ACR Bulletin October 2014

Final Read

Q:Why is it important to participate in your state chapter?

final read

Curiosity led me to attend my first Missouri Radiological Society (MORADS) meeting. I felt like a confused child looking into a bowl of alphabet soup — unintelligible acronyms, like HIPAA and MU, constantly floated by in discussions.

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Appeals of ACR Accreditation Decisions

What are my options if my facility does not receive accreditation?Appeals of ACR Accreditation

The stakes for ACR members and their practices have risen dramatically, particularly in relation to accreditation. As of January 1, 2012, CMS began requiring accreditation from designated organizations such as the ACR for suppliers that furnish the technical component of advanced diagnostic imaging services in a non-hospital setting.

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Protecting Our Smallest Patients

The Commission on Pediatric Radiology advocates for its patients and advances the subspecialty.


The commission encompasses committees on Quality and Safety, Education, Economics, Advocacy, and Research.

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Out of the Shadows

One Midwest practice prioritizes more direct interaction with referring physicians and patients.


In the recent "Imaging 2.0" past, radiologists conducted their work in isolation. Most of the day, they sat in darkened rooms where they reviewed images and dictated reports, with little interaction with referring physicians and almost no contact with patients.

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A Breath of Fresh Air

Get up to date with all of the changes in lung cancer screening with these resources.


Over the course of the past year, many exciting developments have occurred in the world of lung cancer screening. According to Ella A. Kazerooni, MD, FACR, principal investigator at the University of Michigan in the National Lung Screening Trial (NLST), "We're committed to widespread coverage for lung cancer screening, and providing an array of tools radiologists need to make that happen."

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Juggling Priorities

Radiologists must weigh the benefits and penalties when prioritizing health care reform initiatives.


In the classic Road Runner cartoon, it's hard not to feel a bit sorry for poor Wile E. Coyote. Every time he thinks the Road Runner is within reach — BAM! — something happens that makes the coyote wonder whether he'll ever catch the long-legged bird.

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Identity Crisis

Are you monitoring your online reputation?


By the end of 2014, Internet users will total more than 3 billion worldwide.1 This digital revolution has affected health care — particularly radiology, a specialty relying on technology — in many ways.

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Mapping Out Success

Survivorship plans are a critical tool for patient care, yet they are not always implemented.


Imagine that you've just landed in a foreign country. Problematically, you don't speak the language, you don't know how to get to your hotel, and you don't know any of the social customs. Dead ends seem to hit you everywhere, and you don't know whom to call for help.

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On Notice

Massachusetts and Missouri have become the 18th and 19th states, respectively,
to enact breast density notification laws.

breast imagine infographic

Massachusetts Gov. Deval Patrick signed MA House Bill 3733 (S. 2181) into law on June 26th. The statute will require mammography services providers to supply a patient with written notification "in terms easily understood by a lay person" if the patient’s mammogram reveals dense breast tissue, as determined by the interpreting physician.

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Bringing Mammography into Focus

Conflicting information in the media often leads to patient confusion.


Do you remember the Magic Eye stereograms you may have had as a kid? At first, the image is a confusing, distorted mess of pixels. As you stare at the page, your eye cannot rest on one thing; it's just endless rows of patterns. But after a moment, your eyes focus, and the distorted pixels sort themselves into a 3-D image. Everything makes sense.

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Adopting a Patient Perspective

When Karin Charnoff-Katz, MD, was diagnosed with breast cancer, she entered the patient experience and left a changed physician

patients perspective

On my way to work as a general radiologist in Memphis, I detoured to stop for a routine screening mammogram. I was 41 and a few months late for my second annual screening.

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Imaging 3.0™: Where Are We Now?

Taking stock as the radiology wide initiative takes hold and transforms the specialtyImaging 3

In last october's column, I wrote about how Imaging 3.0™ had taken hold across the profession. A year later, I'm pleased to report that it is embedding itself in our culture and informing every activity of the College.

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Keeping Radiology at the Vanguard

It's more important than ever for radiologists to lead the way in technology innovation.


 Radiology has always been at the vanguard of medical care, and it has been our scientific and technological innovation that has kept us there. In 2001, a survey of 225 leading internists rated the value of CT and MRI first among 30 medical innovations of the last 50 years.

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