Don Rauf

Articles by Don Rauf

MRI’s changing status as an instrument for breast cancer diagnosis and evaluation was apparent last month at the 2008 American Society of Clinical Oncology meeting. One study suggested that MR’s growing popularity for treatment planning may had led to more mastectomies, and another trial added to growing evidence about its ability to identify metastatic lymph nodes.

No clear winner has emerged in a head-to-head comparison of whole-body FDG-PET/CT and whole-body 3T MRI for non-small cell lung cancer staging. Unenhanced PET/CT proved better for detecting metastatic lymph nodes and soft-tissue involvement, while MR was more sensitive to the presence of brain and liver metastases.

A physiological reason may explain why the shrinking violet in your family is so shy. Using brain SPECT, Dutch researchers have detected irregularities in dopamine and serotonin neurotransmitter systems in the brains of such individuals that appear to be linked to social anxiety disorder, a condition that affects an estimated 15 million adults in the U.S. and frequently leads to alcoholism and depression.

Treating the hot flashes, mood swings, and other symptoms of menopause with hormone therapy combining estrogen and progesterone compromises the diagnostic performance of mammography, according to a report from the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center. Women receiving both hormones had a higher chance of abnormal mammograms and breast biopsies.

Long considered a sentinel factor for Alzheimer’s disease, beta-amyloid proteins can accumulate in the brain in aggregations called senile plaques with amazing speed, affecting neurodegeneration just as readily, according to researchers at Harvard Medical School.

They may not get slammed like professional wrestlers, but radiologists commonly experience injuries related to repetitive strain. A study from the Beth Israel Deaconess Medical Center in Boston found repetitive stress symptoms to be highly prevalent among radiologists.

Healthy adolescent tennis players looking to turn professional may be unaware of the damage they're doing to their spines. Using MR scans, researchers at the Royal National Orthopedic Hospital in Middlesex, U.K., discovered a variety of spinal abnormalities in the lower backs of elite tennis players aged 16 to 23.

In one of the most comprehensive studies ever to examine medical imaging self-referral of privately insured patients, researchers found that physicians who refer patients to themselves or members of their own specialty for diagnostic imaging order imaging more frequently than physicians who refer patients to radiologists for imaging.

While the sting of most scorpions is nonlethal to humans, it's not usually considered health-enhancing either. But the venom could actually prove lifesaving.

For nearly a decade, radiologists have used breast ultrasound as an adjunct to x-ray mammography to avoid unnecessary biopsies in equivocal cancer cases. Now ultrasound innovations that increase image resolution while decreasing operator dependence are reflected in a study published in the July issue of Radiology.

With a click of a mouse, referring physicians in selected states can get an instant evaluation of imaging centers competing for their business. OptiNet, a new web-based tool, lets physicians quickly compare quality and cost of imaging services at centers and hospitals within 30 miles of a patient’s address. It assigns a letter grade for each modality offered, along with an average cost per exam.

Healthy adolescent tennis players looking to go pro may be unaware of the damage they’re doing to their spines. Using MR scans, researchers at the Royal National Orthopedic Hospital in Middlesex, U.K., discovered a variety of spinal abnormalities in the lower backs of elite tennis players aged 16 to 23.

For nearly a decade, radiologists have used breast ultrasound as an adjunct to x-ray mammography to avoid unnecessary biopsies in equivocal cancer cases. Now ultrasound innovations that increase image resolution while decreasing operator dependence are reflected in a study published in the July issue of Radiology.

Dr. Susan Bookheimer and colleagues at the University of California, Los Angeles have confirmed through functional MRI that levels of brain function are low or nonexistent in autistic patients viewing stimuli designed to provoke emotional activity, according to studies presented at the 2007 International Meeting for Autism Research.

MRI has proven to be a reliable, fast, noninvasive means for assessing deep fat in adults. Now new research from the Mallinckrodt Institute of Radiology, Washington University School of Medicine, in St. Louis supports MRI’s effectiveness in measuring intra-abdominal fat in pre-adolescents and adolescents.

Lab Works

CONTEXT: Combining proton MR spectroscopic imaging, sodium MR, and PET/CT imaging may be an effective multimodality approach for detecting early response to chemotherapy in breast cancer patients, according to Dr. Michael Jacobs, a radiologist at Johns Hopkins School of Medicine.

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