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Image IQ: 65-year old Male, Left Sensorineural Hearing Loss65-year-old male presents with left sensorineural hearing loss.
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Epigastric Fullness, Burning UrinationCase History: 40-year-old female presented with history of epigastric fullness associated with epigastric and left flank pain and burning micturition.
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Bone marrow edema aids diagnosis and prognosisBbone marrow edema is characterized by ill-defined areas of decreased signal intensity on T1-weighted MRI and increased signal intensity on T2-weighted images.
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Patient-specific approach assists in acute abdomenThe term “acute abdomen” refers to the sudden onset of severe abdominal pain requiring emergency medical or surgical management.
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Comment: Hurdles to remote credentialing protect radiologists and quality of careThere is another perspective on the analysis of proposed CMS regulations as described in your article "CMS plan could take a bite out of teleradiology night reads," published July 29. There is a problem with hospitals accepting the credentials of others. That approach bypasses normal medical staff oversight. This is inimical to patient care and undermines the security of all medical staff: now radiologists-next, someone else.
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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
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Meaningful Use: Start Early for Maximum Patient and Financial BenefitsHow one practice is preparing for meaningful use compliance -- and payment.
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MSCT enterography rapidly emerges as first-line examOptimal small bowel evaluation includes use of neutral contrast, 3D processing, and use of dose-reduction techniques
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Radiologists Utilize Image-Based Global Networking ToolImage-based global networking tool connects physicians from all over the world.
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Scimitar Syndrome in Turner SyndromeA 39 year-old female with Turner Syndrome completely asymptomatic in the previous years, presented to our department with recent onset of dizziness and fatigue.
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Optimal technique aids cerebral perfusion CTBrain 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.
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Optimal technique aids cerebral perfusion CTBrain 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.
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Image IQ: 41-year-old Female with Chronic Headache41-year-old female presents with chronic headache.
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Image IQ: 65-year old female, Altered Mental Status, SIRS65-year-old female with sickle cell anemia and ESRD status postrenal transplant presenting with AMS and SIRS.
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PET/CT finds footing in breast, cervical, and ovarian carcinomaPET/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.
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Improved Evaluation and Follow-up of Routine Diagnostic Oncology ExamsDiagnostic, 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.
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MRS gains indications, but still fights for reimbursementTo 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.
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Provider Transparency - Tell It Like It IsTo 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.
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The Cons of the New Radiology Board Certification FormatBesides 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.
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Image IQ: 74-year-old Female, Soft Swellings Around Knees, Thighs74-year-old female presented with multiple, soft swellings around the knees and upper thighs.
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Paraesophageal Omental Hernia Mimicking Thoracic Aorta AneurysmA 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.
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Report from ACC: Cardiologists slowly adopt appropriateness criteriaMore 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.
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Study finds huge variations in pediatric nuclear medicine dosingA 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.
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Analysis teases out true value of outsourcing anytime readsThe 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.
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Shrapnel WoundCase History: 37-year-old male Afghan soldier sustained reported shrapnel to left temporal area, and had a right blown out pupil.
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Clinical Decision Support: A Radiology Practice’s ApproachOne radiology practice’s success story on preparing for clinical decision support.
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Image IQ: 7-year-old with Pain after FallA 7-year-old male presented with pain after falling on an outstretched hand.
