Beatriz Asenjo, MD


Intracranial implant materialeffects create reporting issues

Implanted medical devices such as neurostimulators,cardiac pacemakers, cochlear implants, and infusionpumps have become common.

Beatriz Rodriguez-Vigil, MD


Small bowel findings reveal tumor spectrum

The spectrum of usual and unusual primary neoplasms involving the duodenum, jejunum, and ileum is extremely wide. Our own database of digestive pathology contains a range of benign small bowel neoplasms (adenoma, leiomyoma, lipoma, familial polyposis, hemangioma, lymphangioma, and fibroma), as well as examples of malignancy (adenocarcinoma, carcinoid tumor, lymphoma, leiomyosarcoma, direct extension from extraintestinal tumors, and metastasic lesions).

Belman Murali, MD, MBBS


Imaging modalities shed light on intracranial cysts

Any fluid-filled cavity or sac that is lined by an epithelium is a cyst, and intracranial cystic lesions are a common finding on CT and MR imaging of the brain.1,2 These lesions contain either cerebrospinal fluid, fluid that is similar to CSF, mucus, or proteinaceous fluid. They are lined by epithelial cells, inflammatory cells, or glial cells. The attenuation characteristics of the cyst on CT and MRI and the contrast enhancement patterns depend on the cyst's contents and the composition of the wall.

Benjamin Strong, MD


Alcoholic Hepatitis

Findings include hypodense hepatomegaly, ascites

Bernard Crowe, MPH


PACS upgrades require careful advance planning

A particular problem facing large teaching hospitals is that even as health information systems such as PACS and RIS require regular updating, the staff members using these systems are constantly changing. Interns and registrars will be moving through the hospital on fixed-term training placements. From a training point of view, the hospital IT support staff would prefer to have stable systems. This would allow training modules to be available online to a wide range of clinical staff who could learn the systems with a minimum of time, effort, and cost.

Bernarda Márquez, MD


Intracranial implant materialeffects create reporting issues

Implanted medical devices such as neurostimulators,cardiac pacemakers, cochlear implants, and infusionpumps have become common.

Bernd J. Wintersperger, MD


CT and MRI give answers in cardiac neoplasms

Noninvasive cardiac imaging is gaining widespread acceptance. Both CT and MRI can determine the absence or presence of coronary artery disease accurately and reliably. This is done by either assessing the coronary artery morphology or by offering detailed insight into functional aspects and myocardial perfusion.

Bernd M. Müller-Bierl, PhD


MR-guided biopsies pose major challenges

Accurate needle placement requires instrumentationfor good imaging contrast and high spatial resolution

Bernhard Meyer, MD


Enterprise-wide 3D assists radiology/surgery workflow

It is becoming increasingly important in modern distributed healthcare enterprises to view and manipulate 3D images. CT and MRI systems are creating ever larger volumes of data. This has increased the need for fast and efficient 3D postprocessing tools, such as multiplanar reconstruction, volume rendering, curved reformatting, and volume measurement.

Bertrand Audoin, MD


MR imaging methods unite to monitor MS progress

Multiple sclerosis is an inflammatory autoimmune disease of the central nervous system. It is characterized by pathological changes that include inflammation, demyelination, and axonal injury.

Bettina Conti, MD


Tuberculous Pericarditis

An 18-year-old Nigerian male with a history of previous exposure to tuberculosis, presented to our department for a mild, subcontinuous, fever and dyspnea.

Bhautik Kapadia, MD



Case History: 74-year-old male smoking 48 packs/year with history of severe dyspnea.

Bhavin Jankharia, MD


Comment: The ECR – a mirror reflecting my life as a radiologist

The 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.

Bill Gurney


How to Change Billing Companies Without Interrupting Cash Flow

The 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.

Bill Rostenberg


Ergonomics straightens its posture at SCAR 2004

Radiologists, 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

Binit Sureka, MD, DNB


Bouveret’s Syndrome Due to Cholecystoduodenal Fistula

Case 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.

Birgit B. Ertl-Qagner, MD


MSCT venography finds cerebral thromboses

Dural 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.

Birgit Ertl-wagner, MD


CT angiography data offernew approach to perfusion

Acute stroke is a medical emergency that is potentially treatable. Because "time is brain," however, the imaging workup must be fast and therapy initiated rapidly.

Birgitta K. Velthuis, MD


40-slice scanners boost neuro CT angiography

The 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.

Bob Maier


Eliminate Certificate of Need Laws

Many states still live in the dark ages. CON programs actually increase costs by eliminating competition and preventing providers from entering the market.

Boel Hansson


Experience overcomes difficulties of 3T MRI

Whole-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.

Boem Ha Yi, MD


Multidetector CT reveals diverse variety of abdominal hernias

Although 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

Boris Tolkien


Siemens taps technology to boost performance

Workflow, patient comfort, image quality rise with innovative devices and applications.

Borut Marincek, MD


CT and MRI provide impetus in heart imaging revolution

Coronary 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.

Bradley M. Tipler, MD


We spend on end-of-life care at expense of patients

I 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.

Brady Heiner


Decreasing Dose and Increasing Success

A personal experience with dose that confirms the need for a push for mobile DR.

Bram Pynoo, MSc


Solid groundwork leads to rapid PACS acceptance

The 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.

Brian Baker


Tackling Healthcare Quality and Costs

Imaging providers and regulators are looking for ways to demonstrate and improve quality, plus control costs. And I’m trying to explain it.

Brian D. Ross, MD, PhD


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.

Brian Lott


Snowboarders face different injuries from skiers

Despite 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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