September 2016 Briefing - Radiology

Here are what the editors at HealthDay consider to be the most important developments in Radiology for September 2016. 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.

CDC: Too Many Health Care Workers Not Getting Flu Vaccine

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Roughly one in every five American health care workers do not receive the annual influenza vaccination, and in some facilities that number exceeds half, according to research published in the Sept. 30 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Retrieved Lymph Node Number Affects Prognosis in Gastric CA

FRIDAY, Sept. 30, 2016 (HealthDay News) -- In patients with pathological stage (pStage) II or III gastric cancer, the number of retrieved lymph nodes (RLNs) is an independent poor prognostic factor, according to a study published in the September issue of the Journal of Gastroenterology and Hepatology.

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Meditation Recommended for Helping Attendings 'Attend'

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Meditation can allow attending physicians to be "in attendance" in order to heal and maintain personal well-being, according to an article published by the American Medical Association.

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Shorter Duration of Feeding Tube Placement With IMRT

FRIDAY, Sept. 30, 2016 (HealthDay News) -- For patients with head and neck cancer (HNC), the duration of feeding tube placement is shorter for those who receive definitive intensity-modulated radiation therapy (IMRT) compared with those who receive three-dimensional radiation therapy (3DRT), according to a study published online Sept. 23 in Cancer.

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Radiation Effect on Epigenetic Modifiers May Up Metabolic Risk

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Total body irradiation alters intracellular signaling and epigenetic pathways regulating cell proliferation and differentiation of skeletal muscle and adipose progenitor cells, according to an experimental study published online Sept. 20 in Diabetes.

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Many Doctors Reluctant to Reveal Mental Health Issues

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Wary of the stigma of a mental health diagnosis and its toll on their careers, physicians often avoid getting help for depression and other mental illnesses, according to a report published online Sept. 15 in General Hospital Psychiatry.

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AMA: Practicing Empathy May Lead to More Joy in Medicine

MONDAY, Sept. 26, 2016 (HealthDay News) -- Empathetic listening can help physicians navigate difficult situations and forge deeper connections with patients, leading to greater professional satisfaction and joy, according to the American Medical Association.

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Hyperbaric O2 Therapy Effective in Maxillary Osteoradionecrosis

MONDAY, Sept. 26, 2016 (HealthDay News) -- Hyperbaric oxygen therapy (HBOT) seems efficacious for patients with maxillary bone osteoradionecrosis (ORN), according to research published online Sept. 19 in Head & Neck.

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Robotic-Assisted Platform Feasible in Peripheral Artery Dz

FRIDAY, Sept. 23, 2016 (HealthDay News) -- A robotic-assisted platform is safe and feasible for peripheral vascular intervention in patients with peripheral artery disease (PAD), according to a study published online Sept. 14 in JACC: Cardiovascular Interventions.

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CCTA Has Prognostic Value in Asymptomatic T2DM Patients

THURSDAY, Sept. 22, 2016 (HealthDay News) -- For asymptomatic patients with type 2 diabetes, coronary computed tomographic angiography (CCTA) has prognostic value, with excellent long-term prognoses for those with normal coronary arteries and non-obstructive coronary artery disease (CAD), according to a study published online Sept. 14 in JACC: Cardiovascular Imaging.

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Findings to Help Radiologists ID Zika Virus Infection at Imaging

THURSDAY, Sept. 22, 2016 (HealthDay News) -- Congenital brain abnormalities are similar for confirmed and presumed Zika infections, according to a study published in the October issue of Radiology.

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ASCO/ASTRO/SSO Update Guidelines on Postmastectomy RT

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- New guidelines have been issued by three leading cancer organizations for postmastectomy radiotherapy (PMRT). All three groups published the guidelines online this week in their respective journals: the Journal of Clinical Oncology, Practical Radiation Oncology, and the Annals of Surgical Oncology.

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Health Care Reform Tied to Higher Uptake of Mammography

TUESDAY, Sept. 20, 2016 (HealthDay News) -- The number of Medicare patients receiving mammograms increased slightly, but significantly, in the first three years of U.S. health care reform, according to a study published online Sept. 20 in Radiology.

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Hospitals Increasingly Employing Doctors, Effects on Care Uncertain

TUESDAY, Sept. 20, 2016 (HealthDay News) -- Hospitals are increasingly switching to an employment relationship with physicians, but switching has had no impact on primary composite quality metrics, according to a study published online Sept. 20 in the Annals of Internal Medicine.

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Average Premiums for Health Care Coverage Stable in 2016

MONDAY, Sept. 19, 2016 (HealthDay News) -- The average annual premiums for single and family coverage remained stable in 2016, according to a study published online Sept. 14 in Health Affairs.

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Readmit Predictors for Congenital Heart Disease Are Lesion Specific

MONDAY, Sept. 19, 2016 (HealthDay News) -- For adults with congenital heart disease, readmission is more likely among those with a primary diagnosis of congestive heart failure, and predictors of readmission are lesion specific, according to a study published online Sept. 13 in Circulation: Cardiovascular Quality and Outcomes.

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Outlook Good for Localized Prostate CA, Despite Tx Chosen

THURSDAY, Sept. 15, 2016 (HealthDay News) -- Mortality rates from localized prostate cancer are roughly the same over several years regardless of choosing watchful waiting or undergoing radiation or prostatectomy, according to research published online Sept. 14 in the New England Journal of Medicine.

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Recommendations Developed for Cost-Effectiveness Analyses

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A new set of recommendations has been developed for conduct and reporting of cost-effectiveness analyses, according to a report published in the Sept. 13 issue of the Journal of the American Medical Association.

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Value-Driven Outcomes Tool Can Cut Health Care Costs

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- A multifaceted value-driven outcomes tool that identifies variability in costs and outcomes can reduce health care costs, according to a study published in the Sept. 13 issue of the Journal of the American Medical Association.

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New Anticancer Drugs Up Costs and Life Expectancy Considerably

TUESDAY, Sept. 13, 2016 (HealthDay News) -- New anticancer drugs, which increase costs considerably, are associated with large gains in life expectancy, according to research published in the September issue of Health Affairs.

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Metabolic Syndrome and Obesity Up Risk of Mortality in CRC

TUESDAY, Sept. 13, 2016 (HealthDay News) -- For patients with early-stage colorectal cancer (CRC), the presence of metabolic syndrome (MetSyn) and obesity is associated with increased risk of mortality, according to a study published online Sept. 6 in the Journal of Clinical Oncology.

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Pregnancy Screens Lacking for Teens With Leukemia

MONDAY, Sept. 12, 2016 (HealthDay News) -- Many female adolescent patients with acute leukemia and emergency room (ER) visits have low rates of pregnancy screening before teratogenic exposures, according to research published online Sept. 12 in Cancer.

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Magnifying Endoscopy With Enhanced Imaging IDs Gastric CA

MONDAY, Sept. 12, 2016 (HealthDay News) -- Magnifying endoscopy with image-enhanced endoscopy (ME-IEE) may provide better diagnostic performance than conventional white light imaging (C-WLI) for early gastric cancer, according to an article published online Aug. 31 in the Journal of Digestive Diseases.

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Lean Processes Can Cut Wait Times at VA Hospitals

FRIDAY, Sept. 9, 2016 (HealthDay News) -- For patients at Veterans Affairs hospitals, implementation of lean practices can reduce wait times and increase operative volume, according to a study published online Sept. 7 in JAMA Surgery.

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White Matter Damage Linked to Cognitive Impairment in CAD

WEDNESDAY, Sept. 7, 2016 (HealthDay News) -- In symptomatic carotid artery disease (CAD), subcortical white matter ischemic lesion locations and severity of ultrastructural tract damage contribute to cognitive impairment, according to a study published online Sept. 6 in Radiology.

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Whole Brain Radiotherapy Offers Little Benefit in Brain Mets

TUESDAY, Sept. 6, 2016 (HealthDay News) -- Whole brain radiotherapy (WBRT) seems to offer limited clinical benefit for patients with non-small-cell lung cancer with metastases, according to a study published online Sept. 4 in The Lancet.

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Ultrashort Echo-Time MRI IDs Lung Abnormalities in CF

FRIDAY, Sept. 2, 2016 (HealthDay News) -- For children with cystic fibrosis (CF), ultrashort echo-time (UTE) magnetic resonance imaging (MRI) can detect structural lung disease, according to a study published online Aug. 23 in the Annals of the American Thoracic Society.

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U/S Can Diagnose Compression of Deep Peroneal Nerve

FRIDAY, Sept. 2, 2016 (HealthDay News) -- Sonography (US) is important for diagnosing compression of branches of the deep peroneal nerve, according to a case study published online Aug. 10 in the Journal of Clinical Ultrasound.

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Risk of Injuries Up Around Period of Cancer Diagnosis

FRIDAY, Sept. 2, 2016 (HealthDay News) -- Patients with cancer have increased risks of iatrogenic and non-iatrogenic injuries shortly before and after cancer diagnosis, according to a study published online Aug. 31 in The BMJ.

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