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. 

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AI inspects endotracheal tube placement on chest X-rays

Radiology researchers have demonstrated the reliability of an AI system they developed to automatically check placement of endotracheal tubes on chest X-rays.

New x-ray technique for checking tube placement cuts radiation dose 80%

Radiologists have developed an abdominal x-ray protocol that quantifies patient “thickness” to yield images of high quality while reducing radiation dose by 80%.

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Radiology business owner convicted after bilking CMS of $2M

The owner of a portable x-ray business faces serious jail time for attempting to defraud Medicare and Medicaid of $3.7 million, forging signatures and making false statements to hide his tracks.

An example of dual-energy X-ray absorptiometry (DXA) imaging. Image courtesy of RSNA

Despite radiation exposure and fracture risk, pricey QCT bone density scans are rising in popularity

The increase may be an unintended result of a cut in DXA reimbursement rates in 2007, a MedPage Today article suggests. 

Walmart rolling out ‘state-of-the-art’ health centers with imaging, Epic EHR integration

Along with X-rays, the new outposts will also offer primary care, lab work, EKGs, behavioral health, dental, optical, and hearing services, all for a flat fee, the retailer reported. 

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Campaign to reduce children’s radiation exposure drops imaging referrals by 25%

“Simple education initiatives can contribute to both financial and radiation doses savings, particularly important in radiosensitive cohorts," experts wrote recently. 

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Radiologists don’t see eye-to-eye with other providers on fluoroscopic swallow studies

With demand for such exams forecasted to increase alongside an aging population, rads and speech language pathologists do agree that standardization is needed.

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Predictive model helps reduce need for chest X-rays to diagnose pneumonia in kids

Scientists at the Ann & Robert H. Lurie Children’s Hospital of Chicago recently detailed their new approach to reducing radiation exposure in Pediatrics. 

Around the web

News of an incident is a stark reminder that healthcare workers and patients aren’t the only ones who need to be aware around MRI suites.

The ACR hopes these changes, including the addition of diagnostic performance feedback, will help reduce the number of patients with incidental nodules lost to follow-up each year.

And it can do so with almost 100% accuracy as a first reader, according to a new large-scale analysis.