News from the ACR and Beyond
ACR DSI Summit Explores AI and the Economics of Radiology
The ACR Data Science Institute™ (DSI) Data Science Summit: The Economics of AI in Healthcare brought AI developers and industry representatives together with ACR expert facilitators to discuss how AI can bring value to hospitals and patient care. The May meeting, held jointly with the Society for Imaging Informatics in Medicine, included discussions on a variety of economics topics and gave attendees an opportunity to examine reimbursement, regulatory, and implementation issues in relation to trends in data science.“It’s important for those developing AI to understand that identification alone is of no use to us,” noted summit facilitator and ACR MACRA Committee Chair Gregory N. Nicola, MD, FACR. “If an algorithm isn’t improving patient outcomes and keeping costs the same, or reducing costs, it’s of little value.” By educating algorithm developers about the regulatory and payment policy issues involved with AI reimbursement in healthcare, the ACR DSI is helping developers understand potential business models for AI development. This has the
potential to move valuable AI tools more quickly into clinical practice.
For more information, visit acr.org/DSI-Summit.
Anatomists and Radiologists Team Up to Teach Medical Students About Imaging
Radiologists at Howard University in Washington, D.C., partnered with anatomists to develop a program to help first-year medical students correlate what they’re learning in the gross anatomy lab with radiology images. Without adding instructional time or costs, the self-directed program prepares students for their medical licensing exams and for clinical practice. Students in the program download free DICOM-based viewers to move through stacks of images from real cases. The program helps prepare students for working with radiologists in the clinical setting, while offering the added potential of attracting students to radiology as a specialty.
Read the Imaging 3.0® case study at acr.org/Correlated-Teaching.
Button Batteries: Time is Key
Chest radiographs of a 20-month-old boy who presented to the ER with suspected foreign body ingestion. The anteroposterior view (left) demonstrates a round radiopaque foreign body in the proximal esophagus. The peripheral halo or double ring indicates the swallowed object is a button battery requiring emergent removal. The lateral view (right) shows the bevelled edge of the button battery.
Thousands of children in the United States are at risk each year from tissue injury, necrosis, and death as a result of ingesting button batteries. There are more than 3,000 ingestions annually, and most are unwitnessed, leading to delayed diagnoses. “We’re hoping to raise awareness,” says Ellen C. Benya, MD, a pediatric radiologist at Lurie Children’s Hospital in Chicago. Many children with ingested foreign bodies are initially seen in clinics and hospitals where their X-rays are read by a general physician rather than a pediatric radiologist. The National Button Battery Task Force has issued guidance on what to look for when reading X-ray images of a child with an ingested radiopaque foreign body. The radiologist’s report should clearly state the object is consistent with a button battery when a peripheral halo or double ring sign is seen. Significant tissue damage occurs in as little as two hours, so the care of a child with an ingested button battery should be considered an emergency. The prompt imaging interpretation of the radiologist and subsequent rapid communication with the ordering physician is critical to expedite the removal of an ingested button battery.
Apply for the Hillman Fellowship
The JACR® is now accepting applications for the 2019 Bruce J. Hillman Fellowship in Scholarly Publishing. The fellowship provides a concentrated two-week experience in medical editing, journalism, and publishing for an interested and qualified staff radiologist or radiologistin- training. The fellowship supports talented physicians in pursuing an
aspect of medical journalism as a part of their careers. Applications are due by September 30.
For more information and to apply, visit acr.org/Hillman.
ACR Wants to Hear from You!
“We are ACR” aims to connect members with the ACR community and highlight the radiology professionals, patients, and patient advocates who make up the fabric of the organization. Share your thoughts on the importance of providing high-quality imaging care, a story about a patient who inspires you, or a note on how ACR has improved your practice or grown your network of colleagues.
Visit acr.org/weareacr to record your testimonial.
Radiologists Interpret More CALENDAR LEVDU Exams on the Weekend Than Nonradiologists
According to a new study from the Harvey L. Neiman Health Policy Institute®, radiologists interpret a disproportionately larger share of lower extremity venous duplex ultrasound exams on weekends and on the sickest patients. “While previous reports have explored interspecialty differences in the total volume of specific imaging services, little is known regarding the variation in the timing and sites of services, as well as the complexity of patients served by those different specialty groups,” said Anand M. Prabhakar, MD, MBA, assistant professor of radiology at Harvard Medical School and a Neiman Institute affiliate research fellow. “Our analysis thus uncovers new insights into previously described interspecialty market share differences.”
Read the full study online in the JACR® at bit.ly/JACR_LEVDU.
Are You a Director or Chair for a Residency Program?
Help keep the Member in Training (MIT) list up to date and give your residents access to valuable ACR membership benefits! To update your MIT list, visit atpu.acr.org. You’ll need your login information for access.
Personalize Your CPI Modules
Maximize your learning experience with self-assessments from CPI Select Six and save over $34 per module in a variety of subspecialties, including ABR-required areas of study and special edition topics.
Visit acr.org/CPI for more information.
Here's What You Missed
The Bulletin website is home to a wealth of content not featured in print. You’ll find blog posts, extra articles, and other updated multimedia content at acrbulletin.org.
Medical Billing Fundamentals
Most practices, whether small, large, or academic employ a menagerie of billers and business managers. As a practicing physician, you’ll add significant value to your group by
understanding the mechanics of the billing process. Learn more at bit.ly/Medical_Billing
ACR-RFS Goes to Washington
A radiology resident recounts his experience at ACR 2018 and the importance of resident involvement with the ACR’s advocacy efforts at bit.ly/ACR-RFS_GoestoWashington.
An informed healthcare consumer seeks care for recurrent kidney stones only to walk away with a steep bill. Learn how price transparency could have helped him at bit.ly/Transparent_Conversations.