Study questions follow-up in women with dense breasts | Research refines echo guidance for prolactinoma patients taking cabergoline | Study suggests links between hypothyroidism, pregnancy complications
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December 11, 2014
Ultrasound SmartBrief
Providing Ultrasound Information to Enhance Patient Care and Safety

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Study questions follow-up in women with dense breasts
Breast ultrasound scans that followed negative mammograms do not substantially increase cancer detection, according to a study reported in the Annals of Internal Medicine. But the authors did not rule out the prospect that follow-up with the right tool could save more lives. Another study reported at the Radiological Society of North America meeting compared tomosynthesis with mammography and found a significant increase in cancer detection using tomosynthesis to screen women with dense breasts. Los Angeles Times (tiered subscription model) (12/8), (12/9)
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Research refines echo guidance for prolactinoma patients taking cabergoline
Prolactinoma patients taking cabergoline may not need to have annual echocardiograms, according to a study published in The Lancet Diabetes & Endocrinology. However, the findings do support regular echocardiograms for those patients who take cabergoline at a high dose or for long periods of time and for patients with an audible heart murmur. Medscape (free registration)/Reuters (12/1)
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Study suggests links between hypothyroidism, pregnancy complications
Women with congenital hypothyroidism were more likely to experience hemorrhaging in the second and third trimesters, according to a study in The Journal of Clinical Endocrinology and Metabolism. The study included 207 women in a retrospective group and 174 in a prospective group, as well as a 7,425-patient reference group. The bleeding risk was found in both hypothyroid groups, while increased risks including gestational hypertension and preterm birth were seen only in the prospective group. Healio (free registration)/Endocrine Today (12/5)
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Is It Time To Upgrade Your Ultrasound System?
Under increasing pressure to reduce costs and improve the quality of patient care? Then maybe it's time to upgrade your ultrasound to MyLab Six, the compact new system for busy clinical practices. To find out if an upgrade is right for you, download the Top Five Reasons To Upgrade Your Ultrasound.
Technology UpdateAdvertisement
POC imaging fuels need for advanced archive tool, Cleveland Clinic finds
The Cleveland Clinic is moving medical images of all types into a searchable, indexed archive that can be accessed via EHRs. The move will improve access to data from 78 units for point-of-care ultrasound and 38 cameras, as well as surgical images, and the archive will even provide a home for patient smartphone images, said the Cleveland Clinic's Dr. Cheryl Petersilge. Health Data Management (12/10)
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Other News
The Most Comprehensive MSK Ultrasound Course Available!
Based on AIUM & ACR guidelines, this live, hands-on course is taught by leading Musculoskeletal Ultrasound experts & includes interactive lectures, case presentations, and extensive hands-on scanning. The Introduction to MSK offers an OPTIONAL Human Cadaver Lab, while the Advanced Interventional MSK Ultrasound INCLUDES a Human Cadaver Workshop.
Practice News
Highest-paid physicians still benefit from fee-for-service structure, study says
Some physicians earn more from prescribing multiple procedures per patient than from seeing a larger volume of patients, according to a study from the University of California, Los Angeles. Researchers said despite reimbursement model changes, the highest-paid physicians still benefit from a fee-for-service structure, and it is likely that a substantial number of additional services for patients are not linked to better outcomes. U.S. News & World Report (12/8)
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Want big bucks for your company?
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Patient Care in Medicine
Infographic informs public about medical imaging exams
A Joint Commission infographic aims to help patients understand imaging procedures, including how they work and their indications, and it provides guidance for decision-making regarding imaging. Ultrasound and nuclear medicine exams are among the modalities addressed. (free registration) (12/8)
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Legislative & Regulatory Update
Congress may heed call to hold to 2015 ICD-10 implementation
Stop sign
Industry groups hope to halt talk of another ICD-10 delay. (Alfons Teruel / EyeEm)
The American Hospital Association is one of eight groups asking Congress to hold firm to the ICD-10 transition that is set for Oct. 1, 2015. For now, it appears congressional leaders may agree. There is no language addressing a possible delay in the omnibus spending bill expected to clear Congress today. The groups said previous delays in the ICD-10 conversion have not only been expensive and disruptive to providers, but have also affected health care payment, payment reform, public health and health care delivery. AHA News Now (12/5), EHR Intelligence (12/10), Los Angeles Times (tiered subscription model) (12/11)
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Modest health spending increase is lowest since 1960, CMS reports
U.S. health care spending rose 3.6% in 2013, the lowest increase since tracking began in 1960, according to a CMS Office of the Actuary report in the journal Health Affairs. Last year's total retail prescription drug sales reached $271 billion, making up 9.3% of overall health spending. This share has not changed significantly in recent years because of the wider use of both less-expensive generics and costlier specialty drugs. The New York Times (tiered subscription model) (12/4), The Idaho Statesman (Boise)/McClatchy Newspapers (12/3), Kaiser Health News (12/3), The Dallas Morning News (free content) (12/3)
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Renew your 2015 ARDMS registry online by Dec. 31!
Renewing your registry annually helps ARDMS continue to fulfill our mission of promoting quality care and patient safety. Renewing online is quick, easy and secure! Log in to MY ARDMS to renew your 2015 online registry today!
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Prepare for the PVI Examination -- Review New Advanced Item Type Questions
The new, patent-pending Picture Archive and Communication Simulation (PACS) questions/items are designed to simulate an interpretation workstation experience relevant to actual present-day medical practice. The PACSim items will first appear on the PVI examination during the Fall 2014 administration, from Nov. 12 to Dec. 16. Visit to learn more.
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Who's Hiring?
Position TitleCompany NameLocation
SonographerNorthstar Health SystemIron River, MI
Cardiac SonographerFrontera StrategiesOKC, OK
Ultrasound TechnologistCarson Tahoe HealthNV
RVTOcean State Cardiovascular & Vein CenterWoonsocket, RI
RVT/RPhS for Busy Vein CenterSusquehanna Valley Vein CenterWilliamsport, PA
Registered Echo/Vascular Sonographer*Shannon ClinicSan Angelo, TX
Click here to view more job listings.
A painting that is well-composed is half-finished."
-- Pierre Bonnard,
French painter
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