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The Right Fit

Completing the Call

Reporter's Notebook: ASTRO 2013

MRgFUS — Looking Beyond
Uterine Fibroids

Energy Metabolism Measured
by MRI Predicts Clinical Outcomes

ACR Discusses Low-Dose CT
for Lung Cancer Screenings

Ultrasound Detects Appendicitis
in Children

MRI May Provide Stem Cell Tracking

Worth Repeating

“The physician/patient bond that is well developed in oncology serves as a model for all of radiology. When diagnostic radiologists are truly represented as a part of the patient care team, patients will start to appreciate the value of their radiologists.”

— Sarah S. Donaldson, MD, in her president’s address during RSNA 2013

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At some point, I believe that teleradiology will drop the prefix and just become radiology. As informatics improve, physicians reading remotely consistently will have access to the same prior images and medical records as on-site radiologists, reducing the differences between preliminary and final reads. The current distinction between teleradiology and on-site radiology will fade.

Procedurally, that’s already changing in many places. But every bit as important as the technical and physical changes will be the period of acceptance of that change by radiologists.

— Jim Knaub, editor

Time and Teleradiology
By Jim Knaub

Rumors of the death of preliminary reads have been greatly exaggerated if you ask Eric Trefelner, MD. Granted, Trefelner and his colleagues at NightShift Radiology have a horse in this race. The Calfornia-based teleradiology group announced at RSNA 2013 that it will stop offering final reads to customers.

“We believe the reputation of the teleradiology industry is being tarnished by large national companies who might be more interested in supplanting customers rather than supporting them,” he said. “To avoid this perception, we have declared that final reads will no longer be included in our service offering. This move reinforces our commitment to being a trusted partner, never a replacement, by supporting community-based radiologists in delivering exceptional service.”

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The Right Fit
The University of Pittsburgh Medical Center Altoona Regional Health System has found a way to balance physician autonomy with the security and benefits of hospital employment. Read more »

Completing the Call
Read about critical test results management systems, which help ensure major radiology findings flow quickly from the radiologist to the physician. Read more »

Reporter's Notebook: ASTRO 2013
Learn about the latest research findings presented at ASTRO’s annual meeting this fall. Read more »

MRgFUS — Looking Beyond Uterine Fibroids
While this noninvasive procedure primarily is used to treat uterine fibroids, experts agree that it may be used for other complications, such as metastatic bone tumors. Read more »

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Energy Metabolism Measured by MRI Predicts Clinical Outcomes
Johns Hopkins researchers have found that energy metabolism within the heart, measured by noninvasive MRI, is a significant predictor of clinical outcomes in heart failure patients, according to their press release.

ACR Discusses Low-Dose CT for Lung Cancer Screenings
The ACR provided a statement on the recent JAMA Internal Medicine online article about low-dose CT’s risk of overdiagnosis in lung cancer screenings.

Ultrasound Detects Appendicitis in Children
Using ultrasound to detect appendicitis in pediatric patients may be just as effective as the standard CT approach, according to researchers at Montefiore Medical Center.

MRI May Provide Stem Cell Tracking
IV iron may be used to label stem cell transplants for tracking with MRI in arthritic joints and other target tissues, according to an RSNA press release.