2010 Article Archive
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December 2010
FEATURES
CTA Convert
A cardiac surgeon follows the advice of his wife and a radiologist friend—and it probably saved his life.
Radiology Today Interview: Teleradiology’ Role
A discussion with StatRad managing partner Joe Moock
Ten Years … and Counting!
Check out this timeline highlighting Radiology Today’s first decade of covering imaging.
Making Strides
Stenting iliac arteries benefits peripheral artery disease patients out to two years, according to a new study.
DEPARTMENTS
President’s Note
CT Slice
Speeding Stroke Care
PACS Platform
How Will Meaningful Use Rules Affect PACS?
Target on Therapy
Study Compares IMRT and CRT Side Effects
Technology Trends
How Do You Define Interoperability?
Interventional Update
MRI-Guided Laser Destroys Kidney, Liver, and Prostate Tumors
Products and Services
News Scan
PET/MRI May Show Changes in Brain Trauma Cases; MRI May Help Predict When Stroke Occurs; SBRT, Chemo Combo May Better Control Head and Neck Tumors; Medicare Payment Flawed, but Docs Disagree on Reform
RSNA Product & Service Showcase
Datebook
Second OpinionsNovember 2010
FEATURES
Technology Update: Ultrasound
Here’s a look at what is new and innovative in the field.
Paper Into PACS
Filmless doesn’t mean paperless, but facilities are seeking IT applications to help eliminate paper yet capture the information in a DICOM environment.
Negative Exposure
Cell phone cameras are everywhere—including where they shouldn’t be. Their misuse in a healthcare setting can create trouble for both the user and the facility. Does your facility have good protections in place?
RSNA 2010 Road Map
Use our exhibit hall maps, exhibitor index, and program highlights to plan your visit and support the sponsors who bring you Radiology Today.
Radioimmunotherapy Advancing
Zevalin and Bexxar are FDA approved to treat follicular B-cell non-Hodgkin’s lymphoma. Learn about how they’re being used in a clinical setting.
DEPARTMENTS
Editor’s Note
Are You Getting Ready?
PACS Platform
Mobile Workflow
Women’s Imaging News
Study Finds Long-Term Survival Increase in Breast Cancer; Can PET Evaluate Treatment Response in Ovarian Cancer?
RSNA Product & Service Showcase
CT Slice
Can Incidental Chest CT Scan Predict Heart Disease?; Negative Exam Positive for Patients
MRI Monitor
Imaging the Brain to Diagnose Autism
Bone Matters
FDA Issues Bisphosphonates Warning
Products and Services
News Scan
Research Review
Using MRI to Predict Continued Decline in Patients With MCI; Research Eyes Possible Therapeutic Target for Breast Cancer; Blood Test Predicts Risk of Death From Prostate Cancer
Datebook
Second Opinions
October 2010
FEATURES
Managing Dose
The industry is working to safeguard patients against radiation overexposure with improvements on radiation therapy and scanners and through better training.
Marketing Your Practice
It may be time for your radiology practice to shift from managing to building a business.
Healthcare or Childcare?
Women’s imaging centers aren’t in the childcare business, but many patients are beginning to expect such services when they show up for an exam.
Fall Product & Service Showcase
Here’s a look at equipment and services for your facility.
DEPARTMENTS
Editor’s Note
When Healthcare Meets Childcare
Target on Therapy
Improving Treatment Decisions
PACS Platform
Text Appeal
Risk Management & Malpractice Defense
What to Do When a Lawsuit Is Filed
News Scan
Products and Services
Molecular Imaging News
MIBG Scintigraphy Identifies ICD Candidates
Research Review
Radiation Oncologists Develop High-Dose RT Model; Radiologist Treats Teen Self-Injury
Datebook
Second Opinions
September 2010
FEATURES
Radiologists & Technologists — Building Effective Work Relationships
Working together well benefits everyone, especially patients. Imaging veterans discuss ways they promote a positive work environment in their facilities.
Tracking Lead
A Minnesota medical center developed its own simple bar-code scanner and spreadsheet system that efficiently tracks more than 500 protective garments in the facility.
Yttrium-90 Radioembolization
This new path in liver cancer treatment is becoming more widely traveled. Its growth is tied to its effectiveness and perhaps better communication among the interventional radiologists, oncologists, and nuclear medicine physicians involved.
2010 Annual Buyers’ Guide
Don’t miss our annual directory of the latest imaging products and services.
DEPARTMENTS
Editor’s Note
Relationship Advice
PACS Platform
Moving Toward Interoperability
Managing to Succeed
Staying Competitive
Research Review
Study Examines Fracturing Vena Cava Filters; ACL Repair Does Not Reduce Osteoarthritis
Products and Services
Datebook
Second OpinionsAugust 2010
FEATURES
What Imaging Directors Are Facing
Reimbursement is down and competition is fierce. That’s what imaging directors said when we asked about the challenges they’re facing. They also shared some of what they’re doing to succeed in today’s imaging environment.
Donating Data
The Give a Scan project hopes to build an imaging database to help cancer researchers.
What Is Chiropractic Radiology?
There are about 150 chiropractic radiologists in this country and they consider themselves similar to neuromusculoskeletal radiologists, primarily serving practicing chiropractors.
Breast MRI Research
Scientists and clinicians are looking for the best ways to utilize MRI in diagnosing and monitoring breast cancer.
Summer Products & Services Showcase
Check out this selection of tools to help your facility.
DEPARTMENTS
Editor’s Note
Hope to See You at AHRA
News Scan
Cardiac MRI Helps Triage Chest Pain Patients in ED; Risk Factor Assessment Could Replace CTA for PE
PACS Platform
Past and Future — CR Was Key to PACS’ Beginning and Has Role in Its Future
Managing to Succeed
Streamlining Credentialing
Women’s Imaging News
Locate and Illuminate — Ultrasound-Guided Optical Tomography Seeks to Reduce Breast Biopsies
Research Review
Predicting Outcomes — Using PET to Predict Therapy Success
Molecular Imaging News
Heart News From SNM
Products and Services
Datebook
Second OpinionsJuly 2010
FEATURES
Contrasting Approach
ABVALAR is the first FDA-approved blood-pool MRA contrast agent that offers additional time for imaging and possibly some new applications.
Reducing and Tracking Dose
Cutting radiation exposure per scan is only part of the safety equation. Recording, reporting, tracking dose, and building cumulative exposure information into medical records is the ultimate objective. The work toward that goal is just starting.
Technology Update: PET
For a nuclear medicine imaging modality as sophisticated at PET and PET/CT, new products and enhancements to existing systems come from customer feedback on everything from functionality to image quality and the need for cost-effective imaging solutions.
Building a UFE Practice — IRs Establish Successful Collaboration With Gynecologists
Several interventional radiologists discuss how collaboration with gynecologists has helped improve both their practices and patient care.
DEPARTMENTS
Editor’s Note
Interoperability
PACS Platform
The Future of PACS and EHRs
Managing to Succeed
Maintaining a Hospital Contract When Administration Turns Over
News Scan
SPECT/CT Image Earns SNM Image of the Year; Why Do Early-Stage Lung Cancer Patients Skip Surgery?
Products and Services
Datebook
Second Opinions
June 2010
FEATURES
Imaging Dangerous Plaque
Using near infrared spectroscopy delivered through a catheter may help doctors better identify arterial plaque that is more likely to cause heart attack or stroke.
MRI Safety Evolution
Magnet strengths are increasing, implants and devices enter the market regularly, and MRI professionals need ongoing guidance from expert sources in screening and scanning.
Technology Update: CT
A look at the latest technology in scanners
Vertebroplasty — Sorting Things Out When Studies Conflict With Clinical Experience
While interventionalists see that the procedure helps their patients, two clinical studies report that vertebroplasty is no more effective than a sham procedure. What happens when research data and doctors’ clinical experiences collide?
Summer Product and Service Showcase
DEPARTMENTS
Editor’s Note
Is That Safe in an MRI?
News Scan
256-Slice CT Expedites Chest Pain Triage; Calcium Scoring Improves Risk Assessment; Study Links CPOE and Hospitalwide Mortality; PET Drives Imaging Increase for Cancer Patients; Modified Chest CT Technique Reduces Patient Radiation Exposure; Steroid Injections Treat Hamstring Tendonitis
PACS Platform
Teleradiology Rules of Engagement
Interventional Update
Improving Risk Prediction — Could the Ankle-Brachial Index Help Predict Heart Attacks?
Molecular Imaging
News Imaging Aortic Dissection — PET/CT May Differentiate Between Chronic and Acute Disease
Products and Services
Datebook
Second Opinions
May 2010
FEATURES
Radiology Today Interview: David S. Mendelson, MD — VR, Workflow, and EMRs
Mendelson focuses on the implementation of front-end voice recognition and radiologists editing their own reports at Mount Sinai Medical Center in New York City.
Crystal Clear
Diffraction-enhanced imaging is years from commercial application, but it could provide clear images with as little as 1% of the radiation exposure of current equipment.
Goodwill Value — Is There Any in Today’s Radiology Practices?
When bringing on physician partners, most experts see little evidence of value beyond an appropriate share of a practice’s hard assets. However, there seems to be some consideration for goodwill in merger and acquisition activity.
Technology Update: SPECT
Equipment manufacturers share the latest on their systems.
Cryotherapy — Researchers Look to Ice Breast Cancer
Interventional radiologists are evaluating how to use cryoprobes to freeze and kill tumor tissue.
departments
Editor’s Note
The Future of Imaging Informatics
PACS Platform
PACS and RIS — User References Are the Key to Successful Integration
Molecular Imaging News
PET Imaging for Alzheimer’s Disease; SNM Receives Comparative Effectiveness Research Grant; SNM Continues Push for Permanent Growth Rate Fix
Managing to Succeed
Outsourcing Equipment Acquisition
News Scan
Prenatal MRI Exposes Rare Intestinal Disease; Ablation Therapy for Prostate Cancer Recurrence; Radial Scars Need Excision to Rule Out Malignancy
Imaging Informatics Buyers’ Guide
Products and Services
Datebook
Second Opinions
April 2010
FEATURES
Appropriating Imaging — What Is Radiology’s Role in Controlling Utilization?
Growth in imaging volume and cost has caught the attention of both public and private payers, producing efforts to contain expenditures. While test-ordering physicians outside of radiology drive much of this growth, imaging organizations bear the brunt of reimbursement cuts. What can—and should—radiology do to control imaging volume?
Radiology Today Interview: Rebecca Smith-Bindman, MD — Dose Reduction in Medical Imaging
Consistently reducing radiation dose in diagnostic imaging begins with measuring how much radiation a patient receives during an exam. Smith-Bindman and colleagues have researched this area, and she has some clear views on how radiology can reduce the radiation patients receive in the imaging suite.
Minimally Invasive Oncology — IR Researchers Expanding Cancer Care
Interventional radiologists are pursuing less-invasive treatments for cancers, including some that oncology has not yet found effective ways to treat. This report from the Society of Interventional Radiology annual meeting highlights research efforts offering options (or future options) for previously inoperable tumors.
Spring Product & Service Showcase
Take a look at what’s new for spring in imaging products and services.
departments
Editor’s Note
A Measured Approach
Target on Therapy
Helical IMRT — New Treatments Taking Shape for Multiple Myeloma
PACS Platform
Replacing CDs
Risk Management & Malpractice Defense
Informed Consent
Ultrasound News
Tracking the Tip — Improving Accuracy for Needle Biopsies
Products and Services
Second Opinions
March 2010
FEATURES
PET Myocardial Perfusion Imaging — A Promising, Though More Expensive, Alternative to Stress Tests
Imaging physicians at some facilities believe this exam provides superior images to a traditional stress test, particularly for women and patients who are overweight.
Navigating Through the Data — CAD Applications in Liver, Prostate, Breast, and Lung Cancer
Radiology Today provides a look at what’s new in computer-assisted detection software applications that can help physicians better detect lesions.
Hidden Risk — Recent Incidents Highlight Need for Safety Vigilance in the MRI Suite
Although dangerous MRI incidents are rare, they happen often enough to remind everyone that there may well be risk that the imaging community hasn’t thought about yet.
Patient Backlash
Breast imagers report that women visiting their practices have joined the attack on the USPSTF mammography guidelines.
departments
Editor’s Note
Catalyst
PACS Platform
Quality Assurance in the Digital Age
Interventional Update
Stents Outperform Balloon Angioplasty
News Scan
Molecular Imaging News
Supporting Parkinson’s Disease Research
Managing to Succeed
Helping Leaders Lead — How to Govern Your Board Effectively Once It’s Established
Women’s Imaging News
CT May Reduce Unneccessary Appendectomies in Women; Digital Mammo Reduces Radiation Dose: BI-RADS to Be Included in RadLex
Products and Services
Second Opinions
February 2010
FEATURES
Cloud computing is a popular buzzword, but the idea has been around for years. One new imaging informatics application is using the cloud to share images and medical information. Two companies launched their Web-based information-sharing services at RSNA.
IR and Income Division
An IR service can provide an excellent revenue stream for a radiology group. But IR brings different costs and commitments that often need to be reflected in a group’s income division formula.
PAVM Embolization
IR researchers are showing that up to four dangerous arteriovenous malformations can be effectively treated in a single outpatient visit, greatly streamlining the treatment for patients compared with what is widely done today.
C-Arm Technology Update
Take a look at what’s new in C-arm systems.
Winter Product & Service Showcase
An introduction to products that can help you provide better care.
DEPARTMENTS
Editor’s Note
Cloudy With a Chance of Data
PACS Platform
Blu-Ray Archiving
Radiology Coding
ICD and CPT Coding — Subtle Changes You May Have Missed
Target on Therapy
SBRT: Promising Results in Stage 1 NSCLC; Obesity, Diabetes Increase SBRT Side Effects
News Scan
Products and Services
More new products From RSNA
Second Opinions
A double take on who said what and what is worth a second look
January 2010
FEATURES
Four Things to Watch in 2010
Radiology Today selected these four topics from the RSNA annual meeting as trends to watch in the coming year and beyond. One is increased competition; check out the others in this annual feature.
Decision Support for Rad Reports
Radiologists agree that bringing in outside supporting information adds value to a radiology report. The challenge seems to be developing an efficient, cost-effective way of doing that. Experts discuss the problems and success of decision-support tools.
Technology Update: MRI
Here is a review of what’s new in MRI machines on the heels of RSNA 2009.
Uproar — Imaging Community Greets New USPSTF Mammography Screening Guidelines With Scorn
New guidelines suggesting that women at normal risk for breast cancer should not routinely have mammograms until the age of 50 have brought a barrage of criticism from imagers, cancer organizations, advocacy groups, and patients themselves. They think it is foolish to strip away what they see as proven benefits of mammography.
January Product & Service Showcase
Take a quick look at new equipment and service offerings from RSNA 2009.
DEPARTMENTS
Editor’s Note
New This Month...
PACS Platform
Images in the Palm of Your Hand
CT Slice
Study Finds Many Unindicated Exams
Radiology Coding
IR Roadblocks
Ultrasound News
AIUM Offers New Online Centers
Women’s Imaging News
IMRT Improves Cervical Cancer Outcomes
Products and Services
RSNA New Product Spotlight
News Scan
Second Opinions
A double take on who said what and what is worth a second look