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The extraordinary capabilities of cardiac CT are drawing increased attention from cardiologists, who long ago conquered angiography, echocardiography, and cardiac nuclear medicine. That interest concerns radiologists, who worry about the potential for self-referral, inappropriate utilization, and lost turf.

The Society of Nuclear Medicine recently added the tagline “advancing molecular imaging” to its logo. Now it is developing a center of molecular imaging in an effort to disseminate information and promote research in the rapidly advancing field.

Maintaining order in the rapidly changing, sometimes contentious development of cardiac CT imaging may have become easier. Last weekend, two independent groups met in two U.S. cities to establish two separate professional societies geared toward promoting the clinical use of cardiac CT angiography.

CT vendors delivered on promises made a year earlier with the delivery of 64-slice scanners. As the RSNA show floor opened, each of the four major vendors -- Siemens, GE, Philips, and Toshiba -- was either shipping these megaslice scanners or planning to begin doing so in early 2005. The offerings, however, were anything but homogeneous. The differences became apparent in each company’s presentation of its products and discussion of its competitors.

CT vendors were exceptional in their predictability, as each bore product pathways to the RSNA meeting as true as rifle shots. High-end and midtier scanners appeared on cue, their makers registering claims for their own products and criticism of the competition. It all came as little surprise to anyone familiar with the RSNA exhibit floor.

Virtual colonoscopy took a roller coaster ride last year. Some peer-reviewed studies touted the technique, while others favored conventional colonoscopy. Experts on each side complained of flaws in the other side's methodology. With that background, an international working group has developed a standardized reporting system for CT colonography.

Hybrid imaging dominated the nuclear medicine section of the RSNA exhibit floor. Philips and Siemens promoted multislice SPECT/CT, while GE, which pioneered the idea five years ago, showed an upgraded version of its Infinia gamma camera coupled to a single-slice, nondiagnostic CT for attenuation correction.

Radiologists eagerly expecting a clear winner to emerge from the RSNA session on CT colonography interpretation technique walked away disappointed Tuesday afternoon. A series of four presentations provided no clear consensus on which method would increase sensitivity for polyp detection.

Hybrid imaging dominates the nuclear medicine section of the RSNA exhibit floor. Philips and Siemens are promoting multislice SPECT/CT, while GE, which pioneered the idea five years ago, is showing an upgraded version of its Infinia gamma camera coupled to a single-slice, nondiagnostic CT for attenuation correction.

Proponents of CT colonography may lower the bar in measuring the imaging modality against conventional colonoscopy. After a wave of mediocre sensitivity results, many experts are asking whether it should be compared instead with optical colonoscopy or air contrast barium enema.

Business Briefs

PET pioneer acquires micro-CT firm CTI Molecular Imaging plans to acquire ImTek, a provider of micro-CT systems for imaging laboratory animals used in medical research. The $3.75 million cash deal is expected to close by the end of November. Financial performance and milestone achievements hold the potential for future incentive payments. The acquisition of ImTek, which designs and manufactures the MicroCAT scanners, would complement CTI Concorde, a business unit of CTI Molecular Imaging dedicated to the manufacture of micro-PET scanners.

CT angiography can identify patients with subclinical atherosclerosis who may be inaccurately diagnosed as normal by traditional catheter angiography, according to a study from South Carolina.

Providing attenuation correction in SPECT/CT is no longer enough for GE Healthcare. The company that pioneered hybrid imaging five years ago with its Hawkeye Infinia will release a multislice version of the system a few weeks from now at the RSNA meeting. The reason is not so much the market as GE’s competitors.

A lull enveloped September, as FDA reviewers cleared just 25 new radiological devices -- a slight dip from August and well below the earlier summer months, which rode into the high 30s. The industry was still well ahead of last year, however, in the total number of devices cleared for marketing in the U.S.

Business Briefs

Philips cuts deal with healthcare enterpriseMarietta Memorial Hospital and Philips have struck a multiyear strategic agreement to bring advanced medical technology, clinical support, and staff education to the southeastern region of Ohio. Marietta and Philips have worked together for more than 10 years to outfit Marietta’s Cancer Center with digital x-ray and CT simulator systems.