• Big Picture
• Talking It Through
• Killer Diagnosis
• Molecular Imaging
• New, Faster MRI Techniques
• Malpractice Changes
• Quality of Scans Not the Same
• More Radiation

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“The studies I see coming from the outside vary from marginal quality to very good quality. Some of it is related to equipment, and some is related to people with very good equipment who don’t know how to use it right. And on the interpretation side, there is also a very wide range of quality or accuracy, in my opinion. A good radiologist can sometimes accurately read scans off of a lower-quality scanner. I see that all the time. A good radiologist and a lower-quality scan could be better than a bad radiologist and a good scan.”

— Chris Beaulieu, MD, a Stanford University radiology professor, as reported in The New York Times

Editor’s E-Note

Apparently, putting bulging disk material back into the vertebrae isn’t as difficult as putting toothpaste back in the tube.
 
Kieran Murphy, MD, reported on injecting a mixture of ozone and oxygen into herniated disks at the Society of Interventional Radiology’s annual meeting last month. The technique has been used in Europe for about 15 years and works because the mixture contracts the disk tissue, drawing it back into the vertebral space. The details are described in this month’s E-News Exclusive. Murphy predicts it will become standard care in the United States in coming years as it can replace surgical diskectomy with a complication rate less than 0.1% and a bandage.
 
In other interesting radiology news, new MRI techniques may lead to faster scanning and better disease detection.

— Jim Knaub, editor

Back Pain Relief May Be in the Ozone

People who suffer with chronic back pain will do almost anything for relief, but most treatments are almost as debilitating as the condition itself. A minimally invasive treatment, presented at the Society of Interventional Radiology’s 34th Annual Scientific Meeting, safely and effectively uses oxygen/ozone to relieve the pain of herniated disks. The researchers who worked on the study predict that the treatment will become standard in the United States in the next few years. In a related study, they examined how ozone relieves the pain associated with herniated disks.

(FULL STORY)

Big Picture
Advances in CT technology are allowing clinicians to do whole-brain perfusion studies. Read more

Talking It Through
Implementing speech recognition isn’t easy, but the end results are worth the aggravation. Read more

Killer Diagnosis
When he’s not busy interpreting MRI and CT scans, Keith Wilson, MD, is dreaming up inventive ways to kill people—in writing. Read more

Molecular Imaging — A New View on Immunotherapy
A novel PET tracer is helping clinicians track the location and progress of specially programmed white blood cells. Read more

New, Faster MRI Techniques
Two new MRI techniques that manipulate the spin of molecules could lead to faster scanning and possibly faster disease detection, according to Reuters.

Malpractice Changes
The Associated Press reports that changes to medical malpractice litigation rules may be gaining traction in the healthcare debate.

Quality of Scans Not the Same
A recent New York Times article notes that the quality of medical scans can vary widely, but that’s not reflected in their cost.

More Radiation
ABC News reports that Americans’ exposure to radiation has risen dramatically in the last 29 years, largely due to medical scans.

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