Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

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What factors impact reader variability the most? New research offers insight

A new paper in Radiology explores factors that can lead to reader variability in CT imaging, from the radiologist’s experience level and subspecialty to navigation patterns and time spent interpreting. 

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New lesion measurement assesses treatment responses more accurately than RECIST

Researchers believe the new method of assessing treatment responses could pave the way for developing new cancer therapeutics.

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Experts call for guidelines limiting interpretations during busy shifts, citing a reduction in error rates

When exam volumes increase, so too does the risk of diagnostic errors in interpretations, many of which can be clinically significant.

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Experts concerned with radiation doses in young women call for stricter ordering criteria for CT exams

Experts found that compared to the average effective doses of organs, breast doses were higher, representing increased risks of breast cancer for women. 

Improving the diagnostic value of portable imaging: Experts propose 3 interventions

After experts from one institution evaluated 500 portable chest x-rays completed during the summer of 2021, it was revealed that 46.2% of the images obtained were problematic, requiring the imaging to be repeated. 

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Might AI automation improve peer review?

With the software’s help, the ratio of CTs requiring radiologist review to missed findings identified was 10:1, experts shared, adding that without the help of AI that ratio would be at least 66:1. 

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Deep learning reconstruction levels playing field between 1.5T and 3T MRI exams

Denoising using deep learning techniques can boost the performance of 1.5T MR brain imaging, resulting in quality comparable or superior to 3T imaging. 

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A significant finding was missed by two radiologists, so why was only one held liable?

One radiologist is being held liable for a patient’s injuries due to a “breach of standard of care” despite another radiologist also missing the same significant finding, Canadian Lawyer reports. 

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The newly cleared offering, AutoChamber, was designed with opportunistic screening in mind. It can evaluate many different kinds of CT images, including those originally gathered to screen patients for lung cancer. 

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