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Education ?

Medical School Score Rankings
University of North Carolina (1991)
Top 25%

Awards & Distinctions ?

American Board of Radiology

Affiliations ?

Dr. Forte is affiliated with 6 hospitals.

Hospital Affiliations



  • Harris Methodist H E B
    1600 Hospital Pkwy, Bedford, TX 76022
    Top 25%
  • Texas Health Harris Methodist Hospital Azle
    108 Denver Trl, Azle, TX 76020
    Top 50%
  • Harris Continued Care Hospital
    1301 Pennsylvania Ave, Fort Worth, TX 76104
  • Harris Methodist Southlake Center For Diagnostics
    1545 E Southlake Blvd, Southlake, TX 76092
  • Baylor All Saints
  • Texas Health Southlake
  • Publications & Research

    Dr. Forte has contributed to 4 publications.
    Title Three-dimensional Sonographic Evaluation of the Common Bile Duct.
    Date February 2004
    Journal Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine

    OBJECTIVE: To assess the accuracy of three-dimensional sonographic measurements of the common bile duct compared with standard two-dimensional anteroposterior measurement of the common duct. METHODS: Fifty-five consecutive patients referred for abdominal sonography underwent standard two-dimensional abdominal sonography followed by three-dimensional sonographic data acquisition of the right upper quadrant. A radiologist blinded to the results of the two-dimensional examination later measured the three-dimensional long axis anteroposterior common duct diameter and three-dimensional short axis anteroposterior and transverse common duct diameters. RESULTS: The mean average common duct diameter as measured by two-dimensional sonography (long axis anteroposterior) was 3.6 mm. The mean average common duct diameter as measured by long axis anteroposterior three-dimensional sonography was 4.1 mm. The mean average common duct diameter as measured by anteroposterior short axis three-dimensional sonography was 4.1 mm, and by transverse short axis three-dimensional sonography, it was 4.4 mm. The two-dimensional common duct measurement correlated with the long axis anteroposterior three-dimensional measurement (P < .001), the short axis anteroposterior three-dimensional measurement (P < .001), and the short axis transverse three-dimensional measurement (P < .005) by the Spearman rank order correlation coefficient test. CONCLUSIONS: Three-dimensional sonographic measurements of the common bile duct correlate highly with two-dimensional measurements, validating the use of three-dimensional sonography as a reliable method for evaluation of common bile duct size.

    Title Three-dimensional Ultrasonography: an Objective Outcome Tool to Assess Collagen Distribution in Women with Stress Urinary Incontinence.
    Date August 2003
    Journal Urology

    OBJECTIVES: To examine the distribution of periurethral collagen by three-dimensional ultrasonography (3D US) and to incorporate this technology into a practical treatment decision tree for women with stress urinary incontinence desiring collagen injection. METHODS: Forty-six women who received periurethral collagen injection were assessed with 3D US to document the position and volume of collagen around the urethra. Patients with a good clinical response were observed with serial 3D US scans. Women with no persistent improvement who showed a low volume or asymmetric distribution of collagen were offered repeat injections. When the patient had no improvement despite symmetric or circumferential distribution of collagen with good volume retention, another anti-incontinence treatment was recommended. Group 1 was composed of women who had a good clinical outcome and group 2 of those who did not. A statistical comparison between the two outcome groups was done to determine whether any particular distribution pattern was associated with an increased likelihood of clinical success. RESULTS: Of the 46 patients, 21 (46%) were satisfied with their continence after their last periurethral collagen injection, with a median follow-up of 14.0 months (range 2 months to 4.25 years). A significantly greater proportion of patients in group 1 had circumferentially distributed collagen on 3D US compared with those in group 2 (62% versus 20%, P = 0.006). CONCLUSIONS: Circumferential distribution of collagen around the urethra is associated with a higher likelihood of clinical success. The assessment of periurethral collagen by 3D US provides an affordable, noninvasive, objective outcome measure that may aid in treatment planning.

    Title [study of Urethral Anatomy and Pelvic Floor Using Mri with Surface and Endorectal Coil]
    Date July 2000
    Journal Progrès En Urologie : Journal De L'association Française D'urologie Et De La Société Française D'urologie

    PURPOSE: Although high resolution MRI can play a critical role in the evaluation of diseases affecting the female urethra, normative values have not been established. In this retrospective study, the normal values for female urethral dimensions and its supportive structures were measured and compared using a body coil (BC) and endorectal coil (ERC), and correlated with age and menopause. MATERIAL AND METHODS: BC and/or ERC images of the pelvis in 20 patients (ages 27-82) with confined cervical cancer (stage IB or less) were reviewed. None of the patients had a history of urinary symptoms, pelvic prolapse, pelvic radiation, or prior bladder or urethral surgery. Images evaluated included axial and/or sagittal T2 weighted SE images of the lower pelvis before and/or after endorectal coil placement. Several measurements including urethral and bladder dimensions were obtained independently by two radiologists and compared statistically. Calculated urethral volume was correlated with the patients' age and menopausal status. The impact of calculated bladder volume on urethral dimensions was evaluated. Additional measurements of contiguous supporting structures were also correlated with age. RESULTS: Inter-rater reliability showed a strong intra-class correlation (95% CI) for urethral dimensions. A statistically significant difference between raters was only noted for the right pubovesical ligament measurement. Inter-technique reliability was also strong (95% CI) except for the distal transverse urethral dimension. Bladder volume did not effect measurement of urethral dimensions (p > .39). Lastly, calculated urethral volume utilizing the ERC technique showed an inverse correlation with age (p < 0.05) and with the BC a correlation with menopausal status (p < 0.05). CONCLUSIONS: Measurement of urethral dimensions by either ERC or BC MRI is reliably reproducible by independent radiologists. There is no need for standardization of bladder volumes during urethral MRI. Normative values for all measured angles and dimensions are presented. There is evidence of correlation of urethral volume with age and menopause, though a larger study is warranted.

    Title The Ovarian Tumor Index Predicts Risk for Malignancy.
    Date January 2000
    Journal Cancer

    BACKGROUND: Prediction of ovarian malignancy by ultrasonographic findings and patient age in the scenario of clinically suspected adnexal masses is a desirable goal. METHODS: Prospective evaluation of clinically suspected adnexal masses was performed with transvaginal ultrasound using real-time, Doppler velocimetry, and color-flow mapping. Continuous ultrasound variables included ovarian volume, the Sassone morphology scale, and Doppler determination of angle-corrected systole, diastole, and time-averaged velocity, in addition to patient age. The Doppler pulsatility index (PI), vessel location, presence of a diastolic notch, and echogenic predominance of the lesion, suggestive of dermoid, also were assessed. RESULTS: Of 244 women with follow-up, 214 had nonmalignant findings (85 of which were benign neoplasms), and 30 had malignant neoplasms. Age and all ultrasound continuous variables except systole were found to be statistically significant (P < 0.05) between patients with both malignant (N = 30) and nonmalignant masses (N = 214), as well as those with benign (N = 85) and malignant (N = 30) neoplasms. By adding the continuous measures (age [in years], ovarian volume [mL], and Sassone morphology scale [1-15]) and weighting other variables ([-10] x PI, central or septal location [+10], peripheral location [-10], and echogenic [-10]), a receiver operating characteristic curve was generated (area under the curve = 0.91), which was found to be discriminating, predictive, and able to replicate the more complex logistic regression model. Prediction of malignancy was generated from the population-based data of the current study. CONCLUSIONS: The Ovarian Tumor Index, which combines patient age with specific ultrasonographic markers, is an accurate method for predicting ovarian malignancy in the clinical scenario of suspected adnexal masses.

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