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Care Delivery

 

For Imaging Leaders, Keeping Up With Evolving Policies and Safety Standards Gets Harder By the Day

 The Words We Use to Describe Interdepartmental Relationships Matter More Than You Might Think

It’s a question that comes up time and time again in medical imaging: How should incidental findings be handled by the radiologist? Should they be included in the radiology report or just ignored? While radiologists don’t want to alarm patients, they also realize that not reporting a finding could have devastating results for the patient and involve the radiologists in malpractice litigation. There also are potential cost savings to consider. At a time when quality is being emphasized over quantity, reducing the number of unnecessary follow-up exams is a priority throughout all of radiology.

In an advisory posted to its website, the U.S. Food and Drug Administration (FDA) noted that each time a mobile unit is moved to a new location, a post-move verification test must be conducted prior to imaging patients at the new location. The advisory is in adherence with the Mammography Quality Standards Act (MQSA).

With the ubiquity of electronic medical records combined with online patient portals, patients have easier access to physicians’ reports than ever before. But understanding those documents is another matter altogether.

 

Recent Headlines

Smokers who receive CT scans are less likely to light up

Seeing is believing—at least when it comes to smokers who undergo CT scans of their lungs. Those who do are more likely to quit, according to research from a number of U.K. universities.

AHRA 2017: An inside look at medical imaging in the NFL

Numerous sessions at AHRA 2017 in Anaheim, California, have focues on topics such as clinical decision support, patient-centered care and leadership. Only one session, however, gave attendees a sneak peek at what it’s like working on the sideline during an NFL game.

No-shows in radiology can be predicted—no crystal ball required

No-show visits (NSVs) are a considerable obstacle for all healthcare specialties, and radiology is no exception. Imaging leaders have often wished they could predict which patients might be NSVs, and according to a new study published in the Journal of the American College of Radiology, that wish has come true.

Gadolinium deposition ignoring the blood-brain barrier, according to study

Gadolinium deposition in the brain may be worse than previously feared, bypassing the blood-brain barrier and landing in regions of the brain responsible for voluntary motor control.

Under pressure: 3 key takeaways from a new survey on burnout in radiology

Burnout is found in all healthcare specialties, but what about radiology specifically? Jeffrey P. Guenette, MD, and Stacy E. Smith, MD, of the department of radiology at Brigham & Women’s Hospital in Boston, surveyed resident members of the New England Roentgen Ray Society to explore the seriousness of burnout in radiology.

Reflections on My Career as a Radiologic Technologist in the NFL

I have experienced medical imaging from a perspective that is a bit out of the ordinary, spending my Sundays working on NFL sidelines. The fast-paced, physical world of professional football has taught me a great deal over the years, and I like knowing that I am making a difference in the lives of these athletes.

Zika-caused microcephaly takes many weeks to show up in prenatal neuroimaging

It takes at least 15 weeks for fetuses to develop signs of microcephaly or other problems observable on prenatal imaging after Mom is bitten by a Zika virus-carrying mosquito during her first trimester, according to the authors of a South American study published online in Obstetrics & Gynecology.

How imaging is critical in diagnosing male infertility

Imaging has a central role in diagnosing male infertility, according to a review published in RadioGraphics. Scrotal ultrasound and MRI have emerged as the preferred modalities while invasive procedures such as vasography have fallen out of practice, but CT has its uses as well.

Asian women in US face longer mammography follow-up times

Asian women experience delays in mammography follow-up across all ethnic sub-groups, but certain groups have much worse follow-up times than others, indicating a need for more granular tailoring of breast screening programs.

JACR study shows moderate agreement on PI-RADS classification, highlights pitfalls

A diverse mix of trainees and physicians demonstrated moderate interobserver agreement when sorting prostate cancer cases into categories laid out by the Prostate Imaging Reporting and Data System (PI-RADS), demonstrating resiliency to varying levels of education attained by users. However, a persistently "OK" agreement rate may indicate systemic problems with PI-RADS.

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