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National Radiologic Technology Week Is an OpportunityFor National Radiologic Technology Week, reminding students what health care is all about.
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Reimbursement woes call for paradigm shiftMedicare funding requires dramatic changes as baby boomers age and economy slides
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CT moves ahead withmultiple energy sourcesHounsfield units, displayed asgray levels on standard CTimages, represent the x-rayattenuation of the materialmix in each image voxel.
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Teleradiology for Small Practices: Finding a PartnerNighShift Radiology co-founder makes a case for teleradiology for small practices and offers guidance for selecting a provider.
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Interactive workshops boost imagers' interpretive skillsScreening mammography in the U.S. has contributed mightily to the nearly 30% reduction in deaths from breast cancer since 1990.1 This success is due to many factors, including improvements in breast imaging technology, breast imaging teaching courses, the increased experience of a cadre of dedicated mammographers, and the implementation of the Mammography Quality Standards Act.
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Anatomic, functional imaging collaborate in cancer detectionSeveral oncologic imaging modalities have evolved significantly since CT was developed in 1973. Although CT provides a noninvasive method for evaluating cancer patients, first-generation scanners were limited in their speed of data acquisition and spatial resolution. Current multislice CT scanners can evaluate a patient completely, with exquisite anatomic detail, in as little as 15 to 30 seconds.
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Thoughts on Part-Time RadiologistsACR commission recommends each group establish their own policies regarding employing part-time radiologists.
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Cardiac radiologists confront technological, training issuesThe last decade has seen rapid advances in our technological capability to image the heart noninvasively.
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Coronary CT angiography saves lives and money: 20,000-plus cases prove itQuestions remain from practitioners, payers, and administrators regarding the economic impact of coronary CT angiography on established diagnostic modalities and the effects on reimbursement within imaging. To address these concerns, we have developed the CCTA Data Registry, which now consists of more than 20,000 cases. Preliminary results indicate that coronary CTA is being utilized appropriately and affects savings for the healthcare system.
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Utilization manager answers July critiqueDr. James H. Thrall's column "Utilization management steps onto center stage" (July, page 29) carries the subtitle "Referring physicians and radiologists must wrestle decision making back from insurers," prompting the question, Was decision making usurped or abandoned? As chief medical officer of CareCore National, one of the aggravating "1-800 programs" Thrall refers to, I present a perspective from the other side.
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Carney’s TriadA 77-year-old woman presented to the emergency department complaining of diarrhea for five days and abdominal pain.
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Comparative Analytics Helps Benchmark PerformanceMany physician practices have turned to business intelligence technology like comparative analytics to determine their administrative and clinical efficiency.
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MSCT assists in renal cell cancer workupRenal cell cancer is the most frequently encountered malignant tumor in the kidney. Over 30,000 new cases are diagnosed annually in the U.S. Many cases are now detected incidentally, as a result of the widespread use of multislice CT. MSCT usage is also redefining diagnostic workup of renal lesions and facilitating renal cell cancer staging.
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PACS voice clips enhance productivity, efficiencyThe Santa Barbara, CA, medical community enjoys a radiology benefit available in few other places: voice clip reports that accompany radiological exams. With a click of the mouse, a referring physician can listen to the reading radiologist's final impression in the radiologist's own voice.
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Working with 'the enemy' means everybody winsThe growing cost of funding healthcare means that budgets must be managed carefully. Clinicians and radiologists are under increasing pressure from payers to economize. At the same time, many specialties face a shortage of trained healthcare professionals. This is creating room for others to step in and manage what was traditionally regarded as another professional's turf.
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4 Tips to Prepare Radiologists for ICD-10Radiologists face unique challenges with ICD-10 because information comes from referring providers. Here are four tips to help avoid denials with ICD-10.
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Lung ablation shows promising results in safety and efficacyLung carcinoma remains the leading cause of cancer death in the U.S. Over the past decade, lung cancer death rates have more than quadrupled, from 5.4 to 29.4 per 100,000.1 The American Cancer Society estimates that in 2005 the number of lung cancer deaths will rise to 163,510-90,490 men and 73,020 women-accounting for 28% of all cancer-related deaths. The number of newly diagnosed lung cancers will rise to 172,570, or 93,010 new cases in men and 79,560 in women.2 Nearly 60% of those diagnosed with lung cancer die within one year of their diagnosis and nearly 75% within two years.2
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CT and MRI drive awareness of vascular liver disordersThe liver receives blood from arterial (20%) and venous (80%) sources. This dual blood supply means that the organ is well-suited to contrast-enhanced cross-sectional imaging.
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Virtual Holography: The Next Step in 3D Imaging?Researchers are developing a solution that could improve reading accuracy by allowing physicians to interact with tissue as if it were a 3D object.
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Image IQ: 11-year old Female with Bilateral Knee SwellingAn 11-year-old female presents with persistent chronic swelling of the right greater than left knees and stiffness limiting mobility.
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Pneumatosis IntestinalisA 47-year-old male had sudden onset of massive bloody stool with negative result study of colon and stomach.
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Software analyzes MR first-pass perfusion dataQuantitative analysis of myocardial defects could move into routine clinical use with advances
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Smart searching enables radiologists' e-learningThe Internet has become an invaluable tool to radiology. New media formats make it easy to stay up to date. In addition to browsing key websites, radiologists can sign up for e-mail newsletters, RSS feeds, and podcasts, and they can access these textual, visual, and auditory data via a variety of gadgets.
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Comment: Being trained abroad: a European experienceAs part of the European School of Radiology (ESOR) Visiting Scholarships Programme, I had the opportunity to obtain further training in musculoskeletal radiology in Dublin from September until December 2008.
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Colovesicular Fistula Secondary to DiverticulitisColovesicular fistula secondary to diverticulitis: A 69-year-old male presented with left lower quadrant pain, fever, and dysuria. Contrast-enhanced CT revealed colonic diverticulitis.
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Stage 2 Meaningful Use Shouldn’t Be a Nightmare for CIOsStrategic moves can help make Stage 2 Meaningful Use an easier transition.
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Behavioral Changes, Known Bipolar DisorderCase History: 60-year-old male presents with behavioral changes for 2 months in bipolar disorder.
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Shoulder Pain, SwellingCase History: 24-year-old male with complaints of shoulder pain, slowly increasing swelling for five years.
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Imaging provides answers in childhood back painBack pain is less common in children than in adults, but it may denote serious underlying disease in the pediatric age group and thus requires careful and thorough clinical, imaging, and laboratory-based investigation.
