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August 2014 Briefing - Radiology

Here are what the editors at HealthDay consider to be the most important developments in Radiology for August 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.

Report Highlights Progress, Challenges in Health IT

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published by the Robert Wood Johnson Foundation.

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AMGA: Physician Turnover Still High in 2013

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

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Guidelines Presented for Diagnosing Focal Liver Lesions

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Focal liver lesions (FLLs) are mostly benign, and can be diagnosed based on knowledge of their presentation, associated clinical and laboratory features, and natural history, according to clinical guidelines published online Aug. 19 in the American Journal of Gastroenterology.

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Risk of Diabetes Up in Hodgkin's Lymphoma Survivors

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Para-aortic radiation correlates with increased diabetes mellitus (DM) risk for Hodgkin's lymphoma (HL) survivors, according to a study published online Aug. 25 in the Journal of Clinical Oncology.

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Reduced Risk of Brain Injury on MRI With Early EPO in Preemies

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Early administration of high-dose erythropoietin is associated with a reduced risk of brain injury on magnetic resonance imaging (MRI) in premature infants, according to research published in the Aug. 27 issue of the Journal of the American Medical Association.

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Video Game Improves Balance in Multiple Sclerosis Patients

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Training with a video game balance board results in changes shown in brain magnetic resonance imaging (MRI) as well as clinical improvement in balance in patients with multiple sclerosis (MS), according to research published online Aug. 26 in Radiology.

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Restrictive, Non-Solicitation Covenants Are Valid

MONDAY, Aug. 25, 2014 (HealthDay News) -- Restrictive and non-solicitation covenants are valid and can be enforced, according to an article published Aug. 5 in Medical Economics.

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Organized Processes Help Practices Hire Well

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- A defined process is necessary to help physicians hire the right staff for their practice, according to an article published July 24 in Medical Economics.

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Boxed Warnings Are Common in Novel Therapeutics

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Boxed warnings are common on recent drug approvals, and many occur years after approval, according to a research letter published online Aug. 15 in JAMA Internal Medicine.

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Cancer Screening Common in Those With Low Life Expectancy

MONDAY, Aug. 18, 2014 (HealthDay News) -- Cancer screening is common among those with limited life expectancy, and more frequent colorectal cancer screening than recommended does not provide benefit, according to two studies published online Aug. 18 in JAMA Internal Medicine.

Abstract - Royce
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Abstract - van Hees
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MRI Better Detects Recurrent Breast Cancer

FRIDAY, Aug. 15, 2014 (HealthDay News) -- Single-screening breast magnetic resonance imaging (MRI) detects 18.1 additional cancers after negative findings with mammography and ultrasonography (US) per 1,000 women with a history of breast cancer, according to a study published in the August issue of Radiology.

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Limited Sensitivity for Plain Anteroposterior Pelvic Imaging

THURSDAY, Aug. 14, 2014 (HealthDay News) -- For children with pelvic fractures or dislocations after blunt trauma, plain anteroposterior pelvic radiographs have limited sensitivity, according to a study published online July 29 in the Annals of Emergency Medicine.

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Nonadherent MRIs Up Subsequent Medical Costs

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Nonadherent magnetic resonance imaging (MRI) utilization is tied to a cascade of higher medical costs and potentially unnecessary and unhelpful medical services following the MRI, according to research published in the Aug. 1 issue of Spine.

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Meta-Analysis Strategy Impacts Estimation of Tx Outcome

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Estimation of treatment outcome varies with the meta-analysis strategy, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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EHR Adoption Increasing, But Stage 2 Criteria Often Not Met

MONDAY, Aug. 11, 2014 (HealthDay News) -- Most U.S. hospitals and office-based physicians have adopted electronic health records (EHR), according to two studies published in the August issue of Health Affairs.

Abstract - Adler-Milstein
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Abstract - Furukawa
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Guidelines Updated for Contrast Agent Use in Clinical Echoes

MONDAY, Aug. 11, 2014 (HealthDay News) -- Initiatives have been developed to improve the appropriate use of contrast media in echocardiography. The guidelines were published in the August issue of the Journal of the American Society of Echocardiography.

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CT Perfusion Imaging Better IDs CAD Than SPECT

MONDAY, Aug. 11, 2014 (HealthDay News) -- Computed tomographic (CT) perfusion imaging shows higher overall diagnostic performance than single photon emission computed tomography (SPECT) perfusion imaging for the diagnosis of coronary artery disease (CAD), according to a study published in the August issue of Radiology.

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Issues to Consider With Integration of Telemedicine

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Integrating telemedicine raises various considerations, including operational and legal issues, according to an article published July 24 in Medical Economics.

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CDC: Millions Given Access to Breast, Cervical CA Screening

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Millions of American women have benefited from a breast and cervical cancer screening program offered by the U.S. Centers for Disease Control and Prevention, according to a new report. The report was published online and in an Aug. 15 supplement edition of the journal Cancer. The report features 13 new studies evaluating numerous features of the screening program.

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Diagnostic Algorithm for Appendicitis Cuts Pediatric CT Use

THURSDAY, Aug. 7, 2014 (HealthDay News) -- For pediatric patients, implementation of a diagnostic algorithm for appendicitis correlates with a significant reduction in computed tomography (CT) use without impacting diagnostic accuracy, according to a study published in the August issue of Surgery.

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VA Health Care Reform Bill Signed Into Law

THURSDAY, Aug. 7, 2014 (HealthDay News) -- A bill signed into law Thursday by President Barack Obama is meant to provide veterans with easier access to government-paid health care.

Health Highlights: Aug. 7, 2014

Women Over 75 May Still Benefit From Mammograms

TUESDAY, Aug. 5, 2014 (HealthDay News) -- Women 75 and older may still benefit from routine mammograms, according to new research. The study was published online Aug. 5 in Radiology.

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Intrinsic Imaging Phenotypes ID'd for Breast Cancer Tumors

TUESDAY, Aug. 5, 2014 (HealthDay News) -- Intrinsic radiologic phenotypes exist for breast cancer tumors and are associated with prognostic gene expression profiles, according to a study published in the August issue of Radiology.

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Many Physicians Have Secondary Income

MONDAY, Aug. 4, 2014 (HealthDay News) -- Many physicians report earning income from sources other than their primary practice/employer, according to an article published July 24 in Medical Economics.

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Interventions Avert Contrast-Induced Acute Kidney Injury

MONDAY, Aug. 4, 2014 (HealthDay News) -- A quality improvement program helps prevent contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention, according to research published online July 29 in Circulation: Cardiovascular Quality and Outcomes.

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CT Effective in Detection of Significant Cervical Spine Injury

MONDAY, Aug. 4, 2014 (HealthDay News) -- Computed tomography (CT) is effective in detecting clinically significant cervical spine (CS) injuries in patients with neurologic deficit or CS pain, according to a study published online July 30 in JAMA Surgery.

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Two New Radiographic Signs of Gastric Band Slippage ID'd

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Two radiographic signs have been identified that have high sensitivity and specificity for gastric band slippage, according to a study published in the July issue of the American Journal of Roentgenology.

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