December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Remaking the grade Delayed resident testing stirs debate BY DONNA DOMINO Donna Domino is feature editor of Diagnostic Imaging. During the annual meeting of the American College of Radiology in May, several radiologists peppered the group's leadership with concerns over controversial plans for a sweeping overhaul of the certification examination process. Dr. Steve Koller, chief of radiology for Middlebury's Porter Medical Center and president…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Rads, hospitals both hit highs and lows, just not same ones Teleradiology may help smooth out conflicting priorities, ease staffing issues, and help practice groups avoid grudge matches BY GREG ROSE, M.D., PH.D. Dr. Rose is president and CEO of NightRays in Bellaire, TX. I spend much of my day hearing success and failure stories from both radiologists and hospital administrators about this turbulent but exciting time in radiology. This…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Radiology can find reassurance on sunny side of Obama's change BY JAMES BRICE, SENIOR EDITOR Change may be the byword for the historic election of Sen. Barack Obama as president, but the type of change Obama may bring to the White House won't necessarily be accompanied by the uncertainties and anxieties that come with a sharp departure from the past. Radiology is already dealing with more than its share of uncertainty. Markets for new products…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Radiologists meet with heavy collateral damage BY PETER A. RINCK, M.D., PH.D. I was at a large brasserie in Paris a few weeks ago. Looking for the toilets, I passed by a blackboard with information for the waiting staff. The advice for the day: "Push the fresh fish!" The waiters did. I ordered steak. Nearly one-third of the world's fish consumption stems from offshore farms, mostly in bays and estuaries along the sea coasts. In Europe,…
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December 1, 2008 DiagnosticImaging.com. Philips embraces innovators to distinguish iSite By Greg Freiherr Philips Healthcare is differentiating its PACS at RSNA 2008 by offering a wide variety of ancillary and complementary functions developed by other vendors but presented by Philips as optional software packages geared to work with its iSite system. The company is framing the strategy as spawning an IT-based "ecosystem" composed of about a dozen suppliers of software products. Customers can…
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December 1, 2008 DiagnosticImaging.com. Philips debuts high-end, low-cost MR scanners By Greg Freiherr Philips Healthcare unveiled two MR scanners on the RSNA 2008 exhibit floor: one at 3T, the other at 1.5T. Both emphasize productivity and clinical value, albeit by different means. The Achieva 3.0T TX expands the range of 3T applications possible with routine scanning through higher speed and better image quality using a novel technology dubbed MultiTransmit RF management. This technology…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Philips' Brilliance iCT boosts quality with new technology Volume-rendered image processed from data acquired using the Philips 256-slice Brilliance iCT scanner at WellStar Kennestone Hospital in Marietta, GA, shows right iliac artery stenosis and multiple calcifications on left iliac artery. Bony landmarks are ghosted in background, the result of a new visualization technique introduced by Philips to assist in planning interventions. The…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Outpatient imaging centers grow by adding new services Strategies target national as well as local trends, paying close attention to needs of referring physicians and finding new ways to increase patient satisfaction By Karen Sandrick Ms. Sandrick is a Chicago-based freelance writer and frequent contibutor to Diagnostic Imaging. Not so long ago, the sky seemed the limit for outpatient imaging centers. After modest growth through the 1990s, the…
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December 1, 2008 DiagnosticImaging.com. Older radiologists read more mammograms than younger generation By Rebekah Moan In Pennsylvania, radiologists 65 and older read significantly more mammograms than any other group, according to an American College of Radiology patterns-of-care study. Dr. Catherine Piccoli, the director of women's imaging at South Jersey Radiology Associates, and colleagues sent questionnaires to a sample of Pennsylvania radiologists and to all breast imaging facilities in…
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December 1, 2008 DiagnosticImaging.com. New approaches, better data enhance palatability of MR-guided US fibroid ablation By H.A. Abella Results from papers released Sunday at the 2008 RSNA suggest that a less rigid approach to treatment, coupled with knowledgeable practitioners and judicious patient selection can improve the commercial prospects of outpatient MRI-guided focused ultrasound ablation of uterine fibroids. There are caveats, though. Dr. Suzanne D. LeBlang, medical director of the…
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December 1, 2008 DiagnosticImaging.com. MRA explains benefits of exercise for aging adults By Christiana Schmitz Doctors have known for years that aerobic exercise counteracts the effects of aging on the human brain. Findings presented at the RSNA meeting contributed to an explanation of why. A study conducted at the University of North Carolina is the first to compare brain scans of older adults who exercise with those of older adults who do not. It looked at 12 healthy adults, aged 60 to 67,…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Molecular imaging scientist shares Nobel Prize for Chemistry Roger Tsien, Ph.D., addressed the media Oct. 8 after learning he would share the 2008 Nobel Prize for Chemistry with Osamu Shimomura, Ph.D., and Martin Chalfie, Ph.D., for the discovery and application of green fluorescent protein as a tagging tool in bioscience and molecular imaging. Shimomura isolated the protein from a jellyfish in 1961 as a researcher at Princeton University.…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Know medical necessity, get it right from the start Meeting challenges of coverage requires understanding of terminology and practices BY JEFF MAJCHRZAK, RCC, BA, RT(R), CNMT Mr. Majchrzak is vice president of radiology services at Medical Learning, Inc. (MedLearn) in St. Paul. Increasing use of imaging services and rising costs for Medicare have not been kind to radiology providers. Congress has issued several mandates to the Centers for…
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December 1, 2008 DiagnosticImaging.com. GE, Philips fuse ultrasound data with CT and MR By Greg Freiherr Interventional guidance is getting a boost at RSNA 2008 through a novel ultrasound system developed by GE Healthcare and a partnership between Philips Ultrasound and interventional workstation developer Traxtal. GE's latest flagship ultrasound scanner, Logiq E9, fuses previously acquired CT and MR data sets with real-time ultrasound data. Data fusion is just one aspect of the premium-tier…
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December 1, 2008 GE unveils MR flagships at 1.5T and 3T By Greg Freiherrr The 1.5T Discovery MR450 has joined the GE Healthcare portfolio armed with real-time cardiac imaging, multicontrast abdominal imaging in a single acquisition, and ultra high resolution musculoskeletal scanning at high patient throughput. The company also showcased its 3T Discovery MR750, shown initially last spring at the International Society for Magnetic Resonance in Medicine meeting. The FDA-cleared scanners bear GE's…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 3T MR beats 1.5T for ulnar wrist pain imaging The orthopedic world of tiny structures and joints presents unique challenges in diagnostic imaging. With traditional 1.5T scanning, spatial resolution, imaging speed, and signal-tonoise ratios have left orthopedists wanting more. A new study indicates the move to advanced 3T imaging might be ideal for orthopedics. The study, published in the September issue of the Journal of Hand Surgery, found…
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December 1, 2008 DiagnosticImaging.com. 3D rivals battle at RSNA 2008 By Greg Freiherr Competition among vendors hawking advanced visualization tools has heated up on the RSNA 2008 exhibit floor with offerings from standard-bearer Vital Images, newcomers ZioStation and FiatLux, and perennial rivals TeraRecon and Visage Imaging. Vital Images launched a web-enabled suite of advanced applications ported from its workstation. Vitrea Web allows ViTAL Enterprise customers to run best-of-breed…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Freestyle healthcare enters the marketplace Med school, schmed school—regulation just gets in the way of market wisdom BY BRADLEY M. TIPLER, M.D. Dr. Tipler is a private-practice radiologist in Staunton, VA. He can be reached by fax at 540/332-4491 or by e-mail at btipler@medicaltees.com. Like most radiology groups, mine is a diverse collection. This is good. It allows us to hear a wide range of approaches to any given problem, some of which…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 fMRI links defective brain wiring, high risk of obesity Women with a weakened brain "reward circuitry" are at increased risk of weight gain over time and potential obesity, according to two studies from researchers at the University of Oregon. The risk increases for women who also have a gene associated with compromised dopamine signaling in the brain. Lead author Eric Stice, Ph.D., and colleagues at the university's Lewis Center for…
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December 1, 2008 Diagnostic Imaging. Vol. 30 No. 12 Financial crisis squashes demand for new scanners Soft first half presages dismal year end for MR, CT, PET, but ultrasound and mammography shine As 2008 drew to a close, so did demand in the U.S. for imaging equipment. The timing couldn't be worse. The crisis in the U.S. credit markets felled an already stumbling market for capital equipment such as MR and CT. Vendors began feeling the pinch in the first half of the year, reflecting a downturn…
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