William R. Shrauner’s research while affiliated with Weill Cornell Medicine and other places

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Publications (3)


Development and Utilization of a Web-Based Application as a Robust Radiology Teaching Tool (RadStax) for Medical Student Anatomy Teaching
  • Article

February 2015

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214 Reads

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40 Citations

Academic Radiology

Philip G. Colucci Bfa

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William R. Shrauner

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[...]

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Apostolos John Tsiouris

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 that anatomy instructors can completely tailor to match the desired level of detail for their curriculum, meets the unique needs of the first- and the second-year medical students, and is compatible with most Internet browsers and tablets. Materials and Methods: RadStax is a Web-based application developed using free, open-source, ubiquitous software. RadStax was first introduced as an interactive resource for independent study and later incorporated into lectures. First- and second-year medical students were surveyed for quantitative feedback regarding their experience. Results: RadStax was successfully introduced into our medical school curriculum. It allows the creation of learning modules with labeled multiplanar (MPR) image sets, basic anatomic information, and a self-assessment feature. The program received overwhelmingly positive feedback from students. Of 115 students surveyed, 87.0% found it highly effective as a study tool and 85.2% reported high user satisfaction with the program. Conclusions: RadStax is a novel application for instructors wishing to create an atlas of labeled MPR radiologic studies tailored to meet the specific needs their curriculum. Simple and focused, it provides an interactive experience for students similar to the practice of radiologists. This program is a robust anatomy teaching tool that effectively aids in educating the preclinical medical student.


No Patients to Resect or Transplant: An Analysis of Patients with Hepatocellular Carcinoma Admitted to a Major African Referral Hospital

August 2014

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38 Reads

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21 Citations

World Journal of Surgery

Background: This study aimed to describe the characteristics of patients diagnosed with hepatocellular carcinoma (HCC) at the Komfo Anokye Teaching Hospital (KATH) in Ghana and to determine their treatment options per the Barcelona Clinic Liver Cancer (BCLC) algorithm. Methods: We reviewed the medical records of patients diagnosed with HCC at KATH in the period 2007-2013. Patient demographics, medical history, investigations, management, and outcome were extracted. BCLC staging was applied to determine their treatment options. Results were expressed as descriptive statistics. Results: The charts for 206/465 patients were available for review. The male:female ratio was 2:1 and mean age was 44.0 ± 14.5 years. Common presenting complaints were abdominal distension, abdominal pain, and jaundice. hepatitis B virus (HBV) positivity was 52 %. Almost all patients received only supportive treatment. None underwent surgery, ablation, or transarterial chemoembolization. BCLC staging could be completed for 118 patients. Using predicted INR values in cases without the result, < 8 % of patients were eligible for resection, transplantation, or ablation; 25-53 % were eligible for embolization or sorafenib therapy. Up to 72 % were eligible only for supportive care. Seventy-six percent of patients reviewed were discharged alive; 71 % of patients whose charts were not available died during an admission. Thus, of the 465-patient cohort, 50 % died in the hospital. Conclusions: The majority of HCC in our population is caused by HBV. Up to 61 % of patients may be eligible for curative treatment, transarterial chemoembolization, or sorafenib treatment. This percentage may be increased with a robust surveillance program for patients at increased risk for HCC. Hepatitis B vaccination must also be a public health priority.


Citations (2)


... Reports (references) Distribution, n (%) Usability attribute [24][25][26][27][28][31][32][33][34][35][36][37][39][40][41][42][44][45][46][47][48]50,52,[54][55][56][57]59,60,[62][63][64][65][66][69][70][71][72][73][74][75][76][77][78][79][80][81]83,84,[86][87][88][89][90][91][92][93][94][95][96][97][98][99][100][101][102][103][104][107][108][109][110] 74 (84) Satisfaction [24,26,[28][29][30][31][35][36][37][38][39][42][43][44][45][46][47]49,50,[53][54][55][60][61][62]65,67,68,[72][73][74]76,[79][80][81][82][83][84][85][86][87]92,93,96,99,104,[106][107][108]110,111] 51 (58) Usefulness [24,26,28,29,31,32,[35][36][37][38][41][42][43][45][46][47][49][50][51]53,55,57,58,[61][62][63][67][68][69][70]72,[80][81][82][84][85][86]88,90,[92][93][94]106,107,109] 45 (51) Ease of use [24,[32][33][34]36,37,41,42,48,49,52,53,57,59,60,62,64,[68][69][70]73,[79][80][81][86][87][88][89]95,96,100,104,110] 33 (38) Learning performance [28,33,35,40,41,44,[68][69][70][71]75,76,86,93,95,96,98,101,[103][104][105][106]109] 23 (26) Learnability [42,45,50,53,54,58,63,69,71,85,88,90,94,95,[99][100][101]103,107] 19 (22) Operational usability [30,35,38,44,54,58,61,66,72,84,85,91,104,105] 14 (16) Context of use [31,[40][41][42]53,79,85,98,102,106,109,110] 12 (14) Navigation [30,39,40,46,56,70,71,91,95,98,109] 11 (13) Efficiency [32,[39][40][41]51,59,61,77,98,108] 10 (11) Effectiveness [26,31,38,42,47,49,59,66,89,98] 10 (11) Frequency of use [29,37,40,45,57,79,102] ...

Reference:

Usability Methods and Attributes Reported in Usability Studies of Mobile Apps for Health Care Education: Scoping Review
Development and Utilization of a Web-Based Application as a Robust Radiology Teaching Tool (RadStax) for Medical Student Anatomy Teaching
  • Citing Article
  • February 2015

Academic Radiology

... When HBV testing was performed, the positivity rate peaked at 80%. 21,23,25-29,31-42, 46,48,51,52,54-57,59 In 26 studies, five to 80% of HCCs occurred in non-cirrhotic livers. [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]37,42,[47][48][49][50]54,[56][57][58][59] In nine studies, five to 41% of the patients had PVTT. [25][26][27]29,31,39,42,51,57 The presence of extrahepatic metastases was documented in two to 59% of patients; the lungs were the most frequent site of spread. ...

No Patients to Resect or Transplant: An Analysis of Patients with Hepatocellular Carcinoma Admitted to a Major African Referral Hospital
  • Citing Article
  • August 2014

World Journal of Surgery