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News You Need to Know Today
ACR updates contrast guidance | New imaging criteria for TBI assessment | PE studies on the rise | Incidental finding frequency
Monday, May 26, 2025
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Editor's Choice: Computed Tomography

ACR updates guidance for managing and preventing contrast media reactions

The new recommendations address discordance between the college and other organizations’ prior guidelines on the use of premedication.

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Lawyer dies after severe allergic reaction to contrast media.
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ACR updates guidance for managing and preventing contrast media reactions

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Lawyer dies after severe allergic reaction to contrast media.
The new recommendations address discordance between the college and other organizations’ prior guidelines on the use of premedication.
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New imaging recommendations included in updated TBI assessment criteria

Imaging will play a prominent role in a new framework recently developed to better diagnose the severity of brain injuries. 

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Concussion brain
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New imaging recommendations included in updated TBI assessment criteria

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Concussion brain
Imaging will play a prominent role in a new framework recently developed to better diagnose the severity of brain injuries. 
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PE CT studies have risen nearly 50% in recent years

The diagnostic yield of the exam, however, has remained largely unchanged, prompting experts to question whether CT pulmonary angiography is being overused in the ED.

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COVID causes increase risk of clotting. Example of a pulmonary embolism. CT pulmonary angiograms in a 77-year-old man with COVID-19 and a saddle embolus to pulmonary arteries (black arrow in A) extending into right and left pulmonary arteries (white arrows) in (A, B) axial and (C) coronal planes. Arrowheads show pulmonary changes associated with COVID-19 and possible lung infarction (black arrow in C). (D) Axial image at the level of the ventricles shows right-sided heart strain. RSNA. COVID PE
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PE CT studies have risen nearly 50% in recent years

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COVID causes increase risk of clotting. Example of a pulmonary embolism. CT pulmonary angiograms in a 77-year-old man with COVID-19 and a saddle embolus to pulmonary arteries (black arrow in A) extending into right and left pulmonary arteries (white arrows) in (A, B) axial and (C) coronal planes. Arrowheads show pulmonary changes associated with COVID-19 and possible lung infarction (black arrow in C). (D) Axial image at the level of the ventricles shows right-sided heart strain. RSNA. COVID PE
The diagnostic yield of the exam, however, has remained largely unchanged, prompting experts to question whether CT pulmonary angiography is being overused in the ED.
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Single CT scan all it takes for new deep learning model to predict lung cancer risk

Experts believe the model could improve risk stratification and offer patients more personalized screening strategies. 

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Lung cancer screening stethoscope
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Single CT scan all it takes for new deep learning model to predict lung cancer risk

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Lung cancer screening stethoscope
Experts believe the model could improve risk stratification and offer patients more personalized screening strategies. 
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FDA clears cardiac CT scanner for low-dose lung cancer screening

The scanner can complete two life-saving imaging acquisitions with a single pass.

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CT scanner screens for cardiovascular disease and lung cancer with single image.
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FDA clears cardiac CT scanner for low-dose lung cancer screening

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CT scanner screens for cardiovascular disease and lung cancer with single image.
The scanner can complete two life-saving imaging acquisitions with a single pass.
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Incidental findings evident in 70% of lung screening exams, but few reported

Despite this, consensus is lacking on whether radiologists should be required to report on findings that are not relevant to the exam. 

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Incidental findings evident in 70% of lung screening exams, but few reported

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Despite this, consensus is lacking on whether radiologists should be required to report on findings that are not relevant to the exam. 
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New data question the role radiation therapy plays in cardiovascular health

There has been back-and-forth among experts on the relationship between breast arterial calcifications and cardiovascular disease for many years.

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radiation oncology therapy treatment
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New data question the role radiation therapy plays in cardiovascular health

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radiation oncology therapy treatment
There has been back-and-forth among experts on the relationship between breast arterial calcifications and cardiovascular disease for many years.
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