Diagnostic Imaging

Radiologists use diagnostic imaging to non-invasively look inside the body to help determine the causes of an injury or an illness, and confirm a diagnosis. Providers use many imaging modalities to do so, including CT, MRI, X-ray, Ultrasound, PET and more.

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Imaging CDS raises order appropriateness for ED trainees, attendings alike

Clinical decision support (CDS) tools help trainee physicians in the emergency department order advanced imaging more appropriately. Then again, experienced physicians using the tools hit about the same appropriateness scores as the interns, residents and fellows.

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FDA proposes significant updates to mammography regulations, including breast density reporting

The FDA announced Wednesday, March 27, that it is taking action to “modernize” breast cancer screening in the United States by amending the Mammography Quality Standards Act of 1992 with a new proposed rule.

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Dense breast notification laws boost cancer detection rates, ultrasound use

Dense breast notification (DBN) laws that require recommending supplemental tests and cancer diagnosis after screening mammography boosted ultrasound use and cancer detection rates in a recent study of more than 1 million women across the U.S.

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fMRI shows male, female brains going separate ways in the womb

Using resting-state functional MRI (fMRI) to image the brains of human fetuses in utero, researchers have confirmed that functional connectivity differs between the sexes from very early on in neurodevelopment.

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CT overused in patients with dental infections

Nearly half of CT scans ordered for patients presenting with dental infections are unnecessary, according to work published in the Journal of Oral and Maxillofacial Surgery, exposing patients to excess costs and physical risk where a more low-impact exam would have been sufficient.

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DCE-MRI helps diagnose, assess severity of acute pancreatitis

A preliminary study published in Academic Radiology March 15 suggests dynamic contrast-enhanced MRI (DCE-MRI) can add value to the diagnosis of acute pancreatitis (AP) while subverting the use of perfusion CT, potentially paving the way for more irradiation-free analysis.

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DBT reduces number of unnecessary biopsies while maintaining cancer detection rate

Compared to using standard or full-field digital mammography (FFDM), administering mammograms with digital breast tomosynthesis (DBT) reduces the risk of benign biopsies while maintaining a favorable cancer detection rate, according to research out of the U.K.

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Emergency callbacks due to imaging discrepancies ring up $2K-plus per pediatric patient

Over a recent eight-month period, children were not often called back to the ER of an academic children’s hospital in California due to discrepant radiology reports. However, the few who had to go back for a second look rang up additional charges to the tune of an average $2,289 per patient.

Around the web

Positron, a New York-based nuclear imaging company, will now provide Upbeat Cardiology Solutions with advanced PET/CT systems and services. 

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.

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