The evolution of PACS

As the healthcare industry increasingly adopts new accountable care payment models, providers must determine the most cost-effective ways to deliver quality patient care. In the case of radiologists, that means improving communication with fellow doctors and cutting back on unnecessary imaging as reimbursement dollars will be handed out based, not on the volume of patient tests conducted, but the sustained good health of those patients.


To that end, the evolution of picture archiving and communication systems is crucial. Special Report

Cancer screening wonder: Skepticism taking over

The introduction of mammography and colonoscopy back in the 1960s helped introduce an "age of wonder" for cancer screening that correlated with a significant drop in mortality rates, according to Cary Gross, M.D., of Yale Medical School. Conversely, according to Gross, the 21st Century has launched a new age of wonder in the sense that people are now wondering how beneficial cancer screening actually is.

False positives associated with increased risk of breast cancer

Women whose screening mammograms result in false positives have an increased risk of later developing breast cancer, although the reasons behind this phenomenon remain unknown, according to a study in the journal Cancer Epidemiology.

Med imaging technology industry generates $3 billion in Washington state

The medical imaging technology industry in Washington state is responsible for $3.1 billion in economic activity and supports more than 12,000 jobs, according to a report commissioned by the Medical Imaging & Technology Alliance.

'FAST' MRI speedier, more accurate than digital mammo

An abbreviated MRI screening protocol for breast cancer results in an exam that takes just three minutes, is just as good as a regular MRI that takes an average of 21 minutes and is more accurate than digital mammography, according to a study in the Journal of Clinical Oncology.

3 steps imaging providers can take to prepare for ICD-10

With all of the delays, it seems like we've been waiting forever for ICD-10. But it now seems clear: Oct. 1, 2015, will be the day it takes effect. And it's probably not a bad idea for radiologists to again reflect on the impact the coding shift will have on radiology.


Radiology managers still skeptical about Medicare reimbursements

Medical imaging managers and directors continue to have low confidence that they will be adequately reimbursed by Medicare for diagnostic and interventional imaging services.

Cancer screening still common in elderly patients with limited life expectancy

Older Americans with limited life expectancies continue to undergo routine cancer screenings despite the probability it will not provide them with any net benefit, according to a study in JAMA Internal Medicine.

New photoacoustic technique improves imaging of intestine

A new, noninvasive imaging technique combining photoacoustic imaging, PET and a nanoscale contrast agent improves imaging of the intestine, according to an article in Nature Nanotechnology.

VHA project a middle approach toward low dose CT lung cancer screening

Amid the continuing debate over whether there is sufficient evidence to support the widespread use of low-dose CT (LDCT) lung cancer screening, the Veteran's Health Administration has launched a demonstration project to assess its initial experience in implementing a screening program.

Balancing the risks and rewards of imaging with ionizing radiation

A new report from the Committee on Medical Aspects of Radiation in the Environment in the UK reminds us that efforts are underway to continue to understand and balance the risks and rewards of medical imaging with ionizing radiation.

For cancer survivors, colonoscopy risks increase with age

Colonoscopies for cancer survivors over the age of 74 may carry risks that outweigh the benefits, according to a study published online in JAMA Internal Medicine.

Remote robots cut imaging consult, procedure times

Researchers now are able to successfully perform imaging exams using robotic arms controlled remotely via the Internet, according to two papers published in the August issue of JACC: Cardiovascular Imaging.

MRI-guided prostate biopsy enables more precise cancer care

Oncologists at the University of California San Diego Moores Cancer Center are using MRI with traditional ultrasound prostate exams to produce three-dimensional images of the prostate that enable physicians to see previously undetectable growths.

Walmart health and its implications for imaging

Walmart has opened five primary care offices across the country with plans to add more. These offices are in/near their stores. And, the supply-chain-rich, nationally-networked behemoth has decided to roll out this initiative by targeting underserved populations. Consequently, it is necessary to ask ourselves, "What is next?" I argue that imaging will be the next service offered at discount prices by our local stores. "Welcome to Walmart! Would you like to get a mammogram today?"

Initiative reduces inappropriate imaging referrals

Efforts by the Ontario Ministry of Health to reduce inappropriate imaging referrals for lumbar MRI didn't lower the number of new referrals but did result in the ordering of more appropriate exams, according to a study published this month in the Journal of the American College of Radiology.

Modern imaging tech helps cath labs reduce radiation dose exposure

Cardiologists at Cleveland Clinic were able to significantly reduce radiation doses in their catheterization laboratories through the use of new imaging technology and flat-bed panel detector systems, according to an article published online in Circulation: Cardiovascular Interventions.

Should age be a barrier to mammography?

According to Judith A. Malmgren, M.D, affiliate assistant professor at the University of Washington's School of Public Health and Community Medicine in Seattle, the problem with determining the effectiveness in this age group is the paucity of available research; elderly women don't make good candidates for clinical trials.

CDC cancer screening program for underserved women effective, but lacks reach

The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) began in 1991 and has provided more than 4.3 million women with breast and cervical cancer screening and diagnostic services. However, researchers say, it has only been able to reach a relative small percentage who are eligible for the program

Stanford researchers develop noninvasive brain imaging technique

Stanford University researchers have developed a method of imaging the brain through the use of lasers and carbon nanotubes.