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Radiofrequency ablation is a growing part of the practice established by interventional radiologist Dr. Paul Christy and his partners at Methodist Hospitals’ Interventional Radiology Center in Omaha. Most of their RFA practice focuses on lung tumors, but they also treat tumors of the liver and bone. The 13-person group includes one part-time and two full-time interventional radiologists, as well as medical oncologists, radiation oncologists, surgeons, and other specialists.

Larry Dentice wants to take Toshiba America Medical Systems to the next level. TAMS is coming off a stellar year during which sales rose 25%, but to continue that growth the company must make some refinements, according to its new general manager.

Teleradiology has apparently come of age. Imaging examinations can be sent via high-speed connections to anywhere in the world, at increasingly low cost. Teleradiology also appears to be a profitable business. Take, for example, the services emerging to cover the night shift for U.S. radiologists. Teleradiology Solutions and TeleDiagnosys Services are just two of the many enterprises in the field, both offering this service from a base in India.

Diagnostic radiologists are the most important physicians patients will never meet. They are the M.D. equivalent of pharmacists, taking orders from attending physicians and filling orders, hovering in the shadows of medical care, and observing what’s going on but not participating.

Demand dropped for gamma cameras in 2005, while it boomed for PET/CT. Trends driving this teeter-totter market, which links these two related but very different modalities, are continuing but moderating, according to industry sources.

Diagnostic radiologists are the most important physicians patients will never meet. They are the M.D. equivalent of pharmacists, taking orders from attending physicians and filling orders, hovering in the shadows of medical care, and observing what’s going on but not participating.

Convincing evidence suggests that, as suspected, managed care companies lack the ability to properly adjudicate claims and pay the contracted amount for services rendered.

While clinical data supporting the effectiveness of tumor ablation is growing, educational opportunities for physicians who want to learn new techniques or get tips on developing a tumor ablation practice lag behind. Some training is available through CME courses, industry society events, vendor education, and informal arrangements with luminaries, but large-scale, organized training regimens do not yet exist.

No better way exists than functional MRI to plot the intricate neural pathways of the brain. Neurosurgeons regularly call on this technique to plan surgical routes around eloquent brain areas, yet fMRI’s potential has remained untapped, largely due to benign neglect on the part of developers and third-party payers. The recent formation of a society dedicated to fMRI might change that situation.

Any reputation for excellence that Roxborough Memorial Hospital in Philadelphia might have tends to be eclipsed by its larger academic neighbors. Dr. Robert Worthington-Kirsch, however, wouldn't trade the small-town flavor of Roxborough Memorial for the publish-or-perish world of academic centers. It helps that he doesn't need to, as he is one of a handful of successful solo interventional radiology practitioners in the nation.

Convincing evidence suggests that, as suspected, managed care companies lack the ability to properly adjudicate claims and pay the contracted amount for services rendered. As a result, every radiology practice must routinely verify managed care payment compliance by tracking and reporting third-party payment practices.

Although musculoskeletal radiologists have long debated the relative roles of MRI and ultrasound in imaging shoulder injuries, they have reached consensus on a number of diagnostic algorithms. But the proliferation of inexpensive, low-end compact ultrasound systems has introduced a new controversy.

Hot on the heels of a successful 3D workstation face-off at last year's meeting, the Society for Computed Body Tomography and Magnetic Resonance this year has invited PACS vendors to submit their systems for what will be the first ever PACS showdown.

The adoption of new imaging technologies presents multiple challenges to hospitals, radiologists, cardiologists, payers, and vendors. Sixty-four-slice CT, which has enabled the clinical evolution and market adoption of coronary CT angiography, is not a disruptive technology. But CCTA is, as evidenced by questions raised about its clinical impact and the push for new credentialing standards by organizations.

The American College of Radiology and the American College of Cardiology called a truce in their turf battle over cardiac CT to jointly write a document intended to help local Medicare insurers set the terms for the acceptance and coverage of cardiac CT procedures.

Before considering revascularization procedures, surgeons want proof of ischemia. While catheter angiography has value in assessing lesions associated with coronary artery disease, it cannot assess the associated ischemia. PET imaging is increasingly being used to provide that information. With the rise of multislice CT angiography as a first-line test for patients with suspected CAD, researchers have set their sights on integrated PET/CT for combined acquisition of coronary anatomy and perfusion.

After a year of hammering out the fine print, the Centers for Medicare and Medicaid Services and the Academy of Molecular Imaging announced this month that they have started collecting data for the National Oncologic PET Registry.

Traditional forms of radiation therapy have a formidable new competitor. A nonradioactive form of brachytherapy, cleared late last year by the FDA and being readied for preliminary roll out, dramatically reduces the length of treatment for early-stage beast cancer following lumpectomy and promises to bring radiation therapy to physician offices and imaging centers.