Radiology Today E-Newsletter

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E-News Exclusive

Are Your Orders in Good Order?

Mammography Information Systems

How to Build a Busy PAD Practice

CR: A Changing Role

On the Case

Imaging and Hospital Stays

Overuse of Diagnostic Imaging

CCSVI Study Fails to Support
Angioplasty for MS

Worth Repeating

“In our daily clinical practice, we do the tests and the bill goes out the door later. … We just don’t know what the impact will be on a patient’s deductible. That should be really clear up front with people.”

— Ethan Foxman, MD, president and CEO of Jefferson Radiology in Connecticut, as reported in The Hartford Courant

Each year, Radiology Today publishes its take on five things to watch in the coming year based on observations and discussions at RSNA—and we’ll do that again in our January issue. But this year I also want to take a prospective look at RSNA with four things I’m curious about going into the meeting.

With that in mind, this month’s E-News Exclusive peeks at three things from the meeting program that have piqued my curiosity—as well as how the reelection will affect the mood at RSNA. I hope to see many of you in Chicago.

— Jim Knaub, editor

Four Things to Look for at RSNA
By Jim Knaub

1. How will the relationship between radiology and patients evolve? The powerful combination of consumer empowerment and the shifting of a greater share of healthcare costs directly to the patient is changing healthcare. The theme of RSNA 2012—“Patients First”—acknowledges this still-evolving change.

The abstract for the address of RSNA President George S. Bisset III, MD, describes the situation pretty well: “The classical model of medical care—which portrays the authoritative physician and the obedient patient, complying with medical recommendations regardless of level of understanding—is rapidly crumbling. Radiologists should be a part of the movement to build something in its place. But, is there anything we can do to actually make a contribution to such an effort, or will we simply continue to talk about it?”

To quote no less an authority than Buffalo Springfield, “There’s something happening here/what it is ain’t exactly clear.” For what it’s worth, I’m very interested to hear Bisset’s talk and gauge how radiology groups, hospitals, and imaging centers might respond to the change in an effort to improve service and care and, perhaps, strengthen radiology.

There seems to be some sense that building different, stronger relationships with patients may improve care (a worthy objective in own) and somehow combat the increased commoditization of images and reports in radiology. The specialty’s challenge may be to figure out and communicate to patients and payers just what that relationship is and how to foster it.

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Are Your Orders in Good Order?
An expert answers common questions about obtaining proper exam orders.
Read more »

Mammography Information Systems
Breast imagers face the dual challenge of keeping up with regulations while improving workflow. Read more »

How to Build a Busy PAD Practice
The ranks of patients with peripheral artery disease are expected to grow, due partly to the obesity epidemic and an aging population. According to some in the industry, this presents a great opportunity for interventional radiologists interested in diagnosing and triaging these patients. Read more »

Technology Update: CR — A Changing Role
Direct digital radiography is expanding, but CR still has its strengths and uses in many facilities. Read more »

On the Case
Check out our original case study department, edited by radiologist Rahul V. Pawar, MD. Read more »

Also, you can check out the entire issue in the Radiology Today digital edition.

Imaging and Hospital Stays
There's no proven connection, but a new study detailed in ScienceDaily reports that more expensive hospitalization jumped while imaging utilization decreased. It would seem that research is warranted to measure how imaging might affect hospitalization.

Overuse of Diagnostic Imaging
Radiologists comment on the overuse of imaging and the Choosing Wisely campaign in the October issue of the Annals of Internal Medicine.

CCSVI Study Fails to Support Angioplasty for MS
Results from the largest study to date on CCSVI do not support angioplasty as a treatment to relieve MS symptoms, according to a MedPage Today article on the subject. We've reported on this topic twice this year in Radiology Today.

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