Portal de Boas Práticas em Saúde da Mulher, da Criança e do Adolescente

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Transport risk index of physiologic stability: a practical system for assessing infant …

Lee SK, Zupancic JA, Pendray M, Thiessen P, Schmidt B, Whyte R, Shorten D, Stewart S; Canadian Neonatal Network. Transport risk index of physiologic stability: a practical system for assessing infant transport care. J Pediatr. 2001 Aug;139(2):220-6. PubMed PMID: 11487747.To develop and validate a practical, physiology-based system for assessment of infant transport care.TRIPS is validated for infant transport assessment.

Cuidado à Mulher em Trabalho de Parto: boas práticas no segundo período

O que apontam as evidências sobre alguns aspectos da assistência ao segundo período do trabalho de parto, como duração, posições, puxos, proteção perineal, episiotomia e manobra de Kristeller.

Cuidados com o CPAP nasal

O uso de pressão positiva contínua em vias aéreas (CPAP nasal) em recém-nascidos pré-termo reduz a necessidade de ventilação mecânica invasiva, surfactante e também a incidência de displasia broncopulmonar e mortalidade.

Assessment and Management of Challenging BI-RADS Category 3 Mammographic Lesions

Michaels AY, Birdwell RL, Chung CS, Frost EP, Giess CS. Assessment and Management of Challenging BI-RADS Category 3 Mammographic Lesions. Radiographics. 2016 Sep-Oct;36(5):1261-72. doi: 10.1148/rg.2016150231. Epub 2016 Aug 19. Review.PubMed PMID: 27541437. Breast Imaging Reporting and Data System (BI-RADS) category 3 lesions are probably benign by definition and are recommended for short-interval follow-up after a diagnostic workup has been completed. Although the original lexicon-derived BI-RADS category 3 definition applied to lesions without prior imaging studies (when stability could not be determined), in clinical practice, many lesions with prior images may be assigned to BI-RADS category 3. Although the BI-RADS fifth edition specifically delineates lesions that are appropriate for categorization as probably benign, it also specifies that the interpreting radiologist may use his or her discretion and experience to justify a "watchful waiting" approach for lesions that do not meet established criteria

Reliability of the BI-RADS Final Assessment Categories and Management Recommendations …

Salazar AJ, Romero JA, Bernal OA, Moreno AP, Velasco SC. Reliability of the BI-RADS Final Assessment Categories and Management Recommendations in a Telemammography Context. J Am Coll Radiol. 2017 May;14(5):686-692.e2. doi: 10.1016/j.jacr.2016.08.004. Epub 2016 Nov 1. PubMed PMID: 27815054. The aim of this study was to evaluate the intradevice and interdevice reliability of four alternatives for telemammography-computed radiography, printed film, a film digitizer, and a digital camera-in terms of interpretation agreement when using the BI-RADS® lexicon.The results of this study show very high interdevice agreement, especially for management recommendations derived from malignancy classification, which is one of the most important outcomes in screening programs. This study provides evidence to suggest the interchangeability of the devices evaluated, thereby enabling the provision of low-cost medical imaging services to underserved populations.

BI-RADS fifth edition: A summary of changes. Diagnostic and interventional Imaging 2017

Spak DA, Plaxco JS, Santiago L, Dryden MJ, Dogan BE. BI-RADS(®) fifth edition: A summary of changes. Diagn Interv Imaging. 2017 Mar;98(3):179-190. doi: 10.1016/j.diii.2017.01.001. Epub 2017 Jan 25. Review. PubMed PMID: 28131457. The Breast Imaging Reporting and Data System (BI-RADS®) is a standardized system of reporting breast pathology as seen on mammogram, ultrasound, and magnetic resonance imaging. It encourages consistency between reports and facilitates clear communication between the radiologist and other physicians by providing a lexicon of descriptors, a reporting structure that relates assessment categories to management recommendations, and a framework for data collection and auditing. This article highlights the changes made to the BI-RADS® atlas 5th edition by comparison with its predecessor, provide a useful resource for a radiologist attempting to review the recent changes to the new edition, and serve as a quick reference to those who have previously become familiar with the material.

Automated annotation and classification of BI-RADS assessment fro radiology reports

Castro SM, Tseylin E, Medvedeva O, Mitchell K, Visweswaran S, Bekhuis T, Jacobson RS. Automated annotation and classification of BI-RADS assessment fro radiology reports. Journal of Biomedical Informatics 2017; 69:177-187.The Breast Imaging Reporting and Data System (BI-RADS) was developed to reduce variation in the descriptions of findings. Manual analysis of breast radiology report data is challenging but is necessary for clinical and healthcare quality assurance activities.The objective of this study is to develop a natural language processing (NLP) system for automated BI-RADS categories extraction from breast radiology reports. We evaluated an existing rule-based NLP algorithm, and then we developed and evaluated our own method using a supervised machine learning approach. We divided the BI-RADS category extraction task into two specific tasks: (1) annotation of all BI-RADS category values within a report, (2) classification of the laterality of each BI-RADS category value. We used one algorithm for task 1 and evaluated three algorithms for task 2. Across all evaluations and model training, we used a total of 2159 radiology reports from 18 hospitals, from 2003 to 2015.

The Breast Ultrasound Lexicon: Breast Imaging Reporting and Data System (BI-RADS)

Sedgwick E. The Breast Ultrasound Lexicon: Breast Imaging Reporting and Data System (BI-RADS). Semin Roentgenol 2011; 46(4):245-251 A radiologist’s ability to perceive an abnormality on an image is not unlike an art critic’s ability to perceive the significance of color choice when evaluating a painting. Perception is a learned skill, refined over time, and difficult to quantify. Some have better perception than others. Radiology residents are given the example of “Aunt Minnie,” a term coined by the late Dr Edward B. Neuhauser, the former chief of Radiology at Boston Children’s Hospital. An “Aunt Minnie” refers to a radiology finding pathognomonic for a disease. A radiologist should be able to perceive a finding because he or she has seen it many times before, like one recognizes his or her Aunt Minnie.

Interobserver Concordance in the BI-RADS Classification of Breast Ultrasound Exams

Calas MJG, Almeida RMVR, Gutfilen B, Pereira WCA. Interobserver concordance in the BI-RADS classification of breast ultrasound exams. Clinics. 2012;67(2):185-189. doi:10.6061/clinics/2012(02)16. Breast ultrasound is an important complement to the clinical/mammographic investigation of breast lesions. This operator-dependent method entails real-time image detection and analysis and requires extensive training and experience in identifying and differentiating between benign and malignant lesions.

The never-ending success story of BI-RADS

Kinkel K. The never-ending success story of BI-RADS. Diagn Interv Imaging. 2017 Mar;98(3):177-178. doi: 10.1016/j.diii.2017.02.003. PubMed PMID: 28262125. Any physician who wants to become familiar with the Breast Imaging Reporting and Data system (BI-RADS) will discover more than 1600 papers on Pub Med. What makes another paper about BI-RADS interesting? Hasn’t everything already been written about the subject? The paper published in this issue of Diagnostic & Interventional Imaging by Spak et al. summarizes the most recent changes in the fifth and latest edition of the BI-RADS. It represents a quick help in daily practice to keep the radiologist updated on the appropriate use of words and what to include in a clearly written breast imaging report.The effort to adapt a common language took also place among different breast imaging modalities. Spak et al. mention that the latest BI-RADS edition includes an extended description of lesion localization in the mammography section to make comparison with the MRI localization easier [1]. This edition also took great care to simplify mass description across different imaging modalities and avoid confusion as the language had been simplified and made more consistent between mammography, ultrasound and MRI. The purpose was to reduce differences in wording similar messages among imaging modalities. This can potentially help the radiologist in comparing imaging modalities to discriminate benign from malignant lesions or to correlate findings from one imaging modality to another. The Table 1 in Spak et al. paper is an ideal tool in any breast imaging reading room as it gives a quick overview of major changes between the 4th and the 5th edition.

Nasal trauma due to continuous positive airway pressure in neonates. Arch Dis Child …

Fischer C, Bertelle V, Hohlfeld J, Forcada-Guex M, Stadelmann-Diaw C, Tolsa JF. Nasal trauma due to continuous positive airway pressure in neonates. Arch Dis Child Fetal Neonatal Ed. 2010 Nov;95(6):F447-51. doi: 10.1136/adc.2009.179416. Epub 2010 Jun 28. PubMed PMID: 20584802. To evaluate the incidence and severity of nasal trauma secondary to nasal continuous positive airway pressure (nCPAP) in neonates.Nasal trauma is a frequent complication of nCPAP, especially in preterm neonates, but long-term cosmetic sequelae are very rare. This study provides a description of nasal trauma and proposes a simple staging system. This could serve as a basis to develop strategies of prevention and treatment of this iatrogenic event.

Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review

Imbulana DI, Manley BJ, Dawson JA, Davis PG, Owen LS. Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review. Arch Dis Child Fetal Neonatal Ed. 2018 Jan;103(1):F29-F35. doi: 10.1136/archdischild-2017-313418. Epub 2017 Sep 28. Review. PubMed PMID:28970314. OBJECTIVE Binasal prongs are the most commonly used interface for the delivery of nasal positive airway […]