Leaders in Imaging: William Hendee, PhD, from the Medical College of Wisconsin, discusses the overuse of medical imaging.

Oct 7, 2010
2010 10 13 15 42 11 393 Hendee William 150x150
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1Each lung has been split into three parts. Each area has been given a score between 0 and 3. Score values are shown in Ultrasonograms to match 4 different patterns. During a longitudinal scan with a high-resolution linear probe, pictures of patterns were taken. The scores are as follows: 0 means A pattern, 1 means B pattern, 2 means severe B pattern, and 3 means extended consolidation. Images available for publishing under a creative commons license, CC BY-NC-ND 4.0.
LUS reliable for care strategies in infants with RDS
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(A) Representative maximum-intensity projection and selected PET/CT images (fused, PET and CT only) of patient with metastatic prostate cancer at 1 hour after injection. (B and C) Low uptake of Ga-68 PSMA-R2 in salivary and submandibular glands is also demonstrated. (D) Images show heterogeneous uptake of Ga-68 PSMA-R2 with varying degrees of intensity in multiple spine bone lesions (vertebral sclerotic lesion with intense PSMA-R2 expression at its periphery indicated with red arrow). HU = Houndsfield unit; SUVbw = body-weight SUV. Images and caption courtesy of the Journal of Nuclear Medicine.
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LUS reliable for care strategies in infants with RDS
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Lung ultrasound (LUS) scoring is reliable for determining whether preterm newborns need surfactant for suspected respiratory distress syndrome (RDS).
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1Each lung has been split into three parts. Each area has been given a score between 0 and 3. Score values are shown in Ultrasonograms to match 4 different patterns. During a longitudinal scan with a high-resolution linear probe, pictures of patterns were taken. The scores are as follows: 0 means A pattern, 1 means B pattern, 2 means severe B pattern, and 3 means extended consolidation. Images available for publishing under a creative commons license, CC BY-NC-ND 4.0.
PSMA-PET tracer performs well in clinical trial
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PET/CT imaging with a new gallium-68-based prostate cancer radiotracer shows promise for detecting recurrent metastatic disease.
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(A) Representative maximum-intensity projection and selected PET/CT images (fused, PET and CT only) of patient with metastatic prostate cancer at 1 hour after injection. (B and C) Low uptake of Ga-68 PSMA-R2 in salivary and submandibular glands is also demonstrated. (D) Images show heterogeneous uptake of Ga-68 PSMA-R2 with varying degrees of intensity in multiple spine bone lesions (vertebral sclerotic lesion with intense PSMA-R2 expression at its periphery indicated with red arrow). HU = Houndsfield unit; SUVbw = body-weight SUV. Images and caption courtesy of the Journal of Nuclear Medicine.
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CT imaging is best for diagnosing suspected intraorbital wooden foreign bodies, although MR imaging does offer valuable supplementary information.
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Epicardial adipose tissue (EAT) segmentation (shading) at noncontrast chest CT in axial orientation. Representative examples show EAT changes (ΔEAT) between baseline and two-year follow-up CT scans in participants who survived (typical changes) and increasing and decreasing EAT in participants who died. Images and caption courtesy of the RSNA.
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Images in an 18-year-old man with recurrent dislocations of the right shoulder. (A, B) Unenhanced coronal, (C) axial, and (D, E) sagittal deep learning super-resolution threefold parallel imaging -- accelerated turbo spin-echo MRI scans were obtained at 3-tesla field strength. (A) Coronal T2-weighted fat-suppressed (FS) and (B) coronal proton density (PD)-weighted MRI scans show a nondisplaced superior labral tear (arrows). (C) Axial proton density-weighted fat-suppressed, (D) sagittal T2-weighted fat-suppressed, and (E) sagittal T1-weighted MRI scans show continuation into a nondisplaced anteroinferior labral tear (arrows). All seven readers correctly diagnosed the arthroscopy-validated findings. (F) An arthroscopic photograph shows the anteroinferior labral tear (arrow). Image and caption courtesy of the RSNA.
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