ACR Bulletin August 2016

Looking Into the Future at ACR 2016

Much of the discussion at this year’s annual meeting revolved around upcoming technologies and emerging shifts in the patient experience. 

future acr2016


The ACR 2016 meeting  provided a wonderful venue for radiologist from all types of practice to gather and exchange ideas regarding the topics most important to our specialty.

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New Chairs, Same Mission

As the cast of volunteers evolves, the Commission on Economics continues to work to maintain payments and ensure radiology’s place in future payment systems.

august economics 

The Commission on Economics thanks the outgoing chairs and welcomes the new chairs who will lead the following important committees: Managed Care, the Radiology Integrated Care (RIC) Network, Interventional Radiology (IR), Academic Radiology, and Reimbursement (RUC). I discussed our new MACRA Committee and its chair, Greg Nicola, MD, in last month’s July column.

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Final Read

Join Y. Luh, MD

final read luh

Q: How do you include patients in their health care decision-making?

As a radiation oncologist, I have direct face-to-face interaction with patients throughout the care process, from the initial consultation to long-term follow up. These interactions ensure I cultivate lasting relationships with cancer survivors.

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Meet the ACR Leadership: Cheri Canon, MD, FACR

rfs canon connections

This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we will interview the ACR Leadership to get insight into their background and involvement in the ACR.For this installment, we will be interviewing Cheri Canon, MD, who is the current Vice President of the ACR. She is also the past Chair of the Commission on Education. Dr. Canon is the chair of the University of Alabama Department of Radiology.

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Evidence Mattersevidence matters

Harvey L. Neiman Health Policy Institute staff participated in AcademyHealth’s 2016 Annual Research Meeting (ARM), which took place in Boston, Mass., on June 26-28.

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RFS Voices: Adventures in Peru

This year’s Goldberg-Reeder grant recipient travels to Cusco, Peru.FullSizeRender

As I prepared to pick up my bags from the conveyor belt at the Cusco, Peru airport, I was a little nervous. But that was nothing compared to the excitement I felt at beginning my journey. I had been waiting for what felt like a lifetime for this moment.

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JACR July 2016 HighlightsJACRBlog

The July Issue of JACRⓇ covers the misuse of the term “stable,” depression in radiologists, reporting of incidental findings, categorical radiology residency programs, and 3D printing among other things.

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Big ICD-10 Challenges Ahead

The transition to ICD-10 codes has been official for the past year, but many challenges lie ahead.aug icd 10

When medical professionals made the switch to the 10th revision of the International Classification of Diseases, 10th revision (ICD-10) last October, the conversion was monumental.

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How to Land an Interview With Your Perfect Group

You’ve found your preferred job. Use this advice to get the interview.aug rfs landing an interview

So you’ve found the job you want. Now you have to land an interview. First impressions are everything.

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Developing A Resident Health Care Economics Curriculum: Perspectives and Adviceaugust rfs economics curriculum

In the day-to-day crunch to gain clinical knowledge as a trainee, it’s tempting to put off learning the economic fundamentals. After all, health care economics isn’t tested on the Core exam and nobody will ask about it when you’re on call.

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5 Things You Should Know About Value-Based Payment


With the new payment system at hand, there’s a lot of information swirling around for physicians to learn. The Bulletin asked Gregory N. Nicola, new chair of the ACR MACRA Committee, what radiologists need to know about the new payment system.

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The Power of Navigation


The Harvey L. Neiman Molecular Imaging Fund honors the legacy of a medical visionary who dedicated his professional life to improving patient care


During his tenure at the helm of the ACR, Harvey L. Neiman, MD, FACR, guided the College to become one of the world’s largest and most influential medical specialty societies.

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Conversations from ACR 2016

Raymond Tu

Raymond Tu, MD discusses Patient Engagement


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August Case of the Month

Access case here.

Authors: Allison M. Aripoli, MD,PGY-4, Radiology Resident, Department of Diagnostic Radiology, University of Kansas Medical Center, Kansas City, Kans.; Lucas Meek, MDPGY-5, Assistant Professor of Radiology, Cardiothoracic Imaging, Department of Diagnostic Radiology, University of Kansas Medical Center,Kansas City, Kans.; Steven Lemons, MD Associate Professor of Radiology,Assistant Professor of Radiology, Vascular and Interventional Radiology, Department of Interventional Radiology University of Kansas Medical Center, Kansas City, Kans.

Why did you select this case for submission?

Mycotic pulmonary artery pseudoaneurysms are uncommon, but an important entity to recognize because of the associated morbidity and mortality. This case was unique not only for its rarity, but also because we were able to follow the case from presentation through treatment.

What should readers learn from this case?

The clinical context for image interpretation of cavitary lung lesions is valuable. While cavitary pulmonary metastases, granulomatosis with polyangitis, and infection can cause cavitary lesions, in the setting of sepsis, septic pulmonary emboli should be considered. It is important to realize that pulmonary artery pseudoaneurysms can be caused by erosion of the vascular wall by neoplasms or infection.

What did you learn from working on the case?

This case gave me the opportunity to review causes of both cavitary lung lesions and pulmonary artery pseudoaneurysms. Because mycotic pulmonary artery aneurysms are uncommon, it was also a great opportunity to review existing literature regarding treatment options.

How did guidance from senior staff at your institution impact your learning and case development?

Senior staff interpreted this case independently, but shared the imaging findings to promote learning. I took the opportunity to review the imaging, clinical history, and available literature. When unique cases are encountered, imparting knowledge to trainees is invaluable.

Why did you choose Case in Point for submission of your case?

Case in Point is an excellent avenue to distribute cases amongst fellow radiology residents and radiologists. I have enjoyed many case learning opportunities through CIP, and wanted to share this rather uncommon case.

What is the appeal of online learning tools such as Case in Point as opposed to print learning venues?

Online learning in a case-based format with selected pertinent images is appealing for several reasons. First, accessing the cases is easy, especially when linked through email notification. Second, the question-type format highlighting differential diagnoses followed by a summary provides concise and directed learning. In addition, there is variety to daily cases, which is especially important for radiology trainees.

Are you a regular reader of Case in Point? What are your favorite types of cases?

Yes, and as a regular reader my favorite types of cases are the rare but important ones. CIP offers outstanding exposure to images of unusual cases encountered at various institutions. I also like the collection of uncommon presentations of common entities.

Is there anything else you'd like readers to know about your case?

The patient highlighted in this case had a very good clinical outcome following endovascular intervention, which is remarkable considering the reported mortality rate for patients with pulmonary artery pseudoaneurysm.