May, 2023

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The Radiologist Shortage is Here

Ben White

It should go without saying, but I’ll say it anyway: these are my opinions, formed from the combination of my biases, my experience as a radiologist since beginning residency 10 years ago, and my many conversations with radiologists across the country. You don’t have to agree with me. Not Enough and No Help Coming For today’s needs and today’s technology, we have simply produced far too few radiologists.

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10 trends to watch in diagnostic imaging

Radiology Business

“To achieve organizational objectives in an ever-evolving landscape, imaging providers must develop strategies to meet increased demand for services,” Sg2 experts advised.

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Physical activity is linked to smaller brain bleeds, new CT data reveal

Health Imaging

The research, published in Stroke and Vascular Neurology , suggests that just four hours of physical activity per week can reduce the significance of a brain bleed.

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Adjunctive Methylene Blue in Septic Shock?

REBEL EM

Background: Sepsis can induce numerous physiologic derangements. At the most severe end, this includes endothelial dysfunction leading to increased vascular permeability, abnormal nitric oxide metabolism, and vasodilation (i.e. septic shock). Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications.

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Testing Innovations in Cancer: How to evaluate and use new technologies

Amidst rising cancer prevalence and soaring costs, new cancer technologies and innovations are emerging to support the early detection, treatment, and surveillance of cancer. Read this guide to understand how to evaluate these solutions for your employees and members – and to learn more about the current state of coverage, clinical and cost effectiveness, and impact on quality and outcomes.

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New ACR Guidelines Emphasize Earlier Mammography Screening for High-Risk Women

Diagnostic Imaging

While calling for a universal digital mammography assessment by the age of 25, the American College of Radiology (ACR) emphasized that ascertaining screening needs prior to the age of 40 is particularly important in high-risk populations such as Black women, who are 42 percent more likely to die from breast cancer in comparison to non-Hispanic White women.

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RadPartners’ Partners are not Partners

Ben White

I posted two tweets the other day that deserve some further discussion: RadPartners is now behind on paying its “unique” “profit sharing” proceeds to its “partners.” pic.twitter.com/KGCiTL87MK — Ben White, MD (@benwhitemd) May 26, 2023 I’ve since by told by another source at RP that this is actually the third quarter in a row that profit-sharing has been delayed.

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American College of Radiology releases new breast cancer screening guidelines

Radiology Business

“These evidence-based updates should spur more-informed doctor-patient conversations and help providers save more lives," the document's lead author said.

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Interpretive AI for medical imaging: 5 points of skepticism, idealism

Health Imaging

Surveying the landscape of interpretive AI in radiology, two researchers note a yawning gap between great expectations set in the recent past and actual clinical implementations as of spring 2023.

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Trauma Resuscitation Updates

REBEL EM

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. In the initial management of trauma resuscitation there are 4 key principles that should be followed: Control bleeding Restore tissue perfusion Minimize iatrogenic injury from resuscitation itself Promote hemostasis In this blog post I will summarize the lecture and the evidence for each of these principles… MINIMIZE IATROGENIC INJURY PERMISSIVE HYPOTENSION Maintaining a lower blood pressure than physiol

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Maximize Your Radiology Center’s Performance With Specialized Scheduling

Patient-centric scheduling can only be achieved through optimized radiology workflows, effective communications between staff and physicians, and, of course, through specialized schedulers. In this guide, we’ll take you through a step-by-step process to transform your radiology center into a high-performance hub of medical imaging.

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Mammography Study Finds No Significant Link Between Breast Density and Breast Cancer Prognosis

Diagnostic Imaging

In a study involving over 1,100 women diagnosed with breast cancer, researchers found that 48.7 percent of women alive or dead from other causes at a median follow-up of 11.7 years had moderately dense breasts. They also found that 46 percent of women who died from breast cancer at a median-follow-up of 5.3 years had moderately dense breasts.

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Machine Learning Helps Identify Pneumonia as Driver of COVID-19 Deaths

Health IT Analytics

Northwestern University… read more

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Unofficially Official ABR Core Exam Practice Questions

Ben White

Years ago, when I was a resident and the ABR Core Exam was still novel, the ABR offered a lengthy “ABR CORE Examination Study Guide” PDF, which–in addition to over a hundred pages of endless bullet points listing every conceivable topic in radiology–included 57 official practice questions at the end (with an answer key). They took that down years ago.

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Latest version of ChatGPT AI passes radiology board exam

Radiology Business

The latest version of ChatGPT AI has passed the written portion of a radiology style board exam, but also offered incorrect or irrelevant answers it delivered very confidently on some questions.

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The Employers Guide to Controlling Cancer

About 40% of us will be diagnosed with cancer in our lifetime, and patients are getting younger. At the same time, the cost of treatment continues to rise, with employers spending 8.5% more on cancer care for each employee than they did last year. The best thing employers can do for their employees and business tomorrow is to invest in cancer detection and care today.

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New data suggest clinicians should think twice before foregoing contrast-enhanced imaging

Health Imaging

The new data highlight a potential pitfall of unenhanced CT scans on patients presenting to emergency departments with acute pain—an inaccurate workup.

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Recurrent Brain Trauma May Increase Alzheimer’s Risk

Imaging Technology

milla1cf Mon, 05/22/2023 - 13:16 May 22, 2023 — New research finds that the brains of otherwise healthy military personnel who are exposed to explosions show an abnormal brain accumulation of amyloid-beta protein—a protein that plays a role in the development of Alzheimer’s disease. The results of the study were published today in Radiology , a journal of the Radiological Society of North America ( RSNA ).

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Study Shows Significant Incidental Findings in Nearly 34 Percent of Lung Screening CT Exams

Diagnostic Imaging

In a large retrospective study of 26,455 participants from the National Lung Screening Trial, low dose computed tomography (LDCT) exams revealed significant incidental findings (SIFs), ranging from emphysema to suspicious lesions, in 8,954 participants.

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Can Machine Learning, Wearable Tech Help Treat Mental Health?

Health IT Analytics

New research from the Icahn… read more

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Improving Access To & Utilization Of Cancer Screening With Color

Discover how Color's comprehensive care solution is revolutionizing cancer screening adherence and knowledge. Through an in-depth case study, Color's unique approach to comprehensive cancer care has shown significant benefits in increasing screening rates and enhancing patient knowledge. Participants reported a 2-3x increase in adherence to screening guidelines over just 8 weeks, with 84% of participants increasing their familiarity with timing and frequency of cancer screening.

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The Looming Spectre of Automation Bias

Ben White

From “ Automation Bias in Mammography: The Impact of Artificial Intelligence BI-RADS Suggestions on Reader Performance “: Inexperienced radiologists were significantly more likely to follow the suggestions of the purported AI when it incorrectly suggested a higher BI-RADS category than the actual ground truth compared with both moderately (mean degree of bias, 4.0 ± 1.8 vs 2.4 ± 1.5; P =.044; r = 0.46) and very (mean degree of bias, 4.0 ± 1.8 vs 1.2 ± 0.8; P =.009; r = 0.65) e

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Envision bankruptcy could be 1st canary in the physician services coal mine, MD writer contends

Radiology Business

The private equity-backed multispecialty group's failure could have "significant ripple effects" on radiology and other specialties, N. Adam Brown, MD, MBA, wrote recently.

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New AI tool helps radiologists reduce read times by up to 40%

Health Imaging

Its use dropped the average time needed to examine a finding at all timepoints from 107 seconds to 65 seconds, with pulmonary nodule assessments benefiting from the greatest reductions.

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RSNA Updates Its Position Statement on Screening for Breast Cancer

Imaging Technology

milla1cf Mon, 05/15/2023 - 10:18 May 15, 2023 — RSNA updated its Statement on Screening for Breast Cancer , recognizing new recommendations from the American College of Radiology (ACR) and the United States Preventive Services Task Force (USPSTF). RSNA continues to support the ACR and Society of Breast Imaging recommendation for annual mammography screening beginning at age 40 in order to save the most lives from breast cancer.

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From Prevention to Survivorship: How HR Can Support Employees Facing Cancer Diagnoses

Explore the latest insights from the American Cancer Society's “Cancer Statistics 2024” report, which unveils multiple alarming trends in cancer data. Cancer is on the rise among young adults, and diagnoses for 6 of the 10 most common cancers are escalating. With over 2 million new cancer cases projected in the U.S. this year, employers face increased challenges when it comes to supporting employees.

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New Study Shows Viability of Adjunctive AI for Breast Ultrasound

Diagnostic Imaging

Adjunctive use of an artificial intelligence (AI) software demonstrated nearly equivalent sensitivity and over 28 percent higher accuracy in comparison to radiologist assessment of breast ultrasound images for breast lesions, according to new research presented at the recent Society of Breast Imaging (SBI) conference.

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WHO Launches Global Infectious Disease Surveillance Network

Health IT Analytics

The World Health… read more

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The ABR Discusses the New Oral Boards

Ben White

Here is the video for the American Board of Radiology’s town hall discussion about the new oral boards, which are coming to a computer near you in 2028: Some highlights: The ABR would like you to know that discussions about revamping the Certifying Exam started internally and “did not arise from an assumption that there was something wrong with the Certifying Exam.” ( There is.

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Radiologists rapidly launch inpatient IR consult service that’s generating tens of thousands in new revenue

Radiology Business

Between 2020-2021 (and amid the pandemic), interventional consult volumes climbed 13%, while consult-specific payments leapt by 84%, experts detailed.

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An HR Leaders Guide: 7 Questions To Ask When Developing Your Cancer Strategy

As HR and Benefits leaders are in the midst of evaluating cancer care solutions and designing their requirements for vendors, it’s key to know what questions to ask to ensure the development of a truly comprehensive strategy: from prevention to diagnosis to treatment to survivorship. Getting to the right answers starts with asking the right questions: How can better access improve engagement?