• Sodium MRI
• RBMs Are Part of the Obama Plan
• Ultrasound Exams
• Talk to Me—PACS and Ultrasound
• Early Detection of Second Breast Cancer Improves Survival
• Is PSA Testing Worthwhile?
• Diagnosing Silent Heart Attacks
• Pop Art CTs

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"Americans have been getting screened for prostate cancer because there is this religious faith that finding it early and cutting it out saves lives. We've been doing faith-based screening instead of evidence-based screening. These findings should make people realize that it's a legitimate question about whether we should be screening for prostate cancer."

Editor’s E-Note

If you know what’s likely to happen, you have a better chance of doing something about it. That’s the upshot of the study featured in this month’s E-News Exclusive. Calling gated SPECT the “best predictor of prognosis in chronic ischemic heart disease,” researchers in Italy followed nearly 500 patients for up to three years. By assessing the relative risks of future cardiac events, doctors can determine how to allocate resources and which patients need the most aggressive treatment.

And don’t forget to explore our revamped Web site, www.radiologytoday.net. We’ve added valuable content and made the site more accessible to our readers looking for specific information.

— Jim Knaub, editor

Gated SPECT Is Best for Heart Disease Assessment

A study comparing the ability of various medical techniques to accurately determine the extent of heart disease and stratify patients according to disease severity found that myocardial perfusion testing with gated SPECT was the best predictor of prognosis in chronic ischemic heart disease. According to the American Heart Association, it is the leading cause of death in the United States and the European Union.

“The prognostic value of stress testing with myocardial perfusion imaging [gated SPECT] has been investigated for several years,” says Alessia Gimelli, MD, of the Clinical Physiology Institute CNR, G. Monasterio Foundation in Pisa, Italy. “However, substantial changes in nuclear cardiology have occurred over the past two decades that have led to improved techniques. The clinical profile of patients with ischemic heart disease has also changed, with patients often being older and affected by more diseases than in the past. We were therefore surprised to see that gated SPECT remains the best predictor of future cardiac events in patients with ischemic heart disease.”

(FULL STORY)

Sodium MRI — Taking a New Look at Osteoarthritis
Sodium MRI has been around for a while, but higher magnet strengths and new technologies have increased the potential for significantly earlier diagnosis of and possible treatments for osteoarthritis. Read more

RBMs Are Part of the Obama Plan
Everyone agrees that healthcare is too expensive, but there’s a lot of disagreement about how to trim the cost. Many in the radiology community are concerned about the inclusion of RBMs in the president’s strategy. Read more

Ultrasound Exams — Bright Future, but Will It Be in Radiology?
Ultrasound’s popularity continues to grow, but will it outgrow the radiology department? Read more

Talk to Me — PACS and Ultrasound Work on Their Communication
PACS and ultrasound interoperability still isn’t perfect, but it’s come a long way. Read more

Early Detection of Second Breast Cancer Improves Survival
A new study finds that the early detection of a woman’s second breast cancer greatly improves her chances for survival, according to Reuters.

Is PSA Testing Worthwhile?
The Washington Post reports that prostate cancer screening may not significantly increase survival rates, and men should carefully consider the risks before undergoing screening.

Diagnosing Silent Heart Attacks
Researchers have used a relatively new MR technique to detect previously undiagnosed “silent” heart attacks, according to CNN.

Pop Art CTs
The New York Times reports on an artist-turned-medical student who images everyday objects such as toasters and Chicken McNuggets.

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