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Economic issues stretching well beyond the imaging community are affecting sales of imaging equipment. Vendors are responding by lowering prices and designing new, lower cost products. Siemens began the trend with its 1.5T Essenza, priced below $1 million, more than a year ago and followed up last week with the release of an entry-level and upgradable gamma camera, its Symbia E. Earlier this year, Toshiba gave its Aquilion Premium, a 160-channel CT scanner that can be upgraded in the field to the company’s 320-channel Aquilion One, a soft launch. The company decided to forgo the usual attempts to generate publicity and prime the market in order to get the product in front of customers as soon as possible. Philips and GE have each introduced similarly low-cost, high-performance units designed for budget-strapped facilities.

At a Senate Finance Committee hearing Tuesday, Republican senators questioned whether hefty expenditures for healthcare informatics in the Obama administration’s $825 billion stimulus package will actually help jumpstart the economy.

The American College of Radiology plans to fight proposals in the Congressional Budget Office’s latest report on possible cost-cutting policies affecting medical imaging. College policy experts fear the report may represent the starting point for future payment cuts.

Researchers at a private diagnostic imaging center in central Florida have shown 3T MRI of the wrist is nearly as sensitive and specific as arthroscopy for detection of wrist ligament tears. MR could spot abnormalities missed by standard imaging tests and avoid needless surgeries, according to the investigators.

Medicare’s outpatient imaging program has issued a New Year’s greeting in the form of rules in the 2009 Physician Fee Schedule that raise professional reimbursement rates, expand the discount for contiguous body part imaging to more applications, and introduce anti-markup rules that are far less harsh than those originally proposed.

Recommendations from an Oregon Health and Science Center study have clashed with the findings from a University of Wisconsin trial on the value of polypectomy for small polyps identified during CT colonography. The Oregon study calls for immediate resection while the Wisconsin trial concludes that removal would be costly, risky, and, by definition, unnecessary.

As 2008 drew to a close, so did demandin the U.S. for imaging equipment.The timing couldn't be worse.The crisis in the U.S. credit marketsfelled an already stumbling market forcapital equipment such as MR andCT. Vendors began feeling the pinchin the first half of the year, reflecting adownturn that began last year.

Change may be the byword for the historic election of Sen. Barack Obama as president, but the type of change Obama may bring to the White House won't necessarily be accompanied by the uncertainties and anxieties that come with a sharp departure from the past.

A new CT scanner built on Siemens’ unique dual-source x-ray technology promises to dramatically reduce dose and eliminate motion artifact in the chest. Using two x-ray tubes and matching detectors, the Somatom Definition Flash, debuted at RSNA 2008, opens the door to routine scanning of the coronaries, according to the company.

Legal and regulatory issues have a growing impact on how radiologists perform procedures and studies, report results, and structure their practices. Implementing a simple checklist may help to reduce the prospect of being sued for malpractice.

Business briefs

NightHawk switches CEOsSectra and Synthetic MR extend alliance Riverain launches chest software

President-elect Barack Obama’s appointment of former Senate Majority Leader Tom Daschle to head the Department of Health and Human Services, combined with a commitment from insurers and a detailed plan from the chair of the powerful Senate Finance Committee, suggests strongly that healthcare reform will be a top priority for the new administration and the 111th Congress.