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American College of Radiology


Large medical center reduces CT scans and patient radiation exposure through a simple, educational intervention

A study published in the American Journal of Roentgenology found that a simple educational intervention and routing patients to V/Q scanning or CTPA based on chest X-ray results significantly reduced CT scan usage and radiation exposure. The medical center saw a 20% reduction in radiation dose from 8.0 mSv to 6.4 mSv.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateJan 21, 2010

Adverse reactions from gadolinium-based contrast agents used during MRI rarely occur, study suggests

A recent study published in the American Journal of Roentgenology found that acute adverse reactions from gadolinium-based contrast agents used during MRI are rare, occurring in only 0.16 percent of all administrations. The majority of reactions were mild, while six moderate and two severe reactions were reported.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateJan 21, 2010

New SBI and ACR recommendations suggest breast cancer screening should begin at age 40

The new SBI and ACR recommendations suggest that breast cancer screening should begin at age 40, with annual screening recommended for average-risk patients. High-risk patients may start screening as early as age 30. The guidelines aim to reduce mortality rates from breast cancer through earlier detection.

SourceAmerican College of Radiology·JournalJournal of the American College of Radiology·DateJan 4, 2010

Computerized order entry/decision support systems: Effective solution to managing imaging utilization

Computerized provider order entry/decision support systems offer an education-focused method of utilization management, tracking physician performance and comparing scores to peers. This approach has been shown to reduce imaging utilization by 2.75%, 1.2%, and 1.3% for CT, MRI, and ultrasound respectively.

SourceAmerican College of Radiology·JournalJournal of the American College of Radiology·DateNov 25, 2009

Chest ultrasound as useful as chest CT in the eval of pediatric patients with complicated pneumonia

A study published in American Journal of Roentgenology found that chest ultrasound is a viable alternative to chest CT for evaluating pediatric patients with complicated pneumonia. The study suggests using chest radiography and ultrasound as initial evaluations, with CT reserved for cases where ultrasound is technically difficult or di...

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateNov 20, 2009

Reasonable alternative to invasive biopsy of palpable breast lesions with benign imaging features identified

A study published in the American Journal of Roentgenology found that short-term follow-up is an acceptable alternative to invasive biopsy for women with palpable breast lesions showing benign imaging features. The study included 320 women with 375 masses and showed a low prevalence of breast cancer.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateNov 20, 2009

Greater use of in-patient diagnostic imaging improves patient outcomes without significantly impacting costs

A new study published in the Journal of the American College of Radiology found that hospitals using more in-patient diagnostic imaging exams had significantly lower in-hospital mortality rates without a corresponding increase in costs. The study analyzed data from over 100 hospitals and more than 1 million patient outcomes, suggesting...

SourceAmerican College of Radiology·JournalJournal of the American College of Radiology·DateOct 28, 2009

Radiologists develop scale to help clinicians predict disease severity in infants with NEC

A new scale, the Duke Abdominal Assessment Scale (DAAS), helps clinicians determine disease severity and need for surgery in infants with NEC. The DAAS provides a standardized 10-point radiographic scale that increases with disease severity, enabling earlier detection of patients at risk for developing severe NEC.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateOct 20, 2009

Medical imaging may help researchers understand the pathogenesis of H1N1 virus

Researchers used medical imaging to identify a severe case of H1N1 after a negative nasal swab test. CT scans revealed peripheral ground-glass opacities, which raised suspicion of the virus and were later confirmed as a cause of death. The study suggests that early CT scans may help clinicians recognize cases of severe influenza.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateOct 13, 2009

Radiological treatment method spares patients surgery and offers 89 percent cost savings

A minimally invasive procedure called CT-guided tube pericardiostomy has been found to be just as effective as surgical drainage in treating pericardial effusion, with a significant cost savings of 89%. This treatment method spares patients from recovery time and reduces the risk associated with invasive surgery.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateSep 21, 2009

Image-guided treatment for deep venous thrombosis could improve patients' long-term outcomes

Researchers explore image-guided interventional radiology procedures as a central role in treating DVT. These techniques aim to eliminate blood clots completely, potentially improving patient outcomes and preventing long-term complications. A national clinical trial is underway to confirm the effectiveness of this approach.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateSep 21, 2009

Radiologists find a technique to significantly reduce patient radiation dose during CT angiography

Researchers at Medical College of Wisconsin used prospective electrocardiogram (ECG) gating to significantly reduce patient radiation dose during CT angiography. The study compared retrospective and prospective ECG gating techniques, finding that image quality was equivalent but radiation doses differed substantially.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateSep 21, 2009

Kinetic variable most useful for identifying malignant MRI-detected breast lesions identified

Researchers found that the 'washout' curve type is most predictive of malignancy, with 45.7% of lesions with this pattern being malignant compared to 20% with a plateau and 13.3% with persistent enhancement. The study suggests that kinetic features in breast MRI assessment can help determine whether a lesion needs biopsying.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateAug 19, 2009

Pulmonary CT angiography identifies disease and injury beyond the pulmonary arteries in children

A study published in the American Journal of Roentgenology found that CT angiography can identify diseases and injuries beyond the pulmonary arteries in children. Researchers evaluated 89 CTA exams with suspected pulmonary embolism and found alternative diagnoses in 59% of cases, including pneumonia and atelectasis.

SourceAmerican College of Radiology·JournalAmerican Journal of Roentgenology·DateAug 19, 2009