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Comment: The ECR – a mirror reflecting my life as a radiologistThe first ECR meeting that I attended was in 1999. I had started a CT practice in a hospital in Mumbai in 1995 with a conventional CT scanner and when it was time to upgrade to a spiral CT scanner, my wife and I thought it would be a good idea to attend an international conference. After our experience at the RSNA in Chicago in 1994, which had left us with severe sensory and physical overload from running from one place to another, trying to attend everything at once, a smaller meeting seemed more appealing.
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How to Change Billing Companies Without Interrupting Cash FlowThe key to minimize, and eliminate, an interruption in cash flow lies in the proper timing, planning and execution of a transition plan that requires clear, regular communication between the client and the new billing company.
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Ergonomics straightens its posture at SCAR 2004Radiologists, radiology administrators, and IT managers have long described the transition to digital image management as something that might become widespread in the mid- to long-term future. Yet the transition has occured sooner and is more extensive
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Bouveret’s Syndrome Due to Cholecystoduodenal FistulaCase History: A 44-year-old female admitted with severe, colicky right upper quadrant pain radiating through to her back and one episode of vomiting of gallstones.
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MSCT venography finds cerebral thrombosesDural sinus and cerebral venous thromboses (CVT) are difficult to diagnose. Symptoms are often nonspecific and may evolve slowly, and anatomic variations can further complicate diagnostic decision making. Unilateral aplasias of the transverse or sigmoid sinus, frontal agenesis of the superior sagittal sinus, and high partitions of the transverse sinus are common pitfalls in the diagnosis of CVT.
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CT angiography data offernew approach to perfusionAcute stroke is a medical emergency that is potentially treatable. Because "time is brain," however, the imaging workup must be fast and therapy initiated rapidly.
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40-slice scanners boost neuro CT angiographyThe introduction of 40-slice CT scanners has opened up new possibilities for CT angiography of the supra-aortal vasculature. Imaging can be performed with even thinner slices, and more rapidly, than on 16-slice systems, and images have higher resolution. Conventional protocols for imaging the brain and its arterial supply must be adjusted to profit from these parameters.
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Eliminate Certificate of Need LawsMany states still live in the dark ages. CON programs actually increase costs by eliminating competition and preventing providers from entering the market.
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Experience overcomes difficulties of 3T MRIWhole-body MR scanners that operate at high field strengths are becoming widely available, and new 3T models have been launched in recent years. This generation of scanners offers exciting possibilities for radiological diagnosis while also posing challenges.
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Multidetector CT reveals diverse variety of abdominal herniasAlthough most hernias involving the anterior abdominal wall or groin can be diagnosed easily by inspection and palpation, imaging is the principal means of detecting internal, diaphragmatic, and other nonpalpable or unsuspected hernias.1,2
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Siemens taps technology to boost performanceWorkflow, patient comfort, image quality rise with innovative devices and applications.
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CT and MRI provide impetus in heart imaging revolutionCoronary heart disease is one of the leading causes of morbidity and mortality in developed countries.1 Accurate detection of early cardiac disease is of utmost importance for the delivery of appropriate treatment.
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We spend on end-of-life care at expense of patientsI have an elderly, demented aunt in California for whom I am the responsible decision maker. Up until a few years ago, Aunt Doris was an intelligent, powerful, and forceful woman.
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Decreasing Dose and Increasing SuccessA personal experience with dose that confirms the need for a push for mobile DR.
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Solid groundwork leads to rapid PACS acceptanceThe introduction of PACS in a hospital opens up a new world for its users. The impact of PACS on the organization is huge. The new system brings about a dramatic change in workflow, and users must invest time and effort in learning to work with it.
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Tackling Healthcare Quality and CostsImaging providers and regulators are looking for ways to demonstrate and improve quality, plus control costs. And I’m trying to explain it.
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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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Snowboarders face different injuries from skiersDespite the image of young snowboarders recklessly bombing downhill, the popular sport actually has no greater percentage of injuries than does skiing. Snowboarders have their own types of injuries, however, related to factors unique to the sport.
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Emerging technologies for ultrasonic breast cancer diagnosis: ultrasound elastographyThe estimation of tissue hardness and masses by palpation during a physical examination is one of the oldest methods used in medical diagnosis. Palpation was practiced by Egyptian physicians as early as 2600 BCE.
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Intervention: Needle biopsy, ablation score high in tumorsOver the past 15 years, improvements in biopsy needle design, sampling technique, and expertise of radiologists and cytopathologists have developed in concert with imaging technologies to make percutaneous needle biopsy (PNB) the most common interventional radiologic procedure. With skills refined from performing PNB, radiologists can now use a new and promising outgrowth of this technique-percutaneous tumor ablation-to safely and accurately place needles into a variety of malignant lesions to deliver local treatment.
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Successful Execution of Enterprise ImagingExperts that have developed enterprise imaging strategies talked about their process at HIMSS 2015.
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Uterine DidelphysUltrasound, MRI diagnose Mullerian duct anomalies in 23-year-old female. Bleeding P/V, diffuse abdominal pain 18 days; abortion pills use after 45 days of missed period.
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Strategies can limit imaging fungibilityWhether we would like to admit it or not, medical imaging is slowly on its way to becoming a commodity, which has been defined by Wikipedia as "anything for which there is a demand, but which is supplied without qualitative differentiation across a given market."
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Teamwork and preparation create effective reading roomNumerous studies have shown that poorly designed reading rooms reduce radiologists' productivity, contribute to reporting errors, and increase work-related physical injuries. Even so, poorly designed reading rooms continue to be the norm rather than the exception.
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CT and MRI drive awareness of vascular liver disordersThe liver receives blood from arterial (20%) and venous (80%) sources. This dual blood supply means that the organ is well-suited to contrast-enhanced cross-sectional imaging.
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CT imaging detects markers of vulnerable carotid plaqueStroke remains a leading cause of death in the U.S. and is the principal medical cause of long-term disability, with 780,000 new or recurrent strokes occurring annually.1 Ischemic strokes related to carotid atherosclerotic disease make up almost 30% of the total.
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Malpractice awards vary widely for thoracic/GI imagingCancer of the lung is overwhelmingly the most common cause of U.S. lawsuits involving thoracic disease, outdistancing by far any other condition within the confines of the thoracic cavity. Conversely, failure to diagnose gastrointestinal conditions is an uncommon cause of suits against radiologists, but perforated viscus awards are much higher than those for other gastrointestinal conditions.
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RSNA foundation identifies biomed research queriesWhat topics of research occupy the minds of radiologists? Dr. Peggy Fritzsche, chair of the RSNA Research and Education Foundation, revealed the top 25 questions in biomedical imaging and radiation oncology that the radiology community wants answered during the RSNA meeting in November.
