Nonobstructive coronary artery disease tied to death, heart attack risk | Childhood obesity often persists into adolescence | Additional cancers more common in smokers, study finds
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November 13, 2014
Ultrasound SmartBrief
Providing Ultrasound Information to Enhance Patient Care and Safety

Clinical Advancements in Sonography
Nonobstructive coronary artery disease tied to death, heart attack risk
A study in the Journal of the American Medical Association found that even early symptoms of coronary artery disease are associated with increased risk of death and heart attack. The analysis of data involving more than 37,000 veterans showed nonobstructive coronary artery disease was associated with 2 to 4.5 times greater risk of mortality or heart attack. HealthDay News (11/4)
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Childhood obesity often persists into adolescence
A study on the website of Pediatrics found 65% of obese fifth-graders continued to be obese in 10th grade, while 83% of obese 10th-graders had been obese in fifth grade. Data also showed overweight fifth-graders who had obese parents or watched more television faced greater odds of becoming obese. (11/13)
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Other News
Technology Update
One practice's approach to clinical decision support
To comply with clinical decision support requirements, one radiology practice developed educational tools for referring clinicians. Columbus Radiology spent 10 months developing approaches and ultimately offered referring clinicians an online image ordering guidelines application and traditional CME offerings. "Not only does [the program] improve patient care and reduce waste and rework, it strengthens our relationships with our colleagues, our referring physicians. It has also positioned us very well to head [into] the CDS environment," writes Vice President of Operations Amanda McNutt. Diagnostic Imaging (11/5)
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Practice News
Ultrasound probes could be source of hospital-acquired infection
If not properly cleaned and decontaminated, ultrasound probes can harbor bacteria that can cause infection, according to a study in the American Journal of Roentgenology. Of probes swabbed for bacteria in the study, 22.6% had bacterial growth, and close to half of those had no evidence of soiling on visual inspection. However, a 0.5% accelerated hydrogen peroxide product was an effective disinfectant for the probes, according to the authors. (free registration) (11/11)
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Telehealth service boosts pregnant women's access to providers, specialists
The Oklahoma State University Center for Health Sciences has partnered with the University of Arkansas for Medical Sciences in a telehealth initiative. Support will be offered to high-risk pregnant women at OSU's Department of Obstetrics and Gynecology. The Washington Times/The Associated Press (11/11)
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Patient Care in Medicine
Providers work to improve follow-up on incidental imaging findings
As many as one-third of imaging procedures involve incidental findings, but in many cases, the findings aren't recorded and there is no follow-up. Health care providers are increasingly trying to ensure appropriate follow-up in such cases, which can lead to lifesaving early diagnosis. Massachusetts General Hospital is working to improve follow-up through communication directly with patients and their primary care providers. In addition, imaging specialists are spending time with patients who regularly use imaging services for heart and other conditions, including conversations about incidental findings. The Wall Street Journal (tiered subscription model) (11/10)
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Legislative & Regulatory Update
What's in the CMS regulations for cardiology?
There was little for cardiologists to get excited about in the CMS final regulations addressing reimbursement. "[W]hile cardiologists will see modest payment increases for selected services, the annual threat of significant reductions in reimbursement due to the [sustainable growth rate] formula creates an unsustainable path for physicians," said American College of Cardiology President Patrick O'Gara. The document included changes in transesophageal echocardiography coding and failed to include proposed reviews of services including SPECT-MPI, transthoracic echocardiography, stress echo and more. (11/4)
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Verify ARDMS certification: Search by last name
Quickly and easily check the status of a credential/certification through the Status Verification tool found on the ARDMS website. Verify today!
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Applications for the Pediatric Sonography (PS) examination open Nov. 19
The new Pediatric Sonography (PS) specialty supports the current and anticipated needs of the evolving pediatric sonography field. Applications are open from Nov. 19 to Jan. 19. The first PS specialty examination will be administered starting in February. Sign up to receive PS exam updates.
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Who's Hiring?
Position TitleCompany NameLocation
US Technologist / Ultrasound Full TimeEisenhower Imaging CenterRancho Mirage, CA
Ultrasound Technologist – Fetal Assessment CenterMedStar Harbor HospitalBaltimore, MD
Ultrasound Technologist - Part-timeLennox and Addington County General Hospital
Sonographer (OB/GYN)Women's Healthcare Associates, LLCPortland, OR
Ultrasound Vascular TechnicianConfidentialSpringboro, OH
Ultrasound Clinical Applications SpecialistHitachi Aloka Medical America, Inc.Springfield, MA
Ultrasound TechnologistCentra HealthLynchburg and Farmville, VA
SonographerMercy Medical Center - North IowaMason City, IA
Seeking Sonographers to Purchase Ultrasound Imaging FranchiseStork Vision Prenatal Imaging CentersNationwide, US
Click here to view more job listings.
It is not the mountain we conquer, but ourselves."
-- Edmund Hillary,
New Zealand mountaineer
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