February 2019 Briefing - Radiology

Here are what the editors at HealthDay consider to be the most important developments in Radiology for February 2019. 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.

Advanced Echocardiographic Training Requirements Issued

THURSDAY, Feb. 28, 2019 (HealthDay News) -- The training requirements for performing advanced echocardiographic procedures (Level III training) are discussed in a statement from the American College of Cardiology, the American Heart Association, and the American Society of Echocardiography; the report was published online Feb. 19 in the Journal of the American College of Cardiology.

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Intervention Can Reduce Racial Differences in Lung Cancer Care

THURSDAY, Feb. 28, 2019 (HealthDay News) -- An intervention that includes race-specific feedback and real-time electronic warnings can reduce racial differences in care for early-stage lung cancer, according to a study published online Feb. 4 in Cancer Medicine.

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Performance Improvement Sustained After DBT Adoption

THURSDAY, Feb. 28, 2019 (HealthDay News) -- Performance improvements after adoption of digital breast tomosynthesis (DBT) relative to digital mammography (DM) performance have been sustained, regardless of DBT volume, according to a study published online Feb. 26 in Radiology.

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MRI Cardiac Stress Test Predicts Death From Heart Disease

TUESDAY, Feb. 26, 2019 (HealthDay News) -- Stress cardiac magnetic resonance imaging (CMR) can predict mortality in patients with known or suspected coronary artery disease (CAD), according to a study published online Feb. 8 in JAMA Cardiology.

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Stereotactic Radiation Feasible for Oligometastatic Cancer

TUESDAY, Feb. 26, 2019 (HealthDay News) -- Stereotactic ablative radiation therapy (SABR) for recurrent oligometastatic cancer is a feasible and tolerable treatment option, according to a phase 2 study published in the January issue of the International Journal of Radiation Oncology, Biology, Physics.

Abstract/Full Text

FDA: Thermography No Substitute for Mammograms

MONDAY, Feb. 25, 2019 (HealthDay News) -- Despite claims to the contrary, thermography should not be used in place of mammography for breast cancer screening, detection, or diagnosis, according to the U.S. Food and Drug Administration.

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2014 to 2017 Saw Improvement in Burnout for U.S. Physicians

MONDAY, Feb. 25, 2019 (HealthDay News) -- From 2014 to 2017, there was an improvement in burnout and satisfaction with work-life integration among U.S. physicians, according to a study published online Feb. 22 in the Mayo Clinic Proceedings.

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National Health Spending Set to Increase 5.5 Percent Annually

FRIDAY, Feb. 22, 2019 (HealthDay News) -- National health spending is projected to increase at an annual rate of 5.5. percent from 2018 to 2027, with fundamental economic and demographic factors the main drivers, according to a report published online Feb. 20 in Health Affairs.

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Most Patients Do Not Disclose Complementary Medicine Use

FRIDAY, Feb. 22, 2019 (HealthDay News) -- Just one-third of users of biologically based complementary medicine (CM) disclose their use to traditional health care providers, according to a review published online Feb. 7 in Scientific Reports.

Abstract/Full Text

One-Third of PCPs Discuss Breast Cancer Treatments With Patients

FRIDAY, Feb. 22, 2019 (HealthDay News) -- One-third of primary care providers (PCPs) report participating in breast cancer treatment decisions, according to a study published online Feb. 1 in Cancer.

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Vertical Integration Has Little Impact on Quality Measures

THURSDAY, Feb. 21, 2019 (HealthDay News) -- Vertical integration between hospitals and physicians has little impact on quality measures, while increased hospital market concentration is strongly associated with reduced quality in measures of patient satisfaction, according to a study published online Feb. 9 in Medical Care Research and Review.

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New Kaiser Permanente Medical School Plans to Waive Tuition

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- A new medical school to be opened by California-based health system Kaiser Permanente will waive tuition for all students in its first five graduating classes.

The New York Times Article
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Hospital Prices Growing Faster Than Physician Prices

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Growth in hospital prices and payments outpaced growth in physician prices and payments from 2007 through 2014, according to a report published in the February issue of Health Affairs.

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Artificial Intelligence Predicts Survival in Epithelial Ovarian Cancer

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Artificial intelligence software can predict prognosis in epithelial ovarian cancer (EOC) above established prognostic methods, according to a study published online Feb. 15 in Nature Communications.

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Hip Preservation Appropriateness Guidelines May Be Limited

THURSDAY, Feb. 14, 2019 (HealthDay News) -- The American Academy of Orthopaedic Surgeons (AAOS) hip preservation surgery appropriateness classification system is driven almost entirely by age and radiographic hip osteoarthritis (OA) evaluation, according to a study published online Jan. 24 in Arthritis Care & Research.

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Functional MRI Patterns Indicate Consciousness, Unconsciousness

TUESDAY, Feb. 5, 2019 (HealthDay News) -- A dynamic pattern of coordinated and anticoordinated functional magnetic resonance imaging (fMRI) signals can characterize healthy individuals and minimally conscious patients, according to a study published online Feb. 6 in Science Advances.

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Health Care Spending Per Person Increased to $5,641 in 2017

TUESDAY, Feb. 12, 2019 (HealthDay News) -- In 2017, health care spending per person reached $5,641, according to the Health Care Cost Institute (HCCI) annual Health Care Cost and Utilization Report.

Health Care Cost and Utilization Report

Many Systematic Reviews Do Not Fully Report Adverse Events

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Many systematic review protocols in the International Prospective Register of Systematic Reviews (PROSPERO) do not include adverse event reporting, according to a study published in the April issue of the Journal of Clinical Epidemiology.

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Use of Watchful Waiting Up for Low-Risk Localized Prostate Cancer

TUESDAY, Feb. 12, 2019 (HealthDay News) -- From 2010 to 2015, there was an increase in use of active surveillance or watchful waiting (AS/WW) rates in men with low-risk and intermediate-risk localized prostate cancer, according to a research letter published online Feb. 11 in the Journal of the American Medical Association.

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More Than a Half Million Deaths From Breast Cancer Averted

MONDAY, Feb. 11, 2019 (HealthDay News) -- From 1989 to 2018, between 384,046 and 614,484 cumulative breast cancer deaths are estimated to have been averted, according to a study published online Feb. 11 in Cancer.

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FDA: Number of U.S. Women With Breast Implant-Caused Cancer Has Increased

THURSDAY, Feb. 7, 2019 (HealthDay News) -- There has been an increase in the number of U.S. women diagnosed with a cancer caused by breast implants, the U.S. Food and Drug Administration said Wednesday.

NBC News Article
More Information: FDA
Letter to Health Care Providers

Conservative Management Feasible for Adnexal Masses

THURSDAY, Feb. 7, 2019 (HealthDay News) -- The risk for malignancy and acute complications is low for patients with an adnexal mass with benign ultrasound morphology who are managed conservatively, according to a study published online Feb. 5 in the The Lancet Oncology.

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Editorial (subscription or payment may be required)

MRI-Guided Tx Strategy Not Superior for Rheumatoid Arthritis

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- A magnetic resonance imaging (MRI)-guided treat-to-target strategy is not associated with improved disease activity remission rates for patients with rheumatoid arthritis (RA) in clinical remission, according to a study published in the Feb. 5 issue of the Journal of the American Medical Association.

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USPSTF Still Recommends Against Pancreatic Cancer Screening

TUESDAY, Feb. 5, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against screening for pancreatic cancer in asymptomatic adults. These findings form the basis of a draft recommendation statement published online Feb. 5 by the USPSTF.

Draft Recommendation Statement
Draft Evidence Review
Comment on Recommendation Statement

Radiologists Can Help ID Intimate Partner Violence

TUESDAY, Feb. 5, 2019 (HealthDay News) -- Victims of intimate partner violence (IPV) undergo more imaging procedures than age- and sex-matched control patients and are more likely to have obstetric-gynecologic findings and acute fractures, according to a study published online Feb. 5 in Radiology.

Abstract/Full Text

Early Tau Deposition Elevated for Women Versus Men

MONDAY, Feb. 4, 2019 (HealthDay News) -- For older adults on the Alzheimer disease trajectory, women have elevated early tau deposition compared with men, according to a study published online Feb. 4 in JAMA Neurology.

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