Magazine

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A funny thing happened on the way to the printer with this issue of RBJ. In an email exchange, a radiologist who’d spoken with one of our reporters let me know he had more to say on the combustible subject about which he’d been interviewed. 

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Rural U.S. populations often suffer poor access to healthcare services. The cracks many patients fall through are not the fault of radiology per se. However, researchers and rural radiologists agree that much imaging ground must be gained if location-based disparities are to be cut down to size.

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Notwithstanding the hopes and fears around AI, medical 3D printing is the emerging technology that could help pull radiology into the realm of the indispensable. Thanks to progress toward permanent billing codes, the future of reimbursable 3D printing is taking shape.

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Despite authoritative voices reassuring radiologists that artificial intelligence will never seriously cull their workforce, speculation to the contrary continues. In fact, some of the prognosticators most certain about likely job losses are radiologists themselves.

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We sought out a handful of radiology executives, directors and managers who started out as radiologic technologists. They share their stories, talk about radiology’s present challenges and offer tips for today’s techs hoping to become tomorrow’s leaders.

Bibb Allen, MD, FACR, chief medical officer of the American College of Radiology (ACR) Data Science Institute, discusses multiple factors involved in the adoption rate of artificial intelligence (AI) in radiology.

A machine able to interpret diagnostic imaging studies better than radiologists has long been foreseen, yet its arrival comes almost as a surprise. We have underestimated the potential of AI to perform the kinds of work we do.

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"There’s so much to be excited about going forward," she told Radiology Business Journal Editor Dave Pearson in an exclusive interview. 

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A midsize private practice blooms where planted.

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With few exceptions, the most attention-demanding discussions about how and when artificial intelligence will transform radiology have been led by—and largely held within—the academic sector. That’s not surprising, given that teaching radiologists are the ones doing the research, blazing the trails and comparing the notes.

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When it comes to achieving price transparency for patients who are intent on minimizing out-of-pocket pain for medical services, radiology practices face a stark choice: Innovate or perish.

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The Institute of Medicine’s 2015 report Improving Diagnosis in Health Care revealed the persistence of diagnostic errors in all settings of healthcare that continued to harm an unacceptable number of patients. Numerous factors contribute to hindering the diagnostic process, such as workflow limitations, poor implementation of technology, the medical liability system, current reimbursement models and organizational culture. Nonetheless, the authors conclude that improving the diagnostic process is “not only possible, but also represents a moral, professional and public health imperative.”

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Since the introduction of the concept of an interventional radiology ambulatory surgery center (“irASC”) in 2016, there’s been an explosion in the number of billing codes that permit irASCs to collect for outpatient interventional procedures.