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              | Colorado Fines Heart Check America $3.2 Million The penalty against the defunct medical imaging company is the largest  ever imposed by the state’s radiation regulators, according to FoxNews.com.
 
 More Women Receive “Inappropriate” SPECT Scans
 According to a new study reported on by MedPage  Today, women were more likely than men to undergo a SPECT  myocardial perfusion imaging study classified as inappropriate by appropriate  use criteria.
 
 As CT Rates Rise, Hospitalizations Fall
 Amednews.com reports on a study in the Annals of Emergency Medicine that suggests the increased use of CT in the  emergency department may send patients home sooner.
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            | Coronary CT angiography (CCTA) has its advocates, but its  actual role in the cardiac care process is still debated. A recent study  presented at the American Society of Nuclear Cardiology annual meeting points  to the exam’s strong negative predictive value and ability to reduce subsequent  imaging as reasons to consider it a frontline exam in many patients. This  month’s E-News Exclusive looks at the study from Henry Ford Hospital in  Detroit. 
 Reducing imaging exams, cutting patient radiation  exposure, and a high negative predictive value seem like real benefits to  patients with chest pain and low to intermediate risk of coronary artery  disease.
 
 — Jim Knaub, editor
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              | Researchers Support CCTA as Frontline Cardiac Test By  Jim Knaub
 
 Coronary CT angiography (CCTA)  testing offers such a strong negative predictive value that it can reduce  subsequent stress testing and should be considered the frontline test for  patients with low to intermediate likelihood of coronary artery disease (CAD), according  to research presented recently at the American Society of Nuclear Cardiology  annual meeting.
 
 “CCTA should be the test of  choice in patients with chest pain, prior inconclusive or negative stress  testing, and low to intermediate likelihood of CAD, as it reduces downstream  testing,” study coauthor Karthik Ananthasubramaniam, MD, told MedPage  Today. Ananthasubramaniam, from Henry Ford Hospital in Detroit, also  suggests that CCTA should replace stress testing in low- to intermediate-risk  patients. “CCTA has an extremely high negative predictive value and using this  as the initial test completely stops downstream testing,” he added. “And that  is going to be the future.”
 
 Full   Story »
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              |  Stroke Imaging Researchers ask how MRI availability affects imaging exam orders.
 Read more »
 
 Now Playing in 3D
 Like filmmakers, radiologists and other physicians are learning how to use 3D visualization technology effectively. Read more »
 
 HIPAA Enforcement
 A $4.3 million civil monetary penalty under the HITECH Act should get facilities’ attention: Don’t ignore privacy issues.  Read more »
 
 2011 Annual Buyers’ Guide
 Don’t  miss our annual directory of the latest imaging products and services.
 Read more »
 
 On the Case
 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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