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Diagnostic Imaging's Blog – September 2008 Archive (68)

Optimal planning aids avoidance of vessels

September 30, 2008 Diagnostic Imaging. Optimal planning aids avoidance of vessels Minimizing areas of resection benefits patient but requires precise localization, identification of lesions ------------------------------------------------------------------------------- The complexity of the liver can make the removal of pathology difficult. The organ's dual blood supply gives it many vascular structures to avoid. So when surgery is planned, practitioners must have a good idea what they are… Continue

Added by Diagnostic Imaging on September 30, 2008 at 9:30pm — No Comments

Liver MR protocols address fibrosis threat

September 30, 2008 Diagnostic Imaging. Liver MR protocols address fibrosis threat Careful screening and a variety of contrast agents offer clinicians safe options for at-risk patients -------------------------------------------------------------------------------- The apparent link between nephrogenic systemic fibrosis and certain gadolinium-containing MR contrast media has led to a tightening of procedures in radiology departments worldwide. Steps have been implemented to identify those… Continue

Added by Diagnostic Imaging on September 30, 2008 at 9:30pm — No Comments

Lesion identification taps new strategies

September 30, 2008 Diagnostic Imaging. Lesion identification taps new strategies Liver's 500 separate functions and dual blood supply lead to unique clinical challenges Paula Gould -------------------------------------------------------------------------------- The largest solid organ in the human body and the largest gland, the liver dominates the field of abdominal radiology. Its complex arrangements for blood supply-drawing on not one but two separate sources-only add to the challenge.… Continue

Added by Diagnostic Imaging on September 30, 2008 at 9:30pm — No Comments

Interventional options open palliative avenues

September 30, 2008 Diagnostic Imaging. Interventional options open palliative avenues -------------------------------------------------------------------------------- The options available for treating focal liver disease are expanding. For patients with advanced disease who are seeking temporary relief rather than restoration of full health, or those who want a downstaging solution to make them eligible for surgery, interventional radiologists have plenty to offer. "There has been a paradigm… Continue

Added by Diagnostic Imaging on September 30, 2008 at 9:30pm — No Comments

Functional techniques promise fast follow-up

September 30, 2008 Diagnostic Imaging. Functional techniques promise fast follow-up CT remains primary modality over MR, but choice depends on nature of cancer therapy being monitored -------------------------------------------------------------------------------- Cancer is being tackled from a host of new directions. Traditional methods of curing and controlling malignancy through surgery, systemic chemotherapy, and radiotherapy are no longer the only story. The development of targeted drug… Continue

Added by Diagnostic Imaging on September 30, 2008 at 9:30pm — No Comments

European radioisotope supply woes continue

September 30, 2008 European radioisotope supply woes continue James Brice -------------------------------------------------------------------------------- The High Flux Reactor in Petten, the Netherlands, the primary source for the molybdenum-99 crucial to diagnostic nuclear imaging in Europe, will remain shut down until at least the end of November while officials devise a strategy to plug a gas leak. The facility's operator, the Nuclear Research and Consultancy Group (NRG), announced Sept. 17… Continue

Added by Diagnostic Imaging on September 30, 2008 at 9:30pm — No Comments

Radiologists remain on top of salary pyramid

September 26, 2008 Radiologists remain on top of salary pyramid Rebekah Moan -------------------------------------------------------------------------------- Radiologists continue to be among the highest paid physicians, and the specialty has the fewest number of vacancies, according to a research letter recently published in the Journal of the American Medical Association. Dr. Mark H. Ebell, a professor and assistant to the provost at the University of Georgia, compared the 2007 median income… Continue

Added by Diagnostic Imaging on September 26, 2008 at 10:00pm — No Comments

DRA drove down imaging costs by $1.7 billion in 2007

September 26, 2008 DRA drove down imaging costs by $1.7 billion in 2007 Rebekah Moan -------------------------------------------------------------------------------- The General Accountability Office released a report on Sept. 26 that found reforms mandated by the 2005 Deficit Reduction Act cut Medicare Part B spending on medical imaging by $1.7 billion in 2007. The decline is a dramatic reversal from previous years. From 2000 to 2006, Medicare spending for imaging services doubled from about… Continue

Added by Diagnostic Imaging on September 26, 2008 at 9:30pm — No Comments

Zerhouni announces resignation as NIH chief

September 24, 2008 Zerhouni announces resignation as NIH chief James Brice -------------------------------------------------------------------------------- Dr. Elias A. Zerhouni, the first board-certified radiologist to direct the National Institutes of Health, has announced that he will resign as chief of the giant medical research agency at the end of October 2008. Zerhouni was radiology director at John Hopkins University Medical Center in May 2002 when he was appointed to lead the NIH by… Continue

Added by Diagnostic Imaging on September 24, 2008 at 10:00pm — No Comments

Feds pressure states to kill certificate of need programs

September 24, 2008 Feds pressure states to kill certificate of need programs Laura Newman -------------------------------------------------------------------------------- The U.S. Department of Justice and Federal Trade Commission are pressuring state governments to repeal Certificate of Need laws that have lingered as a way to control healthcare costs by regulating health facility establishment, expansion, and purchase of capital equipment, such as MRI technology and CT scanners. In a joint… Continue

Added by Diagnostic Imaging on September 24, 2008 at 10:00pm — No Comments

Report from ARRS: Three-T MR alone avoids complications of contrast-enhanced MR arthrography

September 23, 2008 Report from ARRS: Three-T MR alone avoids complications of contrast-enhanced MR arthrography H. A. Abella -------------------------------------------------------------------------------- A Duke University study has established that unenhanced 3T MR imaging can deliver the same diagnostic accuracy as contrast-enhanced 3T MR arthrography of the shoulder, but without the associated pain, radiation, and risk of adverse contrast reactions. The combined MRI-arthrography exam of… Continue

Added by Diagnostic Imaging on September 23, 2008 at 10:00pm — No Comments

MRI reveals inner ear anomalies in children with hearing loss

September 22, 2008 MRI reveals inner ear anomalies in children with hearing loss Archives of Otolaryngology -- Head & Neck Surgery -------------------------------------------------------------------------------- A study involving the imaging histories of more than 200 children with sensorineural hearing loss recommends MRI instead of CT for identifying soft-tissue defects associated with inner ear anomalies. Sensorineural hearing loss affects thousands of children per year, according to… Continue

Added by Diagnostic Imaging on September 22, 2008 at 10:00pm — No Comments

CT colonography’s proven clinical worth now invites reimbursement

September 19, 2008 CT colonography’s proven clinical worth now invites reimbursement H. A. Abella -------------------------------------------------------------------------------- What radiologists gleefully celebrated almost a year ago has been officially validated for the entire medical community by The New England Journal of Medicine: CT colonography is an accurate alternative to colonoscopy to detect suspicious polyps and is primed for colorectal cancer screening. Virtual colonoscopy… Continue

Added by Diagnostic Imaging on September 19, 2008 at 10:00pm — No Comments

Reliable In-Stent Lumen Visualization With Dual Source CT Coronary Angiography

September 18, 2008 Reliable In-Stent Lumen Visualization With Dual Source CT Coronary Angiography By Annick C. Weustink, MD, and Nico R. Mollet, MD, PhD Departments of Radiology and Cardiology, Erasmus Medical Center, Rotterdam, the Netherlands -------------------------------------------------------------------------------- HISTORY A 58-year-old man with a history of hypertension and hypercholesterolemia was admitted to the hospital with symptoms of suspected stable angina pectoris. The patient… Continue

Added by Diagnostic Imaging on September 18, 2008 at 10:30pm — No Comments

Improved Evaluation and Follow-up of Routine Diagnostic Oncology Exams

September 18, 2008 Improved Evaluation and Follow-up of Routine Diagnostic Oncology Exams By Axel Küttner, MD, and Alexander Aplas, MD, Institute of Diagnostic Radiology, University of Erlangen-Nuremberg, Erlangen, Germany -------------------------------------------------------------------------------- Diagnostic, staging and follow-up exams for tumors are among the most frequent CT exams performed in many radiology departments. For the University of Erlangen, oncology related imaging… Continue

Added by Diagnostic Imaging on September 18, 2008 at 10:30pm — No Comments

CT image summation boosts accuracy of RF ablation targeting

September 18, 2008 CT image summation boosts accuracy of RF ablation targeting Heather Curry, American Roentgen Ray Society -------------------------------------------------------------------------------- Merging multiple CT images (summation of CT scans) increases the accuracy of probe repositioning during radiofrequency ablation treatments of various lesions, according to a recent study performed at Dartmouth-Hitchcock Medical Center. "During radiofrequency ablation, the probe often needs to… Continue

Added by Diagnostic Imaging on September 18, 2008 at 10:30pm — No Comments

Abdominal CTA With Direct Dual Energy Bone Subtraction

September 18, 2008 Abdominal CTA With Direct Dual Energy Bone Subtraction -------------------------------------------------------------------------------- HISTORY A 75-year-old man was referred for presurgical MDCT evaluation of a known abdominal aortic aneurysm that had been detected on screening abdominal ultrasound. A contrast enhanced CTA scan of the abdomen was performed. DIAGNOSIS The acquisition parameters allowed precise localization of the origin of the aneurysm with respect to the… Continue

Added by Diagnostic Imaging on September 18, 2008 at 10:00pm — No Comments

Breast MRI before irradiation zeros in on remote multifocal disease

September 17, 2008 Breast MRI before irradiation zeros in on remote multifocal disease Rebekah Moan -------------------------------------------------------------------------------- Potential candidates for accelerated partial breast irradiation may benefit from pretreatment MRI to ensure no cancer is missed, according to a study conducted by Boston-based researchers. Dr. Juan Godinez of the radiation oncology department at Brigham and Women's Hospital and the Dana-Farber Cancer Institute and… Continue

Added by Diagnostic Imaging on September 17, 2008 at 10:30pm — No Comments

Stanford restricts industry involvement in CME

September 16, 2008 Stanford restricts industry involvement in CME Barbara Boughton -------------------------------------------------------------------------------- Stanford University radiology officials are reevaluating their conflict of interest policies for continuing medical education programs in light of new School of Medicine rules that severely restrict funding from pharmaceutical and device companies. Under Stanford's new policy, effective Sept. 1, the medical school no longer accepts… Continue

Added by Diagnostic Imaging on September 16, 2008 at 11:00pm — No Comments

Novel compression method increases storage fourfold

September 16, 2008 Novel compression method increases storage fourfold Douglas Page -------------------------------------------------------------------------------- A Japanese lossless compression technique provides greater compression without data loss than other lossless techniques, according to new research. Lossless image compression technology provides an environment in which data size can be reduced without losing diagnostic information. Standard lossless compression techniques such as… Continue

Added by Diagnostic Imaging on September 16, 2008 at 11:00pm — No Comments

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