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Siemens Medical Solutions put its syngo Suite in the spotlight at SIIM 2007 as the means to an advanced level of interoperability and flexibility for imaging centers. The product, a hybrid IT that integrates RIS, PACS, postprocessing, and patient data handling, brings image management and practice management together in an easy-to-use package.

Last year, the Society for Imaging Informatics in Medicine attracted 24 essays from residents and other trainees vying to win travel reimbursement to the meeting. This year, the society received no essays, according to Dr. Barton F. Branstetter IV, chair of the SIIM education committee, who moderated a morning resident roundtable session.

The elderly patient was a major donor to the hospital. Intraoperative ultrasound revealed an unexpected liver lesion. Color Doppler showed vascularity. If the lesion was a cancerous tumor, the entire liver would need to be removed, the surgeon told radiologist Dr. Stephen Horii. Only histology would reveal actual pathology.

PET/CT continues to find new applications in detection and monitoring of breast, cervical, and ovarian carcinoma. An estimated 211,000 new cases of invasive breast carcinoma, with almost 41,000 deaths, are expected to occur in the U.S. during 2007. Breast carcinoma is the most frequently diagnosed malignancy in women and ranks second in terms of cancer deaths after lung cancer.

The trade-off between image noise and radiation exposure in low-dose multislice CT for kidney stone detection has not been kind to overweight patients. They are often excluded from low-dose studies, scanned at higher doses, or scanned repeatedly with normal doses.

Diffusion-weighted MR of the bone may indicate within days whether and how well patients with metastatic cancer of the bone are responding to treatment. The software to support such conclusions is now being developed for commercial release later this year by Cedara Software.

In a major departure for radiology, national and local programs have begun to address cancer risk from medical imaging radiation dose by monitoring medical patients' cumulative dose exposure.

Business briefs

Philips allies with EM navigation firmU.S. Senate considers DRA freezeFonar financial picture brightensAgfa guarantee eases digital transition

Although many radiologists have resisted structured reporting, it offers numerous benefits ranging from better communication with referring physicians and faster report turnaround to data mining capabilities and integration with speech recognition, according to a recent paper.

A bipartisan bill calling for a two-year freeze on imaging payment rate reductions included in the Deficit Reduction Act of 2005 was introduced in the U.S. Senate May 8. The legislation comes on the heels of a similar bill introduced by the House in February.

Fewer than one quarter of U.S. outpatient imaging centers surveyed by the marketing research firm IMV plan to purchase any type of high-end diagnostic imaging equipment between now and 2008, a draconian measure prompted by the implementation of the Deficit Reduction Act (DRA).

Business Briefs

FDA clears Hansen EP robotic systemToshiba nabs ultrasound contractFinal data clock in for 64-slice CT trial

Business briefs

Investors shun maker of ultrasound agentAlliance Imaging reports reduced revenues Amicas narrows operating lossSonoSite 1Q revenues rise 16%

In late November, nearly 300 doctors and imaging center managers paid $325 each for a day-long seminar sponsored by the law firm McDermott Will & Emery. They packed a large ballroom in the swank Ritz-Carlton Hotel at Water Tower Place in Chicago to learn how to turn referrals to imaging facilities into lucrative income streams.

The trade-off between image noise and radiation exposure in low-dose multislice CT for kidney stone detection has not been kind to overweight patients.

Computer-aided diagnosis has become a part of routine clinical work for detection of breast cancer on mammograms.1-7 It is beginning to be applied in the detection and differential diagnosis of many different kinds of abnormalities in medical images obtained with various modalities.

There is no doubt in any imaging center operator's mind that today's myriad new imaging technologies are changing the way in which they do business. In many instances, these new technologies also drive the future success of the operation.

Advances in coil technology and the development of tailored sequences have made 3T a versatile alternative to 1.5T. But it will be a long time until it displaces 1.5T as the workhorse of MR.