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FEATURES
Assessing  AI
  As the early  alarm bells have begun to fade from radiologists’ ears, machine learning  continues to make notable progress as a diagnostic avenue. We examine ways AI  can be fine-tuned on variables such as genetics to improve patient-specific  diagnoses.  
Narrowing  the Field
  Advancements  in portable, low-field MRI are making it increasingly feasible and  cost-effective to bring imaging directly into the operating theater,  streamlining the surgical process and improving patient outcomes. 
Out of  This World
  With space  travel increasingly within the reach of private citizens, and given the health  consequences associated with zero-gravity environments, a digital tech company  has taken the lead in making cardiac ultrasound available aboard the  International Space Station. 
Positive  Reviews
  We take a  deep dive into additional pandemic-era accommodations that may prove to be a  long-term blessing in disguise: Numerous manufacturers have ramped up their  capacity to render portable DR, and the results are impressive.     
departments
Editor’s  Note
  Moving Right  Along
CT Slice
  We look at  various ways AI and CT are shaping advancements in respiratory health. 
Interventional  News
  Yttrium-90  holds considerable promise for pediatric patients with liver tumors.  
Women’s  Imaging
  A new ACR  coalition aims to level the playing field for patients of diverse backgrounds. 
On the  Case
  Shwachman-Diamond  syndrome is diagnosed and analyzed.
Imaging  Informatics
  It’s a  particularly good time to reevaluate best practices for radiology IT security.

FEATURES
Not-So-Secret Agents
  Novel radiotracers with a “lock-and-key” design are becoming integral  to the targeted imaging, as well as the effective therapy, of specific bodily  regions. Experts share some ways their patients with prostate cancer have benefitted.
Another Look
  Amid some troubling new statistics about colon cancer, the US  Preventive Services Task Force has issued updated recommendations that  prominently emphasize screening with CT colonography, and the industry is  taking notice. 
Performance Enhancement
  A landmark study has revealed that those who interpret mammograms can  have widely disparate platforms of knowledge and experience. An effort is  underway to standardize the metrics and outline the keys to success. 
How Can You Mend a Broken Heart?
  By rendering the heart in four dimensions, thereby affording medical  personnel a virtually hands-on perspective, holography is distinguishing itself  as a next-level adjunct to diagnostic and surgical procedures. 
departments
Editor’s Note
  Seeing Is Believing
AI Insights
  Harnessing AI to extract biological data from tumors and lesions,  radiomics is opening welcome new diagnostic avenues. 
Fluoroscopy News
  This versatile modality continues to play a key role in imaging and  interventional procedures.
Reporter’s Notebook
  We share some highlights from the SNMMI 2021 Annual Meeting.
On the Case
  A patient presents with zoster sine herpete, and a medical team details  its prompt diagnosis and treatment.
Ultrasound News
  We take a deep dive into the latest developments and applications in  the realm of handheld ultrasound. 

FEATURES
A Room With a View
  With remote workstations becoming standard within the industry, a new  player, teleproctoring, is facilitating high-level collaborations that would  not otherwise have been feasible. 
In Network
  Functional and structural MRI are helping the medical community  consolidate all that is known about connectivity within the brain, while  revealing prospective areas of additional study.
Analyze This
  As inevitable growing pains accompany the advancement of AI and machine  learning in radiology, analytics is playing an indispensable role in smoothing  the way. 
Which Niche?
  We take a look at ways a number of practices are addressing the  variables—accessibility, licensing, credentialing—associated with  teleradiology.
departments
Editor’s Note
  On the Road
CT Slice
  We address nine challenges associated with pandemic CT imaging.
Managing to Succeed
  Under current conditions, an effective compliance program is a must. 
On the Case
  A 69-year-old patient presents with myloidosis of the breast.
Patient Safety
  COVID-era accommodations have necessitated additional safeguards  against hackers. 

FEATURES
Worst-Case Scenario
  When planning ahead for triage and other emergency circumstances,  radiologists need to anticipate a host of variables associated with staffing,  venues, and equipment. 
Change in Programming
  The industry is applauding several newly expanded lung cancer screening  protocols and forecasting that increased eligibility will translate into  thousands of lives saved.  
Intelligent Upgrades
  We check in with experts from top manufacturers to bring you the latest  on DR trends and technology, a discussion driven by the profound influences of  COVID-19 and AI. 
Targeted Treatment
  Delivered at the time of surgery, intraoperative radiation therapy is  making a difference for women with early-stage breast cancer, particularly  among underserved populations.  
departments
Editor’s Note
  Slightly Ahead of the Curve
Molecular Imaging News
  Get the latest on novel approaches to arthritis and more from SNMMI.
Ultrasound News
  A long-undervalued tool for assessing blood flow in the brain,  transcranial Doppler is making a comeback. 
Interventional News
  Radiologists are increasingly finding that robotic systems can offer  new dimensions to their practices. 
Imaging Informatics
  3D virtual reality models are bestowing the gift of X-ray vision upon  medical personnel. 
On the Case
  A mammography screening leads to a diagnosis of SMOLD, alternatively  known as Zuska’s disease.

FEATURES
Modeling Success
  Guided by state-of-the-art 3D imaging technology, a medical team  successfully performed a landmark surgery that replaced the hands and face of a  patient severely injured in an accident.  
A Broader View of COVID
  With a growing array of specialized diagnostic resources and insights,  radiological collaboratives are doing their part to keep the medical community  out in front of the pandemic. 
Changing Landscape
  Work-from-home solutions continue to be a priority for radiology practices.  We examine the trends as display manufacturers address today’s requirements for  quality, economy, and speed. 
Rocky Road?
Experts  take a deep dive into data migration and consolidation. 
DEPARTMENTS
Editor’s Note
  Collaborative Effort
Women’s Imaging
  Breast cancer mortality in women younger than 40 has shown a troubling  trend, prompting experts to seek answers.
AI Insights
  A Minneapolis startup is focused on clinical trials that will expedite  AI-centric tools and technology to the marketplace.
Reporter’s Notebook
  Breakthroughs in the treatment of cancer, knee arthritis, and  postpartum bleeding were spotlighted at SIR 2021.
On the Case
  A team based in India offers an in-depth analysis of a patient with  neonatal medullary nephrocalcinosis.

FEATURES
A New Focus
  A study published in the New England Journal of  Medicine reveals a new treatment option for Parkinson’s disease symptoms:  MR-guided focused ultrasound subthalamotomy. While the procedure is less  invasive than other ablative options and results are promising, it comes with  side effects.
Buried Treasure
  Emerging research blending imaging with AI is  spearheading breakthroughs in cancer treatment decisions. Using radiomics,  researchers are mining archival MRI, PET, and CT scans to identify markers that  can help determine the best course of action.
  
  Moving Target 
  While traditional methods of reducing radiation  dose to patients and technologists continue to be utilized and refined, new  techniques, such as refining patient positioning and tracking health care  worker exposure, are making a difference.
  
  The Gorilla in the Room
  When interpreting scans, readers of all  experience levels are susceptible to confirmation bias and/or inattentional  blindness—the tendency to overlook something readily apparent while on the  lookout for something else. Researchers are getting to the bottom of this and  offering strategies. 
DEPARTMENTS
MRI Monitor 
  Close attention is being paid to COVID-19 and  heart irregularities among collegiate athletes. 
Radiography News 
  Medical personnel in more than 10 countries are  using a new AI algorithm to reliably red-flag COVID-19 characteristics.
CT Slice
  Radiomics is leading to an improved  understanding of adverse outcomes in underserved populations. 
On the Case
  A medical team from Dallas examines a patient  who presented with an alcohol-related pancreaticopleural fistula.

FEATURES
Good  Vibrations 
  Though  ultrasound contrast agents with microbubbles have been in the radiologist’s  toolkit for more than 30 years, new research shows that strategic bursting of  these microbubbles improves treatment prospects for numerous patients, notably  those with liver cancer.
  
  Sharper  Imaging
  Fueled by  advancements in AI and hypertargeted imaging techniques and technology, CT  scans are being delivered faster, more safely, and with more detail than ever  before. Latest trends include photon counting CT and mobile bedside solutions.
Open to  Attack
  Health  care systems have long been a high-priority target for hackers, and imaging  departments have been particularly vulnerable. With cybersecurity personnel  increasingly resorting to remote workarounds, it’s time to reassess best  practices and procedures.
Risk  Assessment Rewards 
  Patients  continue to be blindsided by breast cancer diagnoses when warning signs could  have been red-flagged well in advance. Risk assessment guidelines are readily available  and their dissemination is the responsibility of every member of the health  care team.  
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Editor’s  Note
  Hope  Springs Eternal
Imaging  Ergonomics 
  We examine  the must-haves of a modern user-friendly home reading room.
Women’s  Imaging 
  Proponents  of uniform breast density reporting have made legislative progress, but more  can be done.
Ultrasound  News 
  Follow the  development of a groundbreaking sonography lab at Ohio’s Kettering College.
Imaging  Informatics
  Innovations  in AI, interoperability, and storage light the way to enterprise imaging, and  experts say it’s time to scale up. 
On the  Case
  A medical  team takes an in-depth look at cerebral venous sinus thrombosis, or CVST.
Nuc Med News
Second Opinions
FEATURES
Precision Prescription
         In triage situations, seconds count, and never more so than during a  pandemic. Given the concurrent priorities associated with social distancing, AI  thought leaders have trained their sights on split-second identification of  COVID-19 in the lung.  
Another Piece of the Puzzle
         In recent studies, emerging research using MRI in Alzheimer’s detection  shows promise in identifying its markers in the brain, with possible  applications for early diagnosis and symptom progression. 
Taking Ultrasound by the Hand
         Offering versatility, flexibility, and quick disinfection, handheld  point-of-care ultrasound devices may be the right tool at the right time. 
5 Things to Watch in 2021
         The venue may have changed, but RSNA’s online extravaganza was  chock-full as always with insights and developments. Our annual feature  spotlights a few of our favorites.        
departments
Editor’s Note
         One Year Wiser?
CT Slice
         Deep learning innovations are improving dose-reduction prospects for  facilities large and small. 
Women’s Imaging
         Implantable markers offer multiple benefits over traditional  wire-guided localization techniques.  
Billing and Coding
         For radiologists, evaluation and management coding changes are top of  mind for 2021.  
On the Case
         Experts analyze a case involving internal carotid artery tandem  dissections with pseudoaneurysm.