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A wide-bore 3T scanner small enough to fit in the same footprint as a 1.5T system debuted at Siemens RSNA booth. At 170 cm, Verio is the shortest 3T on the market, according to the company, but the 70-cm bore diameter may be of greater interest to prospective buyers.

HIV-positive patients could benefit from the ability of MR diffusion tensor imaging to reveal microscopic changes in their spinal cords before abnormalities show up on conventional MR imaging. The early warning could identify those who would benefit from antiretroviral therapy.

Diffusion-weighted MR imaging could one day become a routine exam for noninvasive characterization and staging of uterine tumors, replacing unnecessary catheter or surgical biopsies, according to several studies released Sunday at the RSNA meeting.

Public policymakers have long sought valid scientific evidence linking lung disease and secondhand smoke. Their wait ended Monday at the 2007 RSNA meeting, when Chengbo Wang, Ph.D., announced clinical trial results using hyperpolarized helium-3 diffusion MRI to make the connection.

New CT perfusion scanning techniques that are safer and faster than older CT protocols could offer a practical imaging alternative to MR perfusion for stroke patients, according to two studies presented at the 2007 RSNA meeting. Findings also emphasize a new trend for widening the window for thrombolysis.

Executives at Siemens Medical Solutions are out to give competitors, including those selling reburbished MRs, a run for their money. Listing below $1 million, the company’s new Essenza MR scanner is the most affordable 1.5T system in the industry.

Diffusion-weighted MR imaging could one day become a routine exam for noninvasive characterization and staging of uterine tumors, replacing unnecessary catheter or surgical biopsies, according to several studies released Sunday at the RSNA meeting.

The inability to turn off certain brain regions, rather than decline in the ability to turn them on, could be the clue to diagnosing Alzheimer’s disease, according to Duke University researchers. Findings from a 4T functional MR imaging trial suggest this brain marker, not structural ones such as atrophy, could help diagnosis and management of AD patients.

Published clinical studies are expanding the diagnostic limits of multislice CT and other modalities for cardiovascular applications. A meta-analysis in the November Radiology offers a powerful argument in favor of its use for diagnosing lower extremity disease. Other, more preliminary, studies suggest that multislice and dual-source CT will eventually help evaluate in-stent restenosis and the quantification of left ventricular function. New applications are emerging for cardiac MR, echocardiography, and PET/CT as well.

Imaging advocates fear the adoption of a bundled approach to Medicare reimbursement for contrast media, radiopharmaceuticals, and the technical component of medical imaging could lead to substantial payment cuts from the Hospital Outpatient Prospective Payment System.

Long-standing suspicions about noncontrast T1-weighted MRI’s usefulness as a biomarker for multiple sclerosis have been confirmed in a study showing that hyperintense plaques revealed with the technique are associated with brain atrophy, disability, and an advancing course for the disease.

Independent diagnostic testing facilities have only until the end of the year to dissolve imaging equipment leasing arrangements with referring physicians to comply with new rules in the 2008 Medicare Physician Fee Schedule that becomes effective Jan. 1.

Despite its widespread use as a tool that provides rapid diagnosis at a relatively low cost without the need for bulky equipment or ionizing radiation, ultrasound faces mounting competition from modalities such as CT and MRI, which combine short acquisition times with the ability to rapidly generate multiplanar and 3D images. That may change with volume ultrasound, a technique that lets clinicians and sonographers scan the patient and rapidly analyze data from a volume of interest.

Conventional static MR angiography techniques create high-spatial-resolution structural studies but fail to image physiological information inherent in the delivery of blood or contrast. MR scanner gradient enhancements now enable repetitive data capture over time in the attempt to depict vascular dynamics and physiology in a method similar to that routinely used with conventional catheter x-ray angiography.

For the first time, researchers have combined functional and anatomic MR imaging to reveal abnormalities in both physiological states in a well-defined subgroup of schizophrenic patients with chronic auditory hallucinations. With the potential to visually pinpoint abnormalities, MRI could prove useful as a diagnostic and follow-up tool to evaluate treatment for people with the disorder, according to lead investigator Dr. Luis Marti-Bonmati, chief of MR at Dr. Peset University Hospital in Valencia, Spain.

Breast MR is approaching celebrity status. A raft of expert opinions, notably from the American Cancer Society, has established MR in public and professional minds as a leading means to diagnose cancer among patients at high risk and possibly even among patients in the general population.

Three-D reconstructions are routinely used in the imaging of many organ systems. Not only do referring physicians and patients like the volume-rendered images, but radiologists are finding the inclusion of coronal and sagittal reformats imperative to making the most confident diagnoses. The use of advanced imaging over the last year has become important in several organs, mainly the heart/chest (Figure 1) and the abdomen/pelvis.