• Selecting contrast media for pediatric fluoroscopy: A primer
    What type of gastroenteric contrast media should be used for pediatric fluoroscopy? Pediatric radiologists at Boston Children’s Hospital prepared a comprehensive review of the enteric contrast media they routinely use. Their article, published in Pediatric Radiology, provides suggestions for the proper use of these media in children

  • Impact of reporting incidental neuroimaging findings to research participants
    Incidental findings are detected in up to 70% of neuroimaging scans. At the University of New Mexico Health Sciences Center and the Mind Research Network in Albuquerque, these are routinely reported to individuals participating in research studies. However, the terminology used and the complexity of radiology reports can be challenging, confusing, and/or even incomprehensible to the research participant who may overreact or ignore recommendations. What should be done?

  • The DENALI trial: evaluating a retrievable nitinol IVC filter
    Pulmonary embolism (PE) is a major cause of morbidity and mortality in the United States. Inferior vena cava filters can provide efficacious prophylaxis against PE in appropriately selected patients. Successful findings of a clinical trial assessing the safety and efficacy of a nitinol retrievable IVC filter are reported in the Journal of Vascular and Interventional Radiology.

  • European Society of Breast Imaging’s position on breast cancer screening
    The European Society of Breast Imaging (EUSOBI) and 30 national radiology organizations have issued a position paper published in European Radiology on the importance of mammography for breast cancer screening examination as well as their recommendations

  • MERIDIAN study: In utero MRI recommended to supplement ultrasound of fetal brain abnormalities
    Ultrasound has been the standard-of-care imaging exam to identify brain anomalies in fetuses. But when a brain abnormality is suspected, an in-utero MRI (iuMRI) is highly recommended. It can provide additional diagnostic information and change prognoses and clinical management, according to findings of MERIDIAN, a large, British multi-institution study published in The Lancet.

  • Radiologists: Leading “imaging wisely” initiatives
    Radiologists play a unique role in ensuring the appropriate use of diagnostic imaging examinations, particularly neuroimaging, according to an article published in the December issue of the ANJR American Journal of Neuroradiology. Four members of the American Society of Neuroradiology (ASNR) encourage radiologists to be proactive and lead the initiative for physicians to utilize evidence-based guidelines and clinical decision support (CDS) systems.

  • FAST breast MRI can replace conventional breast MRI
    First post-contrast Acquisition SubTracted (FAST) protocol, an abbreviated breast MRI scan, takes a fraction of the time to perform and requires less time for a radiologist to interpret than a screening exam using a full diagnostic breast MRI protocol. The FAST protocol can confidently be used for breast cancer screening, Australian radiologists advise in an article published in the Journal of Medical Imaging and Radiation Oncology. Their study that showed false positive rates and recall rates of the two protocols were comparable.

  • CT colonography: a screening exam for abdominal aortic aneurysms
    CT colonography (CTC) is increasingly being used in many countries as the preferred screening examination for colon cancer. Because CTC images offer the potential for detection of extra-colonic incidental findings make it a “double-duty” screening exam for small abdominal aortic aneurysms (AAA). A study from New Zealand published in the Journal of Medical Imaging and Radiation Oncology sought to determine CTC’s impact

  • TDABC cost analysis of common CT exam identifies potential for cost reduction
    Identifying opportunities to improve the efficiency of performing radiology exams is one way for a hospital radiology department to reduce its costs. The University of Utah School of Medicine in Salt Lake City applied time driven activity based costing (TDABC) to identify ways to improve their process of performing abdominal and pelvic CT exams.

  • CT-guided epidural steroid injections are safe for elderly patients
    Epidural steroid injections (ESI) using CT-guidance may be safely administered to elderly patients, according to a study published in Pain Physician. Researchers at Albert Einstein College of Medicine conducted a retrospective analysis of all patients over the age of 65 who had CT-guided interlaminar ESI procedures and determined that this procedure could be conducted with low procedure times, with relatively low radiation dose, and without complications.

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