January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Rads lose procedure volume to cardiologists, surgeons By Donna Domino Editor's note: In the original version of this article there were some errors in the reporting of information made during a presentation at the 2008 RSNA meeting by Dr. David Levin, professor and chair emeritus of the radiology department at Thomas Jefferson University Hospital in Philadelphia. A corrected version follows. As percutaneous transluminal angioplasty and stent…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Radiation dose reduction themes color RSNA 2008 Improved imaging capabilities and radiologist awareness promise to reduce patient exposure By H.A. Abella Radiation dose reduction was a dominant theme at the 2008 RSNA scientific assembly. If one point was clear to the nearly 60,000 people attending the meeting, it was that radiology has reasserted its authority over the use of ionizing radiation in diagnostic imaging. …
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Occult infarction presages major event Enhanced MR protocol helps stratify patients By James Brice Dr. Stephan Miller and colleagues at the University of Tübingen in Germany have discovered that silent myocardial infarction raises the likelihood of a future major cardiac event for 14% of patients with symptomatic peripheral vascular disease evaluated with MRA. They made the finding after developing a new MR protocol that combined…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Multislice CT closes in on emergency triage role Rash of studies proves CT angiography adept at identifying patients at risk of major cardiac events By James Brice Cardiac imaging researchers are validating broader clinical roles for 64- slice and dual-source CT while introducing the radiological world to even more powerful machines that promise to lower radiation exposure and improve resolution. The Rule-out Myocardial Infarction Using…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Multifaceted effort propels CT colonography forward McFarland describes training, lexicon development, and quality metrics initiatives for CTC services By James Brice The creators of CT screening colonography have not waited for the medical establishment and insurers to accept it as an alternative to optical colonoscopy. Dr. Elizabeth G. McFarland described during RSNA's Annual Oration in Diagnostic Radiology how they have established the…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 MR, CT vendors hit range of price-performance points RSNA unveilings include premium and niche scanners and ones for budget-constrained facilities By Greg Freiherr The makers of CT and MR scanners opened the spigot of new introductions at RSNA 2008. They flooded the exhibit floor with products: some premium systems, others optimized to hit particular price points or address clinical niches. Siemens Healthcare rolled out a new version of its…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Moolah gets reports flying out the door By Donna Domino Motivated by a $5000 bonus, radiologists at Massachusetts General Hospital completed scan signoffs in a fraction of the usual time. "We wanted this to be a positive rather than a punitive motivator to try and get radiologists to sign their reports on time," said Dr. Giles Boland, an associate professor of radiology at Massachusetts General Hospital in Boston. "It is unacceptable, for…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Iso-osmolar agent shows higher renal failure rate Radiologists hoped the introduction of isoosmolar contrast media would eliminate severe adverse reactions to x-ray contrast. Alas, it was not to be. A large retrospective Swedish study identified a significantly higher rate of renal failure among patients administered iso-osmolar iodixanol (Visipaque) compared with patients who received low-osmolar ioxaglate (Hexabrix). Dr. Per Liss and…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Is this radiology's best connected couple? By Rebekah Moan If it's free, highly relevant to radiology, and on the Internet, you can probably gain access to it through the site www.radiologyeducation.com, thanks to the wife and husband team of Drs. Donna and Michael D'Alessandro. In 2008, more than three million people used the site developed by Donna, a professor of pediatrics at the University of Iowa School of Medicine, and Michael, a…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 'Image Gently' program expands beyond pediatrics By H.A. Abella The Alliance for Radiation Safety in Pediatric Imaging is expanding the scope of its Image Gently campaign. Efforts to protect children from unnecessary exposure to CT scanning radiation won an endorsement by CareCore National, a radiology benefits management company that will apply the campaign's guidelines to its network. Dr. Donald P. Frush, chair of the American College of…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Illegal patient info sneaks into PowerPoint files Radiologists often unwittingly disclose confidential health information in PowerPoint presentations By Philip Ward Radiologists should take much greater care over the patient information contained in their PowerPoint files, according to researchers from the University of Michigan. "Think twice before publicly releasing PowerPoint files," said Dr. Frank Londy, lead author of an informatics…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Focused ultrasound ablation offer prostate cancer option BY CLARE TEMPANY, M.D., JALIL AFNAN, M.D., AND NATHAN MCDANNOLD, PH.D. Dr. Tempany is a professor of radiology, Dr. Afnan is a research fellow, and Dr. McDannold is an assistant professor of radiology and codirector of the Focused Ultrasound Research Laboratory, all in the department of radiology at Brigham and Women's Hospital, and Harvard Medical School in Boston. All are also affiliated…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 fMRI for lie detection finds customers but lacks science Public may pay $5000 for scans to dispute infidelity and child molestation charges, but findings inconsistent, not always repeatable BY DONNA DOMINO Ms. Domino is feature editor of Diagnostic Imaging. The truth, the whole truth, and nothing but the truth is a lofty goal. But, as Pontius Pilate said to Jesus, "What is truth?" Researchers have long sought a scientifically sound technology…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Expertise with MSCT-CA takes time Beginners show slow but steady improvement By Donna Domino Multislice CT coronary angiography is becoming a practical alternative to conventional angiography. Physicians experienced with technique are able to diagnose coronary stenoses of 50% or greater with very high sensitivity and specificity, but acquiring the expertise is time-consuming. A study to evaluate the effects of experience with multislice coronary…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Economic woes affect attendance Vendor and professional totals both drop By James Brice A big drop in exhibitor attendance led to an overall 5% decline in the number of people who attended the 2008 RSNA meeting. Audited totals released by the RSNA after the end of sessions on Dec. 5 indicate that 58,795 people attended the weeklong scientific assembly and meeting. Vendor attendance declined 12% to 24,683. According to the RSNA, 726 technical…
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January 1, 2009 Dual-isotope SPECT/CT finds infections in diabetic feet By James Brice Nuclear medicine physicians at Mount Sinai Medical Center in New York City have reported encouraging results with dual-isotope SPECT/CT for accurately diagnosing and localizing infection in the feet of diabetic patients. Correctly differentiating between osteomyelitis and softtissue infection has important implications for the choice of treatment for such patients, especially the 70,000 who annually lose a…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Depth increases in lineup of breast imaging options Horizon of breast cancer detection extends to tomosynthesis and positron emission mammography By Rebekah Moan with additional reporting by Philip Ward, David Ma, and Kristin Minogue Breast imaging remained a strong point of scientific research at the 2008 RSNA meeting, with breast MRI playing a starring role but sharing the limelight with tomosynthesis, position emission mammography, and…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Database mining unearths secrets about imaging use Computer-assisted analyses draw insights from unprecedented number of studies By John C. Hayes Having mastered the basic process of digitizing, storing, and retrieving medical images and reports, radiologists are now turning their attention to analyzing vast collections of the data to uncover clinical and practice trends. Informatics scientific sessions at the RSNA meeting were packed with…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 CTC can diagnose more than cancer Researchers find modality can also detect osteoporosis By David Ma and Rebekah Moan CT colonography can screen for both colorectal cancer and osteoporosis reliably at minimal additional cost and time, according to a study at San Francisco VA Hospital. Given the nature of CT colonography, radiologists may construct scans into 3D models of the spine, which can then be used to measure bone mineral density,…
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January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 CMS hesitates to approve PET for cancer despite data Despite data indicating PET can influence the management of cancer patients regardless of their cancer type, National Oncologic PET Registry scientists faced a setback when the Centers for Medicare and Medicaid Services reviewed a request for expanded coverage. A CMS advisory panel came to the conclusion that clinical data for nine conditionally approved cancer indications of FDGPET were too…
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