Papers by Jannette Collins
American Journal of Roentgenology, 1999
Radiographics, Mar 1, 2009
Academic Radiology, 2016
This is a cardiothoracic curriculum document for radiology residents meant to serve not only as a... more This is a cardiothoracic curriculum document for radiology residents meant to serve not only as a study guide for radiology residents but also as a teaching and curriculum reference for radiology educators and radiology residency program directors. This document represents a revision of a cardiothoracic radiology resident curriculum that was published 10 years ago in Academic Radiology. The sections that have been significantly revised, expanded, or added are (1) lung cancer screening, (2) lung cancer genomic profiling, (3) lung adenocarcinoma revised nomenclature, (4) lung biopsy technique, (5) nonvascular thoracic magnetic resonance, (6) updates to the idiopathic interstitial pneumonias, (7) cardiac computed tomography updates, (8) cardiac magnetic resonance updates, and (9) new and emerging techniques in cardiothoracic imaging. This curriculum was written and endorsed by the Education Committee of the Society of Thoracic Radiology. This curriculum operates in conjunction with the Accreditation Council for Graduate Medical Education (ACGME) milestones project that serves as a framework for semiannual evaluation of resident physicians as they progress through their training in an ACGME-accredited residency or fellowship programs. This cardiothoracic curriculum document is meant to serve not only as a more detailed guide for radiology trainees, educators, and program directors but also complementary to and guided by the ACGME milestones.
Seminars in Roentgenology, Jan 31, 2003
Radiology, Mar 1, 2006
... Nurettin Katranci, MD, Antalya, Turkey. Craig D. Kesack, Doylestown, Pa. Arlene Klink, MD, Ir... more ... Nurettin Katranci, MD, Antalya, Turkey. Craig D. Kesack, Doylestown, Pa. Arlene Klink, MD, Irvine, Calif. Mark Kutler, MD, Dallas, Tex. Stefanos Lachanis, MD, Athens, Greece. Alexis Lacout, MD, Paris, France. Mario Laguna, West Allis, Wis. Matias Landi, Buenos Aires, Argentina ...
Radiographics, Mar 1, 2006
The term “diffuse” can be defined as “widely spread or scattered” (1). In the lungs, this can ref... more The term “diffuse” can be defined as “widely spread or scattered” (1). In the lungs, this can refer to widely scattered disease that is predominantly alveolar, interstitial, a combination of alveolar and interstitial, acute, chronic, symmetric, or asymmetric. Many diseases can present acutely, and become chronic, resulting in overlap between causes of acute and chronic lung disease. A single disease can present in many ways radiologically, sometimes as a focal process, and other times as a diffuse process; sometimes as an interstitial process, and other times as an alveolar process or a combination of interstitial and alveolar. It is therefore important to understand the spectrum of radiologic manifestations for different diseases. This chapter focuses on lung diseases that can present as a diffuse pattern on radiologic imaging, discussing acute and chronic diseases separately.
Academic Radiology, Jul 1, 2002
☆ The opinions and assertions herein are the private views of the authors and are not to be const... more ☆ The opinions and assertions herein are the private views of the authors and are not to be construed as official or as representing the views of the Departments of the Air Force, Navy or Defense. ... © 2002 Acad Radiol. Published by Elsevier Inc. All rights reserved.
Seminars in roentgenology, 2003
LEARNING OBJECTIVES 1. Understand the physics of Dual Energy subtraction chest radiography and it... more LEARNING OBJECTIVES 1. Understand the physics of Dual Energy subtraction chest radiography and its radiation dose.2. Review the advantages of Dual Energy DR chest imaging, including what to look for on Dual Energy films.3. Recognize the pitfalls of Dual Energy technique and how to avoid mistakes.4. Learn the appropriate indications for Dual Energy Chest Imaging. ABSTRACT Dual energy-subtraction, digital chest radiology is a robust and powerful tool that improves the radiologist's ability to detect and accurately diagnose thoracic abnormalities using conventional PA and lateral chest films. One advantage of Dual energy imaging is the increased sensitivity and conspicuity for calcifications, which has its most important application in characterizing pulmonary nodules. Our experience using Dual energy chest radiography, however, has uncovered multiple other advantages of the Dual energy technique including: recognizing hilar and mediastinal adenopathy; detecting tracheal narrowing ...
LEARNING OBJECTIVES View learning objectives under main course title. ABSTRACT Interviewing is a ... more LEARNING OBJECTIVES View learning objectives under main course title. ABSTRACT Interviewing is a critical part of the hiring process, often the decisive factor in hiring decisions. Additionally, virtually every radiologist will be required to be an interviewer or inteInterviewing is a critical part of the hiring process, often the decisive factor in hiring decisions. Additionally, virtually every radiologist will be required to be an interviewer or interviewee during his or her career. Despite the importance placed on interviews, candidates and interviewers rarely undergo training to either 1) present themselves in the most favorable light, or 2) optimize the interview to quickly and accurately assess a candidate’s qualifications and personality fit for a particular job. Through didactic teaching and a series of vignettes, this course will review basic interview and interviewing skills for residents, fellows, and staff radiologists as well as for leadership positions at the departme...
Academic Radiology, 2015
To compare resident workload from Emergency Department (ED) studies before and after the implemen... more To compare resident workload from Emergency Department (ED) studies before and after the implementation of a required 1-hour report turnaround time (TAT) and to assess resident and faculty perception of TAT on resident education. Resident study volume will be compared for 3 years before and 1 year after the implementation of a required 1-hour TAT. Changes to resident workload will be compared among the different radiology divisions (body, muscuolskeletal (MSK), chest, and neuro), as well as during different shifts (daytime and overnight). Residents and faculty at two Midwest institutions, both of which have a required report TAT, will be invited to participate in an online survey to query the perceived effect on resident education by implementation of this requirement. A P < .05 was considered statistically significant. A significant decrease in resident involvement in ED studies was noted in the MSK, chest, and neuro sections with average involvement of the 3 years before the 1-hour TAT of 89%, 88%, and 82%, respectively, which decreased to 66%, 68%, and 51% after the 1-hour TAT requirement (P < .05). The resident involvement in ED studies only mildly decreased in the body section from an average before the 1-hour TAT of 87% to 80% after the 1-hour TAT requirement (P < .1). There was an overall significant decrease in resident ED study involvement during the daytime (P = .01) but not after hours during resident call (P = .1). Seventy percent of residents (43 of 61) and 55% of faculty (63 of 114) responded to our surveys. Overall, residents felt their education from ED studies during the daytime and overnight were good. However, residents who were present both before and after the implementation of a required TAT felt their education had been significantly negatively affected. Faculty surveyed thought that the required TAT negatively affected their ability to teach and decreased the quality of resident education. Residents are exposed to fewer ED studies after the implementation of a required 1-hour TAT. Overall, the current residents do not feel this decreased exposure to Emergency room studies affects their education. However, residents in training before and after this requirement feel their education has been significantly affected. Faculty perceives that the required TAT negatively affects their ability to teach, as well as the quality of resident education.
Seminars in roentgenology, 2013
A s the title implies, the topic of this letter is how age effects changes in the ear, nose, and ... more A s the title implies, the topic of this letter is how age effects changes in the ear, nose, and throat (ENT). If we're lucky, we'll get older, and as we do, we're likely to experience age-related changes. Some of us are already. Do you remember how the ears work? The ear has 3 main parts: the outer ear (including the external auditory canal), middle ear, and inner ear. 1 The outer ear opens into the ear canal. The eardrum separates the ear canal from the middle ear. Sound waves travel through the external ear and cause the eardrum to vibrate. These vibrations are passed to the middle ear bones (malleus, incus, and stapes, also referred to as hammer, anvil, and stirrup), which amplify and transmit the vibrations to the cochlea in the inner ear. The cochlea contains tubes filled with fluid. Inside one of the tubes, tiny hair cells pick up the vibrations and convert them into nerve impulses. These impulses are sent via the auditory nerve to the brain where they are interpreted as sound. One in 10 Americans has a hearing loss that affects his or her ability to understand normal speech. Age-related hearing loss is the most common cause of this condition and is more prevalent than hearing loss caused by excessive noise exposure. 2 Hearing loss usually develops over a period of several years. Because it is painless and gradual, you might not notice it. You may notice a ringing or other sound in your ear (tinnitus) or have trouble understanding what people say. Tinnitus, which ranges from loud roaring to clicking, humming, or buzzing, results from damage to the microscopic endings of the auditory nerve and can be a natural accompaniment of advancing age. There is no way to restore life to these dead nerve endings. Decibels (dB) measure the intensity of sound. Continual exposure to more than 85 dB is dangerous. Normal conversation measures about 60 dB, a lawn mower about 90 dB, and a rock concert about 115 dB. There are things you can do to improve hearing: (1) eliminate or lower unnecessary noise around you, (2) ask friends and family to speak slowly and more clearly, (3) ask people to face you when they are speaking to you, (4) use sound amplifying devices on phones, and (5) use personal listening systems to reduce background noise. Voice production is dependent on a power source (lungs), vibrator (larynx), and resonator (throat, nose, mouth, and sinuses). 3 During exhalation, air exiting the lungs creates an airstream in the trachea, which provides the energy for the
Journal of thoracic imaging, 2012
There is a lack of evidence. Even information that purports to be evidence-based may lack the met... more There is a lack of evidence. Even information that purports to be evidence-based may lack the methodological rigor of true evidence-based medicine (EBM). Evaluating the original research is often not practical. More secondary sources that summarize the literature and provide useful, actionable information are needed. Both radiologists and referring clinicians may not be familiar with evidence-based recommendations. Even when they are, some physicians may not be willing to change their practice. Management of suspected pulmonary embolism is a good example of non-uniformity in patient management even when evidence-based guidelines developed jointly by radiologists and non-radiologists exist. Some individuals have told me they view EBM as a threat to their autonomy in decision making.
Seminars in roentgenology, 2011
T he release of preliminary results of the National Lung Screening Trial in November 2010 renewed... more T he release of preliminary results of the National Lung Screening Trial in November 2010 renewed interest in low-dose computed tomography (CT) screening for lung cancer among physicians, patients, national agencies, and health insurance providers. Many questions haven't yet been answered regarding whether large-scale screening should be recommended and for whom it should be recommended. Lung cancer is the number one cause of cancer-related death for men and women, so there is a need to curb the incidence of this disease and provide more effective treatment. It will be important for all radiologists to understand the causes of lung cancer and what constitutes a high-risk population; to be able to recognize and appropriately manage suspicious findings on chest imaging; and to limit a patient's cumulative radiation exposure from imaging, particularly if large-scale federally recommended screening programs are implemented. By answering the questions to follow, you can assess what you know about lung cancer screening.
Seminars in roentgenology, 2003
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Papers by Jannette Collins