Guidelines suggest using ultrasound to stratify thyroid nodules | Scans show damage from a "broken heart" may be permanent | PET, ultrasound combo shows promise in detecting recurrent prostate cancer
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June 20, 2017
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Clinical Advancements in Sonography
Guidelines suggest using ultrasound to stratify thyroid nodules
An evidence-based system for scoring thyroid nodules, published in the Journal of the American College of Radiology, provides guidelines for using ultrasound images to determine which thyroid nodules warrant biopsy and which can be followed through regular sonography. A 15-member expert committee modeled the Thyroid Imaging, Reporting and Data System, or TI-RADS, after the BI-RADS guidelines for stratifying breast lesions.
Medical Xpress (6/19) 
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Scans show damage from a "broken heart" may be permanent
Ultrasound and cardiac MRI scans found that takotsubo cardiomyopathy, also known as broken heart syndrome, can cause long-lasting and possibly permanent damage. The 52-patient study, published in the Journal of the American Society of Echocardiography, found that heart muscle had fine scars that reduce elasticity and keep muscles from contracting properly.
BBC (6/19) 
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PET, ultrasound combo shows promise in detecting recurrent prostate cancer
Fusing images from 3D ultrasound and fluciclovine positron emission tomography yielded nearly a fivefold higher average positive detection rate of suspicious prostate cancer lesions than the standard 12-core biopsy in a small study. The findings led researchers to conclude that the approach may be useful in evaluating recurrent prostate cancer and warrants further research.
AuntMinnie (free registration) (6/14) 
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Technology Update
Mobile apps can assist radiologists
Using a mobile radiology app is sometimes faster than looking up information online, and some apps also offer proprietary information and functionality. Top-rated radiology apps track radiation exposure, enable the creation of evidence-based reports and allow journal access through a single portal.
Diagnostic Imaging (6/15) 
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Practice News
Annual customer-service training essential to high-quality practice
Annual review and training sessions in customer service are important in all areas of a practice, including the front office, which serves as the front line and face of the practice; the back-office operations involved with scheduling, billing and insurance; and the practitioners and providers themselves.
Physicians Practice magazine online (6/17) 
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Patient Care in Medicine
Study: Older adults would consider stopping cancer screenings
Older adults indicated they would consider stopping cancer screenings, especially those who had a high level of trust in their clinician, according to interviews with a group of people ages 65 years or older, 47.5% of whom had an estimated life expectancy of less than 10 years. The report, in JAMA Internal Medicine, found many people supported using age and health status to inform screening decisions, but a majority did not support a Choosing Wisely statement recommending against screening for cancer in people with limited life expectancy.
Healio (free registration) (6/13) 
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Legislative & Regulatory Update
How the Senate bill is expected to deal with Medicaid, taxes and more
Senate Republicans have yet to unveil the details of their health care bill, but they've shared some information that collectively paints a general picture. The Senate bill is likely to gradually phase out the Affordable Care Act's Medicaid expansion, strengthen the tax credit structure to provide more help to older and low-income enrollees than the House legislation and keep some ACA taxes; it may also allocate more funding to combat the opioid crisis and for high-risk pools while continuing cost-sharing reduction payments for a few years.
The Hill (6/18) 
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Groups respond to proposed EHR incentive program changes
The American Hospital Association and the American Medical Informatics Association sent letters to CMS Administrator Seema Verma regarding the agency's planned changes to the EHR incentive program. The AHA suggested removing meaningful use stage 3's 2018 start date, effectively canceling stage 3, because these requirements mean hospitals have to pay for EHR upgrades solely to meet regulatory requirements; AMIA recommended reducing the reporting period and expressed support for requiring 2015-certified EHR technology for incentive programs next year.
Becker's Hospital Review (6/14),  Becker's Hospital Review (6/14) 
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ARDMS News
The application period for the Pediatric Sonography (PS) examination is now open through Aug. 15!
The PS examination assesses the knowledge, skills and abilities in the areas of the head, spine, chest, hips, joints and the male and female genitourinary system of the pediatric patient. Apply today!
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Apply for the Fetal Echocardiography (FE) examination now through Aug. 15!
The FE examination assesses the knowledge, skills and abilities in the areas of normal and abnormal fetal cardiac anatomy, physiology, pathology and hemodynamics before delivery. Apply today!
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Learn more about ARDMS:
ARDMS | Certifications & Examinations | Apply for an Examination
Prepare for an Examination | Schedule an Examination | Registrant Resources
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