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Paul M. Bunch MD

TitleAssociate Professor
InstitutionWake Forest School of Medicine
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    Massachusetts General Hospital, Boston, MA06/2018Neuroradiology
    Brigham and Women's Hospital, Boston, MA06/2016Diagnostic Radiology
    Riverside Regional Medical Center, Newport News, VA06/2012Internship
    University of Virginia School of Medicine, Charlottesville, VA05/2011M.D.
    University of Richmond, Richmond, VA05/2007B.A.

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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Cardenas KL, Hiatt KD, Rigdon J, Lenchik L, Gorris MA, Randle RW, Bunch PM. Incidentally Detected Parathyroid Glands on CT: Comparison of Size Thresholds for Defining Enlargement-A Secondary Analysis. AJR Am J Roentgenol. 2025 May 14. PMID: 40366791.
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    2. Chang MJ, Stamos DB, Urtis C, Bowers NL, Schmalz LM, Deyo LJ, Porebski MF, Jabir AR, Bunch PM, Lycan TW, Buchanan Doerfler L, Patwa HS, Waltonen JD, Sullivan CA, Browne JD, Zhang W, Porosnicu M. Mutational Profile of Blood and Tumor Tissue and Biomarkers of Response to PD-1 Inhibitors in Patients with Cutaneous Squamous Cell Carcinoma. Cancers (Basel). 2025 Mar 31; 17(7). PMID: 40227722.
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    3. Bunch PM, Rigdon J, Lenchik L, Gorris MA, Randle RW. Potential Impact of Opportunistic CT for Closing Diagnosis Gaps in Primary Hyperparathyroidism. J Am Coll Radiol. 2025 Mar; 22(3):376-385. PMID: 40044317.
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    4. Hughes RT, Lack CM, Sachs JR, Hiatt KD, Smith S, Steber CR, Aly FZ, D'Agostino RB, Bunch PM. Predicting Extranodal Extension with Preoperative Contrast-enhanced CT in Patients with Oropharyngeal Squamous Cell Carcinoma. Radiol Imaging Cancer. 2025 Mar; 7(2):e240127. PMID: 39918409.
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    5. Cleland JB, Patel KB, Bunch PM, Gandolfi MM. Unusual Case of Multi-etiology Conductive Hearing Loss from Cephalocele and Prolapsed Facial Nerve. Laryngoscope. 2025 Feb 18. PMID: 39963709.
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    6. Bunch PM, Hiatt KD, Rigdon J, Lenchik L, Gorris MA, Randle RW. Opportunistic Assessment for Parathyroid Adenoma on CT: A Retrospective Cohort Study Evaluating Primary Hyperparathyroidism-Associated Morbidity Over 10 Years of Follow-Up. AJR Am J Roentgenol. 2024 Dec 04. PMID: 39629773.
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    7. Hughes RT, Razavian NB, Smith S, D'Agostino RB, Bunch PM, Ponnatapura J, Royce TJ, Ververs JD, Nightingale CL, Weaver KE, Farris MK. Radiologist Involvement in Radiation Oncology Peer Review: A Systematic Review and Meta-Analysis. JAMA Netw Open. 2024 Dec 02; 7(12):e2452667. PMID: 39729314.
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    8. Malouf WT, Bachmann MP, Meegalla NT, Kirse DJ, Kiell EP, Gandolfi MM, Sioshansi PC, Hiatt KD, Bunch PM. Evaluation of Hearing Loss: Understanding Audiologic Testing to Refine Image Interpretation. Radiographics. 2024 Oct; 44(10):e240018. PMID: 39264839.
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    9. Mohan S, Bunch PM, Glastonbury CM. Head and Neck Imaging: Cutting-Edge Techniques and Transformative Insights The 2024 RadioGraphics Monograph Issue. Radiographics. 2024 Oct; 44(10):e249007. PMID: 39356634.
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    10. Bunch PM, Johansson ED, Rigdon J, Tan J, Lenchik L, Randle RW. Body Composition in Primary Hyperparathyroidism: A Potential Contributor to Weakness and Fatigue. Am Surg. 2024 Sep 06; 31348241281551. PMID: 39239692.
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    11. Schroeder JA, Oldan JD, Jewells VL, Bunch PM. Radiographic Response Assessments and Standardized Imaging Interpretation Criteria in Head and Neck Cancer on FDG PET/CT: A Narrative Review. Cancers (Basel). 2024 Aug 21; 16(16). PMID: 39199670.
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    12. Cardenas KL, Goyal A, Dietzen MJ, Sachs JR, Lipford ME, Gorris MA, Randle RW, Kelly HR, Bunch PM. RadioGraphics Update: Parathyroid CT and Primary Hyperparathyroidism. Radiographics. 2024 Aug; 44(8):e240129. PMID: 39088360.
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    13. Bunch PM, Randle RW. Differentiating Superior and Inferior Parathyroid Adenomas-A Novel Ultrasonography-Based Approach. JAMA Otolaryngol Head Neck Surg. 2024 Jul 18. PMID: 39023903.
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    14. Bunch PM, Patwa HS. Differentiating Benign and Malignant Parotid Neoplasms with Dual-Energy Computed Tomography. Acad Radiol. 2024 Mar 05. PMID: 38443206.
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    15. Bunch PM, Rigdon J, Lenchik L, Gorris MA, Randle RW. Testing for Primary Hyperparathyroidism in 17,491 Patients With Hypercalcemia. J Surg Res. 2024 Feb 05; 296:456-464. PMID: 38320365.
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    16. Burcher KM, Bloomer CH, Gavrila E, Kalada JM, Chang MJ, Gebeyehu RR, Song AH, Khoury LM, Lycan TW, Kinney R, D'Agostino R, Bunch PM, Shukla K, Triozzi P, Furdui CM, Zhang W, Porosnicu M. Study protocol: phase II study to evaluate the effect of cetuximab monotherapy after immunotherapy with PD-1 inhibitors in patients with head and neck squamous cell cancer. Ther Adv Med Oncol. 2024; 16:17588359231217959. PMID: 38249330.
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    17. Bunch PM, Ertl-Wagner BB, Gibbs WN, Lev S, Lev MH. "Best of" ASNR 2023 (Chicago) and "Sneak Peek" of ASNR 2024 (Las Vegas). AJNR Am J Neuroradiol. 2023 Nov 30. PMID: 38049993.
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    18. Traylor KS, Bastawrous S, Riedesel EL, Ballard DH, Hochhegger B, Ukeh I, Jaswal S, Agarwal M, Clarke JE, Lakhani DA, Balthazar P, Tomblinson CM, Bunch PM. A New (Digital) Era in Medical Journalism: Leveraging Social Media and Other Online Tools to Increase Reach and Engagement. Radiographics. 2023 Nov; 43(11):e230103. PMID: 37883299.
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    19. Goyal A, Dubey D, Burdette JH, Coldren DL, Plonk DP, Lack CM, Bunch PM. Sinonasal organized hematoma: Case report and review of the literature. Radiol Case Rep. 2023 Dec; 18(12):4569-4573. PMID: 37886728.
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    20. Bunch PM. Editorial Comment: Evidence-Based Retropharyngeal Nodal Staging Using MRI in Nasopharyngeal Squamous Cell Carcinoma. AJR Am J Roentgenol. 2023 Oct 11. PMID: 37818962.
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    21. Bloomer CH, Gavrila E, Burcher KM, Kalada JM, Chang MJ, Gebeyehu RR, Asare E, Khoury LM, Kinney R, Frizzell B, Sullivan CA, Bunch PM, Porosnicu M. Exceptional response to cetuximab monotherapy after failure of immunotherapy with a checkpoint inhibitor in a patient with metastatic head and neck squamous cell cancer: case report and review of the literature. Ther Adv Med Oncol. 2023; 15:17588359231193722. PMID: 37667781.
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    22. Bunch PM, Rigdon J, Niazi MKK, Barnard RT, Boutin RD, Houston DK, Lenchik L. Association of CT-Derived Skeletal Muscle and Adipose Tissue Metrics with Frailty in Older Adults. Acad Radiol. 2023 Jul 19. PMID: 37479618.
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    23. Hughes RT, Gebeyehu RR, Kalada JM, Lycan TW, Frizzell BA, Kinney RD, D'Agostino RB, Bunch PM, Triozzi P, Zhang W, Furdui CM, Porosnicu M. Quad-shot-immunotherapy: quad-shot radiotherapy with pembrolizumab for advanced/recurrent head and neck cancer. Future Oncol. 2023 May 18. PMID: 37199326.
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    24. Bunch PM, Tomblinson CM. Transition to Practice: Finding Your Niche. Radiographics. 2023 Apr; 43(4):e220195. PMID: 36893054.
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    25. Bunch PM, Aribindi S, Gorris MA, Randle RW. Opportunistic CT Assessment of Parathyroid Glands: Utility of Radiologist-Recommended Biochemical Evaluation for Diagnosing Primary Hyperparathyroidism. AJR Am J Roentgenol. 2023 Mar 22. PMID: 36946894.
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    26. Farris MK, Razavian NB, Hughes RT, Ververs JD, Snavely AC, Leyrer CM, Tye KE, Allen LF, Pacholke HD, Weaver KE, Bunch PM, Chan MD, Clark H, Puthoff G, Farris JC, Steber CR, Wentworth S, Levine BJ, Nightingale CL, Ponnatapura J. Bridging the Communication Gaps: A Prospective Single-Arm Pilot Study Testing the Feasibility of Interdisciplinary Radiotherapy Planning in Locally Advanced Lung Cancer. Acad Radiol. 2023 Feb 07. PMID: 36759296.
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    27. Tran NA, Palotai M, Hanna GJ, Schoenfeld JD, Bay CP, Rettig EM, Bunch PM, Juliano AF, Kelly HR, Suh CH, Zander DA, Morales Pinzon A, Kann BH, Huang RY, Haddad RI, Guttmann CRG, Guenette JP. Diagnostic performance of computed tomography features in detecting oropharyngeal squamous cell carcinoma extranodal extension. Eur Radiol. 2023 Jan 31. PMID: 36719493.
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    28. Sachs JR, Nahmias JA, Hiatt KD, Bomar JG, West TG, Bunch PM, Benayoun MD, Lack C, Thompson AC. Study of the Natural Crystalline Lens Characteristics Using Dual-Energy Computed Tomography. Diagnostics (Basel). 2022 Nov 18; 12(11). PMID: 36428915.
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    29. Farris JC, Hughes RT, Razavian NB, Pearce JB, Snavely AC, Chan MD, Steber CR, Leyrer CM, Bunch PM, Willey JS, Farris MK. Brain Metastasis Incidence and Patterns of Presentation After Definitive Treatment of Locally Advanced Non-Small Cell Lung Cancer: A Potential Argument for Brain Magnetic Resonance Imaging Surveillance. Adv Radiat Oncol. 2023; 8(3):101058. PMID: 37273925.
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    30. Werenski HE, Nguyen CJ, Johansson ED, Bunch PM, Randle RW. Value of Old Imaging for Patients Undergoing Parathyroidectomy for Primary Hyperparathyroidism. J Surg Res. 2022 Oct 20; 282:147-154. PMID: 36274449.
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    31. Khoury LM, Burcher KM, Ng RT, Song AH, Chang MJ, Gavrila E, Bloomer CH, Robinson MB, Kouri BE, Waltonen JD, Bunch PM, Lauer UM, Porosnicu M. Serendipitous synergism - an exceptional response to treatment with pembrolizumab in the course of a natural immunovirotherapy: a case report and review of the literature. Ther Adv Med Oncol. 2022; 14:17588359221122729. PMID: 36312814.
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    32. Kassin MT, Ukeh I, Bunch PM, Sabri SS. Social Media Considerations for the Interventional Radiologist. Radiographics. 2022 Oct; 42(6):E165-E166. PMID: 36190847.
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    33. Sachs JR, Bunch PM, West TG, Lipford M, Benayoun MD. Use "attenuation" not "density" in the context of CT. Clin Imaging. 2022 Sep 05; 91:132-133. PMID: 36084508.
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    34. Porosnicu M, O'Brien Cox A, Waltonen JD, Bunch PM, D'Agostino R, Lycan TW, Taylor R, Williams DW, Chen X, Shukla K, Kouri BE, Walker T, Kucera G, Patwa HS, Sullivan CA, Browne JD, Furdui CM. Early [18]FDG PET/CT scan predicts tumor response in head and neck squamous cell cancer patients treated with erlotinib adjusted per smoking status. Front Oncol. 2022; 12:939118. PMID: 36110959.
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    35. Patel Z, Schroeder JA, Bunch PM, Evans JK, Steber CR, Johnson AG, Farris JC, Hughes RT. Discordance Between Oncology Clinician-Perceived and Radiologist-Intended Meaning of the Postradiotherapy Positron Emission Tomography/Computed Tomography Freeform Report for Head and Neck Cancer. JAMA Otolaryngol Head Neck Surg. 2022 Aug 18. PMID: 35980655.
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    36. Bunch PM, Sachs JR, Kelly HR, Lipford ME, West TG. Magnetic Resonance Imaging of Head and Neck Emergencies, a Symptom-Based Review, Part 1: General Considerations, Vision Loss, and Eye Pain. Magn Reson Imaging Clin N Am. 2022 Aug; 30(3):409-424. PMID: 35995470.
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    37. Bunch PM, Sachs JR, Kelly HR, Lipford ME, West TG. Magnetic Resonance Imaging of Head and Neck Emergencies, a Symptom-Based Review, Part 2: Ear Pain, Face Pain, and Fever. Magn Reson Imaging Clin N Am. 2022 Aug; 30(3):425-439. PMID: 35995471.
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    38. Bunch PM, Nguyen CJ, Johansson ED, Randle RW. Opportunistic Parathyroid Gland Assessment on Routine CT Could Decrease Morbidity from Undiagnosed Primary Hyperparathyroidism. Acad Radiol. 2022 Jun 24. PMID: 35760712.
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    39. Kelly HR, Bunch PM. Parathyroid Computed Tomography: Pearls, Pitfalls, and Our Approach. Neuroimaging Clin N Am. 2022 May; 32(2):413-431. PMID: 35526965.
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    40. Bunch PM, Tomblinson CM. RadioGraphics Social Media and Digital Innovation: One-Year Recap and a Look Ahead. Radiographics. 2022 Apr 01; 220001. PMID: 35363554.
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    41. Mendoza DP, Esfahani SA, Bunch PM. Burnout, Wellness, and Social Media. Radiographics. 2022 Feb 18; 210231. PMID: 35179987.
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    42. Johansson ED, Hughes RT, Meegalla NT, Porosnicu M, Patwa HS, Lack CM, Bunch PM. Neck Imaging Reporting and Data System Category 3 on Surveillance Computed Tomography: Incidence, Biopsy Rate, and Predictive Performance in Head and Neck Squamous Cell Carcinoma. Laryngoscope. 2022 Jan 19. PMID: 35043989.
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    43. Bunch PM, Goyal A, Valenzuela CD, Randle RW. Parathyroid 4D-CT in Primary Hyperparathyroidism: Exploration of Size Measurements for Identifying Multigland Disease and Guiding Biochemically Successful Parathyroidectomy. AJR Am J Roentgenol. 2021 Dec 22. PMID: 34935402.
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    44. Burcher KM, Lantz JW, Gavrila E, Abreu A, Burcher JT, Faucheux AT, Xie A, Jackson C, Song AH, Hughes RT, Lycan T, Bunch PM, Furdui CM, Topaloglu U, D'Agostino RB, Zhang W, Porosnicu M. Relationship between Tumor Mutational Burden, PD-L1, Patient Characteristics, and Response to Immune Checkpoint Inhibitors in Head and Neck Squamous Cell Carcinoma. Cancers (Basel). 2021 Nov 16; 13(22). PMID: 34830888.
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    45. ACR Appropriateness Criteria® Parathyroid Adenoma. J Am Coll Radiol. 2021 Nov; 18(11S):S406-S422. PMID: 34794597.
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    46. Bunch PM, Loevner LA, Bhala R, Hepp MB, Hirsch JA, Johnson MH, Lyp KL, Quigley EP, Salamon N, Jordan JE, Schwartz ES. The American Society of Neuroradiology: Cultivating a Diverse and Inclusive Culture to Build a Stronger Organization. AJNR Am J Neuroradiol. 2021 Sep 30. PMID: 34593384.
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    47. Bunch PM, Pavlina AA, Lipford ME, Sachs JR. Dual-Energy Parathyroid 4D-CT: Improved Discrimination of Parathyroid Lesions from Thyroid Tissue Using Noncontrast 40-keV Virtual Monoenergetic Images. AJNR Am J Neuroradiol. 2021 Sep 02. PMID: 34475194.
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    48. Bunch PM, Dietzen MJ, Randle RW. Enlarged Parathyroid Glands on Trauma Computed Tomography: Frequency and Assessment for Possible Primary Hyperparathyroidism. J Comput Assist Tomogr. 2021 Aug 16. PMID: 34407058.
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    49. Bunch PM, Meegalla NT, Abualruz AR, Frizzell BA, Patwa HS, Porosnicu M, Williams DW, Aiken AH, Hughes RT. Initial Referring Physician and Radiologist Experience with Neck Imaging Reporting and Data System. Laryngoscope. 2021 Jul 17. PMID: 34272871.
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    50. Tomblinson CM, Jaswal S, Bunch PM. Social Media and Digital Innovation: An Expanding Frontier for Journal Engagement. Radiographics. 2021 Jul-Aug; 41(4):E103-E104. PMID: 34197252.
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    51. Erickson JA, Benayoun MD, Lack CM, Sachs JR, Bunch PM. Can Assessment of the Tongue on Brain MRI Aid Differentiation of Seizure from Alternative Causes of Transient Loss of Consciousness? AJNR Am J Neuroradiol. 2021 Jun 11. PMID: 34117021.
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    52. Bunch PM, Tomblinson CM, Aiken AH, Kennedy TA. Digital Didactics: Introducing the New ASNR Neuroradiology Fellowship Curriculum. AJNR Am J Neuroradiol. 2021 May 13. PMID: 33985950.
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    53. Bunch PM, Patwa HS, Hughes RT, Porosnicu M, Waltonen JD. Patient Selection for Transoral Robotic Surgery (TORS) in Oropharyngeal Squamous Cell Carcinoma: What the Surgeon Wants to Know. Top Magn Reson Imaging. 2021 Apr 01; 30(2):117-130. PMID: 33828063.
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    54. Bunch PM, Hughes RT, White EP, Sachs JR, Frizzell BA, Lack CM. The Pharyngolaryngeal Venous Plexus: A Potential Pitfall in Surveillance Imaging of the Neck. AJNR Am J Neuroradiol. 2021 May; 42(5):938-944. PMID: 33664114.
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    55. Bunch PM, Lack CM, West TG, Tan J, Sachs JR. Accuracy of 190-keV Virtual Monoenergetic Dual-Energy CT for Determining the Presence or Absence of Intravitreal Silicone Oil. AJR Am J Roentgenol. 2021 04; 216(4):1040-1045. PMID: 33566634.
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    56. Heald CJ, Sarma A, Sachs JR, Zapadka ME, Jewett T, Bunch PM. Practical Genetics for the Neuroradiologist: Adding Value in Neurogenetic Disease. Acad Radiol. 2021 Jan 22. PMID: 33495073.
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    57. Abualruz AR, Bunch PM, Sachs JR, Zapadka ME, Lack CM. The Prevalence of Internal Auditory Canal Diverticula Is Constant Over a Large Age Range Among Patients Not Imaged for Hearing Loss. J Comput Assist Tomogr. 2021 Jan-Feb 01; 45(1):142-145. PMID: 33186176.
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    58. Bunch PM, Zapadka ME, Lack CM, Kiell EP, Kirse DJ, Sachs JR. Internal Auditory Canal Diverticula among Pediatric Patients: Prevalence and Assessment for Hearing Loss and Anatomic Associations. AJNR Am J Neuroradiol. 2020 09; 41(9):1712-1717. PMID: 32763898.
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    59. Bunch PM, Randolph GW, Brooks JA, George V, Cannon J, Kelly HR. Parathyroid 4D CT: What the Surgeon Wants to Know. Radiographics. 2020 Sep-Oct; 40(5):1383-1394. PMID: 32678698.
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    60. Sachs JR, Lack CM, West TG, Bunch PM. Unique Characteristics of Intravitreal Silicone Oil on Dual-Energy Computed Tomography. J Comput Assist Tomogr. 2020 May/Jun; 44(3):370-373. PMID: 31929379.
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    61. Bunch PM, Buch K, Kelly HR. Prolapse of Orbital Fat through the Inferior Orbital Fissure: Description, Prevalence, and Assessment of Possible Pathologic Associations. AJNR Am J Neuroradiol. 2019 08; 40(8):1388-1391. PMID: 31248866.
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    62. Bunch PM. Subsequent Publication of Radiological Society of North America Education Exhibits After Solicitation by RadioGraphics. Curr Probl Diagn Radiol. 2020 Jul - Aug; 49(4):234-238. PMID: 31027923.
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    63. Bunch PM, Kelly HR. Preoperative Imaging Techniques in Primary Hyperparathyroidism: A Review. JAMA Otolaryngol Head Neck Surg. 2018 10 01; 144(10):929-937. PMID: 30193297.
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    64. Bunch PM. Invited Commentary on "MR Neurographic Evaluation of Facial and Neck Pain". Radiographics. 2018 Sep-Oct; 38(5):1513-1515. PMID: 30207939.
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    65. Bunch PM, Fulwadhva UP, Wortman JR, Primak AN, Madan R, Steigner ML, Sodickson AD. Motion Artifact Reduction From High-Pitch Dual-Source Computed Tomography Pulmonary Angiography. J Comput Assist Tomogr. 2018 Jul/Aug; 42(4):623-629. PMID: 29613990.
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    66. Shyn PB, Casadaban LC, Sainani NI, Sadow CA, Bunch PM, Levesque VM, Kim CK, Gerbaudo VH, Silverman SG. Intraprocedural Ablation Margin Assessment by Using Ammonia Perfusion PET during FDG PET/CT-guided Liver Tumor Ablation: A Pilot Study. Radiology. 2018 Jul; 288(1):138-145. PMID: 29613843.
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    67. Bunch PM, Altes TA, McIlhenny J, Patrie J, Gaskin CM. Skeletal development of the hand and wrist: digital bone age companion-a suitable alternative to the Greulich and Pyle atlas for bone age assessment? Skeletal Radiol. 2017 Jun; 46(6):785-793. PMID: 28343328.
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    68. Bunch PM, Kelly HR, Zander DA, Curtin HD. Trochlear Groove and Trochlear Cistern: Useful Anatomic Landmarks for Identifying the Tentorial Segment of Cranial Nerve IV on MRI. AJNR Am J Neuroradiol. 2017 May; 38(5):1026-1030. PMID: 28302606.
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    69. Wortman JR, Bunch PM, Fulwadhva UP, Bonci GA, Sodickson AD. Dual-Energy CT of Incidental Findings in the Abdomen: Can We Reduce the Need for Follow-Up Imaging? AJR Am J Roentgenol. 2016 Oct; 207(4):W58-W68. PMID: 27384936.
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    70. Bunch PM. Anatomic Eponyms in Neuroradiology: Head and Neck. Acad Radiol. 2016 10; 23(10):1319-32. PMID: 27283070.
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    71. Bunch PM, Zamani AA. Anatomic Eponyms in Neuroradiology: Brain, Cerebral Vasculature, and Calvarium. Acad Radiol. 2016 06; 23(6):730-42. PMID: 26916250.
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    72. Bunch PM, Wortman JR, Andriole KP. Social Media and Scientific Meetings: Education Exhibit "Likes" at the Radiological Society of North America Annual Meeting. Acad Radiol. 2016 Mar; 23(3):382-8. PMID: 26657903.
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    73. Bunch PM, Sheehan SE, Dyer GS, Sodickson A, Khurana B. A biomechanical approach to distal radius fractures for the emergency radiologist. Emerg Radiol. 2016 Apr; 23(2):175-85. PMID: 26564022.
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    74. Desai NS, Bunch PM, DiSalvo DN, O'Brien R, Andriole KP, Smith T, Durfee SM. The Use of an Integrated Website to Enhance the Educational Experience in a Medical School Radiology Clerkship Course. Curr Probl Diagn Radiol. 2016 Jan-Feb; 45(1):17-22. PMID: 25896546.
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