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August 2010
In This Issue...

Worth Repeating...

“Our study demonstrates that there are sizable rates of radiation exposure [with cardiac CT] for patients age 35 to 54 years, many of whom will likely live long enough for such long-term complications [as malignancy] to potentially develop.”

— Jersey Chen, MD, MPH

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Editor’s E-Note

Do you remember when hospitals went on a medical practice buying spree in the early 1990s? Remember the outcome? Basically, we learned that hospitals are not very good at running medical offices. (Practice management consultant Randy Bauman offers a history lesson on the failure of the first buying spree, in case you don’t remember.) Spanish philosopher and essayist George Santayana’s often-mangled quote quickly comes to mind: “Those who cannot remember the past are condemned to repeat it.”

— Jim Knaub, editor
E-News Exclusive

Hospitals Running Medical Practices
By Jim Knaub

The idea of hospitals displacing radiology groups and hiring radiologists as employees strikes me with a foreboding sense of déjà vu. It seems we’ve traveled this hospitals-running-medical-practices path before, and it wasn’t a pleasant walk. But the anticipated benefits still seduce administrators.

By hiring their own radiologists, hospitals would maintain greater control and—if they manage the practice well—keep some of the profit that normally flows to the radiology group. Who wouldn’t want more control and profit? But managing the practice has proven easier to say than to do. Recognizing the problem with the ’90s wave of practice acquisitions, Marc Halley, CEO of the Halley Consulting group, offers these ideas to avoid making the same errors. While there are examples of hospital organizations successfully managing medical practices, it doesn’t seem the norm.

Full Story »

Currently in Radiology Today

What Imaging Directors Are Facing
Reimbursement is down and competition is fierce. That’s what imaging directors said when we asked about the challenges they’re facing. They also shared some of what they’re doing to succeed in today’s imaging environment.
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What Is Chiropractic Radiology?
There are about 150 chiropractic radiologists in this country and they consider themselves similar to neuromusculoskeletal radiologists, primarily serving practicing chiropractors. Read more »

Breast MRI Research
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Donating Data
The Give a Scan project hopes to build an imaging database to help cancer researchers. Read more »

Other Imaging News

Chalk River Reactor Expected Back Online
Canadian nuclear regulatory authorities anticipate the Mo-99–producing reactor to be up and running this month, according to the Ottawa Citizen.

ASTRO Publishes Whole Breast Irradiation Fractionation Guidelines
The American Society for Radiation Oncology has released new evidence-based guidelines to define appropriate fractionation of whole breast irradiation. The guidelines note that hypofractionated treatment is effective for many patients with early-stage breast cancer. These guidelines are published in the International Journal of Radiation Oncology•Biology•Physics. You can obtain a copy of the guidelines by e-mailing

Image Guidance Shifts Biopsy Work to Radiologists
A new study shows that radiologists perform one half of all biopsy procedures driven by the shift to image-guided exams, according to a study published online in Radiology and reported by MedPage Today.

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