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            | As image volumes continue to grow and outpace the number of  radiologists, efficient workflow is essential in any radiology practice, not  only to reduce burnout but also to optimize treatment. This month, we take a  look at some AI advances that may help identify pathology earlier and ease  workflow bottlenecks. 
 Enjoy the newsletter. Let us know what  you think about it on Twitter and/or Facebook.
 
 —  Dave Yeager, editor
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				| AI May Improve Diabetes Diagnosis 
 Using a fully automated AI deep learning model, researchers  were able to identify early signs of type 2 diabetes on abdominal CT scans,  according to a recent study published in the journal Radiology.  Type 2 diabetes affects approximately 13% of all adults in the United States,  and an additional 34.5% of adults meet the criteria for prediabetes. Due to the  slow onset of symptoms, it is important to diagnose the disease in its early  stages. Some cases of prediabetes can last up to eight years, and an earlier  diagnosis will allow patients to make lifestyle changes to alter the  progression of the disease.
 
 Abdominal CT imaging can be a promising tool to diagnose type  2 diabetes. CT imaging is already widely used in clinical practices, and it can  provide a significant amount of information about the pancreas. Previous  studies have shown that patients with diabetes tend to accumulate more visceral  fat and fat within the pancreas than nondiabetic patients. However, not much  work has been done to study the liver, muscles, and blood vessels around the  pancreas, says study cosenior author Ronald M. Summers, MD, PhD, a senior  investigator and a staff radiologist at the National Institutes of Health  Clinical Center in Bethesda, Maryland.
 
 "The analysis of both pancreatic and extrapancreatic  features is a novel approach and has not been shown in previous work to our  knowledge," says first author Hima Tallam, BSE, an MD/PhD student.
 
 The manual analysis of low-dose noncontrast pancreatic CT  images by a radiologist or trained specialist is a time-intensive and difficult  process. To address these clinical challenges, there is a need for the  improvement of automated image analysis of the pancreas, the authors say.
 
 For this retrospective study, Summers and colleagues, in  close collaboration with cosenior author Perry J. Pickhardt, MD, a professor of  radiology at the University of Wisconsin School of Medicine and Public Health  in Madison, used a data set of patients who had undergone routine colorectal  cancer screening with CT at the University of Wisconsin Hospital and Clinics.  Of the 8,992 patients who had been screened between 2004 and 2016, 572 had been  diagnosed with type 2 diabetes and 1,880 with dysglycemia, a term that refers  to blood sugar levels that go too low or too high. There was no overlap between  diabetes and dysglycemic diagnosis.
 
 Full story »
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				| CDS Is Coming! You may have heard this one already, but you really should start  preparing for the penalty phase of the Centers for Medicare & Medicaid  Services’ appropriate use criteria requirement. Read more »
 
 Bringing  Work Home
 As in many other professions, the pandemic has accelerated the  work-from-home trend among radiologists. Check out the latest tech to make the  transition easier. Read more »
 
 Do  Not Delay
 Researchers say swollen lymph nodes from COVID vaccines  should not delay women from getting mammograms. Read more »
 
 Hanging on a Heartbeat
 Here’s a primer on the challenges  of interpreting cardiac MRIs. Read more »
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              | "First and foremost,  we're preserving an adequate reserve for our most emergent and critically  ill patients. We're making sure we use it efficiently. And we're  eliminating any waste." 
 
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