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In This Issue
American College of Radiology
Worth Repeating
"The history of Medicare is filled with unsuccessful efforts to rein in costs. Private health plans entered Medicare with a promise to shave 5% off costs, but ended up costing more than the traditional Medicare program. For two decades, Congress has tried to limit Medicare spending on doctors' services, but the limits have proved so unrealistic that Congress has repeatedly intervened to increase them."

Robert Pear, writing in the April 12 issue of The New York Times
Other Imaging News
When-to-Screen Breast Cancer Debate Continues
CBS News weighs in, asking whether the 2009 mammography screening guidelines are inadvertently making breast cancer deadlier with later detection.

Congress Discusses SGR Fix
Has the time finally come? According to an article on MedPageToday.com, several members of Congress and witnesses agreed that given the current focus on reining in Medicare spending, reforming the Medicare sustainable growth rate payment formula should happen now.

Audit Finds Long Waits at NYC Hospitals
An audit of New York's public hospitals found women were waiting weeks, sometimes even months, for mammograms (up to 148 calendar days for routine screening mammograms and 50 working days for diagnostic mammograms), according to this New York Times article.
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Physician Recruitment Center
Allied Health Careers
Today's Diet & Nutrition
Editor's E-Note
When women at normal risk of developing breast cancer should begin mammography screening has been a noisy public debate since the U.S. Preventive Services Task Force (USPSTF) guidelines were revised in 2009.

Time will tell what effect the new guidelines—which differ from the American Cancer Society screening recommendations and push routine screening back to age 50 for most women—will have on mammography and breast cancer outcomes. This issue's E-News Exclusive looks at a retrospective study from Colorado that found a reduction in mammography among women between the ages of 40 and 49 since the USPSTF guidelines were released.

— Jim Knaub, editor
E-News Exclusive
Did 2009 Guidelines Reduce Mammograms in Younger Women?
By Jim Knaub

Who decides when most women should begin having mammograms? Breast care specialists, the American College of Radiology, the American Cancer Society (ACS), and the U.S. Preventive Services Task Force (USPSTF) have weighed in with their views.

The ACS, ACR, and many breast care specialists recommend that women at normal risk of breast cancer begin annual mammography screening at age 40. In 2009, the USPSTF recommended that these women at begin screening at age 50 and have mammograms every two years. Before age 50, the USPSTF recommends that women discuss with their doctors the risks and benefits of mammograms and decide whether to have one. The difference between those recommendations prompted heated debate in 2009 that has quieted and flared up again since then.

The latest round of the debate came in response to a study at University Hospitals at Case Medical Center in Colorado showing that 205 fewer women aged 40 to 49 had mammograms at the medical center in the nine months following the 2009 USPSTF guidelines.

So what's behind the drop? That's the question.

Full Story »
Currently in Radiology Today
Winds of Change
Winds of Change
A National Institute of Biomedical Imaging and Bioengineering project currently under way is attempting to provide a new model for exchanging patient records in which patients exhibit more control. Read more »

SIR Reporter's Notebook
Here's a sampling of some news worth noting from the recent annual meeting of the Society of Interventional Radiology. Read more »

Prostate Embolization
New research looks at the possibility of shrinking enlarged prostate glands the same way interventionalists treat fibroids, with the potential to reduce complications commonly associated with current treatments. Read more »

Technology Update: SPECTM
Manufacturers in the SPECT arena continue developing technology that reduces scan times and radiation doses. Read more »

On the Case: So It's a Mass — Let's Take It a Step Further
Check out our original case study department, edited by radiologist Rahul Pawar, MD. Read more »

Also, you can check out the entire issue in the Radiology Today digital edition.
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