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March 2010
In This Issue...

Worth Repeating...

“Walking backwards blindfolded across the interstate unscathed doesn’t prove it’s a safe activity, but that kind of logic is fairly frequently applied to device safety testing in the MR environment.”

— Tobias Gilk, president and MR safety director for MedNovus

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E-Editor’s E-Note

Questions about safety, quality, and appropriateness seem to be all over the news these days. From the president’s virtual colonoscopy and screening guideline to MRI safety protocol and radiation exposure, there’s new scrutiny about providing the right service the right way. Interestingly, most of the items in this edition have some tie to these issues.

The trouble is that too often these issues take on the emotional and political overtones of, say, a witch hunt. That hinders almost anything constructive from getting done.

— Jim Knaub, editor

E-News Exclusive

Presidential Screening

President Obama had a virtual colonoscopy earlier this month—apparently, against the recommendations of the U.S. Preventive Services Task Force (USPSTF). Rita F. Redberg, MD, editor of the Archives of Internal Medicine, published an online editorial about Obama’s virtual colonoscopy:

“According to news reports, Mr. Obama also underwent colon cancer screening, even though this screening is not recommended in his age group. Moreover, even when he reaches age 50 next year, the recommended colon cancer screening tests are either fecal occult blood test or colonoscopy. The USPSTF does not recommend virtual colonoscopy for screening, as performed on Mr. Obama, owing to the lack of supporting evidence. This CT colonography test, like the electron beam CT scan, increased his radiation exposure and subsequent cancer risk.”

Full Story »

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Other Imaging News...

Excessive Medical Testing in the News Again
Focusing on a recent study questioning the volume of angiograms, ABC News targets the excessive ordering of diagnostic tests.

Reporting Doctors’ Mistakes
A resident shares his hospital’s efforts at changing the culture of medical mistakes, as reported in The New York Times.

Image Gently Campaign Tackles X-Rays
While they expose children to far less radiation than CT scans, x-rays are more common. Here’s an update on a recent meeting on children and digital x-rays from the ACR.

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