Guidelines set standards for gestational age, due date calculation | Sonographic monitoring could replace repeat thyroid biopsy | USPSTF recommends wider STD screening for women
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September 25, 2014
Ultrasound SmartBrief
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Clinical Advancements in Sonography
Guidelines set standards for gestational age, due date calculation
New guidelines for calculating gestational age and due date have been released by a consortium of medical groups including the American Institute of Ultrasound in Medicine. The guidelines call for using last menstrual cycle, the first accurate ultrasound evaluation or both to calculate due date. Obstetric estimates, rather than last menstrual date, should be used to calculate gestational age for research purposes. All information should be discussed with the patient and included in the medical record. News (9/23)
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Sonographic monitoring could replace repeat thyroid biopsy
Using serial ultrasounds to monitor thyroid nodules for malignancy is a good alternative to repeat fine needle aspirate or surgical biopsy for patients whose initial FNA was nondiagnostic, according to a study published in Radiology. Established standards call for a second FNA in such cases, but data suggest few malignancies are diagnosed with the FNA follow-up. (9/22)
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USPSTF recommends wider STD screening for women
The U.S. Preventive Services Task Force is recommending that all sexually active women age 24 years and younger undergo screening for chlamydia and gonorrhea. The recommendations, published in Annals of Internal Medicine, also apply to older women who have previously tested negative but have developed new risk factors for these infections, as well as pregnant women who tested positive for chlamydia or gonorrhea in the first trimester and have been treated for three months. HealthDay News (9/23)
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Technology Update
Ultrasound contrast agent may have use in cancer treatment
Ultrasound contrast agents have shown promise for therapeutic applications in patients with pancreatic tumors, according to data presented at an International Contrast Ultrasound Society conference. Administration of a chemotherapy agent followed by injection of an ultrasound contrast agent and use of a special ultrasound device led to reduction in tumor size or tumor growth in patients with inoperable pancreatic cancer. However, the contrast agents are only approved for diagnostic use in the U.S. (9/23)
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Practice News
CMS: Groups needed for limited ICD-10 testing
The CMS is looking for providers, billing agencies and clearinghouses that are interested in joining the limited ICD-10 end-to-end testing that will be conducted from Jan. 26 to 30. The testing aims to show that participants are ready to transmit claims and receive remittance advice regarding the adjudication of their claims. Interested parties can submit their applications until Oct. 3, and selected volunteers will be notified by Oct. 24. Health Data Management (9/23)
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Patient Care in Medicine
Meeting the needs of overweight and obese patients
Health care providers are increasingly tailoring their practices and exam rooms to patients of all sizes, and patient advocates are pushing them to take a sensitive approach to addressing obesity among patients who may be tired of hearing the same messages repeatedly. Weight bias may keep some patients from obtaining needed tests and other care, but Dr. David Katz, founding director of Yale University's Prevention Research Center, says there are fair, constructive ways of focusing conversations on body condition and health. U.S. News & World Report (9/18)
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Legislative & Regulatory Update
IUD migration alleged in legal action
Bayer Healthcare's Mirena intrauterine device is at the center of some 1,500 legal actions claiming the device migrated from the uterus, with one complaint alleging the device migrated from the uterus to the rectum. After becoming pregnant and subsequently miscarrying following IUD placement, the patient had an ultrasound evaluation that could not locate the IUD. After exploratory surgery that also failed to find the device, the patient's doctor found the IUD during a rectal exam. Courthouse News Service (9/22)
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HHS: Hospitals to save $5.7B because more people have insurance
HHS estimated U.S. hospitals will save $5.7 billion in 2014 because of fewer unpaid bills for uninsured patients who now have coverage through the Affordable Care Act. About 74% of the savings will be in states that have expanded their Medicaid programs. Kaiser Health News (9/24)
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Attending the 2014 SDMS Annual Conference? Stop by the ARDMS Booth #425
Be sure to stop by the ARDMS booth and ask about new volunteer opportunities, our new Pediatric Sonography (PS) examination and how you can enter to win $100 with our prize vault. Visit to learn more.
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New test center ID requirements
The ARDMS has implemented a new identification policy. The new and improved ID policy will require candidates to present one form of identification. ARDMS is continually working with its vendors to provide a stress-free process and to protect the value of ARDMS credentials in the market. Read more.
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Who's Hiring?
Position TitleCompany NameLocation
ULTRASOUND TECHNOLGOISTInternational Hospitals Recruitment Inc,
Musculoskeletal (MSK) SonographerSouth Florida Specialty Medical Office, FL
Ultrasound TechnologistPueblo Medical ImagingLas Vegas, NV
Ultrasound TechnologistCarson Tahoe Health, NV
SonographerDesert Perinatal AssociatesLas Vegas, NV
Ultrasound TechnologistDoctors Hospital at RenaissanceEdinburg, TX
High Risk OB - Ultrasound TechnologistDoctors Hospital at RenaissanceEdinburg, TX
Sonographer needed for busy OBGYN Specialty Group in Portland!The Oregon ClinicPortland, OR
Click here to view more job listings.
How far you go in life depends on your being tender with the young, compassionate with the aged, sympathetic with the striving and tolerant of the weak and strong. Because someday in your life you will have been all of these."
-- George Washington Carver,
American scientist and inventor
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