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April 2014 Briefing - Radiology

Here are what the editors at HealthDay consider to be the most important developments in Radiology for April 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Wrong-Level Localization in Spine Surgey Rare but Still Occurs

MONDAY, April 28, 2014 (HealthDay News) -- Most surgeons admit wrong-level localization during spinal surgery during their career, according to a study published in the May 1 issue of The Spine Journal.

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BMI Linked to Coronary Plaque in Asymptomatic Diabetes

MONDAY, April 28, 2014 (HealthDay News) -- For asymptomatic patients with diabetes, body mass index (BMI) is directly related to coronary plaque, as measured by coronary computed tomography (CT) angiography, according to a study published online April 22 in Radiology.

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CDC: Workplace Ladder Falls a Major Cause of Deaths, Injuries

FRIDAY, April 25, 2014 (HealthDay News) -- Workplace tumbles off of ladders are a major cause of injury and death among American employees, according to a study published in the April 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Physician Groups Find Fault With Medicare Payment Data Release

THURSDAY, April 24, 2014 (HealthDay News) -- Physician groups cite major problems associated with the release of Medicare payment data, according to an article published April 16 in Medical Economics.

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Shared Decision-Making Ups Satisfaction in Radiotherapy

THURSDAY, April 24, 2014 (HealthDay News) -- For patients undergoing radiotherapy, shared decision-making (SDM) and patient-perceived control in treatment decisions correlate with increased patient satisfaction, according to a study published online March 19 in Cancer.

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Educational Changes Suggested for Patient-Centered Medicine

THURSDAY, April 24, 2014 (HealthDay News) -- Changes in medical education and training are suggested to help new physicians address the needs of patients and their families, according to an ideas and opinions piece published in the April 22 issue of the Annals of Internal Medicine.

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Short-Term Anxiety Up With False-Positive Mammogram

WEDNESDAY, April 23, 2014 (HealthDay News) -- False-positive mammogram results are tied to increased short-term, but not long-term, anxiety, according to a study published online April 21 in JAMA Internal Medicine.

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FDA Proposes Accelerated Medical Device Approval Plan

WEDNESDAY, April 23, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has proposed a new program that would provide expedited access to high-risk medical devices intended for patients with serious conditions whose medical needs are not met by current technology.

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Task Force Recommends Ways to Improve Price Transparency

MONDAY, April 21, 2014 (HealthDay News) -- Price transparency frameworks, which provide price information presented in the context of other relevant information, should be developed to meet patients' needs, according to recommendations presented in a report from the Healthcare Financial Management Association (HFMA).

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Low Adherence Rates for Prostate Cancer Quality of Care Measures

MONDAY, April 21, 2014 (HealthDay News) -- Adherence to established prostate cancer quality of care measures is frequently low, with considerable regional variation, according to a study published in the April issue of The Journal of Urology.

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AMA Examines Economic Impact of Physicians

FRIDAY, April 18, 2014 (HealthDay News) -- Physicians who mainly engage in patient care contribute a total of $1.6 trillion in economic output, according to the American Medical Association (AMA)'s Economic Impact Study.

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PET Imaging Aids Diagnosis of Vegetative State

FRIDAY, April 18, 2014 (HealthDay News) -- Positron emission tomography (PET) imaging may be used in conjunction with examinations to assess long-term outcomes in patients in a vegetative state, according to a study published online April 16 in The Lancet.

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White House: 8 Million People Signed Up for Health Insurance

FRIDAY, April 18, 2014 (HealthDay News) -- Eight million Americans signed up for private health insurance during the just-concluded first enrollment period under the Affordable Care Act, the White House announced Thursday afternoon.

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Int'l Medical Education Standards Not Equivalent to U.K. Standards

FRIDAY, April 18, 2014 (HealthDay News) -- International medical graduates passing the Professional and Linguistic Assessments Board (PLAB) of the General Medical Council (GMC) have lower performance on MRCP(UK) (Membership of the Royal Colleges of Physicians) and MRCGP (Membership of the Royal College of General Practitioners) and on annual review of competence progression (ARCP) examinations, according to two studies published online April 17 in BMJ.

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One in 20 U.S. Adults a Victim of Diagnostic Errors

THURSDAY, April 17, 2014 (HealthDay News) -- Diagnostic errors affect at least one in 20 U.S. adults, according to research published online April 17 in BMJ Quality & Safety.

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Apathy Symptoms Tied to Lower Brain Volumes

THURSDAY, April 17, 2014 (HealthDay News) -- Apathy symptoms in older people without dementia are associated with lower brain volumes, according to a study published online April 16 in Neurology.

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Educator Discusses Key Issues for Future Doctors to Consider

THURSDAY, April 17, 2014 (HealthDay News) -- The key issues for future physicians are discussed in an article published by the American Medical Association (AMA).

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Patient-Clinician Relationship Impacts Health Care Outcomes

THURSDAY, April 17, 2014 (HealthDay News) -- The patient-clinician relationship has a small but significant effect on health care outcomes, according to a study published online April 9 in PLOS ONE.

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Considerable Variation in CT Use in Ischemic Stroke

THURSDAY, April 17, 2014 (HealthDay News) -- For patients with ischemic stroke there is considerable variation in the rates of high-intensity computed tomography (CT) use, according to a study published online April 8 in Circulation: Cardiovascular Quality and Outcomes.

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MRI Connects Vestibulopathy and Damage From Brain Injury

WEDNESDAY, April 16, 2014 (HealthDay News) -- Damage to specific brain regions may be linked to the prognosis of concussion patients with vestibulopathy, according to a study published online April 14 in Radiology.

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Continued Reliance on Windows XP May Threaten Data Security

WEDNESDAY, April 16, 2014 (HealthDay News) -- Physicians who use Windows XP in their practices may be affected by Microsoft's recent discontinuation of support for the program, according to an article published April 8 in Medical Economics.

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Patients Paying Much More for Specialty Drugs

TUESDAY, April 15, 2014 (HealthDay News) -- Many Americans are paying less for prescription drugs, but some are having to deal with sharp rises in the cost of specialty medicines for rare or serious diseases, according to a new report.

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New Health Secretary to Confront Health Care Reform Hurdles

MONDAY, April 14, 2014 (HealthDay News) -- With the resignation of U.S. Health and Human Services Secretary Kathleen Sebelius on Friday, the Affordable Care Act will get a fresh face. But turning around public perception of the controversial health care reform law in a politically charged mid-term election year poses an enormous challenge for the department's next leader, policy experts said.

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Sebelius Stepping Down As HHS Secretary

FRIDAY, April 11, 2014 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius is stepping down from her position, after overseeing the troubled rollout of the Affordable Care Act that remains unpopular with some Americans and virtually all Republican lawmakers.

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Quality Initiative Aids Adnexal Cystic Lesion Management

THURSDAY, April 10, 2014 (HealthDay News) -- Quality improvement interventions can improve the identification of adnexal cystic lesion characteristics as well as the appropriateness of follow-up recommendations for pelvic ultrasound exam findings, according to a study published in the April issue of the Journal of the American College of Radiology.

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Fewer Americans Overwhelmed by Medical Bills

WEDNESDAY, April 9, 2014 (HealthDay News) -- While millions of Americans still feel hamstrung by medical expenses, a new government report shows that some people are getting relief.

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More Justification Needed for Choosing Wisely Selections

WEDNESDAY, April 9, 2014 (HealthDay News) -- Most services included in specialty medical societies' Top 5 lists for the Choosing Wisely campaign are based on evidence demonstrating equivalent but not superior benefit, with higher risk or higher costs compared to other options, according to a research letter published in the April 9 issue of the Journal of the American Medical Association.

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Some Doctors Paid at Least $3 Million Each by Medicare

WEDNESDAY, April 9, 2014 (HealthDay News) -- A small number of doctors received at least $3 million each in Medicare payments in 2012, for a total of nearly $1.5 billion, according to an analysis of Medicare claims data released Wednesday by the White House. In total, Medicare paid individual physicians nearly $64 billion in 2012. The median payment was just over $30,000, the Associated Press reported.

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Newly Eligible for Expanded Medicaid Are Healthier

MONDAY, April 7, 2014 (HealthDay News) -- Persons newly eligible for expanded Medicaid coverage under the Affordable Care Act (ACA) are not sicker than pre-ACA enrollees, according to research published online March 26 in Health Affairs.

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Patients Select Fewer New Docs at Bottom of Tiered Ranking

MONDAY, April 7, 2014 (HealthDay News) -- Patients are less likely to select a new physician ranked in the bottom of a tiered network, but often don't switch if their current physician is ranked at the bottom, according to research published online March 11 in Health Services Research.

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AMA Provides Resources to Aid Physicians' Collections

FRIDAY, April 4, 2014 (HealthDay News) -- The American Medical Association (AMA) has released resources to help doctors confront policy jumpers who may pose a financial risk to physicians during the Affordable Care Act's 90-day premium grace period, according to an article published March 25 in Medical Economics.

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Full-Field Digital Mammography Reduces Recall Rate

THURSDAY, April 3, 2014 (HealthDay News) -- Compared with screen-film mammography (SFM), full-field digital mammography (FFDM) is associated with reduced recall and biopsy rates, according to research published online April 1 in Radiology.

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Half of Uninsured Don't Intend to Sign Up for Health Coverage

WEDNESDAY, April 2, 2014 (HealthDay News) -- About 50 percent of uninsured adults do not intend to sign up for coverage through the Affordable Care Act's health care exchanges, according to an article published March 26 in Medical Economics.

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β-Amyloid Deposits in Brain Linked to Arterial Stiffness

WEDNESDAY, April 2, 2014 (HealthDay News) -- Cerebral β-amyloid (Aβ) deposition increases with age in nondemented individuals, and this deposition is strongly associated with arterial stiffness, according to a study published online March 31 in JAMA Neurology.

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Tadalafil Not Helpful for ED in Prostate CA Post-Radiotherapy

WEDNESDAY, April 2, 2014 (HealthDay News) -- Among men receiving radiotherapy for prostate cancer, daily use of tadalafil is not more effective than placebo in preventing erectile dysfunction, according to research published in the April 2 issue of the Journal of the American Medical Association.

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Individualized Risk Should Guide Mammography Screening

TUESDAY, April 1, 2014 (HealthDay News) -- Better decision aids that incorporate individualized risk could improve breast cancer screening, according to a review published in the April 2 issue of the Journal of the American Medical Association.

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Physician's Briefing