ACR Bulletin November 2016

Final Read

Mohammad Naeem, MD
final read

Q: What is it like being a military radiologist?

Military radiologists are not only physicians but also military officers and leaders, assuming administrative and supervisory responsibilities very early in their careers.

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3 Things to Read Today

lightbulbs

This week we’re looking at the benefits of noncontrast MR angiography for some patients; why adding ultrasound during nondense breast imaging may not be necessary; the potential “pitfalls” in pediatric imaging, and more.

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RFS Voices: The Radiology Match: Perspectives of A Current and Former Caribbean Medical Student

RFS voices caribbean

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Options for Managing Student Loan Debt

rfs loan post

Deciding how to manage student loan debt while in radiology residency is a confusing process; It’s a long road and there are all manner of jargon and rules / restrictions to be aware of — which makes the prospect downright unenjoyable.

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JACRⓇ October 2016 Highlights

JACRBlog

The October Issue of JACRⓇ covers reporting incidental findings, getting involved, the improving job market, and R-SCAN™, among other things. Here are a handful of articles of special interest to radiologists in training.

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ASTRO Annual MeetingASTRO annual meeting

The American Society for Therapeutic Radiation Oncology (ASTRO) just wrapped up its annual meeting in beautiful Boston, Massachusetts. The theme of this year’s 58th annual event was “Enhancing Value, Improving Outcomes,” and did it ever ring true.

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Meet the ACR Leadership: Bruce Hillman, MD, FACR

This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR.meet acr leadership

For this installment, Anthony Trace, MD, PhD, resident at Eastern Virginia Medical School, interviews Dr. Bruce Hillman, MD, who is the Founding Editor-in-Chief of the Journal of the American College of Radiology, Professor and Former Chair of Radiology at the University of Virginia.

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Shattering Radiology’s Glass Ceiling

My experience as the first female chief in an all-male program.shattering glass ceiling

I was sitting in the CT reading room when I received the text message from my Program Director…"Congratulations Chief!"

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Job Outlooks 2016

 jobs

Zoom in on the 2016 results of the ACR Commission on Human Resources Workforce Survey.

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The National Practitioner Data Bank

What are the reporting requirements and how do they impact your practice?GettyImages 513311684 1

The National Practitioner Data Bank (NPDB) is a federal information repository that tracks malpractice claims, disciplinary actions, state licensing actions, and privileging restrictions against U.S. health care practitioners.

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Strategic Alignment

Radiologists can use the power of networking to strategize for value-based care.GettyImages 512892572

With all the changes happening in health care, it's more important than ever to look ahead to the future and strategize your next move.

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Well-Connected

Cloud-based image and report sharing continues to expand as standards emerge and security improves.Well connected

About a year ago, 45-year-old Anna Schafer moved from Maine to South Carolina for her job. As she settled into her new home, Anna made an appointment with a highly recommended gynecologist at her local hospital.

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Wake-Up Call

What radiologists can learn from Hawaii's preauthorization fight and how CDS can help.wake up call

Ho'ohiki. In Hawaii, that little statement means something big: that you will deliver fully on your promise.

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Strategic Imaging

A North Carolina radiology practice has developed a regional imaging strategy around advanced IT solutions.strategic imaging2

When reimbursement cuts began about a decade ago, Greensboro Radiology, a private practice in Greensboro, N.C., knew health care was evolving. And the practice's leaders recognized that to survive in the era of value-based care, they'd have to evolve, too.

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Technology for the Patient's Sake

How do ACR informatics solutions improve care while enhancing workflow?

moving forward2

In the ear of digital information, radiologists sure have a plethora of it — from EMRs to RIS to PACS. But accessing this information isn't always easy.

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Moving Forward

Technology can be a powerful tool as the patient role changes.moving forward

With the shifting atmosphere of value-based health and the ever-present development of new technologies, physicians are inundated with change. But health care is changing just as much, if not more, for patients as well.

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The Challenge of Protecting Mammography

The ACR Commission on Economics continues its efforts to maintain the economic viability of mammography services.mammogram

The coding and payment structure for mammography services changes on Jan. 1, 2017. Over the past three years, the Commission on Economics has worked to ensure the best outcomes for mammography services.

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The Next Technology Wave

How will emerging tools like machine learning affect the specialty?

new wave

At this year's intersociety summer conference, the theme was "Big Data and Machine Learning — Strategies for Driving our Value Bus." Jonathan B. Kruskal, MB, ChB, PhD, chair of the Intersociety Commission, led an all-star executive committee to plan an absolutely terrific program.

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November Case of the Month

Access case here.

Authors: Ghadir H Kassab, BMBCh, PGY-IV, Radiology Resident, FFR RCSI Residency Program, Kuwait, Diagnostic Radiology, Department of Clinical Radiology; Nayanatara Swamy, MD, Specialist Radiologist, Diagnostic Radiology, Department of Clinical Radiology; Ahmed H. El Beltagi, MD, FRCR, FFRRCSI, EDiNR, Consultant, Neuroradiology, Head and Neck Radiology, Department of Clinical Radiology, Al Sabah Hospital, Zain ENT Hospital and Kuwait Cancer Center, Kuwait City, Kuwait

Why did you select this case for submission?

I selected this case because it demonstrates the imaging appearances of a rare condition.

What should readers learn from this case?

Readers should learn an awareness of this entity, CAPNON, its different imaging appearances, and differential diagnosis considerations.

What did you learn from working on the case?

I learned to consider this rare entity in the differential diagnosis of an extra medullary spinal axis calcified lesion, and about the differentiating features of CAPNON from more common diagnoses, such as meningioma. 

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

My senior staff urged me to consider the diagnosis and plan the needed diagnostic work-up. They referred me to a number of scientific articles on the topic.

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

ACR’s Case In Point has an excellent reputation.

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

Online learning is a great privilege for radiologists during all stages of their career. It provides simple, to-the-point brain teasers, and accessible references to a wide range of complex work experiences.

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

Yes I am. My favorites are the neuroradiology cases.

What else should we know about the case that you'd like to share?

A pattern recognition approach should be the first step in image readings. Secondly, the most appropriate diagnoses and differential diagnoses should be built upon the first step. Common things are common, and do apply. However, awareness of inclusion and exclusion features of different diagnostic possibilities can lead to a safer diagnosis without unnecessary intervention.