March 21, 2012
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News for nuclear medicine and molecular imaging professionals
The news summaries appearing in SNM SmartBrief are based on original information from multiple internet sources and are produced by SmartBrief, Inc., an independent e-mail newsletter publisher. The items below are not selected or reviewed by SNM prior to publication. Questions and comments may be directed to SmartBrief at

SNM SmartBrief Special Report: Challenges and Opportunities in the Nuclear Lab (Part 1)
With the rapid pace of research and technological developments, as well as changes in the broader health care system, this is a dynamic time in nuclear medicine. With that in mind, SNM brings you a two-part report focusing on challenges and opportunities in nuclear medicine.

In just a few months since it began, 2012 has brought developments in isotope manufacturing, discussion of radiation, news and policies guiding the use of electronic health records and more. While current issues and medical questions pose challenges to professionals in the industry, they also offer opportunities: to deliver better, more informed care every day, to spawn innovation and to ultimately make people healthier.

This first part of our special report explores some recent technical and medical advances while offering guidance on technology and medical practice. Look for Part 2 on April 4, when we will deliver additional guidance and clinical news you can use in your work today, as well as pieces meant to inspire you to look to the future.

  The Supply Chain 
  • Experts say PET/MRI market limited but promising
    Although 21% of respondents in a Diagnostic Imaging poll last summer said they would likely acquire hybrid PET/MRI systems, purchases have been limited to large research hospitals and other institutions. The current market for the devices is 15 to 20 units annually, said Satrajit Misra, director of marketing for nuclear medicine at Philips Healthcare. Experts said assurance of reimbursement and emerging applications for the system will likely boost acquisition and use of the machines. Diagnostic Imaging (2/29) LinkedInFacebookTwitterEmail this Story
  • 10 questions to ask when paying for medical equipment
    Major changes in health care and finance need not complicate the process of acquiring and paying for medical imaging equipment, writes health care finance expert Mark E. Hoffman. He offers advice for choosing a finance partner as well as 10 questions to consider when leasing equipment. Diagnostic Imaging (3/8) LinkedInFacebookTwitterEmail this Story
This free application is intended to help guide you through the process of determining whether cardiac radionuclide imaging (RNI) is appropriate for your patient, based on a set of published Appropriate Use Criteria (AUC). Find out more at

  Insights and Innovations 
  • Study finds "extraordinary" genetic diversity in tumors
    About two-thirds of genetic mutations in samples from primary tumors of kidney cancer patients were different from one another, even if they were taken from the same tumor, a British study revealed. Researchers also found even more genetic differentiation in biopsies of secondary tumors. The findings in the New England Journal of Medicine suggest that using samples from a primary tumor as a basis for treatment decisions may not be sufficient, researchers said. Reuters (3/7) LinkedInFacebookTwitterEmail this Story
  • Researchers compare cardiac MRI, SPECT in CAD
    In patients with known or suspected ischemic coronary artery disease, perfusion cardiac MRI is more sensitive but less specific than SPECT, according to a Swiss study published in the European Heart Journal. The researchers compared the diagnostic capability of cardiac MRI and SPECT, with invasive angiography as the standard method, in 533 patients at 33 facilities. Researchers said their results support those of previous studies and provide evidence of MRI's ability to correct for cardiac and respiratory movement. (3/7) LinkedInFacebookTwitterEmail this Story
  • Other News
67 Reasons You Need the AUC
The appropriate use criteria (AUC) for radionuclide imaging were developed to help clinicians decide whether or not radionuclide imaging is appropriate for their patients. The AUC list 67 patient categories and indicate whether myocardial perfusion imaging (MPI) is appropriate, uncertain, or inappropriate for each case. Visit

  Imaging in Practice 
  • Why doctors should learn to listen as well as look
    Imaging is constantly expanding the ways physicians can examine the body, but one expert suggests new techniques are displacing the art of cardiac auscultation, or listening to the heart. Dr. Michael Criley, a University of California at Los Angeles professor emeritus of medicine and radiological sciences, believes imaging should be better integrated with bedside exams. (3/7) LinkedInFacebookTwitterEmail this Story
  • Report: Cardiologists are ordering fewer imaging tests
    Cardiologists in 2011 were ordering fewer imaging tests for patients than three years earlier, according to a report from IMV Medical Information Division. The trend may be driven by higher use of appropriateness criteria guidelines for cardiac imaging as well as stricter requirements for reimbursement, according to an IMV researcher. (2/10) LinkedInFacebookTwitterEmail this Story
  • Physician: Consider care model that leaves slogans behind
    "Patient-centered care" -- espoused as an antidote to "doctor-centered care" -- isn't likely to solve the problems it was intended to, and the model may introduce more issues, Dr. Charles Bardes of Weill Cornell Medical College writes in the New England Journal of Medicine. Bardes says costs under such a model are likely to remain high, in part because patients can't be expected to make cost-effective choices about their own care. Instead, Bardes advocates a collaborative model. (3/8) LinkedInFacebookTwitterEmail this Story
  • Expert outlines benefits of cloud-based image storage
    Cloud-based image management has the potential to eliminate a variety of challenges health care providers face by delivering real-time access to data on any device, Andrew J. Lee of Harris Healthcare Solutions said at this year's Healthcare Information and Management Systems Society meeting. As studies grow in volume and complexity, experts envision lower costs and greater reliability under a cloud-based model. Additional advantages could include reduced redundancy, better-informed diagnoses and greater patient access to data. (2/23) LinkedInFacebookTwitterEmail this Story
  • Guidelines and resources
    For clinicians seeking a refresher on topics in nuclear medicine, there is a plethora of resources available from SNM.
Product announcements appearing in SmartBrief are paid advertisements and do not reflect actual SNM endorsements. The news reported in SmartBrief does not necessarily reflect the official position of SNM.
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