News from the ACR and Beyonddispatches

Build a Better Radiology Team Across the Ages

better radiologyMultigenerational team building can be challenging in any work environment, and radiology departments are no exception. A recent article in Radiology Management offers up strategies within the radiology workforce designed to combat rising health care costs, boost morale, and ultimately improve the quality of patient care. Authors focused on how to better manage the relationships between Baby Boomers, Gen Xers, and Millennials within a practice. Concepts include embracing generational differences, improving coaching skills, rewarding achievements, building management experience, and resolving conflict.

Read more at bit.ly/RadTeam_Building.

ACR’s Data Science Institute™ Taking the Lead on AI

The ACR Data Science Institute™ (DSI) is collaborating with radiology professionals, industry leaders, government agencies, patients, and other stakeholders to develop and implement AI applications. DSI's framework for machine learning in radiology defines use cases for the creation of AI algorithms; establishes a methodology, and provides tools and metrics for creating algorithm training, testing, and validation; monitors the efficacy of AI algorithms in clinical practice; and addresses the regulatory and legal issues associated with AI in imaging, interventional radiology, and radiation oncology. Find the latest AI content for radiologists and industry partners, resource links, blog posts, and use cases built around clinical scenarios that could help improve patient care. Be sure to watch the video on the DSI homepage explaining how DSI will help radiologists embrace and utilize AI tools in practice.

Visit www.acrdsi.org for more.

Mobile Mammograms Utilized More by Younger, Minority Women

Because social disparities often make it difficult for some women to receive breast imaging, mobile mammography has become a mobile mammopopular way to reach those without access to cancer screening centers. A study in the American Journal of Roentgenology compared in-person center visits to services obtained from a mobile mammography van to evaluate the effectiveness of mobile services in terms of follow-up care, the number of biopsies performed, cancer detection rates, and overall sociodemographic variables. The goal of this research is to provide data for radiologists seeking to deliver better screening and follow-up care for underserved populations.

Read more at bit.ly/Mobile_Mammo.

It’s Time to Renew

ACR understands your vital role in the ongoing improvement of patient care and is committed to helping you every step of the way. We work hard to effect change in the radiology landscape that positively impacts your standard of care and your bottom line.

time to renewIn 2017, the ACR advocacy team convinced CMS to forego a 50 percent cut to mammography technical reimbursement and secured additional coverage for CT colonography, among many other gains. ACR Quality and Safety staff launched a Quality Payment Program website to help you with the Medicare Access and CHIP Reauthorization Act of 2015, expanded BI-RADS® to seven languages, and created an IR registry. These are just a sample of the expansive efforts the College undertakes on your behalf.

Be a part of our future successes by renewing your 2018 membership today at acr.org/renew.

NIH Unveils Huge Chest X-Ray Data Set to the Public

More than 100,000 chest X-rays and accompanying data are now available to the scientific community at large. The National Institutes chest databaseof Health (NIH) Clinical Center hopes the data sets will give researchers more of what they need to feed machinelearning computers working on detection and diagnosis. The data set of scans comes from more than 30,000 patients, including many with advanced lung disease. The images in the data sets were carefully screened, according to NIH, and all personal patient information was removed. The NIH research hospital is planning to release similar data sets of CT scans in the near future.

Read more at bit.ly/Xray_Database.

ASNC Issues New Nuclear Cardiology Guidance

The American Society of Nuclear Cardiology (ASNC) — in looking to reduce costs and improve patient care and outcomes — has published new guidelines calling for integration of structured reporting of data into patients’ electronic health records. The new guidelines update guidance from 2009 and reflect changes to nuclear cardiology practices using new technologies. Clearly communicating “the results of complex imaging studies in a structured format” is needed, ASNC asserts, to “reflect the current breadth and depth” of the field.

Read more at bit.ly/ASNC_Guidelines.

"A lot of radiologists and radiology managers are concerned… for the patient and the continuity of care. If we have to send a patient elsewhere to get that CT or MRI, that often stops the continuity of care." – Christie James, MS, president-elect of the Radiology Business Management Association, talking about Anthem’s decision to push outpatient MRI and CT exams to non-hospital settings at bit.ly/Non_Hospitals.

Imaging 3.0®: Putting Patients First Through Consults

In partnership with ear, nose, and throat (ENT) surgeons, neuroradiologists at Emory University have established a presence within the clinical space to engage directly with cancer patients. Consultations with a radiologist can help patients better understand their treatment options, and the doctors at Emory envisioned an environment that would allow radiologists to take a more active, consultative role in the treatment of cancer patients. The university’s new initiative added a patient consultation program to the ENT clinic, and patient response to the program thus far has been overwhelmingly positive.

Watch a video about the program at bit.ly/EmoryRad or read the full case study at bit.ly/Emory_Study.

Cardiac Devices Safe for MRI

A limited study indicated that patients with electronic cardiac implant devices should not have an issue with getting an MRI, say safe for MRIresearchers in a study published online in the Journal of Cardiovascular Electrophysiology. The team from Intermountain Medical Center Heart Institute in Salt Lake City looked at 212 MRI studies from 178 patients with a total of 418 implanted leads and found no adverse reactions to the modality between February 2014 and August 2016. The study was published to address concerns about the strong magnetic fields associated with MRI and how it may interfere with implanted pacemakers or defibrillators.

Read more at bit.ly/Cardiac_MRI.

Renew Your Annual Pledge to Radiation Safety

Image Wisely® is a joint program of ACR, RSNA, AAPM and ASRT that provides current information and guidelines on radiation safety with the objective of lowering the amount of radiation used in medically necessary imaging studies and eliminating unnecessary procedures. Now is the time to renew your annual pledge to optimize radiation dose in your medical imaging.

Visit imagewisely.org today.

Here’s What You Missed

The Bulletin website is home to a wealth of content not featured in print. Check out blog posts, extra articles, and other multimedia content at acrbulletin.org.

Flying on Autopilot: Epinephrine Autoinjectors

Should radiologists be ready and willing to use epinephrine autoinjectors in the event a patient reacts to a contrast? It’s been suggested that just half of radiologists know the proper dose to administer during anaphylaxis. Read more at bit.ly/Inject_Dose.

Radiation Oncology Corner

Check out an interview with Seth A. Rosenthal, MD, FACR, chair of the ACR Commission on Radiation Oncology. Rosenthal gives his take on how being of service provides perspective and opportunity in radiology at bit.ly/Oncology_Corner.

Tube Check: A Plain Question With Quality Implications

It’s 10 p.m. Your workflow begins to flood with requests from the emergency department. The ICU intern inserts a nasogastric tube into the patient you diagnosed with transcortical infarction. What benchmarks indicate successful nasogastric tube placement? Read more at bit.ly/Tube_Placement.


Increasing CT Lung Screening

Dispatch 3 23 1

The fight for lung cancer screening isn’t over yet. According to a new study published in the Journal of Thoracic Oncology, low-dose CT lung cancer screening should be expanded to include smokers who gave up the habit long ago. The study examined more than 6,000 lung cancer patients and found that those who quit smoking over 15 years ago represented the largest group of diagnosed individuals who were not covered by screening — about 17 percent of the entire cohort. Further, by comparing data with earlier trials such as the National Lung Screening Trial, researchers determined that adding this cohort to the USPSTF recommendation would only result in a 0.6 percent increase in false positives. 

Researchers Analyze Ancient Hearts

Dispatch 3 23

Imaging doesn’t just provide a window into a patient’s current diagnosis; it gives insight into past diagnoses as well.

Read more ...

Hospitality Important for Radiology Patients


Online reviews are increasingly becoming popular among patients as a way to navigate the health care industry, but that doesn’t mean the reviews always talk about physicians.

Read more ...

Certain Meds to Prevent Contrast Reaction May Do More Harm Than Good


Patients who take preventative corticosteroid pills to prevent an allergic reaction to iodinated CT contrast may encounter more harm than good, suggests a new study published in Radiology.

Read more ...

ACR 2016 Offers Broad and Flexible Program


The ACR 2016 daily program — now viewable online — offers over 100 hours of CME, SAM, and RLI programming designed to provide attendees with new insights on legislation, policy, practice improvement, and other areas critical to the future of radiology.

Read more ...

Parents Want to Meet Radiologists


Here’s another chance for radiologists to get involved in patient-centered care. An article in the American Journal of Roentgenology notes that parents whose children require diagnostic ultrasounds not only appreciate speaking with their radiologist, but that these consultations result in decreased anxiety and an increased understanding of the radiologist’s role.

Read more ...

CT Lung Cancer Screening Causes Anxiety


Radiologists have put a lot of effort into ensuring lung screening is available to at-risk patients. Now, they need to help these patients feel comfortable, says a new study presented during the CHEST 2015 annual meeting in Montreal.

Read more ...

CT Scans Determine How Pompeians Died — And Lived

Dispatch Pompeii

January 2016

Read more ...

A Look Into ACR Leadership


November 2015

Who represents you in ACR's governance? Take a look at the demographic breakdown of the College's leadership.

Read more ...

New Scholarship Provides International Opportunities


November 2015

Are you looking to get involved with outreach to developing nations?

The Ghesani-Kajani East Africa Radiology Scholarship, new to the ACR Foundation in 2015, awards a $4,000 grant to qualified radiology residents seeking to spend at least one month assisting health care at Aga Khan Hospital in Dar es Salaam, Tanzania. To qualify, residents must submit a completed grant application by no later than Dec. 31, 2015. 

New Mammography Saves Lives Materials Available


October 2015

MammographySavesLives.org offers new resources to help radiologists explain to referring providers and patients why women should continue to get annual mammograms starting at age 40.

Read more ...

Absolute Recommendations Taken More Seriously


September 2015

How radiologists word recommendations for follow-up imaging in reports is important, says a recent article published in the JACR®.

Read more ...

Patients Find Talking to Radiologists Beneficial


September 2015

According to a recent study in the American Journal of Roentgenology, both radiologists and patients benefit from consultations.

Read more ...

Locating the Reading Room


September 2015

Having trouble communicating with your referring physician? The problem may be that they don’t know where to find you.

Read more ...

Smooth Sailing for ICD-10 Claims



August 2015

Good news for those nervous about adopting ICD-10: Most reports have gone through without a hitch.

Read more ...

ACA Behind Rises in Screening



August 2015

According to a new study published in Cancer, the Affordable Care Act (ACA) may be behind recent increases in colorectal and breast cancer screening rates among lower-income patient groups.

Read more ...

TBI Consequences More Severe for Women


August 2015

Women who have mild traumatic brain injury may suffer more memory impairment than men, says a recent study in Radiology.

Read more ...

Speed Reading Causes Errors



August 2015

Which is better: quickly turned out reports or more thorough slow readings? A recent article in the JACR® has added to the debate. According to the article, when radiologists increase their image reporting speeds, they increase the likelihood of significant misses and mistakes.

Read more ...

Research Gains for Atypical Alzheimer’s



August 2015

Alzheimer’s disease holds a number of unknowns for researchers, particularly the more rare atypical variants of the condition. Even basic information about how to detect the disease and where it forms remains a mystery. But recent research published in Radiology may have taken a step forward in understanding some forms of the disease.

Read more ...

Celebrate with Case in Point
Happy birthday CIP

July 2015

Happy 10th birthday, Case in Point (CiP)! Ten years ago, College members accessed the very first case, “57-year-old female presents with orbital pressure." Since then, CiP has become one of the College’s most sought-after resources, allowing members to earn up to 65 CME and 65 SA-CME credits annually.
Celebrate with us by reviewing the host of new and unusual cases CiP provides — free to all members. 

HII at Brain Injury Awareness Day


July 2015

Members of the ACR’s Head Injury Institute (HII) attended the annual Brain Injury Awareness Day in Washington, D.C., on March 18. The Congressional Brain Injury Task Force, co-chaired by Rep. Bill Pascrell Jr. and Rep. Tom Rooney, sponsored the event, which brings various health care stakeholders, including patients and physicians, to the nation’s capital to meet with legislators to discuss the impact of brain injury.
HII staff discussed the institute’s projects, goals, and other endeavors with members of Congress, booth visitors, and fellow exhibitors. Through this outreach, the HII and other advocates are working to help legislators understand the need for federally funded programs and research.

Communication Breakdown

Communication Breakdown

July 2015

It’s an ongoing debate in the imaging community: Who should communicate what results and how detailed should these results be? Now patients are weighing in on the discussion. According to a study published in Radiology, a substantial gap exists between the information patients expect to receive and the items they are actually provided. Researchers from Memorial Sloan Kettering Cancer Center in New York City surveyed individuals who had recently undergone imaging to determine how well they understood the risks and benefits of their tests. The study also measured patients’ expectations of how that information should be communicated.
While most participants were aware of the benefits of screening exams, few understood the potential radiation risks associated with the procedures. Additionally, the surveyed patients expressed a desire to know the rationale behind their tests and receive a more thorough explanation of the results. Patients also indicated that they currently research their questions through internet searches. 


Trainee Workloads Increasing


July 2015

A study in the JACR® found that radiology resident and fellow workloads have been on a steady rise. The authors of the study analyzed Medicare Part B/Physician Summary Master Files (which aggregate billing claims submitted by physicians) from 1998 to 2010. During that period, trainee workload rose by 26 percent, with the sharpest increases in higher-complexity reads like CT and MRI. While increased workload carries some negative consequences, the authors of the study also believe reading higher numbers of cases can mean increased educational opportunities for trainees. “In combination with electronic medical records and speech recognition software, contemporary radiology trainees are almost certainly reviewing current and comparison images, obtaining pertinent clinical data, and generating radiology reports more efficiently than was historically possible. Time previously spent ‘digging through the jacket’ to find old films can now be spent actually reviewing additional studies. Given such technological enablers, we believe that increased volumes may actually be more of an educational benefit than a hindrance,” wrote the authors. 


Cancer's State of the Union


June 2015

The national cancer institute just released its "Annual Report to the Nation on the Status of Cancer, 1975–2011." Check out some of the highlights below to find out how far we've come in the diagnosis and treatment of cancer. Read the report here


Note: Click the image below to enlarge.



Let Us Help with Your Job Search

Career Search

June 2015

With over 1,500 jobs posted in 2014, the ACR Career Center is the premier recruitment resource for the radiology profession. Whether you’re looking for your first job out of training or a mid-career transition, the ACR Career Center is your resource for great job opportunities. And ACR members have free access. In addition to searching the database, post your resume to be recruited by some of the most highly sought after employers in the industry.

Upgrade your account to put your resume at the top of employer searches. Use the discount code ACRRESUME20 by July 31, 2015, to receive 20 percent off!

For more information, visit the Career Center Page. Contact theThis email address is being protected from spambots. You need JavaScript enabled to view it. or dial 800-227-3370.

Spreading the Word About Imaging 3.0™

Imaging 3.0 takes center stage in San Francisco Medicine

SFMedicine COVER

May 2015

Imaging 3.0 took center stage in the March issue of San Francisco Medicine, the journal of the San Francisco Medical Society. The issue explored radiology’s role in a transforming health care environment. “Radiology is in the midst of a major evolution, if not revolution. I know it sounds dramatic, but it’s true,” wrote Roger S. Eng, MD, MPH, FACR, president of the San Francisco Medical Society, in his introduction to the issue. “And as physicians who order imaging studies, you should know how this transition will impact you and your patients.” Read the full issue

Learn From the Leaders in Ultrasound

Check out the SRU Annual Meeting


May 2015

Image Soundly, the 25th Annual Meeting and Postgraduate Course of the Society of Radiologists in Ultrasound, will be held October 23–25, 2015, in Chicago. The conference will include a plenary session, “Evolving Applications of Ultrasound: What’s New and Different,” as well as a keynote address, “Musculoskeletal Ultrasound: The Arthroscope of the Future?” by SRU Fellow Levon N. Nazarian, MD, FACR. Additional sessions will focus on vascular, head and neck, obstetrical, gynecological, and liver imaging. The experts session will include a film panel and a discussion of missed cases. A series of 35 small workshops will include sessions on abdominal and pediatric imaging. Registration opens in early June. For additional details, visit www.sru.org.


Ancient Cancer Patient Discovered.


September 2014
Cancer is relatively absent from archaeological records compared to other diseases, leading many to believe that it is mainly attributable to modern lifestyles. But a new study suggests otherwise.

Read more ...

MRI Helps Predict the Future


September 2014

Brain imaging can be used to predict future cognitive abilities, meaning that developmental brain disorders could be detected in childhood, according to a study in the Journal of Neuroscience.
The study examined 62 children between the ages of 6 and 20 who under went a series of cognitive tests, including measures of working memory. As the children completed the tests, researchers performed MRI scans. The results were used to predict the children’s future working memory. Two years later, the participants completed the same tests while undergoing an MRI. Researchers found that MRIs could predict to a degree the speed of cognitive development in the two years between the tests — future memory capacity and memory could be inferred from the first test by looking at how much activity went on in areas such as the thalamus. “Until now, neuroimaging has just given us pictures of behavior we already knew about,” said Torkel Klingberg, MD, PhD, one of the researchers. “Now this is telling us we can use the MR scanner for something novel.” 

New NCRP Recommendations Released

HiRes 2WEB



The National Council on Radiation Protection and Measurements (NCRP) has released a new recommendation, "Outline of Administrative Policies for Quality Assurance and Peer Review of Tissue Reactions Associated with Fluoroscopically Guided Interventions."

Read more ...

Recommendations for Further Testing May Mean Less Timely Follow-up



April 2015

Did you recommend further imaging in your report due to abnormal results?

Read more ...

PCPs Value Imaging but Need More Details

iStock 000041659812 LargeWEB


April 2015

Good news for radiologists — primary care physicians (PCPs) are aware of the value of imaging and believe it improves clinical decision-making and patient care, according to a recent article in the JACR®.

Read more ...

Best of JACR® Articles for 2014


February 2015

Each year, the JACR® editorial board recognizes four articles, one for each of the journal's four areas of interest: training and education, leadership, practice management, and health services research and policy. Selection criteria include importance to the specialty and lucidity of presentation.

Read more ...