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Antrochoanal PolypA 22-year-old female with a history of right sided nasal obstruction, cheek pain and new onset of snoring. Patient was initially treated conservatively with oral antibiotics, and symptomatic medical management, but had minimal improvement and eventually progression of symptoms.
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E-prescribing could help control medical radiation exposureThere has been considerable discussion on the federal stimulus program and the impact it will have in bringing about an improved patient care model through the use of technology. This anticipates care providers having access to electronic health records (EHRs) that can communicate, or “interoperate,” with other health providers and health systems so a complete record of all a patient’s episodes of care, including pharmaceutical records, are available in real-time for physician review. As I explain below, these mechanisms could be used to help monitor and control medical radiation exposure.
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Reliable In-Stent Lumen Visualization With Dual Source CT Coronary AngiographyA 58-year-old man with a history of hypertension and hypercholesterolemia was admitted to the hospital with symptoms of suspected stable angina pectoris. The patient was referred to conventional coronary angiography after a positive exercise-ECG test. Conventional angiography showed significant stenoses at the level of the proximal right coronary artery (RCA) and the proximal left anterior descending coronary artery (LAD). Percutaneous intervention was undertaken and one bare-metal stent in the RCA and two overlapping bare-metal stents in the LAD were successfully implanted. The patient was referred to follow-up CT coronary angiography after 18 months.
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Ovarian lesions pose diagnostic dilemmasThe main objective of imaging patients with symptoms suggestive of ovarian lesions is to distinguish benign findings from malignant disease. Masses can be characterized with a variety of noninvasive imaging techniques, including transabdominal and transvaginal ultrasound, CT, and MRI. Each of these modalities has its advantages and limitations.
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Digital workflow depends on well-designed networksMillions of dollars may have been spent on the latest CT, PET, MRI, or other digital modality in your imaging center. The purchase of a PACS, RIS, or electronic medical records system may have been made, too.
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Ischiopagus Parasiticus BipusA 2-day-old neonate presented to pediatric emergency with gross congenital anomaly.
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MR guidance prepares to enter endovascular realmInterventional MRI is an established clinical tool for the biopsy of lesions that are difficult or impossible to delineate or that cannot be reached easily by any other modality.
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Delayed side effects persist in IV iodinated contrast mediaIntravenous iodinated contrast agents are generally safe. Though the frequency of side effects has fallen significantly since the introduction of nonionic, monomeric contrast agents,1 however, side effects remain an important issue.
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Imaging aims to improve therapeutic balanceThe continuing challenge for every specialty in oncology is to improve the therapeutic ratio, which is the balance of the biological effectiveness of the treatment and the severity of treatment-related side effects.
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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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CT and MRI help evaluate adrenal gland disordersThe adrenal glands are paired retroperitoneal endocrine organs. They are thin, inverted Y- or V-shaped soft tissue structures and have flat or concave margins. The vertical length of each gland may be anywhere from 2 to 4 cm. Their “limbs” are approximately 0.4 cm thick in axial cross-section, which is roughly as thin as the adjacent diaphragmatic crus.
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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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The Four Forces Driving Healthcare ChangeVIDEO - Consultant Jef Williams details the four areas driving change in healthcare for radiologists.
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Europe's PACS users must embrace open sourceWhen EuroPACS was founded in the early 1980s, PACS development and implementation were at the frontier of technical innovations in medicine. Commercial systems and vendor solutions did not exist. EuroPACS annual meetings were a unique opportunity to meet the pioneers in the field and learn from their work.
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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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Increasing Lower Limb WeaknessCase History: 22-year-old female with bilateral lower limb weakness for 25 days.
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Epigastric Fullness, Burning UrinationCase History: 40-year-old female presented with history of epigastric fullness associated with epigastric and left flank pain and burning micturition.
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Discomfort, Swelling in GroinCase History: 30-year-old male with discomfort in left groin region due to mass/swelling for one year.
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Echocardiography confronts era of cardiac CT and MRINew advances in technology keep older modality in the picture for cost-effective cardiovascular diagnosis.
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CT report that includes all data boosts benefitsAccurate and reproducible assessment of left ventricular function is crucial for differential diagnosis, risk stratification, treatment planning, and predicting prognosis in patients with heart disease. Evaluation of global and regional LV wall motion, valvular function, myocardial mass, and, in some cases, right ventricular function produces valuable ancillary pieces of clinical information that can be obtained from a contrast-enhanced multislice CT scan.
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Planning breeds success with speech recognitionSuccessful speech recognition implementation depends on overcoming three common challenges: radiologist misperceptions, poor preparation, and lack of support. Using a real-life implementation as an example, we examine these obstructive elements and offer guidance about overcoming them.
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Preparing Radiology For Alternative Payment ModelsThe ACR reacts to recent announcements about implementation of alternative payment models.
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X-Ray Wireless Detector Now Even More PortablePhilips emphasizes newly flexible, wireless detector at RSNA 2011
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Hallmarks of Customer Service - A Practical Guide for RadiologistsAn established radiology practice in a growing community has enjoyed positive relations with the two hospitals it serves and the community physicians.
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Abdominal Pain, FlatusCase History: 60-year-old male with complaints of inability to pass stool and flatus with pain in abdomen.
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Multislice CT urography characterizes renal TBGenitourinary tuberculosis is the most common manifestation of extrapulmonary TB, accounting for 15% to 20% of infections outside the lungs.
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MR contributes to evaluation of pediatric Crohn's diseaseCrohn's disease can involve any part of the gastroenteric tract but most often affects the distal ileum and colon. It is characterized by chronic inflammation that extends through all layers of the intestinal wall and involves both mesentery and regional lymph nodes.
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Cervical Pain, Numb Upper LimbsCase History: 55-year-old female with pain in cervical region radiating to bilateral upper limbs.
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HemimegencephalyCase History: 15-month-old with focal seizure, developmental delay, disproportionate increase in size of head.
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Intermittent Proptosis of Eye Worsened by CoughingCase History: 25-year-old female with intermittent proptosis of eye worsened by straining, coughing, and in prone position.
