURE__*/e(\"strong\",{children:\"\\xa0intracranial hypotension (SIH)? Why is the latter so often overlooked and misdiagnosed?\"})]}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Khan]\"})}),/*#__PURE__*/e(\"p\",{children:\"An overwhelming majority of patients with spinal CSF leaks will experience positional headaches due to low CSF pressure. When they stand up, the headache gets worse. And when they lay down, the headache gets better. This type of headache, also called orthostatic headache, is perhaps the most important symptom to be noted as a potential indication of intracranial hypotension caused by a CSF leak.\"}),/*#__PURE__*/i(\"p\",{children:[\"Iatrogenic intracranial hypotension occurs in patients with a history of proceeding spinal procedure, most commonly lumbar puncture, myelogram, and intradural drain placements. This type of CSF leak is called an iatrogenic leak, meaning it was caused by instrumentation.\\xa0\",/*#__PURE__*/e(\"em\",{children:\"Spontaneous\"}),\"\\xa0intracranial hypotension, on the other hand, is diagnosed when a CSF leak happens without any underlying cause or a proceeding event. This makes it, at times, challenging to diagnose.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"Patients who get SIH are often healthy individuals who, suddenly, start to get a headache, with a positional component, that becomes relentless over time. In the early phase, these headaches get better very quickly when the patient lays down, often within just a few minutes. But as the diagnosis becomes more chronic, say, for example, if the patient has had these headaches for six months to a year, they will start noticing that they need to lay down for a longer period of time in order to experience relief from the headache. For those suffering from SIH, their life can come to a complete standstill. It\u2019s such a tragedy because, with effective treatment, symptoms can clear up in as little as 72 hours.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"For those suffering from SIH, their life can come to a complete standstill. It\u2019s such a tragedy because, with effective treatment, symptoms can clear up in as little as 72 hours.\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"Spontaneous CSF leak is, sadly, the most misdiagnosed and underdiagnosed condition that I presently see. The main reason stems from a general lack of physician familiarity with this condition, as well as misconceptions about how it is diagnosed. At the Jefferson Headache Center, we see patients from all over the country who have been dealing with undiagnosed symptoms despite ongoing attempts to seek care.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"How is spontaneous intracranial hypotension diagnosed?\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] Can you walk us through what the diagnostic process looks like? At what point should investigation begin for spontaneous intracranial hypotension and CSF leak? Where are the mistakes being made in the evaluation process?\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Khan]\"})}),/*#__PURE__*/i(\"p\",{children:[\"If a patient presents with positional headache, has found no relief with standard headache treatments,\\xa0\",/*#__PURE__*/e(\"em\",{children:\"and\"}),\"\\xa0has no prior history of spine intervention \u2013 then there is clinical reason to suspect spontaneous intracranial hypotension. At that point, evaluation for possible CSF leak should begin. A brain MRI with and without contrast is usually the first test, as it can sometimes pick up signs of intracranial hypotension. If the brain MRI shows signs of SIH, or if there is high clinical suspicion of a leak, a full spine MRI with and without contrast, should also be ordered as a non-invasive screening tool.\\xa0\"]}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"But for proper evaluation, the spinal MRI exams should be performed using a CSF leak protocol. If the right protocol is not deployed, a subtle leak may be missed, leading to missed or delayed diagnosis.\"})}),/*#__PURE__*/e(\"p\",{children:\"But for proper evaluation, the spinal MRI exams should be performed using a CSF leak protocol. In other words, the MRI must include specific sequences that are used to demonstrate CSF leak, making it easy to diagnose. If MRI with this specific CSF leak protocol is not deployed, a subtle leak may be missed, and, even sometimes, with an accurately performed MRI, some of the leaks cannot be diagnosed. Unfortunately, there are imaging centers, hospitals, outpatient centers, and private practices around the world that are all using regular degenerative spine MRI protocols to look for CSF leaks.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Based on a patients\u2019 clinical symptomology and the screening MRI results, CT myelograms are performed next to help diagnose/confirm a leak and pinpoint the exact level of leak in the spine. But, again, a CSF leak myelogram requires a different technique and protocol. It is different from the routine spinal myelogram performed at most hospitals throughout the country. With CSF leak CT myelography, a lumbar puncture is performed under CT. CSF pressure is measured, contrast dye is injected into the spinal canal via a small needle, and the entire spine is imaged quickly after doing certain maneuvers to mix the contrast throughout the spine. This helps to identify the site of the leak so that targeted treatment can be performed. There are different types of CSF leak myelograms that are used to target the different sources of leak.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Once the leak is confirmed and accurately located, a blood patch procedure is usually an effective treatment. The patient\u2019s blood is injected into the epidural space, and the blood clots that form stop the leak. Fibrin glue is also used with blood in such cases. In some cases, a patient may need multiple patches over a period of time.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] Are there any types of CSF leaks or specific locations that are particularly difficult to visualize on imaging?\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Khan]\"})}),/*#__PURE__*/e(\"p\",{children:\"About 70-80% of the time, patients have what is called a diverticula leak. These leaks are typically detected with CSF leak protocol MRIs and myelograms. The other 20-30% of leaks are ventral leaks and spinal CSF venous fistula, both of which can be difficult to diagnose and need dynamic myelographic techniques.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Ventral leaks are caused by a bone spur that acts as an ice pick and pokes a hole in the dura. These leaks are so frequently missed because they can only be visualized with specialized myelographic imaging techniques. Once identified, surgery needs to be performed to shave off the spur and the dura can be patched at the same time.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"These leaks are so frequently missed because they can only be visualized with specialized myelographic imaging techniques. Once identified, surgery can be performed to shave off the spur and the dura can be patched.\\xa0\"})}),/*#__PURE__*/i(\"p\",{children:[\"A CSF leak due to a venous fistula occurs when the CSF in the spinal canal drains into the venous system through an abnormal connection, called a fistula, and happens around the exiting nerve in the foramen. These are the most difficult leaks to catch and even get missed with our specialized myelograms, requiring an\\xa0\",/*#__PURE__*/e(\"em\",{children:\"even more\"}),\"\\xa0specialized protocol to look, specifically, for this fast leak. Once identified, surgery and endovascular treatment can repair the leak and venous fistula.\\xa0\"]}),/*#__PURE__*/e(\"h2\",{children:\"How can patients prevent CSF leak misdiagnosis?\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What advice do you have for patients with symptoms of spontaneous intracranial hypotension who suspect they may have an undiagnosed leak? How can they ensure they are evaluated correctly?\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Khan]\"})}),/*#__PURE__*/e(\"p\",{children:\"My first piece of advice would be to make sure your treating physician and the radiologist who reads your imaging both have experience with CSF leaks. Few experts in the country are skilled at finding and repairing spontaneous spinal CSF leaks, so you want to be sure you are at such a center. A lot of patients who are referred to me have had symptoms for months to years and have hopped from hospital to hospital seeking help. But, unfortunately, they have either not been evaluated properly, or are misdiagnosed with other types of headaches.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"If you suspect you may have a spontaneous CSF leak but are unsure of whether your MRI was performed with the correct protocol, a second opinion from a radiologist with CSF leak expertise is an excellent way to make sure you are being evaluated properly.\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"If you suspect you may have a spontaneous CSF leak because of positional headache but are unsure of whether your MRI was performed with the correct protocol, a second opinion from a radiologist with CSF leak expertise is an excellent way to make sure you are being evaluated properly. The radiologist can let you know if your scan used the correct technique. If it did not, they can offer guidance for follow-up imaging.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] For those who have been diagnosed with a CSF leak, is there anything they should be aware of before getting treatment?\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Khan]\"})}),/*#__PURE__*/e(\"p\",{children:\"Even if a CSF leak is detected with a routine MRI, specialized myelographic techniques are still needed to accurately localize the site of the leak to direct treatment. For example, if an MRI shows a leak going all the way from the cervical to the lumbar region of the spine, it doesn\u2019t mean that the patient is leaking from every site. My advice would be to go to a center that specializes in spinal CSF treatment. There are only a few centers like this in the whole country \u2013 but the expertise is crucial.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[\"Fortunately, awareness of SIH and spontaneous CSF leak is growing. Thanks to research and education from institutions like the\\xa0\",/*#__PURE__*/e(n,{href:\"https://spinalcsfleak.org/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"Spinal CSF Leak Foundation\"})}),\", more physicians are gaining expertise in the area prompting headache centers across the country to lead initiatives for incorporating CSF leak programs in their facilities. Patient-centric groups are also thriving, offering support and guidance to anyone who believes they may have a CSF leak. While misdiagnosis remains common today, these resources offer a lot of hope for patients that can give them timely relief from this diagnosis and turn the statistics around.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"em\",{children:\"Dr. Majid Khan is an Interventional Neuroradiologist at Johns Hopkins, an Associate Professor of Radiology at Thomas Jefferson University Hospitals, and a Radiologist at DocPanel. He is also Director of Non-Vascular Spine Intervention at Johns Hopkins University hospitals. Dr. Khan graduated from the University of Kashmir, India in 1993. He completed his residency in radiology at the Nassau University Medical Center at Stony Brooks University and then completed his fellowship in Neuroradiology at Johns Hopkins University. Dr. Majid enjoys teaching and is especially interested in advanced head & neck and spine tumor imaging, with extensive experience in CSF leak diagnosis and spine tumor ablations.\"})})]});export const richText13=/*#__PURE__*/i(a.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Having confidence in your child\u2019s diagnosis is crucial.\"}),/*#__PURE__*/e(\"p\",{children:\"For injuries and disorders of the brain, spine, neck, and nervous systems, neuroimaging helps ensure accuracy. But these types of scans are complex, requiring a very specific skill set that neuroradiologists spend years learning. Pediatric neuroimaging involves yet another layer of specialization, as there are many intricacies involved with the developing brain.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Unfortunately, pediatric scans are often not read by a pediatric neuroradiologist. This presents a serious risk for misdiagnosis. We spoke with Pediatric Neuroradiologist, Dr. Michael Rozenfeld, to discuss how a subspecialty second opinion can help parents ensure their child\u2019s neuroimaging is read by the correct subspecialist.\\xa0\"}),/*#__PURE__*/i(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] It\u2019s estimated that only\\xa0\"}),/*#__PURE__*/e(n,{href:\"https://www.itnonline.com/article/pediatric-imaging-growing-fast\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"15-25%\"})})}),/*#__PURE__*/e(\"strong\",{children:\"\\xa0of pediatric imaging is read by the correct specialist. What are the reasons behind this and how does it affect patient outcomes?\"})]}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Rozenfeld]\"})}),/*#__PURE__*/i(\"p\",{children:[\"Radiology studies of all types are often interpreted by non-subspecialized radiologists or by radiologists from different subspecialties. This may be due to numerous factors, including limited subspecialist availability and after-hours interpretation. With\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/blog/post/importance-seeing-pediatric-radiologist\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"pediatric imaging\"})}),\"\\xa0specifically, there\u2019s currently a big shortage of pediatric specialists. One study found that in the US, only about\\xa0\",/*#__PURE__*/e(n,{href:\"https://pubmed.ncbi.nlm.nih.gov/16357371/\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"3%\"})}),\"of radiologists specialize in pediatric radiology. Globally, the disparity is even wider.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"One contributing factor to the shortage of pediatric radiologists is that fewer and fewer residents are choosing a career in pediatrics. So, as you can imagine, it\u2019s very difficult for smaller hospitals and facilities to provide 24/7 pediatric specialty coverage.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"Studies do, however, show that subspecialty radiologists can provide improved accuracy when reading studies within their subspecialty.\\xa0\"})}),/*#__PURE__*/i(\"p\",{children:[\"Unfortunately, it\u2019s just not always possible for facilities to provide that level of expertise during the initial read. This presents a great risk for misdiagnosis, missed diagnosis, or delayed misdiagnosis \u2013 all of which can have a devastating impact on patient outcomes. One study that compared pediatric neuroimaging initial opinions with subspecialty second opinions found a discrepancy rate of\\xa0\",/*#__PURE__*/e(n,{href:\"https://www.ajronline.org/doi/10.2214/AJR.11.7662\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:\"34%\"})}),\". Over one-third of the disagreements were considered major, most often pertaining to the presence of fracture and hemorrhage.\"]}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What can parents do to ensure their child\u2019s neuroimaging is read by the correct subspecialist \u2013 a pediatric neuroradiologist?\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Rozenfeld]\"})}),/*#__PURE__*/e(\"p\",{children:\"While subspecialized interpretations are not always possible in the moment, with advancing technology, these exams can now subsequently be submitted from anywhere in the world for academic level interpretation by US fellowship-trained subspecialized radiologists, who are experts in their respective fields. These second opinion reads can reveal missed diagnoses, misinterpretations, and overdiagnoses.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"Exams can now subsequently be submitted from anywhere in the world for academic level interpretation by US fellowship-trained sub-specialized radiologists, who are experts in their respective fields.\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.docpanel.com/patients/pediatric-radiology\",motionChild:!0,nodeId:\"imi88037I\",openInNewTab:!1,scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(t.a,{children:/*#__PURE__*/e(\"strong\",{children:\"Learn more about how to get a subspecialty second opinion.\"})})})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What differentiates a pediatric radiologist from a pediatric neuroradiologist?\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Rozenfeld]\"})}),/*#__PURE__*/e(\"p\",{children:\"Many radiologists, including neuroradiologists, spend an additional year in fellowship training to specialize in an area of the body. Neuroradiologists often choose to spend a second additional year to subspecialize further, whether it be in neck imaging, spine imaging, or pediatric neuroimaging. Pediatric neuroradiologists will focus specifically on the way neurological conditions and diseases present and appear on imaging in infants and children. These additional 1-2 years of training and the subsequent focused experience on the job is invaluable in providing accurate reads for our patients.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[DocPanel] What advice would give to a parent whose child is having medical imaging done to evaluate a neurological condition?\"})}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"[Dr. Rozenfeld]\"})}),/*#__PURE__*/e(\"p\",{children:\"My advice would be to always ensure your child\u2019s imaging is being interpreted by a pediatric neuroradiologist. I\u2019d also advise them to get a second opinion, to ensure accuracy and get peace of mind.\\xa0\"}),/*#__PURE__*/e(\"blockquote\",{children:/*#__PURE__*/e(\"p\",{children:\"Pediatric patients are not just small adults. They have unique diseases such as congenital malformations, genetic disorders, and unique brain tumors.\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"In addition, they also present with diseases that can also affect adults, such as strokes and traumatic brain injury, but these diseases often have unique causes and presentations. Pediatric patients often require specialized imaging techniques and protocols. 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