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MONTHLY BRIEFINGS - Jan 2018


January 2018 Briefing - Radiology

Thu, Feb 1, 2018

Here are what the editors at HealthDay consider to be the most important developments in Radiology for January 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Mortality Impacted by Treatment Modality, Age in Early Lung CA

WEDNESDAY, Jan. 31, 2018 (HealthDay News) -- For patients with early non-small-cell lung cancer, mortality rates are higher after surgery versus stereotactic body radiotherapy (SBRT), and the difference increases as a function of age, according to a study published online Jan. 18 in the Journal of Clinical Oncology.

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Survival Trends for Cancer Generally Increasing Worldwide

WEDNESDAY, Jan. 31, 2018 (HealthDay News) -- Worldwide, survival trends for cancer are generally increasing, although there is considerable global variation in survival rates, according to a study published online Jan. 30 in The Lancet.

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Early Alzheimer's Tied to Rest-Activity Rhythm Fragmentation

TUESDAY, Jan. 30, 2018 (HealthDay News) -- Preclinical Alzheimer's disease (AD) and aging are independently associated with rest-activity rhythm fragmentation among cognitively normal adults, according to a study published online Jan. 29 in JAMA Neurology.

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Prevalence of PE Low for Patients Presenting to ER With Syncope

MONDAY, Jan. 29, 2018 (HealthDay News) -- For patients presenting to the emergency department with syncope, the prevalence of pulmonary embolism (PE) is low, according to a study published online Jan. 29 in JAMA Internal Medicine.

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Case Report: Fentanyl Use Associated With Amnesia

MONDAY, Jan. 29, 2018 (HealthDay News) -- Another case of unusual amnestic syndrome that includes bilateral hippocampal lesions on magnetic resonance imaging has been described in a case report published online Jan. 30 in the Annals of Internal Medicine.

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Regulators Trying to Reduce Physician Burden Linked to EHR

MONDAY, Jan. 29, 2018 (HealthDay News) -- The Office of the National Coordinator for Health Information Technology (ONC) is trying to address some of the issues relating to physician electronic health record (EHR) burden, partly with the appointment of Don Rucker, M.D., who is skilled in informatics and board-certified in emergency and internal medicine, according to an article published in Medical Economics.

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Specific White Matter Patterns Linked to Youth Psychopathology

MONDAY, Jan. 29, 2018 (HealthDay News) -- General psychopathology is a heritable trait in youth that may be detected early in life through brain structural connectivity, according to a study published online Jan. 24 in JAMA Psychiatry.

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MRI Diagnostic for Differentiating Low-Grade Bladder Cancers

MONDAY, Jan. 29, 2018 (HealthDay News) -- Magnetic resonance (MR) imaging is accurate in differentiating T1 or lower tumors from T2 or higher tumors among patients with bladder cancer, according to a review published in the February issue of Radiology.

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Health Care Spending Up, Mainly Due to Rising Prices

MONDAY, Jan. 29, 2018 (HealthDay News) -- Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016, with faster spending growth in 2016 than in recent years, according to the Health Care Cost Institute (HCCI)'s annual Health Care Cost and Utilization Report.

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Out-of-Pocket Expenditures Down With ACA Implementation

TUESDAY, Jan. 23, 2018 (HealthDay News) -- Implementation of the Affordable Care Act (ACA) was associated with reduced out-of-pocket spending, although increases were noted in mean premium spending, according to a study published online Jan. 22 in JAMA Internal Medicine.

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Significant Ultrasound Practice Needed to Diagnose Appendicitis

THURSDAY, Jan. 18, 2018 (HealthDay News) -- There is a learning curve among novice emergency medicine residents in using emergency ultrasonography to diagnose acute appendicitis, according to a study published online Jan. 5 in the Journal of Clinical Ultrasound.

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3-D Analysis Differentiates Fat Grafting Techniques

THURSDAY, Jan. 18, 2018 (HealthDay News) -- Autologous fat processed by means of a cotton pad filtration technique is an effective method of facial fat grafting, according to a study published online Jan. 11 in JAMA Facial Plastic Surgery.

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Professionals Disagree About Asking Patients About Sexuality

THURSDAY, Jan. 18, 2018 (HealthDay News) -- National Health Service (NHS) England recently recommended that professionals ask all patients their sexual orientation at every opportunity, although opinions are divided on whether this is appropriate, according to an article published online Jan. 17 in The BMJ.

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Screening Mammography Up After Cost Sharing Eliminated

THURSDAY, Jan. 18, 2018 (HealthDay News) -- The elimination of cost sharing for screening mammography is associated with increased rates of use of the service, according to a study published in the Jan. 18 issue of the New England Journal of Medicine.

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Speech Outcomes Can Be Predicted After Cochlear Implant

WEDNESDAY, Jan. 17, 2018 (HealthDay News) -- Brain areas unaffected by auditory deprivation can predict speech outcomes after cochlear implant (CI) in children, according to a study published online Jan. 15 in the Proceedings of the National Academy of Sciences of the United States of America.

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Brain Is Susceptible to Acute MI, Chronic Heart Failure

WEDNESDAY, Jan. 17, 2018 (HealthDay News) -- Acute myocardial infarction (MI) and chronic heart failure have effects on the brain, according to a study published in the Jan. 23 issue of the Journal of the American College of Cardiology.

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Spontaneous Pharynx Perforation After Forceful or Stifled Sneeze

TUESDAY, Jan. 16, 2018 (HealthDay News) -- Spontaneous pharyngeal perforation can occur after a forceful sneeze, according to a case report published online Jan. 15 in BMJ Case Reports.

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Wearable Patch Can Assess Heart Failure States

TUESDAY, Jan. 16, 2018 (HealthDay News) -- Wearable technology that records cardiac function, along with machine learning algorithms, can assess compensated and decompensated heart failure states, according to a study published online Jan. 12 in Circulation: Heart Failure.

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AMA Online Tools Address Systems-Level Physician Burnout

THURSDAY, Jan. 11, 2018 (HealthDay News) -- Tools and resources have been developed to help address physician burnout at the systems level, which may affect more than half of doctors, according to a report published by the American Medical Association (AMA).

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Active Surveillance Feasible for Small, Low-Grade Bladder Cancer

THURSDAY, Jan. 11, 2018 (HealthDay News) -- For patients who present with small, low-grade pTa/pT1a recurrent papillary bladder tumors, active surveillance appears to be a reasonable strategy, according to a study published in the February issue of The Journal of Urology.

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Race, Education Level Predict CRT in Very Elderly With NSCLC

THURSDAY, Jan. 11, 2018 (HealthDay News) -- In patients aged 80 and older with advanced non-small-cell lung cancer (NSCLC), overall survival is improved with concurrent chemoradiation therapy (CRT), but black race and lower-educated census tract are associated with not receiving care, according to a study published online Jan. 8 in Cancer.

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High-Risk Plaque on Coronary CTA Linked to Future MACE

WEDNESDAY, Jan. 10, 2018 (HealthDay News) -- For outpatients with stable chest pain, high-risk plaque found by coronary computed tomographic angiography (CTA) is associated with subsequent major adverse cardiovascular events (MACE), according to a study published online Jan. 10 in JAMA Cardiology.

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Economic Impact of Physicians Quantified for 2015

WEDNESDAY, Jan. 10, 2018 (HealthDay News) -- Physicians have a large economic impact across the nation, creating an aggregate of $2.3 trillion of economic activity and supporting employment of nearly 12.6 million Americans, according to a report published by the American Medical Association.

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Barriers to Initial Chemo, Radiation for Small-Cell Lung CA

WEDNESDAY, Jan. 10, 2018 (HealthDay News) -- A considerable proportion of patients with small-cell lung cancer (SCLC) do not receive chemotherapy or radiation therapy, according to a study published online Jan. 4 in JAMA Oncology.

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Screening, Therapy Effect Varies by Breast CA Molecular Subtype

TUESDAY, Jan. 9, 2018 (HealthDay News) -- The contributions of screening and treatment to decreases in breast cancer mortality vary by molecular subtype, according to a study published in the Jan. 9 issue of the Journal of the American Medical Association.

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Intense End-of-Life Care Found to Be Less Likely for VA Patients

TUESDAY, Jan. 9, 2018 (HealthDay News) -- Higher-intensity end-of-life care may be driven by financial incentives present in fee-for-service Medicare but not in the Veteran Affairs (VA) integrated system, according to a report published in the January issue of Health Affairs.

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Physicians Frequently Continue to Work While Ill

FRIDAY, Jan. 5, 2018 (HealthDay News) -- Many physicians continue working and caring for patients while they are sick, according to an article published in Medical Economics.

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For Hospitals, No Benefit for Early Adoption of Financial Incentives

FRIDAY, Jan. 5, 2018 (HealthDay News) -- Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration (early adopters) do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program (late adopters), according to a study published online Jan. 4 in The BMJ.

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Certain Stresses, Burnout Causing Some Women to Leave Medicine

THURSDAY, Jan. 4, 2018 (HealthDay News) -- Though equal numbers of men and women are now entering medical schools, the majority of physicians are still male, and female physicians face several unique stressors, according to a report published online in Medical Economics.

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Missed Opportunities to Screen for Lung CA With USPSTF Criteria

WEDNESDAY, Jan. 3, 2018 (HealthDay News) -- Lung cancer screening based on U.S. Preventive Services Task Force (USPSTF) criteria decreased from 2010 to 2015, and risk-targeted screening is associated with modest gains in terms of early lung cancer mortality per person screened, according to two studies published online Jan. 2 in the Annals of Internal Medicine.

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Higher Risk of Musculoskeletal Disorders in Some Physicians

WEDNESDAY, Jan. 3, 2018 (HealthDay News) -- The prevalence of work-related musculoskeletal disorders (MSDs) appears to be high for at-risk physicians, according to a review published online Dec. 27 in JAMA Surgery.

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Laser Improves QOL for Breast Telangiectasia Due to Radiation

TUESDAY, Jan. 2, 2018 (HealthDay News) -- Laser monotherapy improves health-related quality of life (HR-QOL) in female patients with radiation-induced breast telangiectasias (RIBT), according to a study published online Dec. 20 in Lasers in Surgery and Medicine.

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