Facility Management

Logistical and reimbursement limitations dictate that most CT exams be performed on an outpatient basis, making it difficult to manage contrast-related reactions, especially in patients with renal insufficiency. Oral hydration may be as effective as intravenous fluids for preventing contrast-induced nephropathy in some instances, but further study is needed.

Researchers in San Francisco have found that MR imaging can accurately predict recurrence and development of metastatic disease in patients who are about to undergo radiation therapy for prostate cancer. Study findings suggest a stronger role for MRI in the management of the condition.

It's not too early to look ahead to 2009 and beyond, at least not during an election year in which healthcare financing reform is a major issue.

>Declining reimbursements in outpatient diagnostic imaging pose significant challenges for center operators across the county. What was once a fairly easy business to operate has in many ways become a challenge, especially during the past two years. Finding a good technologist was, and still is to a certain extent, a hardship for some radiology departments, but hiring a skilled manager is proving to be like finding a needle in a haystack.

Shrinking prices for 64-slice products offer bargains in market about to be transformed by new offers CT vendors had the worst year in recent memory in 2007, and this year was shaping up to be even worse. But that was before the Feds stepped in.

The combination of tube current modulation and bismuth shields during pediatric chest CT scanning can reduce radiation dose with a minimal impact on image quality, according to researchers from Duke University and the University of Arkansas

Medicare's decision against a national coverage determination for coronary CT angiography is not the end of conflict for the modality. It is just the beginning. The next battle involves fulfilling the promises the multisociety alliance made to assure the Centers for Medicare and Medicaid Services that its acceptance of coronary CT will not turn into a multibillion-dollar debacle.

Despite expanding clinical applications driven by functional and breast imaging, MR scanners are stuck in a sales doldrums.

Preventing adverse skin reactions during breast radiotherapy is a challenge. Attempts to address the problem with topical creams or hygiene have been unsuccessful. Instead, Canadian researchers have gone back to the source of the problem and found that using intensity-modulated radiation therapy can reduce acute dermatitis, especially when compared with traditional whole-breast radiotherapy.

A clinical study to determine computer-aided detection’s value to CT colonography could save manufacturers time and money by speeding up the regulatory approval process. If proven successful, the approach could save thousands of lives each year by enhancing early colorectal cancer detection.

Physician authors of a study summarizing 12 months of positive results from the National Oncologic PET Registry have asked the Centers for Medicare and Medicaid Services to grant routine Medicare payment for numerous PET procedures tracked by the registry.

Cardiac CT reimbursement controversy underscores growing demand for definitive trials that establish efficacy of emerging technologies

American College of Radiology plots publicity blitz to educate patients, referring doctors and put friendly face on diagnostic imaging specialists

Medicare funding requires dramatic changes as baby boomers age and economy slides

Patient protection strategies ranging from automated exposure to flagging systems are becoming the norm This year for the first time the RSNA meeting offered a scientific abstract session dedicated exclusively to pediatric CT and dose. Papers from Asia, Europe, and the U.S. reflect that growing concern over radiation exposure from medical imaging, particularly in young patients.

A study based on nearly 23,000 patients at 1200 U.S. healthcare facilities has found that FDG-PET or PET/CT led referring physicians to alter their opinion about the optimal treatment for about 37% of cancer patients.

The American Cancer Society’s green light for CT colonography as a preferred modality for colon cancer screening is a major victory for proponents, but they are not resting on their laurels. Imaging and gastroenterology experts must gear up for widespread dissemination of the procedure, according to Drs. Judy Yee and Beth McFarland.

Cardiac CT supporters are crediting a multisociety lobbying effort and solid scientific evidence for the Centers for Medicare and Medicaid Services decision Wednesday to not move forward with a national coverage policy for coronary CT angiography.

Pro-physician forces are marching down a politically rocky road to avoid an impending 10.6% midyear cut in professional fees covered by the Medicare Physician Fee Schedule.

The Centers for Medicare and Medicaid Services has decided against establishing a national coverage determination for cardiac CT and coronary CT angiography.

The American Cancer Society has added CT colonography to its approved list of colon cancer screening methods. Released this week, the new guidelines designate virtual colonoscopy as a “preferred” test that “finds polyps and cancer” and should be performed every five years.

Cardiac MR codes grant a victory despite continued Medicare ban on blood flow measurement payment

With its 95% accuracy, practitioners increasingly choose CTA as theimaging modality for suspected or known coronary artery disease

Discoveries chart course toward earlier diagnoses and more effective treatments for cancer, cardiovascular disease, and dementia

Camel sniffs under tent and likes what it finds, plans to bring fellow camels back next year

Early national data suggest that Medicare’s expanded clinical indications for reimbursement were warranted

CMS stirs up hornet’s nest with threat to disallowan option for local Medicare coverage decisions and prohibit cardiac CT angiography for all but trial patients

AIM illuminates CT, PET radiation doseCovidien beats patent suitPhilips reaches Ambient milestoneEmageon revenues dropAlliance reports mixed financials Vital Images revenues decline

tudies of chest pain patients with conventional 64-slice and dual-source CT add to a growing base of evidence suggesting that CT is well suited to rule out acute coronary syndrome in the emergency room and to identify coronary artery in-stent restenosis. An initial study of 256-slice CT presented at the RSNA meeting was encouraging, but the specter of high radiation exposure—especially exams covering the entire chest—challenged researchers to find better ways to reduce dose.

Merge slashes workforceAurora plans breast MR portalData accelerator ready for ECR launchHIMSS to host InSite One unveilingsEntry level PACS ready for HIMSS meeting