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In This Issue
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Editor's E-Note
In 2011, the idea of using angioplasty to relieve symptoms of multiple sclerosis (MS) generated huge buzz in the MS community and among interventional radiologists. That buzz has quieted significantly as further research, discussed in this month’s E-News Exclusive, largely has failed to corroborate the theorized link between chronic cerebrospinal venous insufficiency and MS. Some patients have reported symptom relief from treatment, and controlled studies are under way to better assess that benefit.

— Jim Knaub, editor
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E-News Exclusive
New Research Breaks Link Between CCSVI and MS
By Jim Knaub

A well-controlled blinded Canadian study strongly disputes the link between narrowed neck veins and multiple sclerosis (MS) by reporting similar rates of narrowing among MS patients and unrelated healthy controls.

“The hypothesis that venous narrowings have a role in the cause of multiple sclerosis is unlikely, since the prevalence of venous narrowings is similar in people with the disease, unaffected siblings, and unrelated healthy controls on catheter venography,” wrote the authors of a study published this month in The Lancet. “Narrowing of more than 50% was recorded in almost 75% of the study population (cases and controls) on catheter venography, which supports the contention that venous narrowing is a common anatomical variant.”

Full Story »
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Worth Repeating
“With improvement in ultrasound technology, we are able to detect and visualize pregnancies at a very early age. These guidelines represent a consensus that will balance the use of ultrasound and the time needed to ensure that an early pregnancy is not falsely diagnosed as nonviable. There should be no rush to diagnose a miscarriage; more time and more information will improve accuracy and hopefully eliminate misdiagnosis.”

— Kurt T. Barnhart, MD, MSCE, an obstetrician-gynecologist in the University of Pennsylvania Perelman School of Medicine and a member of the Society of Radiologists in Ultrasound multispecialty panel, discussing the new criteria on ultrasonography
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Currently in Radiology Today
Ready for the Future?
Radiologists will need to rethink and adapt their roles as the US health care system changes in the coming years. Read more »

Deadline Passed
Read about the new HIPAA rules to determine whether your organization is compliant. Read more »

RAC Appeals
Learn how hospitals and providers may better recoup funds with electronic submissions during the appeals process. Read more »

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Challenges and Opportunities
RSNA President Sarah S. Donaldson, MD, provided Radiology Today with four issues facing radiology, and we supplied RSNA sessions that discuss them in more depth. Read more »

Bone Density Testing
With reduced reimbursement and access to DXA scans, bone density testing is moving from private practitioners to radiology centers. Read more »
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Other Imaging News
Ultrasound Predicts CVD Risk in Arthritis Patients
Researchers have found that carotid ultrasound is a better predictor of artherosclerosis in arthritis patients compared with CT, according to Medpage Today.

Experts Weigh in on the Breast Density Notification Law
Some states are passing laws requiring women to be informed of their breast density, but experts warn that breast density assessment is subjective and may lead to further unnecessary imaging, The Philadelphia Inquirer reports.

Physician Recruitment Center
Ontario Makes the Switch
From CR to DR
After a Radiology study showed that mammography using DR is more effective than CR, health care officials in Ontario, Canada, announced that the entire province would be replacing CR with DR mammography devices, according to RSNA.

PET/CT May Identify Markers for AAA Risk
Research suggests PET/CT may predict patients’ risk for abdominal aortic aneurysms, as reported by Medical News Today.
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