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In This Issue
Worth Repeating
“While we may not be able to give Americans the life expectancy that Canadians have, we can take more pictures of people dying."

Otis Webb Brawley, MD, chief medical officer of the American Cancer Society, from his new book, How We Do Harm, as reported in USA Today
Other Imaging News
MRI Research Attempts to Illustrate Traumatic Brain Injury
Researchers are looking into how a new MRI technique could improve diagnosis and possibly even guide rehabilitation in civilian and military patients who sustain traumatic brain injury, according to an MSNBC report.

Study: CMS Measure to Flag Unnecessary CTs Unreliable
While maybe well intended, a measure meant to tease out which patients who present to the emergency room with non-trauma-related head pain really require a CT scan doesn't work, according to MedPageToday. A study of the measure found its overall accuracy to be below 20%.

How Reimbursement Reductions Affect Imaging Services
Bloomberg news details the effects that federal imaging cuts are having on radiology services, such as increased wait times and a lack of funds for new equipment, especially in underserved areas.
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Editor's E-Note
Who should perform a medical procedure? Whoever is properly trained. Where a physician's skills originate is less important than the point to which they've developed. Endovascular interventions illustrate this situation very well. That idea is the topic of this month's E-News Exclusive.

— Jim Knaub, editor
E-News Exclusive
Whose Procedure Is It Anyway?
By Jim Knaub

“A training curriculum, combined with mastery of training and documentation of satisfactory clinical outcomes compared with national benchmarks, will confirm the skill of the ____________ physician. It is time to stop looking from the perspective of an individual specialty.”

The blank inserted in the above quote originally contained the phrase “endovascular stroke” but just as easily could have been carotid disease, endoscopy, or any of many other possibilities. The quote came from a Medscape Radiology article about who should treat stroke, written by David Sacks, MD, an interventional radiologist in West Reading, Pennsylvania.

I’ve often heard interventional radiologists lament about other specialists who adopt catheter-based treatments developed in interventional radiology and subsequently wrest procedures and patients from interventional radiology. In this case, Sacks was writing about endovascular surgical neuroradiology (ESNR) fellows’ concern about interventional radiologists and cardiologists performing catheter-directed stroke treatments and encroaching on ESNR fellows’ territory.

Full Story »
Currently in Radiology Today
Hospital Employment — Can It Work for Radiologists?
It's starting to happen more often. Experts share tips on how to make it work. Read more »

Virtual Colonoscopy: Turf War and Peace
At a Wisconsin healthcare system, radiologists and gastroenterologists are setting aside sometimes differing viewpoints on colon cancer screening techniques to increase screening rates in a team effort. Read more »

Practice Makes...
While not perfect, simulation-based training has value in radiology instruction, particularly for interventional radiology. 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.
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