X-ray

Medical X-rays have mostly converted from film, to computed radiography (CR) that used individual plates to record each X-ray digitally that then had to be uploaded into a PACS, to what is the standard-of-care today with digital radiography (DR). DR X-ray which allows immediate digital transfer of images into a PACS for immediate review. X-rays are used to diagnose fractures, bone abnormalities, lung pathologies and tumors, as well as monitor pediatric growth, plan for surgery and treat oncology patients during radiation therapy. More detailed anatomical imaging, especially soft tissue imaging, is usually sent for advanced imaging with CT or MRI. X-ray, especially mobile DR systems, are a primary use case for artificial intelligence (AI) integration. 

X-rays may suffice for assessing some low-back fractures

It’s unlikely radiography will unseat MRI for routinely distinguishing between acute and chronic compression fractures of the lumbar vertebrae, but certain X-ray findings might, in cases, obviate the need for the pricier imaging option.

‘Radiology failures, misdiagnosed fractures’ blamed in 2 wrongful assumptions of child battery

In the U.K., two instances of evidently inept work by radiologists are inadvertently spotlighting the value of subspecialized image interpretation in socially sensitive patient cases.

Mr. O’Lear receives his sentence: 15 years and $2M

The criminal saga of the X-ray business owner who got caught fleecing CMS of $2 million—while grabbing for another $1.7 million or so—has reached its epilogue.

On review, popular imaging decision aid earns 1 thumbs-up—with caveats

With 91% sensitivity but only 25% specificity, the tool is worthwhile for clinicians who remain wary of frequent false positives that would send patients with no fractures for unneeded imaging.

Self-supervised AI ‘reads’ radiology reports to speed algorithm development

A machine learning system has come along that needs no human labeling of data for training yet matches radiologists at classifying diseases on chest X-rays—including some that the model was not specifically taught to detect.

FDA clears X-ray system that produces hi-rez cine loops for chiropractors

Konica Minolta Healthcare has received FDA’s go-ahead to market a dynamic digital radiography (DDR) system.  

Imaging fraud lands surgeon in jail

An orthopedic surgeon in California will spend seven years in prison for needlessly X-raying 10 patients hundreds of times over a four-year stretch.

The rise and fall of race-based radiation dosing: 4 lessons

Thanks to public outcry and legislative action in 1968, Black patients have not routinely received higher-dose X-rays than their fair-skinned peers for more than half a century.

Around the web

After reviewing years of data from its clinic, one institution discovered that issues with implant data integrity frequently put patients at risk. 

Prior to the final proposal’s release, the American College of Radiology reached out to CMS to offer its recommendations on payment rates for five out of the six the new codes.

“Before these CPT codes there was no real acknowledgment of the additional burden borne by the providers who accepted these patients."

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