Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

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As the field evolves abroad, are radiology residencies becoming ‘skippable’?

The path from medical school to residencies and fellowships might be cut and dry in U.S. colleges and hospitals, but international post-grads are facing different issues, including the fact that residencies seem to be becoming obsolete, a radiologist wrote in the Indian Journal of Radiology and Imaging.

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Non-hospital-based facilities offering cardiac imaging services a rarity in Massachusetts

In 2017, Anthem implemented a new policy that requires outpatient MR and CT scans not considered medically necessary to be completed at a freestanding imaging facility to receive coverage. This went into effect in several states, sparking its fair share of controversy along the way, and a team of Boston-based researchers wanted to know how such a policy could impact patient care in Massachusetts.

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ACR’s TI-RADS criteria improve radiologist recommendations for thyroid nodule management

The American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) criteria for thyroid nodule evaluation can reduce the number of nodules radiologists recommend for biopsy, according to a new study published in Radiology. The guidelines were also associated with improving the overall accuracy of radiologist recommendations for nodule management.

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Radiograph interpretations drive wedge between intensivists, radiologists in NICU

Pediatric intensivists (PIs) are often responsible for immediate interpretations of radiographs in the absence of board-certified radiologists—after hours or early in the morning, for example—but those physicians could be acting on interpretations a pediatric radiologist (PR) might not agree with, a team of New York researchers reported in the Journal of the American College of Radiology this month.

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Pairing DBT with synthetic 2D mammography finds more cancers than digital mammography alone

The combination of digital breast tomosynthesis (DBT) and digital mammography (DM) can detect more breast cancers than DM alone, but researchers have also noted a variety of issues with that pairing. According to a new study published in Radiology, however, using DBT and two-dimensional synthetic mammography (SM) together detects more cancers than DM.

Patient satisfaction is more important than ever—but is quality at stake?

The introduction of curved mammography paddles to the medical market in 2017 was explosive—the new paddles, designed to ease women’s breast pain during the exam, were soon the subject of CNBC interviews and Shape magazine articles. Manufacturers have claimed the curved paddles “deliver a more comfortable mammogram without compromising image quality, workflow or dose,” but a pair of Colorado-based clinicians are questioning that.

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Combining routine therapy, thrombectomy could improve outcomes in at-risk stroke patients

Combining thrombectomy with traditional medical therapies in at-risk stroke patients could yield more favorable outcomes, according to research published in the New England Journal of Medicine this February.

Unnecessary imaging: Emergency CT for head trauma is overused

Too many patients in emergency departments (EDs) are undergoing head CT to check for possible skull fractures or brain hemorrhage, according to a new study to be presented at the ARRS 2018 Annual Meeting April 22-27 in Washington, D.C.

Around the web

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.