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Special journal issue focuses on imaging screening
Date:12/1/2013

To be published online Monday, Dec. 2, a special issue of the Journal of the American College of Radiology addresses imaging-based screening and radiology's increasing role in preventive medicine. Topics covered include breast density legislation, digital breast tomosynthesis (or 3-D mammography), lung cancer screening and computed tomography colonography (CTC) reimbursement. The December screening issue was guest edited by Ruth Carlos, M.D., M.S., from the University of Michigan, and Christoph I. Lee, M.D., M.S.H.S., from the University of Washington.

"Screening saves lives. Therefore, imaging-based screening represents a high-value clinical service that radiologists deliver day-to-day. In recognition of the importance of these services, the Affordable Care Act legislates the free provision of cancer screening, including the anticipated coverage of CT-based lung cancer screening. However, not all developments are necessarily positive. There are still coverage gaps, such as CT colonography. Further, legislative action is not just limited to mandating coverage, but also to legislating physician-patient conversations. Because of these controversies and because of continued development of imaging-based screening technology, we chose to focus our annual special issue on this critical topic," said Ruth Carlos, M.D., M.S., guest editor of the December screening issue.

Articles include:

Dense Breast Legislation in the United States: State of the States
Soudabeh Fezeli Dehkordy, M.D.; Ruth C. Carlos, M.D., M.S.
Dense breast notification legislation provides for direct patient notification. Inconsistency in the language of the laws and lack of legal provision for insurance coverage for additional testing may complicate the implementation of the laws.

The Density Conundrum: Does Legislation Help or Hurt?
Mary Lou Smith, J.D., M.B.A.
Dense breast legislation may not improve physician-patient
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Contact: Heather Williams
PR@acr.org
703-390-9822
American College of Radiology
Source:Eurekalert

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