Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleEMERGENCY NEURORADIOLOGY

Radiologist, Trainee, and Logistical Factors Impacting the Timeliness of CTA Head and Neck Reporting in Stroke Code Activations

Omar A. Zaree, Jeffers K. Nguyen, Irene Dixe de Oliveira Santo, Ahmed E. Kertam, Saeed Rahmani, Jason Johnson and Long H. Tu
American Journal of Neuroradiology June 2025, DOI: https://doi.org/10.3174/ajnr.A8660
Omar A. Zaree
aFrom the Tu Lab for Diagnostic Research (O.A.Z., A.E.K., S.R., L.H.T.), Yale School of Medicine, New Haven, Connecticut
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Omar A. Zaree
Jeffers K. Nguyen
bDepartment of Radiology and Biomedical Imaging (J.K.N., I.D.d.O.S., J.J. L.H.T.), Yale School of Medicine, New Haven, Connecticut.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jeffers K. Nguyen
Irene Dixe de Oliveira Santo
bDepartment of Radiology and Biomedical Imaging (J.K.N., I.D.d.O.S., J.J. L.H.T.), Yale School of Medicine, New Haven, Connecticut.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Irene Dixe de Oliveira Santo
Ahmed E. Kertam
aFrom the Tu Lab for Diagnostic Research (O.A.Z., A.E.K., S.R., L.H.T.), Yale School of Medicine, New Haven, Connecticut
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Ahmed E. Kertam
Saeed Rahmani
aFrom the Tu Lab for Diagnostic Research (O.A.Z., A.E.K., S.R., L.H.T.), Yale School of Medicine, New Haven, Connecticut
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Saeed Rahmani
Jason Johnson
bDepartment of Radiology and Biomedical Imaging (J.K.N., I.D.d.O.S., J.J. L.H.T.), Yale School of Medicine, New Haven, Connecticut.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jason Johnson
Long H. Tu
aFrom the Tu Lab for Diagnostic Research (O.A.Z., A.E.K., S.R., L.H.T.), Yale School of Medicine, New Haven, Connecticut
bDepartment of Radiology and Biomedical Imaging (J.K.N., I.D.d.O.S., J.J. L.H.T.), Yale School of Medicine, New Haven, Connecticut.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Long H. Tu
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Hartman J,
    2. Goiney C,
    3. Carlson B, et al
    . ACR Appropriateness Criteria facilitate judicious use of CT angiography for stroke workup in the emergency department. J Am Coll Radiol 2020;17:1230–36 doi:10.1016/j.jacr.2020.04.008 pmid:32360454
    CrossRefPubMed
  2. 2.↵
    1. Mayer SA,
    2. Viarasilpa T,
    3. Panyavachiraporn N, et al
    . CTA-for-All: impact of emergency computed tomographic angiography for all patients with stroke presenting within 24 hours of onset. Stroke 2020;51:331–34 doi:10.1161/STROKEAHA.119.027356 pmid:31684848
    CrossRefPubMed
  3. 3.↵
    1. Vagal A,
    2. Meganathan K,
    3. Kleindorfer DO, et al
    . Increasing use of computed tomographic perfusion and computed tomographic angiograms in acute ischemic stroke from 2006 to 2010. Stroke 2014;45:1029–34 doi:10.1161/STROKEAHA.113.004332 pmid:24569815
    Abstract/FREE Full Text
  4. 4.↵
    1. Tu LH,
    2. Navaratnam D,
    3. Melnick ER, et al
    . CT with CTA versus MRI in patients presenting to the emergency department with dizziness: analysis using propensity score matching. AJR Am J Roentgenol 2023;221:836–45 doi:10.2214/AJR.23.29617 pmid:37404082
    CrossRefPubMed
  5. 5.↵
    1. Tu LH,
    2. Malhotra A,
    3. Venkatesh AK, et al
    . Head and neck CTA utilization: analysis of ordering frequency and nonroutine results communication, with focus on the 50 most common emergency department clinical presentations. AJR Am J Roentgenol 2022;218:544–51 doi:10.2214/AJR.21.26543 pmid:34585611
    CrossRefPubMed
  6. 6.↵
    1. Alons IME,
    2. Goudsmit BFJ,
    3. Jellema K, et al
    . Yield of computed tomography (CT) angiography in patients with acute headache, normal neurological examination, and normal non contrast CT: a meta-analysis. J Stroke Cerebrovasc Dis 2018;27:1077–84 doi:10.1016/j.jstrokecerebrovasdis.2017.11.016 pmid:29277281
    CrossRefPubMed
  7. 7.↵
    1. Almekhlafi MA,
    2. Kunz WG,
    3. Menon BK, et al
    . Imaging of patients with suspected large-vessel occlusion at primary stroke centers: available modalities and a suggested approach. AJNR Am J Neuroradiol 2019;40:396–400 doi:10.3174/ajnr.A5971 pmid:30705072
    Abstract/FREE Full Text
  8. 8.↵
    1. Amukotuwa SA,
    2. Straka M,
    3. Smith H, et al
    . Automated detection of intracranial large vessel occlusions on computed tomography angiography. Stroke 2019;50:2790–98 doi:10.1161/STROKEAHA.119.026259 pmid:31495328
    CrossRefPubMed
  9. 9.↵
    1. Provenzale JM,
    2. Sarikaya B
    . Comparison of test performance characteristics of MRI, MR angiography, and CT angiography in the diagnosis of carotid and vertebral artery dissection: a review of the medical literature. AJR Am J Roentgenol 2009;193:1167–74 doi:10.2214/AJR.08.1688 pmid:19770343
    CrossRefPubMedWeb of Science
  10. 10.↵
    1. Catalano C,
    2. Passariello R
    1. Hirai T,
    2. Korogi Y,
    3. Takahashi M, et al
    . CT angiography in the assessment of intracranial vessels. In: Catalano C, Passariello R, eds. Multidetector-Row CT Angiography. Berlin, Heidelberg: Springer-Verlag; 2005:55–67
  11. 11.↵
    1. ElHabr A,
    2. Merdan S,
    3. Ayer T, et al
    . Increasing utilization of emergency department neuroimaging from 2007 through 2017. AJR Am J Roentgenol 2022;218:165–73 doi:10.2214/AJR.21.25864 pmid:34346786
    CrossRefPubMed
  12. 12.↵
    1. Powers WJ,
    2. Rabinstein AA,
    3. Ackerson T, et al
    . Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke 2019;50:e344–418 doi:10.1161/STR.0000000000000211 pmid:31662037
    CrossRefPubMed
  13. 13.↵
    1. Sanossian N,
    2. Fu KA,
    3. Liebeskind DS, et al
    . Utilization of emergent neuroimaging for thrombolysis-eligible stroke patients. J Neuroimaging 2017;27:59–64 doi:10.1111/jon.12369 pmid:27300498
    CrossRefPubMed
  14. 14.↵
    1. Fasen BAC,
    2. Heijboer RJJ,
    3. Hulsmans F-JH, et al
    . CT angiography in evaluating large-vessel occlusion in acute anterior circulation ischemic stroke: factors associated with diagnostic error in clinical practice. AJNR Am J Neuroradiol 2020;41:607–11 doi:10.3174/ajnr.A6469 pmid:32165362
    Abstract/FREE Full Text
  15. 15.↵
    1. Victor P,
    2. Bian E,
    3. Mamdouh H, et al
    . Upfront vascular imaging in acute stroke: impact on thrombectomy transfer time at a primary stroke center. J Stroke Cerebrovasc Dis 2024;33:107815 doi:10.1016/j.jstrokecerebrovasdis.2024.107815 pmid:38878844
    CrossRefPubMed
  16. 16.↵
    1. Sacks D,
    2. Baxter B,
    3. Campbell BCV, et al
    ; From the American Association of Neurological Surgeons (AANS), American Society of Neuroradiology (ASNR), Cardiovascular and Interventional Radiology Society of Europe (CIRSE), Canadian Interventional Radiology Association (CIRA), Congress of Neurological Surgeons (CNS), European Society of Minimally Invasive Neurological Therapy (ESMINT), European Society of Neuroradiology (ESNR), European Stroke Organization (ESO), Society for Cardiovascular Angiography and Interventions (SCAI), Society of Interventional Radiology (SIR), Society of NeuroInterventional Surgery (SNIS), and World Stroke Organization (WSO). Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke. AJNR Am J Neuroradiol 2018;39:E61–76 doi:10.3174/ajnr.A5638 pmid:29773566
    FREE Full Text
  17. 17.↵
    1. Edwards EA,
    2. Cote A,
    3. Phelps AS, et al
    . Parents of pediatric radiology patients prefer timely reporting and discussing results with referring providers. Acad Radiol 2020;27:739–43 doi:10.1016/j.acra.2019.07.010 pmid:31420160
    CrossRefPubMed
  18. 18.↵
    1. Woolen S,
    2. Kazerooni EA,
    3. Wall A, et al
    . Waiting for radiology test results: patient expectations and emotional disutility. J Am Coll Radiol 2018;15:274–81 doi:10.1016/j.jacr.2017.09.017 pmid:29132998
    CrossRefPubMed
  19. 19.↵
    1. Chan KT,
    2. Carroll T,
    3. Linnau KF, et al
    . Expectations among academic clinicians of inpatient imaging turnaround time: does it correlate with satisfaction? Acad Radiol 2015;22:1449–56 doi:10.1016/j.acra.2015.06.019 pmid:26310727
    CrossRefPubMed
  20. 20.↵
    1. Basu PA,
    2. Ruiz-Wibbelsmann JA,
    3. Spielman SB, et al
    . Creating a patient-centered imaging service: determining what patients want. AJR Am J Roentgenol 2011;196:605–10 doi:10.2214/AJR.10.5333 pmid:21343503
    CrossRefPubMed
  21. 21.↵
    1. Zhang L,
    2. Hefke A,
    3. Figiel J, et al
    . Identifying radiological needs of referring clinicians. J Digit Imaging 2013;26:393–401 doi:10.1007/s10278-012-9551-x pmid:23179407
    CrossRefPubMed
  22. 22.↵
    1. Ondategui-Parra S,
    2. Erturk SM,
    3. Ros PR
    . Survey of the use of quality indicators in academic radiology departments. AJR Am J Roentgenol 2006;187:W451–55 doi:10.2214/AJR.05.1064 pmid:17056874
    CrossRefPubMed
  23. 23.↵
    1. Towbin AJ,
    2. Iyer SB,
    3. Brown J, et al
    . Practice policy and quality initiatives: decreasing variability in turnaround time for radiographic studies from the emergency department. Radiographics 2013;33:361–71 doi:10.1148/rg.332125738 pmid:23479701
    CrossRefPubMed
  24. 24.↵
    1. Cournane S,
    2. Conway R,
    3. Creagh D, et al
    . Radiology imaging delays as independent predictors of length of hospital stay for emergency medical admissions. Clin Radiol 2016;71:912–18 doi:10.1016/j.crad.2016.03.023 pmid:27210242
    CrossRefPubMed
  25. 25.↵
    1. Wang DC,
    2. Parry CR,
    3. Feldman M, et al
    . Acute abdomen in the emergency department: is CT a time-limiting factor? AJR Am J Roentgenol 2015;205:1222–29 doi:10.2214/AJR.14.14057 pmid:26587929
    CrossRefPubMed
  26. 26.↵
    1. Shah V,
    2. Chillakuru YR,
    3. Rybkin A, et al
    . Algorithmic prediction of delayed radiology turn-around-time during non-business hours. Acad Radiol 2022;29:e82–90 doi:10.1016/j.acra.2021.05.026 pmid:34187741
    CrossRefPubMed
  27. 27.↵
    1. Glover M,
    2. Almeida RR,
    3. Schaefer PW, et al
    . Quantifying the impact of noninterpretive tasks on radiology report turn-around times. J Am Coll Radiol 2017;14:1498–503 doi:10.1016/j.jacr.2017.07.023 pmid:28916177
    CrossRefPubMed
  28. 28.↵
    1. Rathnayake S,
    2. Nautsch F,
    3. Goodman TR, et al
    . Effect of radiology study flow on report turnaround time. AJR Am J Roentgenol 2017;209:1308–11 doi:10.2214/AJR.17.18282 pmid:28981363
    CrossRefPubMed
  29. 29.↵
    1. McGrath AL,
    2. Dodelzon K,
    3. Awan OA, et al
    . Optimizing radiologist productivity and efficiency: work smarter, not harder. Eur J Radiol 2022;155:110131 doi:10.1016/j.ejrad.2021.110131 pmid:35031167
    CrossRefPubMed
  30. 30.↵
    1. Do HM,
    2. Spear LG,
    3. Nikpanah M, et al
    . Augmented radiologist workflow improves report value and saves time: a potential model for implementation of artificial intelligence. Acad Radiol 2020;27:96–105 doi:10.1016/j.acra.2019.09.014 pmid:31818390
    CrossRefPubMed
  31. 31.↵
    1. Marcovici PA,
    2. Taylor GA
    . Journal Club: structured radiology reports are more complete and more effective than unstructured reports. AJR Am J Roentgenol 2014;203:1265–71 doi:10.2214/AJR.14.12636 pmid:25415704
    CrossRefPubMed
  32. 32.↵
    1. Wynn RM,
    2. Howe JL,
    3. Kelahan LC, et al
    . The impact of interruptions on chest radiograph interpretation: effects on reading time and accuracy. Acad Radiol 2018;25:1515–20 doi:10.1016/j.acra.2018.03.016 pmid:29605562
    CrossRefPubMed
  33. 33.↵
    1. Harisinghani MG,
    2. Blake MA,
    3. Saksena M, et al
    . Importance and effects of altered workplace ergonomics in modern radiology suites. Radiographics 2004;24:615–27 doi:10.1148/rg.242035089 pmid:15026606
    CrossRefPubMed
  34. 34.↵
    1. Velleman T,
    2. Hein S,
    3. Dierckx RA, et al
    . Reading room assistants to reduce workload and interruptions of radiology residents during on-call hours: initial evaluation. Eur J Radiol 2024;173:111381 doi:10.1016/j.ejrad.2024.111381 pmid:38428253
    CrossRefPubMed
  35. 35.↵
    1. Morgan MB,
    2. Branstetter BF,
    3. Lionetti DM, et al
    . The radiology digital dashboard: effects on report turnaround time. J Digit Imaging 2008;21:50–58 doi:10.1007/s10278-007-9008-9 pmid:17334871
    CrossRefPubMed
  36. 36.↵
    1. Alexander R,
    2. Waite S,
    3. Bruno MA, et al
    . Mandating limits on workload, duty, and speed in radiology. Radiology 2022;304:274–82 doi:10.1148/radiol.212631 pmid:35699581
    CrossRefPubMed
PreviousNext
Back to top
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Radiologist, Trainee, and Logistical Factors Impacting the Timeliness of CTA Head and Neck Reporting in Stroke Code Activations
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
Omar A. Zaree, Jeffers K. Nguyen, Irene Dixe de Oliveira Santo, Ahmed E. Kertam, Saeed Rahmani, Jason Johnson, Long H. Tu
Radiologist, Trainee, and Logistical Factors Impacting the Timeliness of CTA Head and Neck Reporting in Stroke Code Activations
American Journal of Neuroradiology Jun 2025, DOI: 10.3174/ajnr.A8660

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Factors Impacting CTA Reporting in Stroke Codes
Omar A. Zaree, Jeffers K. Nguyen, Irene Dixe de Oliveira Santo, Ahmed E. Kertam, Saeed Rahmani, Jason Johnson, Long H. Tu
American Journal of Neuroradiology Jun 2025, DOI: 10.3174/ajnr.A8660
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Graphical Abstract
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSIONS
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Length of Stay Changes After Dual-Energy CT
  • Black Hole Sign: Oral Anticoagulants
Show more EMERGENCY NEURORADIOLOGY

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire