Facility Management

Striking the right balance between quality and throughput is never easy, especially when the queue of referrals seems never to end. Shorter scan times mean that another patient or two could be squeezed onto the day's work list.

Multislice CT has steamed into our radiology departments like a nuclear-powered aircraft carrier. In its wake, an entire support industry has sprung up to help us quench our ever-increasing thirst for more and better slices.

The Elizabeth Wende Breast Clinic in Rochester, NY, has used computer-aided detection for seven years. While CAD's value in the screen-film arena is well documented, its implementation can be challenging, and further research still needs to be performed in the digital world.

The trade-off between image noise and radiation exposure in low-dose multislice CT for kidney stone detection has not been kind to overweight patients.

Computer-aided diagnosis has become a part of routine clinical work for detection of breast cancer on mammograms.1-7 It is beginning to be applied in the detection and differential diagnosis of many different kinds of abnormalities in medical images obtained with various modalities.

There is no doubt in any imaging center operator's mind that today's myriad new imaging technologies are changing the way in which they do business. In many instances, these new technologies also drive the future success of the operation.

Advances in coil technology and the development of tailored sequences have made 3T a versatile alternative to 1.5T. But it will be a long time until it displaces 1.5T as the workhorse of MR.

The patient arrived at the outpatient clinic early for her follow-up. The indication for the laser ablation procedure she had undergone to treat varicose veins in her legs had been primarily clinical.

Nuclear medicine applications have boomed since PET studies secured reimbursement, and the use of hybrid modalities combining nuclear imaging with multislice CT scanning is growing. The potential for increasing radiation exposure for patients and medical workers requires beefing up radiation safety measures, according to two leading nuclear medicine experts who spoke at the 2007 National Council on Radiation Protection and Measurements meeting.

Pressure to go filmless has been mounting for years. Rising chemical costs and reimbursement cuts under the Deficit Reduction Act have compounded the pressure on outpatient centers such as ours to rein in escalating expenses. To make a serious dent in

A study appearing in today’s issue of The New England Journal of Medicine reports that computer-aided interpretation of mammograms is less accurate than interpretation without a computer’s help. Researchers concluded that computer-aided detection software designed to improve mammogram interpretation may actually make it worse.

The feasibility of 3T MR as a general-purpose clinical imaging modality is an ongoing controversy. Although whole-body 3T MRI has been available for several years, most systems to date have been sold to university hospitals and research facilities.

Local Medicare carriers in all 50 states have published guidelines for outpatient coverage of coronary CT angiography. Despite a model local coverage determination developed with the help of radiology societies and organizations, local payers have opted to craft their coverage rules in a way that has resulted in widely varying technology requirements and indications.

The specter of lung cancer hangs over a generation who grew up in homes where ashtrays were as common as shag carpeting. Those youngsters, now entering their 50s and 60s, may have smoked and may have quit, but the risk of cancer remains.

When imaging centers first entered the market, they provided MRI and other imaging services to patients who were referred by local physicians. These physicians selected imaging centers based on quality and convenience for their patients.

With popular actresses Sally Field and Andie MacDowell looking on, Dr. Etta Pisano picked up a Ladies Home Journal Health Breakthrough award last year, in recognition of her work in promoting better screening for breast cancer.

Patchy insurance reimbursement for breast MRI screening in high-risk women could become a thing of the past now that the American Cancer Society is backing MRI for routine use in select patient groups. In addition, results of an American College of Radiology Imaging Network trial just released support the use of MRI in breast cancer treatment planning.

The Deficit Reduction Act may have a short-term impact on purchases by imaging centers, but tightening reimbursements may, over the long haul, be promising for technologies that improve productivity. Merge Healthcare’s president and CEO Ken Rardin is banking on it, as the company prepares for next month’s rollout of Fusion MX, the latest version of its PACS/RIS, followed by a marketing blitz aimed at convincing prospects that PACS/RIS is the way to go.

The American College of Radiology has announced the opening of its own contract research organization. The ACR Image Metrix will offer imaging research services to companies that seek FDA approval for drugs and medical devices but prefer to outsource their research operations to cut costs.

Two months ago, a seasoned vendor told me that he hadn’t sold a single piece of equipment in six months. He had built his business serving entrepreneurs within the medical imaging marketplace. As a long-time friend, I could tell he was frustrated and at the same time, scared of the unknown.

Diagnostic ultrasound is ideal for many patients. No other imaging option gives them a real-time look at their own anatomy or so openly encourages discussion with the radiologist about their symptoms and the evidence of disease on the monitor.

We continue to be both amazed and intrigued by the hype showered on cardiac CT angiography and the corresponding lack of hype given to peripheral vascular CTA. No doubt, 64-slice cardiac or coronary CTA is potentially a revolutionizing technology, but PV-CTA has already revolutionized the comprehensive diagnosis and treatment of peripheral vascular disease.

This spring, the first sites in the world will begin using Philips Medical Systems' newly minted BrightView family of gamma cameras. The compact dual-head product, unveiled at the 2006 RSNA meeting, shines at the high end of the company's nuclear medicine portfolio in performance and versatility.

Nonacademic private practice groups performing cardiovascular imaging studies have flourished during the past 30 years. As more practitioners entered private practice to meet growing demand and more hospitals developed advanced heart programs, cardiovascular services became increasingly accessible across the U.S.

Outpatient medical imaging advocates fired two salvos Feb. 28 to encourage Congress to adopt a two-year moratorium against recent Medicare payment rate reductions they say cut reimbursement by half for some CT and MRI procedures.