Thursday, August 29, 2013

Diagnostic Imaging and Insurance Providers

As with any portion of the medical sector, diagnostic imaging is always subject to some sort of decision as far as insurance coverage is concerned. Any procedure such as a CT Scan, MRI, PET Scan and X-Ray is often questioned by insurance providers as well as Medicare and Medicaid. Very recently a decision came down on PET Scans for solid tumors from the Center for Medicare and Medicaid Services. The decision that was made may well prove favorable for patients and practitioners as it increases the number of patient scans from one to three scans.

It seems like rather than rely on continuing to gather data before sending a patient for a scan, in order to discover if there is a possibility of cancer, this decision actually helps the process and the patient’s chances for early detection. This is the type of decision that helps the industry because it will ultimately encourage a stronger push in research and development, which may in turn help produce a stronger, more effective incarnation of the scanning procedure in the future. This decision has been met with great approval, at least from the Society of Nuclear Medicine and Molecular Imaging (SNMMI).

There is a great deal of motivation to further improve the way diagnostic imaging is used especially when dealing with complex and hard to detect conditions. Cancer on its own right can sometimes be very difficult to detect. Once detected, it’s sometimes very difficult to monitor it properly. One physician was quoted as saying “Monitoring metastatic prostate cancer therapy can be difficult. However, in some indications PET can provide useful information for physicians in creating an effective treatment plan,” which is a clear example of just what this type of decision does for patients.

This type of decision seems to be a step in the right direction and hopefully, as time passes, it will prove greater benefits overall.

If you have any questions about CT Scans, or imaging procedures in general please feel free to call us. 


Posted By: 


Charla Hurst General
Operations Manager

Charla@ClermontRadiology.com 
352-241-6100 
www.ClermontRadiology.com


References:




Tuesday, August 27, 2013

CT Scans and Lymph Nodes

Prostate cancer is a common and often treatable cancer that’s easy to treat with the benefits of early detection. So how is Prostate Cancer treated? Like all forms of cancer, prostate cancer treatment depends on the level and stage of the cancer. There are various types of radiation therapies that aid in treating prostate cancer. Like all other forms of cancer, the prognosis always depends on, among other factors, whether or not the cancer has spread and how aggressive it is.

A good question is: How does diagnostic imaging relate to the treatment of prostate cancer? Often times a transrectal ultrasound is used in discovering whether or not there is the presence of cancer cells. A recent study shows that CT and PET Scans are being used to detect lymph node metastases in men after having radical prostatectomy. A radical prostatectomy is the procedure used to remove the prostate gland and effectively prostate cancer.

Unfortunately even after a procedure such as a radical prostatectomy there are chances that prostate cancer will re occur. As with any form of cancer a relapse is a dangerous proposition because, while treatable, it can leave the patient severely weakened and unable to better combat the cancer. An MRI and a CT Scan are not necessarily at a level where they will reveal a cancer but the PET and CT scan technology are able to detect a single lymph node at time of imaging.  

While this development is not a cure for cancer it helps in identifying a form of diagnostic, and ultimately, preventative treatment that will go a long way in helping patients at high risk of having a re occurrence of prostate cancer. The validity of imaging for this kind of condition is getting stronger as further studies are conducted in the very near future.

If you have any questions about CT Scans or diagnostic imaging in general, please feel free to contact us at any time.


Posted By:

Charla Hurst  
General Operations Manager  

352-241-6100 



References: 





  

Thursday, August 22, 2013

The Importance of Knowledge in Imaging

What makes things work in diagnostic imaging is commitment and dedication to helping the patient. More often than not it's very important to ensure a strong flow of communication between a radiologists and a clinician. While communication is a key it's also vital that the professionals thoroughly understand what they are doing. Understanding comes from experience and confidence in one’s work.

It doesn't matter if it's an MRI, or a CT scan, the ultimate goal is to ensure ultimate patient satisfaction. The goals are always a good and accurate diagnosis, an effective treatment program, and the eventual positive prognosis for the patient. The confidence and experience come about from years of practice and a strong educational background.

All physicians study well over ten years in order to become certified and allowed to practice their specialty unsupervised. Education is always a key in terms of how a physician will do. With radiology there is no real difference, even if a radiologist serves the role of consultant in some respects.

As medical technologies and healthcare evolve, so too does the study of medicine. Specialties and sub specialties did not really take off until after World War II. As everything evolves there are new promising studies that show that adding certain courses may help radiology students drastically improve.

There is a new elective course that will likely be implemented soon. The course is a three day interactive case based course. Part of the reasoning for this is to help students broaden their case based knowledge based on a specific set of guidelines. This is an extremely important development because the more a radiologist knows about something the better communication will flow between the radiologist and the clinician.

Three days may seem like a shortened period of time but when dealing with patients, three days is actually a good window for improvement with the level of practice that’s there. The research conclusion yielded was that “A three-day elective radiology course for second-year medical students improves their knowledge of appropriate image utilization.” This is the kind of conclusion that gives life to the idea that knowledge is power.

If you have any questions about diagnostic imaging procedures please feel free to give as a call. We here at Clermont Radiology look forward to answering any questions that you may have.


Posted By:

Charla Hurst  
General Operations Manager  

352-241-6100 



References:


Tuesday, August 20, 2013

Look How Far We have Come, the history of X-Rays

You ever wonder about the history of X-Rays? From their discovery in 1895 up until today X-Rays have been an integral part in the process of diagnosis. If it weren't for X-rays it's fair to assume that medicine would not be where it's at today in terms of the prevention, treatment, and cure of many ailments and diseases. So what are some of the things we know about X-Rays?

1-    X-rays were discovered in December 28th 1895
2-    Weeks after their discovery the first anatomical imaging experiments were performed in the Netherlands.
3-    The machine used for said experiments was built from equipment belonging to a high school.
4-    X-Rays were originally known as Roentgen Rays, an homage to the man that first discovered them, Wilhelm Roentgen.


So what has changed with X-Rays over the last century? A multitude of things have changed since the discovery of the X-Ray. The technology and procedure initially used for the X-Ray changed dramatically, making the first initial setup used totally obsolete. The initial set up included, among other things, a high voltage transformer with a glass bulb and metal electrodes at the ends. 

During the early stages of X-Ray technology there was a problem with prolonged exposure, and high radiation causing serious health problems for patients. Today patients are exposed far less, and while radiation can sometimes present a risk, as a result there are far less concerns when comparing past and present testing.

Today imaging has taken a huge turn with newer methods that go beyond the X-Ray. There are CT Scans, MRI, and many more specialized machines that allow Physicians to make more accurate diagnoses and create better treatment plans. With the advent of newer technology imaging will continue to improve and risks associated with it will continue to minimize.

If you have any questions about X-Ray machines, CT Scanners, MRI, or questions about procedures in general, you are more than welcome to contact us.



Posted By:

Charla Hurst  
General Operations Manager  

352-241-6100 

Thursday, August 15, 2013

Can Brain Imaging Help with Mental Illness?


 New research suggests that single photon emission computed tomography, SPECT, imaging can actually aid in the diagnosis and treatment of mental illness. The studies conducted by Dr. Daniel Amen have been analyzed in two stages, with only one of them employing SPECT imaging. According to statistics gathered by the studies SPECT imaging may very well alter the course of diagnosis and treatment plans.



The studies were conducted in groups of no more than 110 patients with an age range of 18 to 87. According to an article on medscape.com the most common diagnoses were the following:

Anxiety (90.8%; n = 99)
Mood disorders (69.7%; n = 76)
Substance abuse (64.2%; n = 70)
Attention-deficit/hyperactivity disorder (53.2%; n = 58)
Head injury (35.7%; n = 39)
Obsessive compulsive disorder (15.5%; n = 17)
Dementia of any type (10.0%; n = 11)
Schizophrenia (3.6%; n = 4)
Epilepsy (1.8%; n = 2)

While the studies on behalf of SPECT imaging take into consideration a limited number of patients, they seem to be very promising. SPECT imaging is by no means a new technology but the possible diagnosis of mental illness is certainly a new way to use it. SPECT imaging is used for the purpose of diagnosing epilepsy, dementia, and many other illnesses. There are notes of caution in terms of using SPECT imaging for diagnosing of mental illness.

The positive side of this is the fact that steps are being taken to go beyond tools already in use as a way to treat what may be more complex cases. Only time can truly tell if SPECT imaging will become a standard procedure in Psychiatry

 If you have any questions about imaging procedures in general feel free to contact us anytime.


Posted by: 

Charla Hurst
General Operations Manager

Charla@ClermontRadiology.com
352-241-6100
www.ClermontRadiology.com

Tuesday, August 13, 2013

Advantages of Low Radiation Scans

For years the leading cause of cancer related deaths has been Lung Cancer. Lung Cancer patients have a very poor survival rate and part of the problem has been a difficulty in terms of detection. While other forms of cancer benefit from early detection, lung cancer has always been difficult to spot. With the basic symptoms being strong coughs, weight loss, loss of appetite and shortness of breath, lung cancer could be mistaken for some other problem.



With the advent of Low Radiation Scans, early detection has become an option for cancer patients. While low dose computed tomography is still at a relatively early stage it provides a window into small lung nodules that, in a small number of patients, serve as indicators of lung cancer in its very early stages.

Low radiation scans use about one fourth of the radiation used in a CT scan. While many of the studies done have employed specific population sampling for their studies, suggestions have been made for specific age groups with smoking habits over a specific period of time.

Early detection is a key factor in improving a patient’s possibilities for survival. Prevention through proper habits is the best way to ensure survival so remember to take care of yourself by avoiding tobacco at all costs.



Posted by: 

Charla Hurst
General Operations Manager

Charla@ClermontRadiology.com
352-241-6100
www.ClermontRadiology.com

Thursday, August 8, 2013

Challenges and Benefits of Bringing Mobile Computing in Radiology

There’s a good chance you may already own one of the most universal health care innovations out there right now: a smartphone and/or tablet. It’s not just for checking your Facebook anymore; these digital devices are highly utilized within the medical world as well. Mobile devices and apps have gone from being novelties into established tools.

In addition to the electronic sounds from imaging equipment and patient monitors often heard in hospitals, the familiar sounds of tapping on screens and dings of text messages from mobile devices have also become part of the environment. More than 80 percent of physicians own and use mobile devices, according to recent surveys.



Is There Anything Out There That Doesn’t Have an App?

Smart device technology has proved particularly useful in the field of radiological imaging, where physicians and technicians are continually looking to implement new technology. A 2011 Jackson & Coker Associates study reported nearly 25 percent of radiologists were already using them clinically. In one instance, a Japanese surgical team used an iPad, wrapped in cling-film to preserve sterility–to provide an image of the surgical procedure in process. These surgeons were able to zoom in and out of images being fed to the device. Others have found apps useful in various ways such as displaying patient imaging studies during surgery, contact patients with referral information, or conduct developmental tests on children.

 “Every single one of them is using mobile technology to some extent. It’s a massive trend,” said Jon DeVries, VP of product solutions at Merge Healthcare. “It’s changing the way people practice. Diagnostics are still done at work stations, but it’s changed how they collaborate, form partnerships, and provide care”


What Started As a Trend, Ended as a Need.

“Apps” and “going mobile” were once trendy buzzwords, but now they have been integrated well into the medical practice. The convenient access mobile devices provide has helped foster the spirit of collaboration within the specialty of radiology, allowing radiologists and staff to work together more easily as a clinical care team.

Mobile devices also improve the communication between provider and patient. These devices give them the freedom to come out onto the floor and have face-to-face interactions with colleagues and patients. Mobile technology can even help physician’s stay connected while away from the hospital, keeping the process of patient care flowing.


Stay Cautious and Keep It Safe.

New technologies and applications designed for radiology appear swiftly, making it tempting to explore and adopt new apps or devices as they come onto the market.  But be cautious, examine them closely and choose carefully to ensure they are actually meeting your needs. The best strategy is to tell vendors what your policies are regarding HIPAA, and the level of integration you will need.

Another challenge in the use of mobile technology is safety and security. Physicians and health care professionals face more security responsibilities than do other consumers of electronics. According to a 2011 Mobile Technology Survey from the Health Information Management and Systems Society (HIMSS), 97 percent of clinicians, including radiologists, access patient data on mobile devices, but only 38 percent of health care organizations actually have policies to regulate how to correctly use these tools. To ensure patient data does not end up in the “wrong hands”, there should be centralized control over devices, especially when employees are using a number of different types of devices.


2013 and Beyond.

So what does the future of digital devices in health care delivery hold for us? If current trends are any indication, you can expect to see mobile technology continuously popping up. As the upcoming generation of physicians is unquestionably more tech savvy, we can expect to see mobile digital devices making its way into practices in some nifty ways. The physician’s office of the future is said to undoubtedly feature greater integration of mobile digital technology.



Posted by: 


Charla Hurst
General Operations Manager

Charla@ClermontRadiology.com
352-241-6100
www.ClermontRadiology.com

Tuesday, August 6, 2013

Radiation in CT Scans

No matter how much we try to avoid it, small doses of radiation seem to be everywhere - from computer monitors, television sets, and airport body scanners to nuclear power plants, smoke detectors, and dental x-rays. According to the latest estimates, an average person in the U.S. receives an effective dose (the radiation risk averaged over the entire body) of about 3 millisievert (mSv) per year just from natural sources and cosmic radiation. Remember, these natural “background” radiation doses vary widely from one part of the country to another.



What Can Patients Do to Help Themselves?
Radiation exposure should be limited whenever possible. Still, when a CT scan is deemed critical, patients should get it. "Those [radiation] doses just are not really significant at this point compared to the benefit of extending lives, saving lives and improving the quality of lives," says Dr. Ellenbogen of the American College of Radiology, also a radiologist atSouthwest Diagnostic Imaging Center in Dallas.

While you can’t go back in time to calculate the doses of radiation received in the past, you can certainly take steps moving forward. For example, many are now only considering procedures such as dental X-rays and additional CT scans if there is a cause for concern – not just for preventive reasons anymore.

Radiation Exposure Estimates
The chart below is a comparison of effective radiation dose with background radiation exposure. The effective doses are typical values for an average-sized adult, and the actual dose can vary substantially, based on a person’s size for instance.

CT procedure:
Estimated effective radiation dose:
Comparable to natural background radiation for:
* Risk level from examination:
ABDOMINAL REGION:
Abdomen and Pelvis
10 mSv
3 years
Low
Abdomen and Pelvis, repeated with & without contrast material
20 mSv
7 years
Moderate
Colonography
10 mSv
3 years
Low
CENTRAL NERVOUS SYSTEM:
Head
2 mSv
8 months
Very Low
Head, repeated with and without contrast material
4 mSv
16 months
Low
Spine
6 mSv
2 years
Low
CHEST:
Chest
7 mSv
2 years
Low
Chest Low Dose
1.5 mSv
6 months
Very Low
HEART:
Coronary Computed Tomography Angiography (CTA)
12 mSv
4 years
Low
Cardiac CT for Calcium Scoring
3 mSv
1 year
Low

Risk Level
*Approximate additional risk of fatal cancer from exam (adult):
Negligible:
less than 1 in 1,000,000
Minimal:
1 in 1,000,000 to 1 in 100,000
Very Low:
1 in 100,000 to 1 in 10,000
Low:
1 in 10,000 to 1 in 1000
Moderate:
1 in 1000 to 1 in 500
Chart derived from: http://www.radiologyinfo.org/en/safety/index.cfm?pg=sfty_xray


Remember, there are ways radiation exposure can be fine-tuned to help lower radiation levels. Those who use radiology equipment must be adequately trained in equipment operation and radiation safety principles to protect the patients and personnel that are subject to exposure.

Call me with any questions you may have about CT safety or CT equipment.


Posted by: 


Charla Hurst

General Operations Manager

Charla@ClermontRadiology.com

352-241-6100
www.ClermontRadiology.com

Thursday, August 1, 2013

A Basic Overview of the CT System

Introduced in the early 1970's, the Computed Tomography (CT) procedure advanced rapidly and has become the imaging exam of choice. The CT scan allows for thin cross-sectional views of body organs and tissues, using non-invasive radiographic techniques. Since the computerized image is so sharp, focused, and three-dimensional, many tissues can be better distinguished via CT scans than on standard X-Ray systems.





CT scans, also known as computerized axial tomography or CAT scans, are done through the use of a 360-degree x-ray beam and computerized production of images. They can utilize a number of imaged slices to reconstruct the tomographic plane of the patient. These images are then used for diagnostic purposes.

CT applications include detecting a wide range of abnormalities or diseases in any part of the body such as cancer, trauma, infection, inflammation, calcium scoring, pneumonia, tuberculosis, angiography, stroke, bone fracture, sinusitis, spinal column damage, and much more.

Sinus studies. The sensitivity of the CT allows for pinpointing areas of chronic sinus infection, and is useful for planning prior to functional endoscopic sinus surgery. The CT scan can also show details of sinusitis; the extent and location of tiny fractures of the sinus and nasal bones; and evaluate trauma or disease of the sphenoid bone.

Brain studies. CT brain scans can detect different types of tumors, strokes, or other lesions in the brain area such as hematomas (collections of blood that have escaped from the vessels). Congenital abnormalities in children, such as hydrocephalus, may also be confirmed with a CT.

Body scans. The CT body scan (from the chin to below the hips) can identify abnormal body structures and organs such as tumors, cysts, fractures, and other damages. Throughout the body, a CT scan may be used to observe abdominal organs, such as the liver, kidneys, adrenal glands, spleen, pancreas, and lymph nodes.

Aorta scans. CT scans can focus on the thoracic or abdominal sections of the aorta to locate aneurysms and other possible aortic diseases. Aorta scans provide the ability to visualize and measure the thickness of the artery, which is very helpful in diagnosing aortic aneurysms, aortic clots, or aortic rupture.

Chest scans. CT scans of the chest are useful in distinguishing tumors and in detailing accumulation of fluid in chest infections. Chest CT studies can also identify further problems in the heart and lungs.

Virtual endoscopy. Virtual endoscopy is a new technique that uses spiral CT for doctors to see inside organs and other structures without surgery or special instruments. One type of virtual endoscopy, known as CT colonography or virtual colonoscopy, is under study as a screening technique for colon cancer.


If you need more information about CT scanners please give me a call anytime.


Posted by: 

Charla Hurst
General Operations Manager

Charla@ClermontRadiology.com

352-241-6100
www.ClermontRadiology.com