Informatics & Technology

IT Manager The Invisible Conductor

Radiology IT managers and their teams can position groups for success under Imaging 3.0® and MACRA.IT Manager

When the radiologists at Lahey Hospital & Medical Center in Burlington, Mass., log into their workstations, they unlock an integrated suite of clinical management systems that includes their workflow manager, PACS, voice recognition system, a summary of the relevant electronic medical record (EMR) database, and a host of contextual communication, peer review, and quality reporting tools.

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ACR 2017 Landing Page

Here's what you missed

DUCK

The Bulletin team has loved our time at ACR 2017. Radiologists engaged with patients, grew confident in the role with machine learning, advocated on the Hill, and learned about the most important topics facing the specialty, among countless other activities. We've rounded up some of the best news from the meeting in case you've missed it. See you next year at ACR 2018!

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Connecting Hearts and Minds

Teamwork session offers tips for effective leadership.

teamwork change

Effective leaders connect their heads (how they think) and their hearts (how they feel) with their hands (what they do). That was one of the key takeaways from Tuesday’s educational session titled Teamwork: The Critical Enabler of Transformational Change. Bob Cancalosi, director of GE Global customer leadership education and member of the ACR Commission on Leadership and Practice Development, delivered the presentation to a group of about 50 conference attendees.

Cancalosi said a manager’s approach is important because research from the Corporate Leadership Council shows that “more than 70 percent of an employee’s commitment is based upon their manager’s actions” and that “engaged employees can yield up to 57 percent more discretionary effort.” It’s also well documented that the number one reason people leave their companies is because of their immediate managers.

“Here is something to think about,” Cancalosi said. “Every single day as a leader, when you wake up, where do you want to be on this equation? Do you want to be influencing the 70 and the 57, or do you want to be the reason that somebody is putting their resume out on Monster.com, trying to get the heck out of your organization?”

Leadership Steps

Managers can take several steps to ensure they have a positive impact on their teams, including helping their employees understand how their work aligns with their team’s and organization’s goals. One way they can do this is by repeatedly reminding employees how their work fits into the larger picture, Cancalosi said.

“When you repeat the same message six times over a period of time, you drive up retention of the message to 70 percent,” he said, citing a study from the University of California. “I just keep telling leaders: repeat to remember and remember to repeat, repeat to remember and remember to repeat. Keep telling the same story over and over.”

Another way leaders can build high-performing teams is by cultivating a sense of trust with their employees, Cancalosi said. Managers can foster trust by recognizing excellence, sharing information broadly and in context, and creating a candid environment where everyone can speak freely.

Along those same lines, Cancalosi noted that leaders should pay close attention to their body language. For instance, he said, when managers roll their eyes at employees, it immediately signals that they’re not interested in their employees’ contributions, and their employees will stop sharing ideas. “Your body will always say what your mouth will not,” Cancalosi said.

Tailored Approach

While numerous leadership models exist, Cancalosi said simply deploying a cookie-cutter style will not work. Leadership is situational and must be tailored to different environments and different moments in time. “As leaders, I believe one of our goals is to breathe life into people,” he said. “But there are times you do need to deflate them a little bit [when egos take over],” he said, adding that leaders must find the appropriate ratio for each scenario.

To close, Cancalosi repeated an acronym that he said he often shares with his clients. He asks them if they “H.A.V.E.” what it takes to be a great leader. “Are you humble, are you authentic, can you show vulnerability, and then do you show empathy?” he asked. “If you can get that on top of the brilliant IQs that we all won in the DNA lottery, that’s what makes up the best leaders and the best teams.”


 By Jenny Jones, Imaging 3.0 specialist

MACRA and Informatics

How do technology tools factor in to new reimbursement models — and what does it all mean for radiology?MACRA and informatics

As I'm sure you've heard, 2017 is the first performance period of the MACRA-derived Quality Payment Program (QPP). The QPP includes two payment pathways, and almost all radiologists will be scored under the Merit-Based Payment System (MIPS).

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Machine banner

Curious where to start with machine learning? Want to know what role it might play with radiologists in the future? We've got your answers right here.

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Riding the Technology Wave

Decision support for radiologists rises to the point of care.

RidingWave

For the first hundred years of radiology, the medical chart always accompanied the patient, and the radiologists never saw it. As a result, radiologists reading images often had no knowledge of the patient’s medical history.

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Sizing Up Technology Symbiosis

Specialists who embrace these new developments have a bigger toolbox than ever.

sizinguptechnology

Machine learning (ML) is on the rise in just about every field of medicine, signaling changes that have some specialists speculating on how the ever-improving technology may change their position in the health care landscape. Radiologists may feel particularly unsteady as computer-aided detection (CAD) and diagnostic algorithms produce impressive results that test the mettle of human counterparts.

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Seismic Shifts

Evaluating the impending impacts of the machine-learning economy

SeismicShifts

Karl Benz is credited with inventing the automobile in Germany, but Henry Ford introduced the concept of mass-produced vehicles that were economical for the everyday consumer.

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ML 101: The Radiologist's Basic Guide

From IBM's Watson to CAD, most radiologists have heard of machine learning. But do you know how this technique is already used in the field? Plus, what does the future hold? The ACR Bulletin brings you FAQs so you can be sure to have the basics down pat.ML 101

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The Economics of Machine Learning

How will emerging technology affect radiology in the near future?economics of machine learning

"DeepRadiology Announces the World’s First Fully Autonomous Radiology Interpretation System.” This news story, released during RSNA 2016, was followed by two statements:

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What has the ACR been doing to obtain new CPT codes for contrast-enhanced ultrasound?

The College is working strategically to ensure fair reimbursement.new CPT code

As chair of the ACR Economics Committee on Coding and Nomenclature, I hear from members almost daily since the FDA-approved IV contrast use in liver ultrasound last year.

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A Primer on 3D Printing

rfs 3d printing radiology

The potential for three-dimensional printing (3DP) models in medicine is virtually infinite. Radiologists are in a unique position to be the leaders in an emerging field, owing to our combined anatomical and cross-sectional imaging expertise.

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A Primer on Machine Learningmachine learning

Machine Learning (ML) and other artificial intelligence (AI) tools have become a staple in the non-medical and medical news as these techniques are applied to increasingly complex challenges. Much like the term "big data," these terms get loosely applied to varied projects, but it is important to know the fundamentals and situations where ML can be effectively applied.

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The Road Less Traveled

Find a path to patient-centered radiology by following in the footsteps of Imaging 3.0® leaders.

Untitled 2

Robert Frost, one of America's most-celebrated poets, once said, "Two roads diverged in a wood and I – I took the one less traveled by, and that has made all the difference."

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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 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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Moving the Message

What are the most effective ways to educate both patients and clinicians about the benefits of screening?

MovingTheMessage

The black-and-white video features women who were diagnosed with breast cancer in their 40s and 50s. They talk about their families and discovering their cancer. They all say that starting annual mammograms at age 40 likely saved their lives.

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Final Read

Scott Schultz, MD, FACR

final read

Q: What changes do you see for the field of radiology in the next decade?

As an interventional radiologist, I have seen many amazing changes in our field. And I foresee ongoing dynamic changes in the next decade.

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Exploring the Unknown

New innovations are poised to revolutionize radiology. What will these changes mean for your patients?exploring unknown

Autopilot planes. Self-driving cars. Chess-playing computers. Robotic radiologists? According to leading informatics experts in the radiology specialty, the answer is … not just yet.

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Rounding Up ACR 2016

Here's what you missed

DUCK

The Bulletin team has loved our time at ACR 2016. Radiologists engaged with patients, partnered with programmers at a hackathon, advocated on the Hill, and learned about the most important topics facing the specialty, among countless other activities. We've rounded up some of the best news from the meeting in case you've missed it. See you next year at ACR 2017!

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Machine Learning and Deep Learning, Big Data, and Science in Radiology

Is machine learning as bad for radiology as they say?

informatics

Machine learning is no radiology apocalypse. In fact, the technology presents many opportunities for the specialty.

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Ten Years Later

What will the radiologist’s job description look like in a decade? ACR June16 P5 10

“Change is certain, success is not.” At least that’s what Richard Duszak Jr., MD, FACR, professor and vice chair for health policy and practice in the department of radiology and imaging sciences at Emory University in Atlanta, often tells his colleagues. The statement is a play on a quote from historian E.H. Carr: “Change is certain, progress is not.”

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Data Driven

The Harvey L. Neiman Health Policy Institute® is shaping the future of radiology through evidence-based research.

HPI 1

Abraham Lincoln once said, “The best way to predict your future is to create it.” In today’s dynamic era for radiologists, that is exactly what the Harvey L. Neiman Health Policy Institute® is striving to accomplish.

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3 Things to Read Today

Intriguing links from around the web

3 24

This week we’re reading about ways to make using big data effectively, what doctors are really searching for, and the importance of patient empathy.

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Global Health Informatics

Getting Started

RFS3 9

The ACR RFS International Outreach Subcommittee at the 2015 ACR annual meeting presented several projects that students have worked on in various countries as part of global health elective months.

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Summary of the ACR Stakeholder Meeting on Clinical Decision Support

ACR White Paper

3 3

Download a PDF version

The American College of Radiology (ACR) convened a group of over 40 stakeholders (Appendix A) consisting of healthcare providers, medical specialty societies, industry and other stakeholders to capture opinions and viewpoints regarding the implementation of Section 218(b) of the Protecting Access to Medicare Act (PAMA).  

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3 Things to Read Today

Intriguing links from around the web

Links 12 30

This week, we’re learning how to use big data, finding out key leadership strategies, and more.

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3 Things to Read Today

Intriguing Links from Around the Web

Links
This week, we’re reading about mountains of data, the problem with peer review, and the bright future of general radiology.

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Delayed Decisions

CMS has postponed the deadline for clinical decision support. But change is coming, and radiologists will be at the forefront.

EconChair

January 2015

We've heard the rallying cry so many times now that it almost feels cliché. We need to stop rewarding volume and start prioritizing value in health care. Last spring, Sylvia Burwell, secretary of Health and Human Services, announced an ambitious target — 90 percent of Medicare payments will be tied to value by 2018.

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A Case for Open Patient Records

After a voluntary MRI reveals an abnormality in his brain, one MIT grad student becomes an advocate for open medical records — a critical element to engaging patients as partners in care.

FullSizeRender

November 2015

When Steven Keating walked on stage carrying a 3D-printed model of his skull and brain tumor, everyone was eager to hear what the advocate for open-sourced medical records had to say.

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Informatics Meets Patient Care

A new video series traces the patient experience and aligns informatics tools along each step of the way.

Informatics

October 2015

John is somewhere over the Midwest, trying to read an inane magazine from his seatback pocket, when his head begins to spin and he’s hit with a wave of fatigue. But by the time the plane lands, John is experiencing chest pain, calf swelling, and a high heart rate. He hasn’t officially finished his trip and he is headed to the nearest emergency department.

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Cracking the Code

The ICD-10 switch presents many uncertainties, but practices don’t need a Rosetta Stone to streamline the transition.

ICD10

October 2015

Some people had doubts, but it happened. On Oct. 1, the U.S. Department of Health and Human Services (HHS) adopted the latest version of the International Classification of Diseases (ICD) diagnosis coding system, ICD-10.

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A Resident-to-Resident Discussion About ICD-10

48100768 illustration

September 2015
As the ICD-10 transition is upon us, I sat down to discuss the transition to ICD-10 with Margaret Fleming, MD, of Emory University. Dr. Fleming and her colleagues recently published a manuscript on this topic, entitled “Magnitude of Impact, Overall and on Subspecialties, of Transitioning in Radiology from ICD-9 to ICD-10 Codes” in the JACR™. As Dr. Fleming explains, the International Classification of Diseases (ICD) diagnosis coding system is designed to track epidemiologic data worldwide, but it is also integral to medical billing and reimbursement. The combination of the CPT and ICD codes is used to determine medical necessity, which is a criterion for reimbursement.

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Informatics Meets Patient Care

A new video series traces the patient experience and aligns informatics tools along each step of the way.

InformaticsSeries

October 2015

John is somewhere over the Midwest, trying to read an inane magazine from his seatback pocket, when his head begins to spin and he’s hit with a wave of fatigue. But by the time the plane lands, John is experiencing chest pain, calf swelling, and a high heart rate. He hasn’t officially finished his trip and he is headed to the nearest emergency department.

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Precision Imaging: The Next Frontier

Radiology’s next great advancement is as small as the cells in our bodies.

needle

September 2015

Inrecent years, Angelina Jolie has made headlines with a series of New York Times op-eds detailing her efforts to avoid developing cancer. In 2013, the Oscar-winning actress, whose mother, grandmother, and aunt all died of cancer, wrote that she had a mutation of the BRCA1 gene and detailed her decision to have bilateral mastectomy. In 2015, she published another op-ed about her decision to have bilateral salpingo-oophorectomy.

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From Theory to Practice

Although clinical decision support implementation is mandatory by January 2017, radiologists still need to advocate for the technology.

CDSTalkingPoints

In April 2014, the Protecting Access to Medicare Act (PAMA) was signed into law. Among the provisions of the bill was a mandate requiring physicians who ordered advanced diagnostic imaging to consult clinical decision support
(CDS) system.

You’d think that with 2017 just around the corner, the work for advocating for CDS would be finished.

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3 Things to Read Today

Intriguing Links from Around the Web

LinksLinks

August 2015

This week, we’re reading about further complications in the shift to ICD-10, recommendations for better communication, and physician thoughts on end-of-life care.

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Transfiguring Medicine With CRISPR

Can diseases be cured by engineering DNA? Radiologists may need to be part of the team to find the answer.

DNABlog

 

July 2015

Do you know what CRISPRs are? If you don’t and you don’t plan on retiring within the next few years, you should find out. They may soon be changing the way disease is diagnosed and treated.

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How To Get CDS Adopted in Your Health System

Find out how these radiologists got early clinical decision supprt adoption passed.

August

CDSAdoption

August 2015

In April 2014, the Protecting Access to Medicare Act (PAMA) was signed into law. Among the various provisions of the bill was a mandate requiring physicians who ordered advanced diagnostic imaging exams to consult government-approved, evidence-based appropriate-use criteria through a clinical decision support (CDS) system.

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Everything in Its Place

One North Carolina practice establishes a business case for structured reports.
Blueprint

June 2015
“Rigor” is not a word most people associate with eastern North Carolina. Known more for its laid-back, friendly attitude and proximity to the ocean, it’s a place where the pace of life is often a little slower. However, in this place of perpetual sunshine, one practice has streamlined its workflow into machine-like precision, helping its referring clinicians — and the practice’s bottom line — in the process.

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No Left Turns in Radiology

What do UPS trucks have to do with data and radiology?

Teamwork

May 2015

Have you ever heard the urban legend that UPS drivers don’t make left turns? As it turns out, it’s not actually an urban legend, a fact Woojin Kim, MD, assistant professor of radiology at the
Hospital of the University of Pennsylvania, used to illustrate the incredible power big data might hold for radiology.

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3 Things to Read Today

Intriguing links from around the web 

LinksDiversity

This week in links we've got the future of EHR interoperatibilty, some actual data about the benefits of diversity, and more.

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Constructing a Game Plan

Strategy was front and center at the BOC winter meeting.

 Teamwork

April 2015

The ACR Board of Chancellors and Council Steering Committee conducted their winter meeting Jan. 17–18, 2015, in Reston, Va.

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Full Speed Ahead

Image professionals from across the country come together for the 2014 IT Imaging Informatics Summit

ITWeb

March 2015

Radiology and technology go together so often in health care that they could be considered the peanut butter and jelly of medicine.

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Informatics and Innovations Pathway

InfoInnoFORWEB

Prep for sources in this pathway by using the following resources. Attendees will discover challenges and solutions of advances in health care technology.

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Are You Ready for ICD-10?

Find out how practices are gearing up for the big switch.

ICD10IMAGE

March 2015

In 2009, health and human services and CMS dropped their first handful of change into the meter marked ICD-10.

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No Grace Period for ICD-10

numbers

February 2015

The Centers for Medicare & Medicaid Services (CMS) will not allow for dual processing of International Classification of Diseases (ICD)-9 and ICD-10 codes for dates of service on or after the ICD-10 implementation date of Oct. 1, 2015.

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The Same Page

Radiologists discuss the future of the profession's most fundamental product — the radiology report.

The Same Page

February 2015

"It's like the children's game Operation, only for doctors." That's how David J. Vining, MD, professor of diagnostic radiology at the University of Texas MD Anderson Cancer Center in Houston, characterizes a new radiology reporting technology he has developed.

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The Ones and Zeros of Radiology

Radiologists employ data analytics to improve workflow and enhance patient care.

HiRes

January 2015

Many radiologists use technology to make their department or practice more efficient. Analytics software is chief among these tools, allowing radiologists to crunch numbers themselves without requiring the expertise of outside analysts.

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The Next Big Thing

From integrated systems to natural language processing, radiology will see countless technology trends in the next decade aimed at improving patient care.

 The Next big thing image

 

January 2015

 
The early implementation of PACS in the 1990s revolutionized radiology by replacing film images and paper reports with digital files. The more efficient workflow, coupled with the fee-for-service payment system, facilitated a volume-based model of care focused on the quantity of exams performed and interpreted.
 

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Double Take

The Bulletin follows up on some of its most popular articles and Imaging 3.0™ case studies.

Double Take, ACR Imaging 3.0 Case Studies

Articles in the Bulletin often feature practices and physicians who have implemented strategies to help them stay ahead of the rest in a shifting health care system; they often showcase successes or lessons learned. But as everyone knows, those stories do not end once you’ve closed the pages of the Bulletin.

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Golden Opportunity

Tracing the movement to make electronic health records easier to share through health information exchanges — and finding the ways radiologists stand to benefit.

Golden Opportunity, electronic health records

Mrs. Martin calls her primary care physician complaining of mild chest pains. Her physician refers her to an outpatient imaging facility near her home in Maryland, where she undergoes a CT exam.

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A Common Connection

https://www.youtube.com/watch?v=8EwJlDB6YLQ

It was a typical scenario: An elderly woman presented to the emergency room of a rural Illinois hospital with severe neurological impairment. The responding physician suspected a stroke and ordered a head CT but was unable to discern the cause of the patient’s symptoms from the images. So he called Central Illinois Radiological Associates, Ltd. (CIRA), which has a contract with the hospital, and asked the on-call neuroradiologist based at OSF Saint Francis Medical Center in Peoria, Ill., to read the images remotely.

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Sizable Solutions

Download PDF »

Read the related blog post »

https://www.youtube.com/watch?v=GWeXoqZO6nc

While most radiology practices were completely digital by the year 2000, Chinese Hospital’s radiology department in San Francisco still operated like a small-town clinic. The practice had neither a PACS nor a RIS. Instead, all of its appointments were written on desktop calendars, its records were printed and filed in jackets, and its films were stored in 27 different locations throughout Chinatown. On top of that, the department was over capacity. Patients waited months for ultrasounds and hours for walk-in X-rays — and no one was happy.

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Identity Crisis

Are you monitoring your online reputation?

idcrisis2

By the end of 2014, Internet users will total more than 3 billion worldwide.1 This digital revolution has affected health care — particularly radiology, a specialty relying on technology — in many ways.

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Bringing Mammography into Focus

Conflicting information in the media often leads to patient confusion.

focus

Do you remember the Magic Eye stereograms you may have had as a kid? At first, the image is a confusing, distorted mess of pixels. As you stare at the page, your eye cannot rest on one thing; it's just endless rows of patterns. But after a moment, your eyes focus, and the distorted pixels sort themselves into a 3-D image. Everything makes sense.

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Keeping Radiology at the Vanguard

It's more important than ever for radiologists to lead the way in technology innovation.

technology

 Radiology has always been at the vanguard of medical care, and it has been our scientific and technological innovation that has kept us there. In 2001, a survey of 225 leading internists rated the value of CT and MRI first among 30 medical innovations of the last 50 years.

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Med School Reboot

Many medical schools take an antiquated approach to radiology education, but as imaging awareness increases, some schools are overhauling their programs.med school robot

Some things are meant to go together: peanut butter and jelly, peas and carrots, milk and cookies, and radiology and the continuum of patient care. While that last couplet may not be a household phrase, radiology is undoubtedly an integral part of medicine.

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Tech Trials

Working with an outdated OS could cost you more than just an upgrade.tech trials

Isn’t technology always — or virtually always — ahead of the law? Frequently, yes. Courts and administrative agencies regularly decide cases in which a technological solution presents a unique legal issue.

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Reaching Across

Spanning the doctor-patient divide with user-friendly patient portals.reaching across

In February of 2013, Dacia G. Hodgin, a patient at Wake Forest Baptist Medical Center in Winston-Salem, N.C., had a biopsy performed on her ear. Hodgin and her primary care physician didn’t expect the biopsy results to show anything too alarming. But the next day, Hodgin’s doctor called to inform her that the biopsy had revealed a rare form of cancer.

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Resolve to Evolve

Radiologists boost patient care through the peer review process.resolve to evolve

From our earliest days in elementary school to working as part of a team of professionals, most of us want to feel we’re an integral part of a whole. According to some biologists, it’s not just something we’re taught, either: it’s a big part of our evolutionary history.

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What Would Paul Revere Do?

ACR members at all stages in their careers share their best advice for making (and keeping) professional connections.paulrevere

On April 18, 1775, two men rode through the countryside around Boston, sounding the alarm that the British were advancing. As a result of their efforts, a militia of minutemen was assembled in time to meet the British troops for a battle that would begin the American Revolution.

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Information Overload

Radiologists have spent decades stockpiling digital images and reports into electronic databases, but extracting useable information from those systems is no simple task.information overload

Big data. It’s one of the latest catchphrases in health care and other data-rich industries. Generally, big data is defined as data sets that are so large and complex, they cannot be managed with traditional processing tools.

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A High-Tech Exchange

Imaging professionals from across the nation convene for the 2013 ACR Annual Imaging Informatics Summit & Data Registries Forum.58798000 thumbnail

Radiologists searching for insight about everything from image sharing to the ACR Dose Index Registry® found what they were looking for at the 2013 ACR Annual Imaging Informatics Summit & Data Registries Forum.

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PET Predictors

ACRIN and RTOG® release the results of the first multicenter trial to demonstrate the potential of PET imaging to predict long-term prognosis.PET Predictor

Recently reported clinical trial results suggest an important link between patient prognosis and [18F] fluorodeoxyglucose positron emission tomography (FDG-PET).

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An Incomplete Picture

As some electronic health records systems become harder to access, radiologists find it difficult to assemble patients' complete medical histories.an incomplete picture

Imagine a time in which a few giants of industry rise up to consume the majority of market share. An era when small-scale businesses are run out of town because the major players will not engage with them operationally.

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There's an App for That?

ACR members share their favorite tech tips for getting things done, simplifying life, and streamlining both work and play.theres an app for that

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Changing the Practice

Radiology research from the ACR Clinical Research Center takes center stage at this year's ASTRO meeting.changing the practice

Editor's Note: World-class research from RTOG® was spotlighted at the American Society for Radiation Oncology (ASTRO) 55th Annual Meeting in September. Twenty-two RTOG research presentations were featured during the meeting, which took place in Atlanta.

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Partnership for Success

Wisconsin radiologists team up with other specialists to demonstrate the benefits of point-of-service decision-support technologies.partnership for success

Medical practitioners don't always agree with the rules imposed on them by government agencies.

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Setting the Standard

In today's value-driven health care environment, standardized language in structured reports allows for improved patient care.setting the standard

No news is good news. That has often been radiologists' refrain when sending imaging reports to referring physicians. Radiologists frequently use language that is either overly verbose or too imprecise, making it hard for referring physicians to pinpoint actionable findings.

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Generation X-Ray

How will you commemorate this year's International Day of Radiology?generation xray

November is just around the corner, and with it comes a chance for all radiologists to celebrate.

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A Haunting Proposition

Radiologists who ignore programs designed to help them transition from volume- to value-based care do so at their own peril; here are four areas to look out for in the coming year.A Haunting Proposition

The Danish philosopher Søren Kierkegaard once said, "There are two ways to be fooled. One is to believe what isn't true; the other is to refuse to believe what is." Never has this saying been more accurate than when applied to the way some physicians have reacted to changes occurring in medicine.

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Breast Imaging in a New Dimension

Tomosynthesis is gaining popularity among breast imaging specialists. Will it overtake mammography?breast imaging in new dimension

New technology always causes a splash in its particular community. In breast imaging, tomosynthesis (tomo) is creating ripples.

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The NOPR Proves FDG PET's Powerful Impact

As the FDG PET component winds down, the research team looks back on significant milestones in the initiative's history.the nopr

The National Oncologic PET Registry (NOPR) closed accrual to its fluorodeoxyglucose (FDG) PET registry on June 12, 2013, after seven years of operation.

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Patient Engagement Goes Online

You've launched your patient portal. Now what?patient engagement goes online

In June, the Bulletin interviewed radiologists about their experiences implementing online patient portals. (Read about it at http://bit.ly/OnlinePortals.) But to satisfy meaningful use (MU) requirements, radiologists must do more than just launch a patient portal.

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Research Update

RTOG® reveals next steps to optimize radiation therapy.research update

Participants at the American Society of Clinical Oncology 2013 Annual Meeting received updates on scientific questions investigated by RTOG®-sponsored research involving advances in the science underlying radiation oncology.

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Honored to Serve

The Commission on Ultrasound works to advance the use of this important modality.honored to serve

I appreciate this opportunity to share with the membership a bit about the activities and mission of the Commission on Ultrasound.

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Unsubstantiated Claims

CMS revamps its medical claims billing classification system with the introduction of ICD-10 code sets, but will they be more hindrance than help to radiologists?unsubstantiative changes

For the past 30 years, the US health-care industry has used a classification system called International Classification of Diseases, 9th Edition (ICD-9) to identify and report diagnoses and medical procedures for billing purposes.

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Final Read

Q: What advances in the field of radiology do you find most exciting?final read

In 1983, while I was in the U.S. Navy, I first became aware of teleradiology.

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A Crash Course in SA-CME

An inside look at the ABR's new self-assessment requirements explains how recent changes affect MOC.Crash Course in SME

Things are changing in the world of maintenance of certification. The ABR has introduced self-assessment CME (SA-CME) credits, interactive education activities that include self-assessment tools.

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Direct Access

Online portals give patients easy access to radiology reports.direct access

When Diana Roberts Wienbroer, 71, of New York City, was diagnosed with breast cancer in 2000, she had a lot of work ahead of her.

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The Only Constant

As technology transforms the current health care model, radiologists must lead the way.only constant

Radiology is an IT business. We process certain types of information and translate them to others (for example, data are transformed into images, which are process and summarized in reports, and so on).

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Clinical Transitions

The ACR Clinical Research Center helps build a National Cancer Clinical Trials System for the 21st century.clinical transition

In November 2010, the National Cancer Institute (NCI) announced an initiative to restructure its clinical trials cooperative group program. As the rationale, the NCI cited recommendations made by the Institute of Medicine in its consensus report "A National Cancer Clinical Trials System for the 21st Century: Reinvigorating the NCI Cooperative Group Program."1

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X-ray Vision

The evolution of medical imaging and its human significance.x ray vision

Editor's Note: The following is an excerpt from X-Ray Vision: The Evolution of Medical Imaging and Its Human Significance, a book by Richard B. Gunderman, MD, FACR, about the remarkable physicians, scientists, and patients who were involved in the development of the groundbreaking imaging technologies that many now take for granted. The book also discusses how these technologies have influenced both the world and humanity's self-perception.

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Open Access

Maine launches the nation's first statewide image archive to improve patient care.open access

When it comes to sharing X-rays, ultrasounds, and other images, an information gap exists. With no widespread digital networks for sharing images, patients often bear the burden of obtaining and transporting their images from one provider to the next.

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Clinical Confirmation

ACRIN® trial results identify weakness of whole-body MRI for the staging of common pediatric cancers.clinical confirmation

Over the last 40 years, survival rates for children with cancer have increased dramatically in the United States. In the mid-1970s, the combined five-year survival rate for all childhood cancers was less than 60 percent.

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Pointing the Way

Radiology-specific resources empower patients in the digital age.pointing the way

Plug in the terms "Radiology," "Patient," and "Resources" into a search engine, and you'll be provided with more than 22 million results. Overwhelming? Yes — especially for patients seeking basic answers about a basic radiological exam or procedure.

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The Speed of Innovation

Mobile radiology apps are evolving at the speed of imagination — but can regulators keep up?speed of innovation

Apple's iPhone kicked off the mobile device revolution just five years ago, and now there are well over a million apps in existence. Tens of thousands of these apps are designed to either improve or maintain user health, doing everything from measuring blood pressure to monitoring a patient's adherence to certain medical treatments.

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Final Read

How do you stay up to date with new developments in radiology?final read

It is often difficult to stay current given the time constraints that come with a resident's lifestyle. Overnight call, conference preparation, and textbook reading do not allow for much free time to catch up on the latest medical news.

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A Better Measure for Lesions

Novel quantitative assessment tools hold promise for future use in clinical practice.better lesion

Radiology is evolving into a more quantitative discipline, and unlike qualitative interpretation, which is prone to variability among radiologists, quantitative assessment can improve both the reproducibility of interpretations and the detail of information extracted from images.

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More or Less

The Inaugural Policy brief of the Harvey L. Neiman Health Policy Institute reports that the use of medical imaging has declined in recent years.more or less

Clinical utility, financial conflict of interest, physician fear of medical malpractice: these are few factors that drove up medical imaging expenditures in the early part of the last decade.

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Taking Imaging to the Cloud

With today's advances in cloud computing, it's easier than ever to share health-care information.taking to the cloud

Not long ago, the idea of sharing radiological images and exams using the Internet seemed impractical. Patients worried that secure information within their personal health records (PHR) would be compromised, and radiologists found it cost-prohibitive.

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Information Evolution

Change in imaging technology is never-ending. Can radiologists keep up?information evolution

Today's exponential acceleration in the growth and development of new technology was at one time the stuff of science fiction. Now, however, users worldwide are demanding updated and better products, and those products are being developed and produced at breakneck speed.

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Turning Up the AC

ACR Appropriateness Criteria® integrated with decision-support software? See for yourself.turning up the AC

For nearly two decades, physicians and radiologists have lauded the ACR Appropriateness Criteria® (AC) program as the go-to resource for imaging decision support.

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Hitting the Target

Proton beam therapy eradicates cancer cells with less radiation spill-off. But do its benefits outweigh the cost?hitting the dartboard

The definition and properties of protons are taught in every basic physics and chemistry class. Yet, what most students never learn is that these positively charged subatomic particles are now being used by radiation oncologists to eradicate cancerous cells.

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Sharing Data Safely

The role of technology in productivity and patient safety explored at new ACR meeting.Sharing Data Safely

The relationship between radiologists and technology is complicated. Strides in digital imaging technology enable radiologists to do more work in less time and provide more data that needs to be evaluated.

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Loud and Clear

Radiologists articulate the advantages and challenges of speech-recognition software.loud and clear

Radiologists have adjusted to many new technologies, but few have posed a bigger challenge than speech recognition (SR).

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Innovation in Imaging Research and Tools

ACRIN® presents research results and unveils image-markup tool at RSNA annual conference.innovation in imaging

New and emerging clinical research findings from ACRIN® were well represented among the 2,600 scientific paper and poster presentations at RSNA's 96th Scientific Assembly and Annual meeting.

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