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Breast tomosynthesis in the U.S. may finally be at hand. In September the FDA's Radiological Devices Panel unanimously agreed that Hologic's digital mammography tomosynthesis system, Selenia Dimensions, is effective and safe.

Healthcare reform is game changer but nobody can yet fully articulate the impact of the new rules. How do you plan for the future when there are so many unknowns? This is the second article in a series that examines how healthcare reform is likely to affect radiology practices and how they can prepare for drastic changes to come.

When times get tight, we start to hear complaints about overhead costs and nonphysician staff costs. That’s natural. But don’t let folks jump to conclusions. Just because you don’t know or understand a process doesn’t mean it’s superfluous. When I hear our radiologists mumble “what do all those people do?” I tell them it is time for them to find out. But don’t stick all the work on one person. Use the perceived “crisis” or gripe-fest to educate the staff on processes in the back office.

Musician Sheryl Crow teamed up with the Pink Lotus Breast Center to create the Sheryl Crow Imaging Center, a state-of-the-art breast imaging center based in Los Angeles featuring the latest advancements in digital screening and diagnostic imaging technologies.

Launch of the new fourth-generation network from cellular wireless companies will enable radiologists to upload and download images more than 10 times faster than they have been able to in the past. While wireless mobile applications for imaging are still a distinct minority, the faster speeds could open the door for preliminary reads or image demonstrations on smartphones and iPads.

When hospitals transition from a contract with an independent radiology practice to an in-house model or a multispecialty group, they can expect some growing pains in the form of technological issues and human resources quandaries, as well as general headaches while trying to get the new practice up to speed. Sutter Health in Sacramento, CA, offers an example.

California radiologists will be required to incorporate radiation dose levels in their reports under a measure signed into law Thursday by Gov. Arnold Schwarzenegger. The measure requires that radiologists include in their reports the dose length product or the CT dose index if the machine is able to calculate it.

Virtual Radiologic announced Sept. 27 it will acquire NightHawk, a publicly traded national teleradiology practice, making Virtual Radiologic the largest radiology practice in the country. However, radiologists aren’t too worried about the deal because Virtual Radiologic still has to compete with thousands of other practices.

Now there’s proof after a day of interpreting images radiologists are less accurate, more tired, unable to focus, and experience eyestrain compared to earlier in the day. A study in the Journal of the American College of Radiology compared the ability of radiologists and residents to read bone exams earlier in the day to later in the day.

Three of the most popular MR contrast agents-Magnevist by Bayer Healthcare, Omniscan by GE Healthcare, and Optimark by Covidien-will soon carry labels warning that their use is “inappropriate” for patients with acute kidney injury or chronic severe kidney disease. These and other gadolinium-containing agents will also carry new warnings emphasizing the need to screen patients for kidney dysfunction that puts them at risk for nephrogenic systemic fibrosis, the rare but potentially fatal condition that led the FDA to require warning labels on these agents in 2007.

The biggest player in the imaging center market announced on Monday a technology purchase that will enhance its efficiency as well as expand its reach into the teleradiology field. RadNet also said its acquisition of Image Medical Corporation, the parent of eRAD, for $10.75 million will qualify RadNet for federal stimulus money geared toward adoption of electronic medical records.