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  • Top 10 Characteristics of Successful Sonographers

    Ultrasound Technician
    Lisa Parmley
    27 Mar 2015 | 2:04 am
    What is the difference between a top rated and an exceptional sonographer? Exceptional sonographers in 2015 are men and women the patients remember, the physicians ask for, and the coworkers enjoy working with on a regular basis. What characteristics do these ultrasound techs possess that set them apart from other healthcare professionals who are doing […] The post Top 10 Characteristics of Successful Sonographers appeared first on Ultrasound Technician.
  • Cancer patients want more information about medical imaging risk

    Radiology / Nuclear Medicine News From Medical News Today
    25 Mar 2015 | 1:00 am
    A substantial gap exists between patient expectations and current practices for providing information about medical imaging tests that use radiation, according to a new study published online in the...
  • AGA Urges Cautious Management of Pancreatic Cysts (CME/CE)

    MedPage Today Radiology
    27 Mar 2015 | 2:33 pm
    (MedPage Today) -- But most recommendations are "conditional" because of weak evidence.
  • Guidelines: Tempered Response to Incidental CT Findings Best

    Medscape Radiology Headlines
    27 Mar 2015 | 3:11 am
    Patients should understand the risks and benefits of any pancreatic cyst surveillance program. Medscape Medical News
  • ND moves to license technologists Headlines
    27 Mar 2015 | 11:52 am
    North Dakota has passed a measure that sets licensing standards and expands (more)
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    RADIOLOGY - Google News

  • American College of Radiology honors TotalCare Imaging West - El Paso Inc.

    27 Mar 2015 | 2:06 pm
    American College of Radiology honors TotalCare Imaging WestEl Paso Inc.TotalCare Imaging West has been named a Breast Imaging Center of Excellence by the American College of Radiology. The college recognizes breast-imaging centers that have earned accreditation in mammography, stereotactic breast biopsy and breast ...
  • Radiology's future: 'Whoever has the best data wins' - FierceHealthIT

    27 Mar 2015 | 10:16 am
    Radiology's future: 'Whoever has the best data wins'FierceHealthITWith the rise of radiology information systems (RIS), picture archiving systems, electronic health records and clinical decision support systems, hospitals now are focused on enterprise standardization, with loss of local control and flexibility in
  • VIVA physician selected as new Fellows in the Society of Interventional Radiology -

    26 Mar 2015 | 11:53 am
    News-Medical.netVIVA physician selected as new Fellows in the Society of Interventional RadiologyNews-Medical.netDr. John D. Statler, a board-certified, fellowship-trained Interventional Radiologist with Virginia Interventional & Vascular Associates, is one of only 23 physicians nationwide selected this year as new Fellows in the Society of Interventional Virginia Interventional & Vascular Associates Physician Honored by Virtual Press Office (press release)all 2 news articles »
  • Amerinet Signs Healthcare GPO Contract with Radiology Protocols -

    25 Mar 2015 | 11:13 am
    Amerinet Signs Healthcare GPO Contract with Radiology ProtocolsDOTmed.comRadiologists regularly grapple with new protocols for operating their imaging systems, but their departments often rely on outdated pen-and-paper or word processing files to maintain this critical information. Recognized as the industry standard for

    25 Mar 2015 | 8:52 am
    Gridley HeraldHOSPITAL AUXILIARY PRESENTS GIFT FOR RADIOLOGYGridley HeraldOrchard Hospital Auxiliary President Sharon Sannar (center) presented a $4,500 check to Hospital CEO Steve Stark and Radiology Manager Judy Robertson to pay for a new transfer table. The donation was presented at the Auxiliary Spring Luncheon last ...and more »
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    Everyone's Blog Posts - radRounds Radiology Network

  • Where You Live Affects How Inappropriately Imaging is Used

    Alessandra Simmons
    27 Mar 2015 | 7:30 am
    Inappropriate imaging for both low-risk prostate and low-risk breast cancers were frequently performed before the initiation of the Choosing Wisely campaign, according to a study published in JAMA Oncology. Researchers from the University School of Medicine in New York, NY, performed a retrospective cohort study to determine whether regional rates were associated with inappropriate prostate cancer and breast cancer imaging. What trends do you notice in your region? Source: UBM Partner Site Diagnostic Imaging - For full article, please click here.
  • When Informed of Overdetection, Do Patients Still Want Screening?

    Alessandra Simmons
    25 Mar 2015 | 8:30 am
    Women invited to participate in breast cancer screening should be informed about issues related to possible overdetection of cancer, according to a study published in The BMJ. Researchers from the U.K. performed an online survey with 1,000 men and women to determine the level of overdetection people would find acceptable in screening for breast, prostate, and bowel cancer. They also assessed if acceptability is influenced by the magnitude of the benefit from screening and the cancer specific harms from overdetection. Source: UBM Partner Site Diagnostic Imaging - For full article, please…
  • Radiologists Need Strategic Partners

    Alessandra Simmons
    23 Mar 2015 | 8:30 am
    CHICAGO — While changes, and challenges, in the U.S. health care delivery system have typically been attributed to the Affordable Care Act, many of these changes would have happened regardless, said Thomas W. Greeson, JD, at RSNA 2014. The ACA accelerated this activity, Greeson noted, but it has long been a suspicion that the contributor, or possibly the culprit, of the high health care cost is the fee-for-service system. Medicine needs to find alternative payment models. Source: UBM Partner Site Diagnostic Imaging - For full article, please click here. 
  • Image IQ: 5 Hardest Quizzes

    Alessandra Simmons
    18 Mar 2015 | 9:30 am
    Every other week, Diagnostic Imaging puts you to the test with Image IQs. You receive a little clinical history (probably more than you normally see!) and the imaging exam(s) and guess the diagnosis. Most of the time, you nail it. But sometimes, the finding is rare or the diagnosis just escapes you. So we’re giving you a second chance. We’ve gathered the five Image IQs that stumped the most people and we’re asking you again, what’s your diagnosis?  Click here to take the quizzes. Source: UBM Partner Site Diagnostic Imaging - For full article and video, please click here.
  • Where Does Your State Stand on Breast Density Notification Laws?

    Alessandra Simmons
    17 Mar 2015 | 7:00 am
    Breast density notification laws have been put into effect in 21 states. A breast density notification law requires that physicians notify women who have undergone mammography and were found to have dense breast tissue. The intent of such a law was to give women the necessary information to decide on further action if they had dense breast tissue. Dense breast tissue makes it harder to identify cancer on a mammogram and may also be associated with an increased risk of breast cancer, according to the American College of Radiology (ACR).  Learn more about Breast Density Notification Laws and…
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    Radiology News

  • Dr. Barry Goldberg Honored With The SuperSonic Imagine Achievement Award

    25 Mar 2015 | 12:55 pm
    SuperSonic Imagine , the highly innovative ultrasound company that pioneered breakthrough ShearWave Elastography technology , and UltraFast Doppler, announces that it has honored Dr. Barry Goldberg with its 2014 SuperSonic Imagine Achievement Award. Dr. Goldberg follows past recipients Dr. Mathias Fink, Dr. Peter Burns, Are You Dense Founder Dr. Nancy Cappello and cancer research philanthropist and past Paramount Pictures CEO Sherry Lansing who received the first award in 2010.
  • Sweeping prostate cancer review upends widely held belief on radiation after surgery

    25 Mar 2015 | 2:42 am
    Important news for men receiving treatment for prostate cancer: Two new studies from the University of Virginia School of Medicine have upended the widely held view that it's best to delay radiation treatment as long as possible after the removal of the prostate in order to prevent unwanted side effects. "The common teaching has been, without clear evidence, that urinary incontinence and erectile function are worse when radiation is delivered earlier rather than later, but we didn't see any protective effect of delayed radiation compared to earlier radiation," said radiation oncologist…
  • EchoPixel Gets FDA Nod for True3D Viewer

    24 Mar 2015 | 2:07 pm
    EchoPixel has announced FDA clearance of the company's True3D Viewer, the first platform to convert anatomical data from patients into fully interactive, three-dimensional virtual reality images. Working hand-in-hand with top surgeons and radiologists across the country, EchoPixel has created a pioneering technology that enables medical professionals and students to interact with patient-specific body parts using virtual reality instead of flat 2D images.
  • Vance named CEO at Foundation Radiology

    24 Mar 2015 | 9:57 am
    Dr. Richard Vance was appointed CEO of Foundation Radiology Group, the Pittsburgh-based provider of diagnostic imaging services to community hospitals announced Tuesday. He also joined the company's board.
  • Cancer patients want more information about medical imaging risk

    23 Mar 2015 | 10:25 pm
    A substantial gap exists between patient expectations and current practices for providing information about medical imaging tests that use radiation, according to a new study published online in the journal Radiology . Researchers said the findings highlight a need for better communication as medicine enters an era of patient-centered care.
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    Journal of Medical Imaging and Radiation Oncology

  • Review of MRI wrist examination since introduction of Medicare item number

    Brendan J. Jones, Mark Sinnamon
    6 Mar 2015 | 5:07 am
    Abstract IntroductionThe Australian Health Department provided extended rebatable requesting rights to general practitioners in 2012 for magnetic resonance imaging (MRI) examinations in patients less than 16 years of age for a small set of clinically appropriate indications. Included item numbers 63522 and 63523 ‘referral by a medical practitioner (excluding a specialist and consultant physician) for a scan of wrist following radiographic examination where scaphoid fracture is suspected‘. The aim of this study is to evaluate MRI examinations of suspected scaphoid fractures in the…
  • Initial experience using the rigid forceps technique to remove wall-embedded IVC filters

    Allan Avery, Maximilian Stephens, Kendal Redmond, John Harper
    6 Mar 2015 | 5:04 am
    Abstract IntroductionSeverely tilted and embedded inferior vena cava (IVC) filters remain the most challenging IVC filters to remove. Heavy endothelialisation over the filter hook can prevent engagement with standard snare and cone recovery techniques. The rigid forceps technique offers a way to dissect the endothelial cap and reliably retrieve severely tilted and embedded filters. By developing this technique, failed IVC retrieval rates can be significantly reduced and the optimum safety profile offered by temporary filters can be achieved. We present our initial experience with the rigid…
  • Hemithoracic radiation therapy after extrapleural pneumonectomy for malignant pleural mesothelioma: Toxicity and outcomes at an Australian institution

    Andrej Bece, Mo Mo Tin, Darren Martin, Robert Lin, Jocelyn McLean, Brian McCaughan
    6 Mar 2015 | 4:07 am
    Abstract IntroductionWe aim to report the outcome of patients with malignant pleural mesothelioma who underwent extrapleural pneumonectomy (EPP) and adjuvant hemithoracic radiotherapy with or without chemotherapy at a single Australian institution. MethodBetween July 2004 and March 2013, 53 patients were referred for radiation treatment following EPP, of whom 49 were suitable for adjuvant treatment. Radiation treatment initially involved a 3D conformal, mixed electron/photon technique, delivering 45–50.4 Gy in 25–28 fractions (31 patients) and subsequently a nine-field…
  • Comparison of primary tumour volumes delineated on four-dimensional computed tomography maximum intensity projection and 18F-fluorodeoxyglucose positron emission tomography computed tomography images of non-small cell lung cancer

    Yili Duan, Jianbin Li, Yingjie Zhang, Wei Wang, Xiaorong Sun, Tingyong Fan, Qian Shao, Min Xu, Yanluan Guo, Dongping Shang
    5 Mar 2015 | 2:49 am
    Abstract IntroductionThe study aims to compare the positional and volumetric differences of tumour volumes based on the maximum intensity projection (MIP) of four-dimensional CT (4DCT) and 18F-fluorodexyglucose (18F-FDG) positron emission tomography CT (PET/CT) images for the primary tumour of non-small cell lung cancer (NSCLC). MethodsTen patients with NSCLC underwent 4DCT and 18F-FDG PET/CT scans of the thorax on the same day. Internal gross target volumes (IGTVs) of the primary tumours were contoured on the MIP images of 4DCT to generate IGTVMIP. Gross target volumes (GTVs) based on PET…
  • Use of implanted gold fiducial markers with MV-CBCT image-guided IMRT for pancreatic tumours

    Matthew Packard, Olivier Gayou, Krishna Gurram, Brandon Weiss, Shyam Thakkar, Alexander Kirichenko
    5 Mar 2015 | 2:49 am
    Abstract IntroductionVisualisation of soft tissues such as pancreatic tumours by mega-voltage cone beam CT (MV-CBCT) is frequently difficult and daily localisation is often based on more easily seen adjacent bony anatomy. Fiducial markers implanted into pancreatic tumours serve as surrogates for tumour position and may more accurately represent absolute tumour position. Differences in daily shifts based on alignment to implanted fiducial markers vs. alignment to adjacent bony anatomy were compared. MethodsGold fiducial markers were placed into the pancreatic tumour under endoscopic ultrasound…
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    BMC Medical Imaging - Latest Articles

  • Eigen-disfigurement model for simulating plausible facial disfigurement after reconstructive surgery

    Juhun Lee
    27 Mar 2015 | 5:00 am
    Background: Patients with facial cancers can experience disfigurement as they may undergo considerable appearance changes from their illness and its treatment. Individuals with difficulties adjusting to facial cancer are concerned about how others perceive and evaluate their appearance. Therefore, it is important to understand how humans perceive disfigured faces. We describe a new strategy that allows simulation of surgically plausible facial disfigurement on a novel face for elucidating the human perception on facial disfigurement.MethodLongitudinal 3D facial images of patients (N = 17)…
  • A novel standardized algorithm using SPECT/CT evaluating unhappy patients after unicondylar knee arthroplasty– a combined analysis of tracer uptake distribution and component position

    Basil Suter
    19 Mar 2015 | 5:00 pm
    Background: The introduction of a standardized SPECT/CT algorithm including a localization scheme, which allows accurate identification of specific patterns and thresholds of SPECT/CT tracer uptake, could lead to a better understanding of the bone remodeling and specific failure modes of unicondylar knee arthroplasty (UKA). The purpose of the present study was to introduce a novel standardized SPECT/CT algorithm for patients after UKA and evaluate its clinical applicability, usefulness and inter- and intra-observer reliability. Methods: Tc-HDP-SPECT/CT images of consecutive patients (median…
  • Homotopic non-local regularized reconstruction from sparse positron emission tomography measurements

    Alexander Wong
    18 Mar 2015 | 5:00 am
    Background: Positron emission tomography scanners collect measurements of a patient’s in vivo radiotracer distribution. The system detects pairs of gamma rays emitted indirectly by a positron-emitting radionuclide (tracer), which is introduced into the body on a biologically active molecule, and the tomograms must be reconstructed from projections. The reconstruction of tomograms from the acquired PET data is an inverse problem that requires regularization. The use of tightly packed discrete detector rings, although improves signal-to-noise ratio, are often associated with high costs of…
  • Sonographic swelling of pronator quadratus muscle in patients with occult bone injury

    Junko Sato
    15 Mar 2015 | 5:00 am
    Background: The disarranged fat stripe of the pronator quadratus muscle (PQ) on radiographs (the PQ sign) is reported to be predictive of subtle bone fractures. This study aimed to report the results of magnetic resonance imaging (MRI) study in the patients in whom bone injury was not radiographically detected around the wrist joint, and the PQ was sonographically swollen following acute trauma. Methods: We evaluated sonographically the PQ of 55 patients who showed normal radiographs following acute trauma. The sonographic appearance of the PQ was checked on both longitudinal and transverse…
  • The accuracy of radiology speech recognition reports in a multilingual South African teaching hospital

    Jacqueline du Toit
    3 Mar 2015 | 4:00 pm
    Background: Speech recognition (SR) technology, the process whereby spoken words are converted to digital text, has been used in radiology reporting since 1981. It was initially anticipated that SR would dominate radiology reporting, with claims of up to 99% accuracy, reduced turnaround times and significant cost savings. However, expectations have not yet been realised. The limited data available suggest SR reports have significantly higher levels of inaccuracy than traditional dictation transcription (DT) reports, as well as incurring greater aggregate costs.There has been little work on…
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    Cardiovascular Ultrasound - Latest Articles

  • Validity of a 5-minute focused echocardiography with A-F mnemonic performed by non-echocardiographers in the management of patients with acute chest pain

    Dorota Sobczyk
    26 Mar 2015 | 5:00 am
    Study objectiveTo validate the practicality of focused echocardiography with A-F mnemonic performed by non-specialists in patients with suspected acute coronary syndrome (ACS).DesignThis prospective observational study was conducted in the Emergency Room within 12 months period. Study population consisted of consecutive patients with preliminary diagnosis of an ACS.The following data were analyzed: demographics, clinical condition, medical history, ECG, transthoracic echocardiography (TTE) and levels of cardiac necrotic markers. TTE was performed within the first 15 minutes after the…
  • Prediction of left ventricular reverse remodeling after therapy with angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers and β blockers in patients with idiopathic dilated cardiomyopathy

    Yoshihisa Matsumura
    24 Mar 2015 | 5:00 pm
    Background: Predictors of left ventricular reverse remodeling (LVRR) after therapy with angiotensin converting enzyme inhibitors or angiotensin-receptor blockers and β blockers in patients with idiopathic dilated cardiomyopathy (IDC) remains unclear. Methods: We studied 44 patients with IDC who had been treated with the therapy. LVRR was defined as LV end-diastolic dimension ≤ 55 mm and fractional shortening ≥ 25% at the last echocardiogram. Results: During a mean follow-up period of 4.7 ± 3.3 years, LVRR occurred in 34% (15/44) of the patients. We divided the patients…
  • Feasibility and accuracy of bedside transthoracic echocardiography in diagnosis of acute proximal aortic dissection

    Dorota Sobczyk
    24 Mar 2015 | 5:00 pm
    Study objectiveThe purpose of the present study was to establish the accuracy of transthoracic echocardiography (TTE) in diagnosis of acute type A aortic dissection in comparison to computed tomography (CT), with reference to the intraoperative image. Methods: The retrospective analysis included 178 patients referred to the cardiac surgery unit in our center due to acute type A dissection between 01-01-2008 and 31-12-2013, who underwent both TTE and CT. Intraoperative image was considered as a reference. Results: Statistical analysis did not show any significant differences between computed…
  • Cardiac and renal function in a large cohort of amateur marathon runners

    Bernd Hewing
    20 Mar 2015 | 5:00 pm
    Background: Participation of amateur runners in endurance races continues to increase. Previous studies of marathon runners have raised concerns about exercise-induced myocardial and renal dysfunction and damage. In our pooled analysis, we aimed to characterize changes of cardiac and renal function after marathon running in a large cohort of mostly elderly amateur marathon runners. Methods: A total of 167 participants of the BERLIN-MARATHON (female n = 89, male n = 78; age = 50.3 ± 11.4 years) were included and cardiac and renal function was analyzed prior to, immediately…
  • Ultrasound entropy may be a new non-invasive measure of pre-clinical vascular damage in young hypertensive patients

    Caroline Bleakley
    19 Mar 2015 | 5:00 pm
    Background: The identification of pre-clinical microvascular damage in hypertension by non-invasive techniques has proved frustrating for clinicians. This proof of concept study investigated whether entropy, a novel summary measure for characterizing blood velocity waveforms, is altered in participants with hypertension and may therefore be useful in risk stratification. Methods: Doppler ultrasound waveforms were obtained from the carotid and retrobulbar circulation in 42 participants with uncomplicated grade 1 hypertension (mean systolic/diastolic blood pressure (BP) 142/92 mmHg), and 26…
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    Human Brain Mapping

  • MRI signatures of the frontotemporal lobar degeneration continuum

    Federica Agosta, Sebastiano Galantucci, Giuseppe Magnani, Alessandra Marcone, Daniele Martinelli, Maria Antonietta Volontè, Nilo Riva, Sandro Iannaccone, Pilar M. Ferraro, Francesca Caso, Adriano Chiò, Giancarlo Comi, Andrea Falini, Massimo Filippi
    28 Mar 2015 | 9:40 am
    Abstract Objective. To identify overlapping and unique grey (GM) and white matter (WM) signatures within the frontotemporal lobar degeneration (FTLD) continuum, and discriminate likely FTLD-TAU and FTLD-TDP patients using structural and diffusion tensor (DT) magnetic resonance imaging (MRI). Methods. T1-weighted and DT MRI were collected from 121 subjects: 35 motor neuron disease (MND), 14 behavioral variant of frontotemporal dementia, 12 semantic and 11 nonfluent primary progressive aphasia, 21 progressive supranuclear palsy syndrome patients, and 28 healthy controls. Patterns of GM atrophy…
  • Reliability of an fMRI paradigm for emotional processing in a multisite longitudinal study

    Dylan G. Gee, Sarah C. McEwen, Jennifer K. Forsyth, Kristen M. Haut, Carrie E. Bearden, Jean Addington, Bradley Goodyear, Kristin S. Cadenhead, Heline Mirzakhanian, Barbara A. Cornblatt, Doreen Olvet, Daniel H. Mathalon, Thomas H. McGlashan, Diana O. Perkins, Aysenil Belger, Larry J. Seidman, Heidi Thermenos, Ming T. Tsuang, Theo G.M. van Erp, Elaine F. Walker, Stephan Hamann, Scott W. Woods, Todd Constable, Tyrone D. Cannon
    28 Mar 2015 | 9:38 am
    Abstract Multisite neuroimaging studies can facilitate the investigation of brain-related changes in many contexts, including patient groups that are relatively rare in the general population. Though multisite studies have characterized the reliability of brain activation during working memory and motor functional magnetic resonance imaging tasks, emotion processing tasks, pertinent to many clinical populations, remain less explored. A traveling participants study was conducted with eight healthy volunteers scanned twice on consecutive days at each of the eight North American Longitudinal…
  • Sensation-to-cognition cortical streams in attention-deficit/hyperactivity disorder

    Susana Carmona, Elseline Hoekzema, Francisco X. Castellanos, David García-García, Agustín Lage-Castellanos, Koene R.A. Van Dijk, Francisco J. Navas-Sánchez, Kenia Martínez, Manuel Desco, Jorge Sepulcre
    28 Mar 2015 | 9:31 am
    Abstract We sought to determine whether functional connectivity streams that link sensory, attentional, and higher-order cognitive circuits are atypical in attention-deficit/hyperactivity disorder (ADHD). We applied a graph-theory method to the resting-state functional magnetic resonance imaging data of 120 children with ADHD and 120 age-matched typically developing children (TDC). Starting in unimodal primary cortex—visual, auditory, and somatosensory—we used stepwise functional connectivity to calculate functional connectivity paths at discrete numbers of relay stations (or link-step…
  • Human pulvinar functional organization and connectivity

    Daniel S. Barron, Simon B. Eickhoff, Mareike Clos, Peter T. Fox
    28 Mar 2015 | 9:26 am
    Abstract The human pulvinar is the largest thalamic area in terms of size and cortical connectivity. Although much is known about regional pulvinar structural anatomy, relatively little is known about pulvinar functional anatomy in humans. Cooccurrence of experimentally induced brain activity is a traditional metric used to establish interregional brain connectivity and forms the foundation of functional neuroimaging connectivity analyses. Because functional neuroimaging studies report task-related coactivations within a standardized space, meta-analysis of many whole-brain studies can define…
  • Differential patterns of functional and structural plasticity within and between inferior frontal gyri support training-induced improvements in inhibitory control proficiency

    Camille F. Chavan, Michael Mouthon, Bogdan Draganski, Wietske van der Zwaag, Lucas Spierer
    19 Mar 2015 | 9:32 pm
    Abstract Ample evidence indicates that inhibitory control (IC), a key executive component referring to the ability to suppress cognitive or motor processes, relies on a right-lateralized fronto-basal brain network. However, whether and how IC can be improved with training and the underlying neuroplastic mechanisms remains largely unresolved. We used functional and structural magnetic resonance imaging to measure the effects of 2 weeks of training with a Go/NoGo task specifically designed to improve frontal top-down IC mechanisms. The training-induced behavioral improvements were accompanied…
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    International Journal of Radiation Oncology • Biology • Physics

  • Small-Cell Carcinoma of the Urinary Bladder: A Retrospective, Multicenter Rare Cancer Network Study of 107 Patients

    David Pasquier, Brandon Barney, Santhanam Sundar, Philip Poortmans, Salvador Villa, Haitam Nasrallah, Noureddine Boujelbene, Pirus Ghadjar, Yasmin Lassen-Ramshad, Elżbieta Senkus, Andrew Oar, Martine Roelandts, Maurizio Amichetti, Hansjorg Vees, Thomas Zilli, Mahmut Ozsahin
    25 Mar 2015 | 5:00 pm
    Small-cell carcinomas of the urinary bladder are rare tumors. The present series reports the outcomes of 107 patients and is one of the four largest series that have been published to date. Ninety of these patients presented with pelvic-limited disease. Among the patients treated with curative intent, the type of treatment, i.e., radical surgery (with or without chemotherapy) or a bladder-sparing approach with chemo-radiation, did not significantly influence the overall survival or disease-free survival.
  • The Importance of Local Control in Early Stage Prostate Cancer: Outcomes of Patients with a Positive Post-Radiotherapy Biopsy Treated on RTOG 9408

    Daniel J. Krauss, Chen Hu, Jean-Paul Bahary, Luis Souhami, Elizabeth M. Gore, Susan Maria Jacinta Chafe, Mark H. Leibenhaut, Samir Narayan, Javier Torres-Roca, Jeff Michalski, Kenneth L. Zeitzer, Viroon Donavanik, Howard Sandler, David G. McGowan, Christopher U. Jones, William U. Shipley
    25 Mar 2015 | 5:00 pm
    831 of the 1979 patients analyzed in prospective, randomized trial RTOG 9408 who had no prior evidence of clinical or biochemical failure underwent repeat prostate biopsy 2 years following completion of radiotherapy (+/- androgen suppression). Those patients with evidence of recurrent/persistent disease on post-radiotherapy biopsy had increased rates of biochemical and distant failure as well as inferior disease-specific survival, emphasizing the importance of local control in the management of early-stage prostate cancer.
  • Hypercellularity Components of Glioblastoma Identified by High b-value Diffusion-Weighted Imaging

    Priyanka P. Pramanik, Hemant A. Parmar, Aaron G. Mammoser, Larry R. Junck, Michelle M. Kim, Christina I. Tsien, Theodore S. Lawrence, Yue Cao
    25 Mar 2015 | 5:00 pm
    It is a clinical challenge to differentiate nonenhanced solid tumor from edema in glioblastoma using conventional magnetic resonance images, which could lead to inadequate radiation dose coverage. This study provides evidence to show that high b-value diffusion weighted imaging, which is a widely available technique, has the potential to identify this nonenhanced hypercellularity component and aid in for radiation target or boost target definition.
  • Mapping O Production Rate for Proton Therapy Verification

    Kira Grogg, Nathaniel M. Alpert, Xuping Zhu, Chul Hee Min, Mauro Testa, Brian Winey, Marc D. Normandin, Helen A. Shih, Harald Paganetti, Thomas Bortfeld, Georges El Fakhri
    24 Mar 2015 | 5:00 pm
    This work was a proof-of-principle study for the evaluation of oxygen-15 (15O) production as an imaging target through the use of positron emission tomography (PET), to improve verification of proton treatment plans and to study the effects of perfusion.
  • Quantitative Ultrasonic Nakagami Imaging of Neck Fibrosis After Head and Neck Radiation Therapy

    Xiaofeng Yang, Emi Yoshida, Richard J. Cassidy, Jonathan J. Beitler, David S. Yu, Walter J. Curran, Tian Liu
    24 Mar 2015 | 5:00 pm
    To investigate the feasibility of ultrasound Nakagami imaging to quantitatively assess radiation-induced neck fibrosis, a common sequela of radiation therapy (RT) to the head and neck.
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    Journal of Clinical Ultrasound

  • Assessment of left ventricular function by three-dimensional speckle-tracking echocardiography in well-treated type 2 diabetes patients with or without hypertension

    Qingqing Wang, Yunhua Gao, Kaibin Tan, Hongmei Xia, Peijing Li
    20 Mar 2015 | 6:33 am
    ABSTRACT PurposeThe aims of this study were to investigate the myocardial deformation in well-treated type 2 diabetes patients with or without hypertension using three-dimensional speckle-tracking echocardiography and to explore variables that could affect myocardial deformation. MethodsWe studied 82 patients with type 2 diabetes and controlled blood glucose, including 46 subjects with diabetes alone and 36 subjects with diabetes and well-controlled hypertension, and 40 age- and gender-matched controls. Left ventricular real-time three-dimensional (3D) full-volume images were recorded and…
  • Choroidal thickness and retinal vascular caliber correlations with internal carotid artery Doppler variables

    Kadir Agladioglu, Gökhan Pekel, Veli Citisli, Ramazan Yagci
    20 Mar 2015 | 6:31 am
    ABSTRACT PurposeDecreased retinal arteriolar caliber and increased retinal venular caliber have been associated with increased cardiovascular mortality. This study aimed to evaluate correlations of choroidal thickness and retinal vascular caliber measurements with internal carotid artery (ICA) Doppler ultrasound variables. MethodsIn this cross-sectional and observational study, 43 eyes and ICAs of 43 healthy volunteers were examined. Spectral domain optical coherence tomography was used to measure subfoveal choroidal thickness (SFCT) and retinal vascular caliber. The ICA Doppler…
  • Presence of a high-flow-mediated constriction phenomenon prior to flow-mediated dilation in normal weight, overweight, and obese children and adolescents

    Joseph D. Ostrem, Nicholas Evanoff, Aaron S. Kelly, Donald R. Dengel
    20 Mar 2015 | 6:24 am
    ABSTRACT PurposeWhen assessing vasomotor endothelial function by reactive hyperemia, the brachial artery, in some individuals, constricts immediately before beginning to dilate following cuff release. We call this response high-flow-mediated constriction (H-FMC). The aim of this study was to describe the rate of the H-FMC during reactive hyperemia in children and adolescents throughout a range of body mass index (BMI) values, and to investigate differences in flow-mediated dilation (FMD), cardiovascular, and anthropometric measures between subjects with and without H-FMC. MethodsFMD was…
  • The right atrium, a forgotten cardiac chamber: An updated review of multimodality imaging

    Marijana Tadic
    1 Mar 2015 | 11:18 pm
    ABSTRACT Despite several limitations, two-dimensional echocardiography (2DE) is the standard method for assessing the right atrium (RA) in everyday clinical routine. Cardiac magnetic resonance remains the current “gold standard” for RA visualization and volume quantification. The development of 2DE-derived strain imaging has enabled assessing RA deformation and phasic function in various pathologic conditions. Three-dimensional echocardiography was demonstrated to be more accurate and reproducible than 2DE for cardiac chamber quantification, while also allowing the evaluation of RA phasic…
  • Ultrasound diagnosis of serous surface papillary borderline ovarian tumor: A case series with a review of the literature

    Manuela Ludovisi, Xulin Foo, Sara Mainenti, Antonia Carla Testa, Rupali Arora, Davor Jurkovic
    23 Feb 2015 | 3:00 am
    ABSTRACT Serous surface papillary borderline ovarian tumors (SSPBOTs) are a rare morphologic variant of serous ovarian tumors that are typically confined to the ovarian surface, while the ovaries themselves tend to appear normal in size and shape. In this report, we describe the findings from five premenopausal women diagnosed with SSPBOTs, in whom ultrasound showed grossly normal ovaries that were partially or wholly covered with irregular solid tumors. In all five cases, histologic examination showed evidence of borderline serous tumors. These findings demonstrate that SSPBOTs can be…
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    Radiation Oncology - Latest Articles

  • Effects of Radiotherapy in the treatment of multiple myeloma: a retrospective analysis of a Single Institution

    Christiane Matuschek
    27 Mar 2015 | 5:00 pm
    Background: Palliative irradiation of osteolytic lesions is a considerable component in the treatment for patients with multiple myeloma. In this study, we analyzed the efficacy of irradiation in these patients.Patients and methodsWe retrospectively analyzed 153 patients with multiple myeloma who were admitted to our department between 1989 and 2013. According to the staging system of Durie & Salmon 116 patients were classified as stage III. 107/153 patients were treated with radiotherapy of at least one and up to 6 bony lesions at different times. In order to evaluate the effect of local…
  • Concurrent chemoradiotherapy was associated with a higher severe late toxicity rate in nasopharyngeal carcinoma patients compared with radiotherapy alone: a meta-analysis based on randomized controlled trials

    Cheng-run Du
    25 Mar 2015 | 5:00 pm
    Background: To investigate the incidence and risk of severe late toxicity with concurrent chemoradiotherapy (CCRT) in nasopharyngeal carcinoma patients. Methods: Eligible studies included prospective randomized controlled trials (RCTs) evaluating CCRT versus radiotherapy alone in patients with nasopharyngeal carcinoma and in which data on severe late toxicities were available. Random effects or fixed effect models were applied to obtain the summary incidence, relative risks (RRs) and 95% confidence intervals (CIs). Results: Five RCTs with 1102 patients with NPC were included in this analysis.
  • Stereotactic radiation therapy for liver metastases: factors affecting local control and survival

    Nicolaus Andratschke
    20 Mar 2015 | 5:00 am
    PurposeTo report on outcome and toxicity of stereotactic body radiotherapy (SBRT) for liver metastases in patients not eligible for surgery. Methods: From 2000 to 2009, 74 patients with 91 liver metastases from different primaries have been treated with SBRT at our institution. Median planning target volume was 123 ccm (range: 10.6-1074 ccm). Treatment consisted of 3–5 fractions with 5–12.5 Gy/ fraction prescribed to the surrounding 60-95% isodose with daily image guidance. Regular follow-up included CT or MRI imaging until tumor progression. Results: Median local recurrence-free…
  • Characteristics of gated treatment using an optical surface imaging and gating system on an Elekta linac

    Philipp Freislederer
    18 Mar 2015 | 5:00 pm
    Background: Knowing the technical characteristics of gated radiotherapy equipment is crucial for ensuring precise and accurate treatment when using techniques such as Deep-Inspiration Breath-Hold and gating under free breathing. With one of the first installations of the novel surface imaging system CatalystTM (C-RAD AB, Sweden) in connection with an Elekta Synergy linear accelerator (Elekta AB, Sweden) via the Elekta Response Interface, characteristics like dose delivery accuracy and time delay were investigated prior to clinical implementation of gated treatments in our institution.
  • Prospective longitudinal assessment of parotid gland function using dynamic quantitative pertechnate scintigraphy and estimation of dose–response relationship of parotid-sparing radiotherapy in head-neck cancers

    Tejpal Gupta
    14 Mar 2015 | 5:00 pm
    PurposeTo estimate dose–response relationship using dynamic quantitative 99mTc-pertechnate scintigraphy in head-neck cancer patients treated with parotid-sparing conformal radiotherapy. Methods: Dynamic quantitative pertechnate salivary scintigraphy was performed pre-treatment and subsequently periodically after definitive radiotherapy. Reduction in salivary function following radiotherapy was quantified by salivary excretion fraction (SEF) ratios. Dose–response curves were modeled using standardized methodology to calculate tolerance dose 50 (TD50) for parotid glands. Results: Salivary…
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    Sumer's Radiology Blog

  • Insecurity, Expectations & Freedom

    Sumer Sethi
    27 Mar 2015 | 11:00 am
    Modern life can be defined as sum total of the relationships we cultivate. Family,work and leisure everywhere we are but a sum total of the web of relationships we create. There are components to relationships which are often not talked about.Insecurity : every moment we have to confront our fears and concerns about inferiority of insecurity about our looks, our dressing, being poor or being rich. We all are insecure in some ways, but denying it is the root of most problems. Accept it and life becomes better for you and others around you.Expectations : you have expectations out of…
  • Companion Shadows-CXR

    Sumer Sethi
    26 Mar 2015 | 11:09 am
    An Immigrant medical X ray   for excluding primarily Tuberculosis shows a summation of soft tissue  opacities along  superior border of  clavicle and  inferolateral border of 1st and 2nd ribs on right  mimicking  an abnormal etiology which includes fissure, pleural tags or fibrotic streaks.Teaching points by Dr MGK Murthy, Dr PrasannaCompanion shadows accompany bones  and can be bothersome in differentials in chest . They  are produced by   soft tissues accompanying the bones and become visible or prominent  depending on being…
  • Post traumatic hydrocephalus-CT

    Sumer Sethi
    26 Mar 2015 | 10:56 am
    32 year male after head injuy 6months has progressive neurological decline and CT shows craniectomy defect in left temporal bone. There is evidence of post operative gliosis in the left temporal lobe with ex vauo dilatation of left temporal horn. Basal cisterns & sulci are effaced. There is dilatation of the ventricular system with periventricular hypodensity possible post traumatic hydrocephalus.  Teaching Points: Post traumatic hydrocephalus is complication that follows a traumatic brain injury. Clinical Presentation: Post traumatic hydrocephalus in acute cases may…
  • Value Your Own Time

    Sumer Sethi
    25 Mar 2015 | 11:22 pm
    “Time” is the most valuable asset we all have. Why waste it in reacting to other’s actions?This is something that I keep reminding myself. Often while driving down the Delhi city, I notice people fighting their heart out over small scratch on their cars. On other hand, usually if someone by mistake hits my car, I usually remind myself that people are more important than things and I just raise my hand to show my displeasure and I drive on. As I believe my time in life is better spent constructively rather than angrily reacting.That has been the guiding principle in most of my life,…
  • Radiologists are Rodney Dangerfields of medicine-Article Reports

    Sumer Sethi
    25 Mar 2015 | 11:05 pm
    Special Article in  LAS VEGAS REVIEW-JOURNAL writes this interesting piece about role of radiologists in medical practice. Article says "Radiologists are a bit like the Rodney Dangerfields of medicine — they just can’t get any respect from the public. Television and films have a seeming love affair with surgeons. Even coroners and pathologists get more attention from Hollywood."However, Dr Steinberg disagrees to this practice of ignoring the contribution of radiologists towards healthcare by public in general.  For those of you who don't know, Rodney Dangerfield was an…
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    Ultrasound Technician

  • Top 10 Characteristics of Successful Sonographers

    Lisa Parmley
    27 Mar 2015 | 2:04 am
    What is the difference between a top rated and an exceptional sonographer? Exceptional sonographers in 2015 are men and women the patients remember, the physicians ask for, and the coworkers enjoy working with on a regular basis. What characteristics do these ultrasound techs possess that set them apart from other healthcare professionals who are doing […] The post Top 10 Characteristics of Successful Sonographers appeared first on Ultrasound Technician.
  • Sonographer Job Duties in the REAL World

    Lisa Parmley
    23 Mar 2015 | 1:30 am
    It is easy to find a list of ultrasound tech job duties online. In a nutshell, sonographers operate sophisticated imaging equipment, perform ultrasound examinations, collect and record data, and collaborate with other healthcare professionals. Now ask this: What does a sonographer really do during a shift? Read between the lines of job descriptions in 2015 […] The post Sonographer Job Duties in the REAL World appeared first on Ultrasound Technician.
  • Sonography Programs: Tech Schools vs. Universities

    Lisa Parmley
    19 Mar 2015 | 5:23 am
    Are sonography trade school degrees as respected as sonography degrees from universities? Many factors come into play when applying for a Diagnostic Medical Sonography position in 2015. They include the type of sonography degrees held in the job applicant pool, employer minimum job requirements, and many others. However, the bottom line is this: Schools for […] The post Sonography Programs: Tech Schools vs. Universities appeared first on Ultrasound Technician.
  • Sonography Student & Positive Patient Communication Skills

    Lisa Parmley
    16 Mar 2015 | 2:03 am
    All 2015 CAAHEP accredited Diagnostic Medical Sonographers programs require communication course credits as prerequisites or general education requirements. The reason is simple: They must deal with patients in various physical and emotional states. Sonographers must always maintain composure and utilize positive communication skills, even when patients are irritable, impatient, angry or unreasonable. Positive communication skills […] The post Sonography Student & Positive Patient Communication Skills appeared first on Ultrasound Technician.
  • Accredited Ultrasound Technician Schools in Wisconsin

    Lisa Parmley
    13 Mar 2015 | 2:12 am
    (found 7 schools) Wisconsin has over 42,000 miles of rivers and streams and is considered a premier fishing location whether on the Great Lakes or the Eagle River Chain. Residents spend a lot of time outdoors bicycling, hiking and spelunking. However, the state also offers many historical and cultural attractions including the Aztalan archaeological site […] The post Accredited Ultrasound Technician Schools in Wisconsin appeared first on Ultrasound Technician.
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