Dr. Giles Boland

PACS/VNA
Teleradiology should focus more on improving patient outcomes
It's time to rethink teleradiology, according to Dr. Giles Boland, professor of radiology at Harvard Medical School. He believes that radiology groups should move beyond what teleradiology can do for them, and instead focus on what teleradiology can do for others -- namely, patients and referring physicians.
December 10, 2012
2012 12 10 12 52 33 551 Boland Giles 70
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Images depict a 49-year-old female participant with cryptogenic cirrhosis who presented with a 3.2-cm liver lesion. This biopsy-confirmed hepatocellular carcinoma (HCC) with an initial categorization of Liver Imaging Reporting and Data System (LI-RADS) category LR-4 (probably HCC) at CT was upgraded to LR-5 (definitely HCC) at contrast-enhanced ultrasound (CEUS). (A) Precontrast CT images in the liver show vague hypoattenuation in the medial left hepatic lobe (arrows). (B) Arterial phase images demonstrate no definite arterial phase hyperenhancement (arrows). (C) Washout and an enhancing capsule (arrows) on a late-phase image resulted in an LR-4 categorization. (D) B-mode ultrasound shows a round hypoechoic nodule (arrows). (E) An early-phase CEUS image shows clear arterial-phase hyperenhancement (arrows); (F) No washout at one minute (arrows), and (G) late, mild washout at four minutes (arrows) resulted in a CEUS LR-5 categorization.
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