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Podcast: Breast Tomosynthesis — One Practice's Experience 
In this podcast, Stephen Rose, MD, president and CEO of Houston Breast Imaging and a principal investigator of the 3-D tomosynthesis clinical trials in 2010, discusses the benefits of the new technology and what his practice learned when implementing the screening program.

 

Breast Cancer Screening Recs: A Review of Recent Articles and Position Statements 
The newest recommendations issued by the USPSTF resulted in confusion for both physicians and patients. Many experts in the field of breast imaging have come out both in support of and in opposition to the new recommendations.

 

Beyond the Mammogram: Molecular Breast Imaging Emerges 
Enter nuclear breast imaging, the catch-all phrase for several modalities that use a radiopharmaceutical agent in scanning, including gamma imaging and positron emission mammography (PEM). Known as both molecular breast imaging (MBI) and breast-specific gamma imaging (BSGI), the gamma cameras are an adjunctive technology for suspicious lesions found during mammogram.

Related Article: Introducing Whole Breast Ultrasound

 

CAD Ineffective, Counterproductive for Breast Cancer Patients 
Computer-aided detection (CAD) technology fails to spot breast tumors and increases a woman's risk of being called back for needless post-mammography testing, according to a new study published online today in the Journal of the National Cancer Institute.

 

MRI Plus Mammography Finds More Cancers After Chest Irradiation 
An MRI scan in addition to mammography detects more breast cancers in women who underwent therapeutic chest radiation as children or young adults, than either modality alone, according a new study released this week in Radiology.

News

Arch Neurol -- Abstract: Daclizumab Use in Patients With Pediatric Multiple Sclerosis, January 2012, Gorman et al. 69 (1): 78
archneur.ama-assn.org - 1/1/12
Thromboaspiration Before Intra-aortic Balloon Counterpulsation, January 11, 2012, Potter 307 (2): 146 JAMA
jama.ama-assn.org - 1/11/12
American Journal of Gastroenterology - Abstract of article: A Comparative Evaluation of Radiologic and Clinical Scoring Systems in the Early Prediction of Severity in Acute Pancreatitis
www.nature.com - 12/20/11
Genetic Susceptibility to Coronary Heart Disease in Type 2 Diabetes: 3 Independent Studies -- Qi et al. 58 (25): 2675 -- Journal of the American College of Cardiology
content.onlinejacc.org - 12/13/11
Obesity - Dual-Energy X-Ray Performs as Well as Clinical Computed Tomography for the Measurement of Visceral Fat
www.nature.com - 1/12/12


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DiagnosticImaging.com.
 

Older radiologists read more mammograms than younger generation

By Rebekah Moan | December 1, 2008

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 the state to determine facility ownership, affiliations, number and type of breast imaging procedures, equipment, staffing, and record-keeping practices. Of the 1354 possible candidates, only 70 actively practicing radiologists replied.

Radiologists younger than 45 read 32% of mammograms, those aged 45 to 54 read 58%, and those older than 55 read the remaining 32%. The average number of mammograms read per year by all radiologists was 2757. Those older than 65, however, read an average of 5349 mammograms annually.

Older radiologists and those who should be retiring are reading the bulk of those mammograms, according to Piccoli.

"And that's going to be a big problem if we don't get our younger workforce into reading mammography," she said.

She noted the small sample size as a limitation of the study, however.

 

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VideosfromradRounds

Uterine Fibroid Embolization
RadRounds - 5/27/10

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Control your fibroids without surgery -- using a minimally invasive procedure, know as UFE, that typically takes less than an hour, you can control your fibroids. Gone are the monthly heavy periods lasting weeks. The frequent bathroom trips. The bloating, pain and fatigue.

In UFE, the fibroids aren't surgically removed -- rather they are "blocked" using tiny particles called Embosphere Microspheres. Learn more in this 3 1/2 minute video.

The Vein Centers of Fairfax Radiological Consultants, located in Northern Virginia, consists of eight board-certified and fellowship-trained interventional radiologists. These physicians provide evaluation and management, non-invasive diagnosis, and minimally invasive therapies for a wide range of vascular conditions, including uterine fibroid tumors. Our practice provides services at Inova Fairfax, Inova Loudoun and Inova Fair Oaks hospitals as well as through FRC's outpatient Vein and Vascular Center. Contact us at 703/970-4UFE (703/970-4833).
Uterine Fibroid Embolization on Video
RadRounds - 10/23/08

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Uterine fibroid embolization - on Video by Dr. Sibadalai.

VoicesinRadiologyBlog


Fabricate Findings for a Payable Diagnosis?
Eric Postal, MD , February 6, 2012

In our bizarre world of getting paid not for what we do but rather why we did it, we often find ourselves holding the bag when a referrer ordered a study that the insurer decided was “inappropriate.”

Screening Ultrasound Exams Should Not Be Limited
Tim Myers, MD , February 2, 2012

The more advanced and more complicated the disease process, the more likely the patient will end up with surgery and/or amputation, increasing the cost of initial care and the additional intervention.

Radiology Comic: Doctors Cheating
James Chang, MD , January 31, 2012

 

James Chang, MD's latest comic takes on the recent news investigation into radiologists' use of recalls for board exam prep.

How to Brand Your Radiology Practice
Richard Woodcock, MD , January 30, 2012

In an environment where competition is increasing, branding your practice can be very useful. Here's how.

Solutions to Discourage Using Board Exam Recalls
Eric Postal, MD , January 27, 2012

The problem with making rules that define cheating is that he who makes the rules needs to have a plan of action to enforce them.


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FromPhysiciansPractice

'What They Should Really Teach in Medical School'
Julie Schopps, MD , February 6, 2012
The North Carolina-based pediatrician weighs in on why she thinks the real learning doesn't take place until students are out of the classroom.
Improve EHR Systems by Rethinking Medical Billing
Daniel Essin, MA, MD, February 6, 2012
Separating billing-related data from other clinical documentation and transmitting it to a billing system is not difficult …no matter how the charting is done.
Keeping Your Medical Practice’s Accounts Receivable on Track
P.J. Cloud-Moulds, February 4, 2012
Here are the minimum reports you should be running to keep an eye on your practices A/R.
Healthcare Providers Play Crucial Role in Helping Victims of Abuse
Stephen Hanson, PA-C , February 3, 2012
I would urge each and every one of you to be familiar with the warning signs of abuse, and the resources available to you all as healthcare providers.
Protecting Your Medical Practice's Data
Marisa Torrieri, February 3, 2012
Here's the scoop on how to implement a good data-backup plan at your office.
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