Elizabeth Kagan Arleo

• MD
• Professor (Assistant) at Weill Cornell Medicine

Background: The American College of Radiology (ACR) passed a historic paid family/medical leave (PFML) resolution at its April 2022 meeting, resolving that "diagnostic radiology, interventional radiology, radiation oncology, medical physics, and nuclear medicine practices, departments and training programs strive to provide 12 weeks of paid family/...

Objective To examine the effects of COVID-19 pandemic on our department's Radiology Consultation Service (RCS) related to breast imaging, and how utilization of the provided services may have differed as compared to prior to the pandemic. Materials and methods A retrospective cohort study of patients and health care providers who consulted the RCS...

Objective: Although extensive analyses evaluating screening mammography for breast cancer have been published, some utilized databases do not distinguish between modes of detection, which confounds the conclusions made about the impact of screening mammography. Methods: A retrospective cohort study of women at our institution with pathologically...

Breastfeeding has medical and economic benefits and providing an environment supportive of breastfeeding should be a priority in radiology to promote diversity, equity and inclusion. Most breastfeeding radiologists do not meet their breastfeeding goals and inadequate time for pumping is the most commonly cited barrier. The UCSF lactation credit mod...

10555 Background: The COVID-19 surge in March 2020 resulted in a hiatus placed on screening mammography programs in support of shelter-in-place mandates and diversion of medical resources to pandemic management. The COVID-related economic recession and ongoing social distancing policies continued to influence screening practices after the hiatus wa...

Background Women should be evaluated for breast cancer risk by age 30 to assess for screening need. Recent trends in breast cancer in this population may further inform recommendations. Objective The aim of this study was to analyze trends over time in the rate of breast cancer, tumor characteristics and treatment in women under age 40. Methods R...

What is Imposter Syndrome, whom does it affect, and when, and why is it important to recognize? In this multidisciplinary article, the phenomenon is defined and discussed by a psychiatrist, followed by strategic advice by a radiologist, interventional radiologist and radiation oncologist.

Objective Three-dimensional bioabsorbable tissue marker (BTM) placement during breast surgery is performed for the purpose of improved surgical cavity delineation for radiotherapy and improved cosmetic outcome. The purpose of this study is to evaluate the postsurgical imaging findings of BTM. Methods This Institutional Review Board-approved retros...

Overall, 55% of surveyed radiology practice leaders reported that burnout was a very significant problem, and 22% reported that burnout was a significant problem. Burnout did not vary by geographical region but did vary by practice size. Overall, 71% of respondents reported stress from workplace factors, and 36% reported stress from personal or soc...

Objective: The objective of our study was to assess utilization of the Family and Medical Leave Act (FMLA) in radiology practices in 2016 and compare with 2015 utilization. Materials and methods: The Practice of Radiology Environment Database was used to identify practice leaders, and these leaders were asked to complete the annual American Coll...

https://deepblue.lib.umich.edu/bitstream/2027.42/142522/1/cncr31195_am.pdf

The goal of screening is to detect breast cancers when still curable to decrease breast cancer–specific mortality. Breast cancer screening in the United States is routinely performed with mammography, supplemental digital breast tomosynthesis, ultrasound, and/or MR imaging. This article aims to review the most commonly used breast imaging modalitie...

Background: Currently, there are several different recommendations for screening mammography from major national health care organizations, including: 1) annual screening at ages 40 to 84 years; 2) screening annually at ages 45 to 54 years, then biennially at ages 55 to 79 years; and 3) biennial screening at ages 50 to 74 years. Methods: Mean va...

Objective: The purpose of this study was to review screening mammograms obtained in one practice with the primary endpoint of determining the rate of detection of breast cancer and associated prognostic features in women 40-44 and 45-49 years old. Materials and methods: The retrospective cohort study included women in their 40s with breast cance...

In this case report, the history and imaging of two patients with invasive lobular carcinoma (ILC) in the skin are presented, followed by a discussion of both benign and malignant intradermal findings on breast ultrasound. Although the majority of dermal findings are benign, these cases are a reminder that malignancy can manifest within the skin. T...

Purpose: The aim of this study was to investigate the natural history of untreated screen-detected breast cancer. Methods: A prospective cohort survey of Society of Breast Imaging fellows concerning the appearance on subsequent mammography of untreated breast cancer detected on screening mammography was conducted. Results: A representative sam...

Purpose: Despite federal and state laws mandating lactation facilities for eligible employers, no reliable data exist regarding the availability of lactation facilities in the radiology workforce. To fill this void, the ACR Commission on Human Resources added new questions to its annual electronic survey to better understand this aspect of the wor...

Purpose: To assess gender utilization of the Family and Medical Leave Act (FMLA) in radiology practices across the United States. Methods: The Practice of Radiology Environment Database was utilized to identify U.S. practice leaders, who were asked to complete an electronic survey developed by the ACR Human Resources (HR) Commission. In 2016, ne...

A 73-year old man with a history of multiple genitourinary malignancies was found to have a left retroareolar soft tissue mass on CT assessment of disease, and dedicated breast imaging was recommended. Diagnostic mammography and ultrasonography confirmed a solid mass, for which biopsy was recommended. Pathologic analysis demonstrated a spindle cell...

Purpose: To determine which modalities [2D mammography (2D), digital breast tomosynthesis (DBT), whole breast sonography (WBS)] are optimal for screening depending on breast density. Methods: Institutional retrospective cohort study of 2013 screening mammograms (16,789), sorted by modalities and density. Results: Cancer detection is increased...

The purpose of the study was to review screening mammography examinations at our institution from 2007 through 2013 with the primary endpoint of determining the incidence of breast cancer and the associated histologic and prognostic features in women 75 years old or older. Patients who presented for screening mammography who ultimately received a B...

Due to an increasing number of breast cancer diagnoses in younger women anecdotally noted at our institution, we conceived of this study was to retrospectively review the records of women diagnosed with breast cancer under the age of 40 for potentially alterable versus unalterable risk factors in their history. Between 2007 and 2013, there were 52...

A chorionic bump on first-trimester sonography has been considered a risk factor for nonviability in pregnant patients with this rare finding, although the strength of this association has recently been questioned. We performed a systematic review and meta-analysis to summarize the association between a chorionic bump and nonviability. A comprehens...

Rationale and Objectives: The primary role of radiology in the preclinical setting is the use of imaging to improve students' understanding of anatomy. Many currently available Web-based anatomy programs include either suboptimal or overwhelming levels of detail for medical students. Our objective was to develop a user-friendly software program tha...

The purpose of this study was to determine the live birth rate of pregnancies with a diagnosis of a chorionic bump, a convex bulge from the choriodecidual surface into the first-trimester gestational sac. Pregnant patients at least 18 years old with the finding of a chorionic bump on first-trimester sonography were included in this prospective obse...

The terms ‘cornual,’ ‘interstitial,’ and ‘angular’ pregnancies are used inconsistently in the literature. Some sources use ‘interstitial’ and ‘cornual’ synonymously, while others reserve ‘cornual’ for gestations in bicornuate or septate uteri; others distinguish interstitial from angular pregnancy, while in practice many physicians are unfamiliar w...

In this case series, we present the history and imaging of several male patients with breast complaints. Given the rise in men presenting with breast cancer, from 1 in 100,000 in the 1970s to 1.5 in 100,000 in 2012 [1,2], these cases presented here together provide the useful reminder that a comprehensive clinical history and focal physical examina...

This series presents the history and imaging of patients who had cosmetic fat augmentation following mastectomy and reconstruction. The cases provide the useful reminder that a complete surgical history is essential when assessing the imaging of a post-operative breast patient and that speaking directly with patients can be a critical step in putti...

Purpose To determine the recall rate of screening ultrasound with automated breast volumetric scanning (ABVS) in women with dense breasts (BI-RADS density classification 3 or 4 on mammogram). Materials and Methods In this retrospective cohort study, at the end of the “first quarter” (August-October 2013) of use, our practice database was searched...

Objective: Accessory breast tissue, residual breast tissue persisting from embryologic development, is found in up to 6% of the population, most commonly in the axilla along the "milk line." Conclusion: Radiologists should be able to recognize the imaging appearance of this normal variant on multiple modalities, while at the same time understand...

PURPOSE To prospectively observe the pregnancy outcome of patients with the sonographic finding of a chorionic "bump," an irregular, convex bulge from the choriodecidual surface into the first-trimester gestational sac. METHOD AND MATERIALS Study design: prospective observational study. Number of patients: N = 53. Time period: 3 years (2004-2007)....

Objective: The objective of our study was to review screening mammography examinations performed at our institution from 2007 through 2010 with the primary endpoint of determining the incidence of breast cancer and associated histologic and prognostic features in women in their 40s. Materials and methods: Patients who presented for screening mam...

Objective: The objective of this study was to use two-dimensional (2D) ultrasound (US) during routine prenatal surveillance to develop normative estimated placental volume (EPV) growth curves. Study design: Patients ≥ 18 years old with singleton pregnancies were prospectively followed from 11 weeks gestational age (GA) until delivery. At routine...

With the increasing popularity of assisted reproductive technology (ART), radiologists are more likely to encounter associated complications, especially in an emergency setting. These complications include ovarian hyperstimulation syndrome (OHSS), ovarian torsion, and ectopic and heterotopic pregnancy. OHSS occurs following ovulation induction or o...

A 63-year old female with right breast cancer underwent lumpectomy, with axillary lymph nodes negative for metastatic carcinoma but demonstrating noncaseating granulomatous lymphadenitis. These histopathologic findings, in conjunction with thoracic lymphadenopathy and diffuse splenic nodules on computed tomography, were consistent with sarcoidosis....

PURPOSE In 2009, the USPSTF changed its recommendation for the age to start screening mammography from 40 to 50 and decreased the recommended frequency from annually to biennially. This study aims to highlight how these changes could impact patients in their forties through a retrospective study of patients screened at New York Presbyterian Hospita...

The objectives of this study were to document the utilization of MRI compared with CT in pregnant patients presenting with acute nontraumatic abdominal pain at our institution and to compare the diagnostic performance of the two modalities. A retrospective review identified all pregnant patients at our institution who had MRI or CT exams of the abd...

Previous studies have shown that a slow embryonic heart rate (EHR; ≤100 beats/min) early in the first trimester is associated with high rate of fetal demise before the end of the first trimester. However, a heart rate <100 beats/min early in pregnancy is not always predictive of a poor outcome. Ongoing investigations have sought to determine what s...

The purpose of this article is to assess prospectively the value of concordant versus discordant gestational age (GA) calculations in predicting subsequent embryonic demise in embryos with a slow heart rate, as determined on early first-trimester ultrasound. Thirty-six consecutive singleton pregnancies with slow embryonic heart rate (< 100 beats/mi...

Celiac artery trunk thrombosis is a rare complication of pancreatitis. Only two other cases have been reported in the English-language literature. Here, we present the clinical and multimodality imaging findings for a woman with pancreatitis who had continued pain after normalization of pancreatic enzyme levels and was unexpectedly found to have oc...

Wandering spleen, a rare entity, is caused by the absence or laxity of the normal anchoring splenic ligaments. Only three neonatal cases have been reported in the English-language literature. We present the clinical and multimodality imaging findings of a newborn with laceration and hemorrhage of a wandering spleen. The course was complicated by th...

A 39-year-old gravida 2 para 2 woman presented to our Hospital's Emergency Department with complaints of difficulty voiding. She had an enlarged leiomyomatous uterus, for which she was not receiving any current treatment. A Foley catheter placed yielded 1,500 cc of clear yellow urine; however, the patient remained Foley-dependent for 2 weeks until...

Of 333 women inquiring about minimally invasive image-guided treatments for fibroids, 209 (63%) were clinically eligible for magnetic resonance-guided focused ultrasound (MRgFUS) according to criteria specified by the Food and Drug Administration and our institution's institutional review board. One hundred three clinically eligible patients had pe...

To investigate the relationship between MRI-determined uterine fibroid size and their location, and fibroid-related symptoms, including quality of life and sexual function, in women with symptomatic fibroids before uterine artery embolization (UAE). Forty-six women underwent pelvic MRI within four weeks prior to UAE. The MRIs were analyzed and fibr...

This study's purpose was to survey patients' perceptions of gynecologists' opinions of uterine artery embolization (UAE) for fibroids. Twenty-one women who underwent UAE between July 2000 and April 2002 and 21 women who underwent UAE between September 1998 and July 2000 completed questionnaires. Each woman was asked what her gynecologist's initial...

HTML Purpose: To determine the relationship between MRI-determined fibroid location, largest fibroid volume (LFV) and total uterine volume (TUV), and fibroid-related symptoms in premenopausal women with symptomatic uterine fibroids. Methods and Materials: Eighty premenopausal women undergoing uterine fibroid embolization (UFE) received a pre-proced...

PURPOSE/AIM For most medical students, their first exposure to Radiology occurs in Gross Anatomy. The primary goal in this setting is to use imaging to teach anatomy and normal studies with labels help achieve this goal. While multiple web-based anatomy programs exist, the level of detail is often beyond the appropriate scope for a medical student....