Research Topics
| Stephen SwensenSummaryAffiliation: Mayo Clinic Country: USA Publications
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Publications
The business case for health-care quality improvementStephen J Swensen
Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA
J Patient Saf 9:44-52. 2013....
The Mayo Clinic Value Creation SystemStephen J Swensen
Mayo Clinic, Rochester, MN 55905, USA
Am J Med Qual 27:58-65. 2012..The methodology is described and examples of the results to date are presented. The Value Creation System has been demonstrated to improve the quality of patient care while reducing costs and increasing productivity...
Lung nodules: dual-kilovolt peak analysis with CT--multicenter studyS J Swensen
Department of Diagnostic Radiology, Mayo Clinic, Rochester, MN 55905, USA
Radiology 214:81-5. 2000....
Sun Valley Group manifestoStephen J Swensen
Department of Radiology, Mayo Clinic, Rochester, Minnesota 55905, USA
J Am Coll Radiol 2:646-8. 2005
Radiologic quality and safety: mapping value into radiologyStephen J Swensen
Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA
J Am Coll Radiol 2:992-1000. 2005..It entails 9 steps with dozens of specific opportunities for improving care to patients. The radiology profession has an obligation to robustly document and improve quality and safety in its practice...
Flying in the plane you service: patient-centered radiologyStephen J Swensen
Department of Radiology, Mayo Clinic, Rochester, Minnesota 55905, USA
J Am Coll Radiol 7:216-21. 2010..The authors posit that the American practice of radiology would be considerably different if our profession practiced patient-centered radiology...
Quality: the Mayo Clinic approachStephen J Swensen
Department of Radiology, Mayo Clinic Rochester, Rochester, Minnesota 55905, USA
Am J Med Qual 24:428-40. 2009..The Mayo Clinic experience has led to a greater understanding of the leadership commitment, organizational challenges, and the breadth of initiatives necessary to achieve highly reliable care...
Controlling healthcare costs by removing waste: what American doctors can do nowStephen J Swensen
Mayo Clinic, Rochester, MN 55905, USA
BMJ Qual Saf 20:534-7. 2011..Three physician-led strategies comprise this solution: reduce (1) overuse of health services, (2) preventable complications and (3) waste within healthcare processes. These challenges know no borders...
Transparency and the "end result idea"Stephen J Swensen
Department of Radiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Chest 133:233-5. 2008
CT screening for lung cancer: five-year prospective experienceStephen J Swensen
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Radiology 235:259-65. 2005..To report results of a 5-year prospective low-dose helical chest computed tomographic (CT) study of a cohort at high risk for lung cancer...
Lung cancer screening experience: a retrospective review of PET in 22 non-small cell lung carcinomas detected on screening chest CT in a high-risk populationRebecca M Lindell
Department of Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA
AJR Am J Roentgenol 185:126-31. 2005..The most common histology was bronchioloalveolar cell carcinoma. The role of PET in evaluating screening-detected indeterminate nodules in a high-risk population may be more limited than in a general population...
Lung cancer screening with CT: Mayo Clinic experienceStephen J Swensen
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Radiology 226:756-61. 2003..Six hundred ninety-six additional findings of clinical importance were identified. CONCLUSION: CT can depict early-stage lung cancers. The rate of benign nodule detection is high...
Relation between smoking cessation and receiving results from three annual spiral chest computed tomography scans for lung carcinoma screeningCynthia O Townsend
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota 55905, USA
Cancer 103:2154-62. 2005..Further research is needed to continue to investigate how annual screening may enhance motivation for health behavior change...
Integrating health status and survival data: the palliative effect of lung volume reduction surgeryRoberto Benzo
Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota 55902, USA
Am J Respir Crit Care Med 180:239-46. 2009..This practice tends to inflate the apparent benefits of interventions with a high risk of mortality. Assessing a composite QoL-death outcome is a potential solution to this problem...
Physical activity, health status and risk of hospitalization in patients with severe chronic obstructive pulmonary diseaseRoberto P Benzo
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA
Respiration 80:10-8. 2010..Self-reported daily physical activity and health status have been reported as predictors of a hospitalization in COPD but are not routinely assessed...
Outcomes after withholding anticoagulation from patients with suspected acute pulmonary embolism and negative computed tomographic findings: a cohort studyStephen J Swensen
Department of Radiology, Mayo Clinic, Rochester, Minn 55905, USA
Mayo Clin Proc 77:130-8. 2002..Withholding anticoagulation in these patients appears to be safe...
Quality improvement in radiology: white paper report of the Sun Valley Group meetingC Daniel Johnson
Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA
J Am Coll Radiol 3:544-9. 2006..Among these is a formal educational program for all radiologists interested in implementing a quality improvement program within their practice, to be hosted by the ACR...
Quality improvement in radiology: white paper report of the 2006 Sun Valley Group meetingC Daniel Johnson
Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA
J Am Coll Radiol 4:145-7. 2007
Evaluation of a quantitative D-dimer latex immunoassay for acute pulmonary embolism diagnosed by computed tomographic angiographyDavid A Froehling
Division of General Internal Medicine, College of Medicine, Mayo Clinic, Rochester, MN 55905, USA
Mayo Clin Proc 82:556-60. 2007..To determine the sensitivity and specificity of a quantitative plasma fibrin D-dimer latex immunoassay (LIA) for the diagnosis of acute pulmonary embolism...
Feasibility of using a walking workstation during CT image interpretationJeff L Fidler
Department of Radiology, Mayo Clinic, Rochester, Minnesota 55905, USA
J Am Coll Radiol 5:1130-6. 2008..Methods to help reduce sedentary work environments may help reduce obesity. The purpose of this study was to determine the feasibility of using a walking workstation during computed tomographic image interpretation...
Change in smoking status after spiral chest computed tomography scan screeningLisa Sanderson Cox
Nicotine Research Center, Mayo Clinic, Rochester, Minnesota 55905, USA
Cancer 98:2495-501. 2003..Further research is needed to evaluate the potential avenues through which lung carcinoma screening can be used as an opportunity for providing effective nicotine interventions...
5-year lung cancer screening experience: growth curves of 18 lung cancers compared to histologic type, CT attenuation, stage, survival, and sizeRebecca M Lindell
Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA
Chest 136:1586-95. 2009..The purpose of this study was to document the growth of lung cancers detected in high-risk participants receiving annual screening chest CT scans...
Significance of multiple carcinoid tumors and tumorlets in surgical lung specimens: analysis of 28 patientsMarie Christine Aubry
Department of Laboratory Medicine and Pathology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
Chest 131:1635-43. 2007..The clinical significance of multiple carcinoid tumorlets in surgical lung specimens has not been systematically analyzed. We reviewed our experience to determine the range of clinical circumstances associated with this finding...
Are airflow obstruction and radiographic evidence of emphysema risk factors for lung cancer? A nested case-control study using quantitative emphysema analysisFabien Maldonado
Division of Pulmonary and Critical Care Medicine, Rochester, MN 55905, USA
Chest 138:1295-302. 2010..We proposed to assess this risk using a quantitative volumetric CT scan analysis...
Perceptions of lung cancer risk and beliefs in screening accuracy of spiral computed tomography among high-risk lung cancer family membersPamela S Sinicrope
Department of Psychiatry and Psychology, Mayo Clinic Rochester, Rochester, MN 55905, USA
Acad Radiol 17:1012-25. 2010..Our objective was to describe the effect of participation in SCT screening on participants' risk perceptions, worry, and expectations regarding the accuracy of the screening result...
Screening for lung cancer with low-dose spiral computed tomographyStephen J Swensen
Department of Radiology, The Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
Am J Respir Crit Care Med 165:508-13. 2002..Twelve (57%) of the 21 non-small cell cancers detected by computed tomography were stage IA at diagnosis. Computed tomography can detect early-stage lung cancers. The rate of benign nodule detection is high...
Five-year lung cancer screening experience: CT appearance, growth rate, location, and histologic features of 61 lung cancersRebecca M Lindell
Department of Radiology, Mayo Clinic, Charlton 2 290, 200 1st Street SW, Rochester, MN 55905, USA
Radiology 242:555-62. 2007....
Characterization of the solitary pulmonary nodule: 18F-FDG PET versus nodule-enhancement CTJared A Christensen
Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
AJR Am J Roentgenol 187:1361-7. 2006..The purpose of this study was to directly compare nodule-enhancement CT and 18F-FDG PET in the characterization of indeterminate solitary pulmonary nodules (SPNs) greater than 7 mm in size...
Alpha1-antitrypsin and neutrophil elastase imbalance and lung cancer riskPing Yang
Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
Chest 128:445-52. 2005..We conducted a case-control study to investigate whether genetic variations indicative of alpha(1)-antitrypsin deficiency (A1ATD) or an excess of neutrophil elastase modify lung cancer risk..
Bronchiolar disordersJay H Ryu
Division of Pulmonary and Critical Care Medicine, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA
Am J Respir Crit Care Med 168:1277-92. 2003..The clinical relevance of a bronchiolar lesion is best determined by identifying the underlying histopathologic pattern and assessing the correlative clinico-physiologic-radiologic context...
CT screening for lung cancerThomas E Hartman
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Semin Roentgenol 40:193-6. 2005
Sensitivity and specificity of the semiquantitative latex agglutination D-dimer assay for the diagnosis of acute pulmonary embolism as defined by computed tomographic angiographyDavid A Froehling
Division of Area General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
Mayo Clin Proc 79:164-8. 2004....
Effectiveness of smoking cessation self-help materials in a lung cancer screening populationMatthew M Clark
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA
Lung Cancer 44:13-21. 2004..Clearly, more investigation is warranted into how to tailor smoking interventions for cancer screening participants...
Optimizing weekend availability for sophisticated tests and procedures in a large hospitalLawrence H Lee
Department of Internal Medicine, Mayo Clinic and Foundation, 200 First Street SW, Rochester, Minnesota 55905, USA
Am J Manag Care 11:553-8. 2005..The goal is to optimally configure capacity so as to balance the imperatives of timely availability and efficient resource utilization...
Estimate of lung cancer mortality from low-dose spiral computed tomography screening trials: implications for current mass screening recommendationsEdward F Patz
Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710, USA
J Clin Oncol 22:2202-6. 2004..There are no mortality statistics, however, and the current study used published data from these trials to estimate the disease-specific mortality in this high-risk population...
Clinicoradiological features of pulmonary infarctions mimicking lung cancerC Joseph George
Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
Mayo Clin Proc 79:895-8. 2004..The possibility of pulmonary infarction should be considered in the differential diagnosis of a solitary lung nodule or mass located in the subpleural region, even in the absence of clinically recognized venous thromboembolism...
Lung cancer screening with low-dose computed tomographyThomas E Hartman
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Semin Roentgenol 38:34-8. 2003
Computed tomographic screening for lung cancer: home run or foul ball?Stephen J Swensen
Department of Radiology, Mayo Clinic, Rochester, Minn 55905, USA
Mayo Clin Proc 78:1187-8. 2003
Thoracic surgical operations in patients enrolled in a computed tomographic screening trialJuan A Crestanello
Division of General Thoracic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
J Thorac Cardiovasc Surg 128:254-9. 2004..Although 47 cancers were detected thus far in this highly selected group of patients, this represents only 1.5% of the pulmonary nodules identified...
CT screening for lung cancerStephen J Swensen
Department of Radiology, Mayo Clinic, 200 First St. S.W, Rochester, MN 55905, USA
AJR Am J Roentgenol 179:833-6. 2002
Cystic and cavitary lung diseases: focal and diffuseJay H Ryu
Division of Pulmonary and Critical Care Medicine and Internal Medicine Mayo Clinic, Rochester, Minn 55905, USA
Mayo Clin Proc 78:744-52. 2003..High-resolution computed tomography of the chest frequently helps define morphologic features that may serve as important clues regarding the nature of cystic and cavitary lesions in the lung...
Diagnostic approach to the patient with diffuse lung diseaseJay H Ryu
Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minn 55905, USA
Mayo Clin Proc 77:1221-7; quiz 1227. 2002..We describe the diagnostic approach to a patient with diffuse lung disease usingthe following key parameters: tempo of the pathological process, characteristics of the radiological pattern, and clinical context...
Computed tomography of benign intrapulmonary lymph nodes: retrospective comparison with sarcoma metastasesAnne-Marie G Sykes
Department of Radiology, Mayo Clinic, Rochester, Minn 55905, USA
Mayo Clin Proc 77:329-33. 2002..CONCLUSION: Benign intrapulmonary lymph nodes were more likely than sarcoma metastases to be oval, to occur in a lymphatic distribution, and to be located subpleurally...
Advanced emphysema in African-American and white patients: do differences exist?Wissam M Chatila
Department of Radiology, University of Iowa Carver College of Medicine, Iowa City, USA
Chest 130:108-18. 2006..Epidemiologic studies have not addressed, nor explained, the observed racial differences in emphysema...
Reliably better, faster, and cheaper soufflésStephen J Swensen
Mayo Clinic, Department of Radiology, Rochester, MN 55905, USA
J Am Coll Radiol 4:86-7. 2007
Estimating long-term effectiveness of lung cancer screening in the Mayo CT screening studyPamela M McMahon
Institute for Technology Assessment, Massachusetts General Hospital, 101 Merrimac St, 10th Floor, Boston, MA 02114, USA
Radiology 248:278-87. 2008....
Screening for cancer with computed tomographyStephen J Swensen
BMJ 326:894-5. 2003
Computed tomography screening and lung cancer outcomesPeter B Bach
Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA
JAMA 297:953-61. 2007..Randomized controlled trials assessing CT screening are currently under way...
Lung cancer screening results: easily misunderstoodDavid E Midthun
Mayo Clin Proc 82:14-5. 2007
Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner SocietyHeber Macmahon
Radiology 237:395-400. 2005....
Respecting patient autonomy: screening at CT and informed consentFrank Earnest
Radiology 226:633-4. 2003
