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Non-radiologists perform majority of ultrasound-guided invasive procedures, study suggests

The November issue of the Journal of the American College of Radiology (JACR) focuses on a variety of issues relating to clinical practice, practice management, health services and policy, and radiology education and training. Topics to be covered include imaging recommendations for acute stroke and transient ischemic attack patients; managing incidental findings on abdominal and pelvic computed tomography (CT) and magnetic resonance imaging (MRI); CT scan parameters and radiation dose; optimizing radiation use during fluoroscopic procedures; and the increasing role of non-radiologists in performing ultrasound-guided invasive procedures.

Articles include:

Imaging Recommendations for Acute Stroke and Transient Ischemic Attack Patients: A Joint Statement by the American Society of Neuroradiology, the American College of Radiology and the Society of Neurointerventional Surgery
Max Wintermark, M.D., MAS; Pina C. Sanelli, M.D., MPH; Gregory W. Albers, M.D.; Jacqueline A. Bello, M.D.; Colin P. Derdeyn, M.D.; Steven W. Hetts, M.D.; Michele H. Johnson, M.D.; Chelsea S. Kidwell, M.D.; Michael H. Lev, M.D.; David S. Liebeskind, M.D.; Howard A. Rowley, M.D.; Pamela W. Schaefer, M.D.; Jeffrey L. Sunshine, M.D., PhD; Greg Zaharchuk, M.D., PhD; Carolyn C. Meltzer, M.D.
This article proposes a simple, pragmatic approach that will allow the reader to develop an optimal imaging algorithm for stroke patients at their institution.

Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 3: White Paper of the ACR Incidental Findings Committee II on Splenic and Nodal Findings
Matthew T. Heller, M.D.; Mukesh Harisinghani, M.D.; Jeffrey D. Neitlich, M.D.; Paula Yeghiayan, M.D.; Lincoln L. Berland, M.D.
This white paper details the consensus of the ACR Incidental Findings II Committee on splenic and nodal findings.

CT Scan Parameters and Radiation Dose: Practical Advice for Radiologists
Siva P. Raman, M.D.; Mahadevappa Mahesh, MS, PhD; Robert V. Blasko, BS, RT(R)(CT); Elliot K. Fishman, M.D.
A detailed understanding of a few basic CT scan parameters is essential, and knowledge of how to manipulate these parameters to produce diagnostic images at lower doses is critical for safe imaging.

Optimizing Radiation Use During Fluoroscopic Procedures: A Quality and Safety Improvement Project
James R. Duncan, M.D., PhD; Mandie Street, RT; Marshall Strother, BS; Daniel Picus, M.D.
A data-driven improvement project that includes processes for data capture, analysis and feedback has led to a substantial and sustained reduction in radiation exposure per procedure.

The Increasing Role of Non-Radiologists in Performing Ultrasound-Guided Invasive Procedures
Richard E. Sharpe, Jr, M.D., MBA; Levon N. Nazarian, M.D.; David C. Levin, M.D.; Laurence Parker, PhD; Vijay M. Rao, M.D.
From 2004-2010, non-radiologists significantly increased their utilization of ultrasound-guided procedures, and 2010 represents the first year that non-radiologists performed more of these procedures than radiologists.


Contact: Heather Williams
American College of Radiology

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