Alan Schweitzer


PACS divorcees learn lessons for their 'second time around'

Part two of series asks if this marriage can be saved and tells how to prepare for future breakups with prenuptial agreement

Alberto Goldszal


Meaningful Use: Start Early for Maximum Patient and Financial Benefits

How one practice is preparing for meaningful use compliance -- and payment.

Alec J. Megibow, MD, MPH


MSCT enterography rapidly emerges as first-line exam

Optimal small bowel evaluation includes use of neutral contrast, 3D processing, and use of dose-reduction techniques

Alessandra Simmons


Radiologists Utilize Image-Based Global Networking Tool

Image-based global networking tool connects physicians from all over the world.

Alessandro Cannavale, MD


Scimitar Syndrome in Turner Syndrome

A 39 year-old female with Turner Syndrome completely asymptomatic in the previous years, presented to our department with recent onset of dizziness and fatigue.

Alessandro Littera, MD


Optimal technique aids cerebral perfusion CT

Brain perfusion CT is a useful instrument for the study and analysis of a variety of pathological conditions. It is particularly helpful for investigating ischemic stroke, one of the prime causes of disability in industrialized countries.

Alessandro Stecco, MD


Optimal technique aids cerebral perfusion CT

Brain perfusion CT is a useful instrument for the study and analysis of a variety of pathological conditions. It is particularly helpful for investigating ischemic stroke, one of the prime causes of disability in industrialized countries.

Alex E. Heaton, MD


Image IQ: 41-year-old Female with Chronic Headache

41-year-old female presents with chronic headache.

Alex Heaton, MD


Image IQ: 65-year old female, Altered Mental Status, SIRS

65-year-old female with sickle cell anemia and ESRD status postrenal transplant presenting with AMS and SIRS.

Alex Ryan, MD


PET/CT finds footing in breast, cervical, and ovarian carcinoma

PET/CT continues to find new applications in detection and monitoring of breast, cervical, and ovarian carcinoma. An estimated 211,000 new cases of invasive breast carcinoma, with almost 41,000 deaths, are expected to occur in the U.S. during 2007. Breast carcinoma is the most frequently diagnosed malignancy in women and ranks second in terms of cancer deaths after lung cancer.

Alexander Aplas, MD


Improved Evaluation and Follow-up of Routine Diagnostic Oncology Exams

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 represents approximately 60% of the daily CT workload. To date, exams are read and evaluated in 2D, employing manual measurement and reporting of lesions.

Alexander Lin, PhD Candidate


MRS gains indications, but still fights for reimbursement

To paraphrase Mark Twain, reports of the death of diagnostic MR spectroscopy are greatly exaggerated. CPT 76390 is considered standard of care as an effective imaging technique for the diagnosis, treatment, and monitoring of patients with brain lesions by Cigna Healthcare, a respected healthcare provider,1 though declared "investigational" by Blue Shield, Anthem, and Medicare. Radiologists and other physicians are confused and annoyed by some insurers' refusal to reimburse for their MRS services.

Alexis Shively, DO


Provider Transparency - Tell It Like It Is

To help alleviate patient confusion in the healthcare marketplace, Reps. John Sullivan (R-Okla.) and David Scott (D-Ga.) recently introduced the Health Care Truth and Transparency Act.

Alexis Smith, DO


The Cons of the New Radiology Board Certification Format

Besides these short term issues created by the collision of two resident classes with different board certification processes, I have a few concerns about the new format regarding the long term consequences on radiology education.

Ali Abbasian, MD, FRCPC


Image IQ: 74-year-old Female, Soft Swellings Around Knees, Thighs

74-year-old female presented with multiple, soft swellings around the knees and upper thighs.

Ali Gholamrezanezhad, MD, FEBNM


Paraesophageal Omental Hernia Mimicking Thoracic Aorta Aneurysm

A 59-year-old man with medical history significant for hypertension who presented with an episode of severe coughing, choking and labored breathing which occurred while talking and laughing, raising the suspicion for aspiration. Upon presentation to emergency department, he denied any chest pain, shortness of breath, and coughs. Review of systems was otherwise negative.

Alice Goodman


Report from ACC: Cardiologists slowly adopt appropriateness criteria

More than 13% of SPECT myocardial perfusion imaging exams are performed without clinical justification, and the appropriateness of another 14% is questionable, according to a pilot study that assesses physician referring practices and compliance with American College of Cardiology Appropriate Use Criteria.

Alison Fromme


Study finds huge variations in pediatric nuclear medicine dosing

A survey of children’s imaging services has found a twofold variation in radiopharmaceutical doses administered during pediatric nuclear medicine exams. For some radiopharmaceuticals, the reported maximum activities varied by as much as a factor of 10, and minimum activities differed by as much as a factor of 20, suggesting the need for a consensus among nuclear physicians on appropriate doses for young patients.

Alix Vincent, MD


Analysis teases out true value of outsourcing anytime reads

The need for nighttime coverage relief was the initial driver of commercially viable teleradiology. For several years, however, the local in-house radiology group gained no economic value for outsourcing its nighttime work, because its members had to reread the cases the next day to formally convert the reports to primary reads. The group also had to pay a premium for nighttime services.

Allison Hatcher, EMT-B


Shrapnel Wound

Case History: 37-year-old male Afghan soldier sustained reported shrapnel to left temporal area, and had a right blown out pupil.

Amanda McNutt, MBA


Clinical Decision Support: A Radiology Practice’s Approach

One radiology practice’s success story on preparing for clinical decision support.

Amar Udare, MBBS


Image IQ: 7-year-old with Pain after Fall

A 7-year-old male presented with pain after falling on an outstretched hand.

Amar Udare, MBBS, MD


Image IQ: 45 y/o, Pain in Right Iliac Fossa

A 45-year-old male patient presented with pain in the right iliac fossa.

Amar Udare, MD


Image IQ: Adolescent Male with Hip Pain

Adolescent male presented with complaint of pain in the left hip, which is relieved by analgesics.

Ameya J. Baxi, MBBS


Young Investigator winner recaps AOCR 2010

It’s an honor to give my observation about my experience at AOCR-2010. From the tiniest to the biggest, all details-be it the front office, registration counter, information desk, or audio-visual aids-were excellent.

Amogh N. Hegde, MD


Singapore Radiological Society holds its 19th Annual Scientific Meeting

The 19th Annual Scientific Meeting of the Singapore Radiological Society was jointly organized with the College of Radiologists, Singapore, from Feb. 25 through 28. I have attended this meeting the past three years as it gives me ample opportunity to interact with my colleagues and feel the pulse of radiology in and around the region. Each year, the focus is on a hot topic, and this year’s topic was nuclear medicine and molecular imaging.

Amol Gulkari, MD


Intrathoracic Accessory Lobe of the Liver

A 20-year-old woman presented with a rectal mass that was malignant on biopsy. Chest radiograph and abdominal CT were ordered to look for metastases.

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