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In This Issue
Worth Repeating
“The most important thing on any referral is the date of birth. The game is not finding things, it’s can you improve mortality? And if you do find something, it’s very hard for a doctor to say, ‘Don’t do anything.’”

Radiologist Mark Klein, MD, on the overuse of screening tests in older Americans, as reported in The Washington Post
Other Imaging News
California Says No to Breast Density Notification
The Los Angeles Times reports on a piece of state legislation recently vetoed by Gov Jerry Brown that would have required doctors to notify women of their breast density, an important risk factor for cancer, when having mammograms.

Panel: Healthy Men Don’t Need PSA Screening
The U.S. Preventive Services Task Force’s recommendation is based on the findings from five well-controlled trials and concludes that the screening test doesn’t save lives overall and often leads to unnecessary tests and treatments, according to The New York Times.

Study Links Speech Rec and Higher Error Rate
When breast imaging reports were generated utilizing speech recognition technology, they were nearly six times more likely to contain major errors compared with reports generated from more conventional dictation transcription methods, according to ScienceDaily’s report on the study.
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Editor's E-Note
It's certainly not as simple as “rebooting” a patient’s pacemaker after an MRI exam, but cardiologists at Johns Hopkins Hospital have developed a protocol that enables many patients with implanted cardiac devices to safely undergo MRI scans. MRI has traditionally been off limits to more than 2 million people in the United States with pacemakers or implanted defibrillators. A new study published in the October 4 issue of the Annals of Internal Medicine found that the protocol can make MRI an option for some patients with implanted cardiac devices, even if their devices are not the specific pacemaker models recently approved by the FDA for use in MR environments.

— Jim Knaub, editor
E-News Exclusive
Protocol Allows Many Pacemaker Patients to Safely Undergo MRI

A protocol in which patients’ pacemakers or defibrillators are reprogrammed to a “safe mode” before an MRI exam and then programmed back to their normal operating mode afterward—along with close monitoring during the exam—allowed MRI to be safely used in some patients with an implantable device.

“The guidelines we have published can be used to make MRI more available to people who could benefit from early detection of cancer and other diseases and for guiding surgeons during procedures,” says Saman Nazarian, MD, an assistant professor of medicine at the Johns Hopkins University School of Medicine. “MRI is considered superior to CT scans in many clinical scenarios, especially for brain and spinal cord imaging.”

More than 700 patients with implanted cardiac devices have safely undergone MRI exams at Johns Hopkins.

“We believe this is the largest prospective study of MRI in patients with implanted devices,” Nazarian says.

Full Story »
Currently in Radiology Today
Cutting-Edge Radiation Treatment
The authors of three Radiation Therapy Oncology Group trials recently spoke with Radiology Today about the studies and their significance. Read more »

Managing Mammography Priors
Read about one hospital’s solution to managing mammography films in its move to digital breast imaging. Read more »

Imaging Traumatic Brain Injury
Researchers seek objective measures to an elusive problem plaguing many of our nation’s military service members. Read more »

ICD-10 Readiness — Two Questions Your Facility Needs to Answer
Are your software vendors up to speed? Is it possible to estimate the project’s cost? Read more »

Technology Update: Direct Digital Radiography
A look at some of the newest technology developments in the DR market. Read more »

On the Case
Check out our original case study department, edited by radiologist Rahul V. Pawar, MD, DABR. Read more »

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