March 2003


Features

Cover Story
Collaborative Breast Care
  by Elizabeth Finch
  Patients are the beneficiaries of a multidisciplinary approach to breast care at Gundersen Lutheran Medical Center

The Case for BMD Testing
  by Chris Wolski
  In addition to adding incremental growth, a BMD testing service offers radiology groups and departments a role in alleviating the escalating public health threat that is osteoporosis
Putting the Strong Arm on Film
  by George Wiley
  Printing film remains an after-PACS necessity, but newer, cheaper media such as paper and CDs are increasingly being pressed on referring physicians and in-house clinicians in place of film
Digital Mammography Now?
  by Rich Smith
  Building a business case for digital mammography is no oxymoron: market pull encouraged by direct consumer advertising is part of the equation


Departments

  Viewpoint
Good Marketing, Good Medicine
  by Cheryl Proval
  Guest Editorial
A Future at Stake
  by Ellen B. Mendelson MD
  Radiology must take steps now to preserve the future of womens imaging
STAT Read
  by Ben Van Houten
  Minimally invasive treatment of uterine fibroids shows high efficacy in Canadian trial; diagnostic imaging leads US health care equipment leasing business; first whole body PET/CT scan with C-11 performed; studies recommend routine radiographs following surgery
Research Roadblock
  by Kris Keyes
  Without a comprehensive breast-cancer treatment outcome registry, studies cannot accurately measure quality of care
  Imaging Business
The Space Crunch
  by David Redemske
  Strategies for adding new modalities in the space-challenged department
  Technology Economics Review
Women's Imaging
  by Judith Gunn Bronson MS
  A review of women's imaging practices in 2002.
Technology Review
Special Section

Introduction
  by Barry T. Katzen MD
Cardiac MRI: Questions and Answers
  by Tuncay Hazirolan MD, David A. Bluemke MD, PhD
  The first MRI images of the heart were produced more than 20 years ago. Since that time, cardiac MRI techniques have progressively improved. With these impressive advances in spatial and temporal resolution and increased imaging speed, cardiac MRI has become one of the most valuable diagnostic tools for heart disease, especially over the past 5 years. Because of the advantages of cardiac MRI over other techniques used in heart-disease assessment, cardiac MRI is beginning to be used routinely at specialized centers.
Cardiac CT: Faster CT Scanners Deliver New Capabilities
  by Judith Gunn Bronson MS
  The speed of the new multidetector CT scanners is enabling imagers to study the heart and chest vasculature with fewer motion artifacts and greater confidence.
Fusion Imaging: Cardiac Applications of SPECT/CT and PET/CT
  by Elizabeth Finch
  Medical diagnoses commonly rely on assessment of a patient's functional status and physical condition, and there are superb imaging modalities capable of providing that information within certain parameters. Radionuclide-tracer techniques such as positron-emission tomography (PET) and single-photon-emission computed tomography (SPECT) provide functional information, but have relatively poor spatial resolution and can lack the anatomical information needed to localize or stage disease.
Introduction
  by Barry T. Katzen MD
  An explosion in non-invasive imaging of the heart will lead to significant changes in practice patterns in coming years and the need to forge new cooperative relationships.
Cardiac MRI: Questions and Answers
  The first MRI images of the heart were produced more than 20 years ago. Since that time, cardiac MRI techniques have progressively improved. With these impressive advances in spatial and temporal resolution and increased imaging speed, cardiac MRI has become one of the most valuable diagnostic tools for heart disease, especially over the past 5 years. Because of the advantages of cardiac MRI over other techniques used in heart-disease assessment, cardiac MRI is beginning to be used routinely at specialized centers.
Cardiac CT: Faster CT Scanners Deliver New Capabilities
  by Judith Gunn Bronson
  The speed of the new multidetector CT scanners is enabling imagers to study the heart and chest vasculature with fewer motion artifacts and greater confidence.
Fusion Imaging: Cardiac Applications of SPECT/CT and PET/CT
  by Elizabeth Finch
  Medical diagnoses commonly rely on assessment of a patient's functional status and physical condition, and there are superb imaging modalities capable of providing that information within certain parameters. Radionuclide-tracer techniques such as positron-emission tomography (PET) and single-photon emission computed tomography (SPECT) provide functional information, but have relatively poor spatial resolution and can lack the anatomical information needed to localize or stage disease.

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