September 5, 2019 — An ahead-of-print article published in the December issue of the American Journal of Roentgenology (AJR) provides a primer of gender affirmation surgical therapies encountered in diagnostic imaging.[1] The article defines normal post-surgical anatomy and describes select complications using a multidisciplinary, multimodality approach. 

Heidelberg University Hospital, Germany, has treated its first patient using Monte Carlo photon dose planning in RayStation. The decision to go clinical was made after a thorough validation of the functionality. The first patient, who has cervical cancer involving the lymph nodes, was recently treated.

Characteristics nephrologists associate with renal high-risk patients. (n=13)
Increased safety in general was the most desired improvement for IV contrast agents, followed by reduced cost and effectiveness.
Renal toxicity reduction, specifically, was identified as the single most important improvement needed with contrast agents.

The global rise in chronic disease has significantly increased demand for diagnostic imaging procedures, and in turn, contrast media to enhance those images. More than 30 million imaging procedures are performed each year in the U.S., and 60 percent of contrast imaging agents sold are iodinated contrast agents.1 Although considered safe for the general population, iodinated contrast agents may place patients at an increased risk for nephrotoxicity, especially those with certain risk factors undergoing cardiac interventional procedures.
The irregularly marginated left tumor mass that bulges the lateral capsule appears three times the volume on the multiplanar 3-D/4-D image reconstruction and shows complete extraprostatic extension
Histogram-volumetric study shows extracapsular tumor has a 10 percent malignant vessel density, which can be used as a reference measurement to assess treatment effect on serial scans
Robert Bard, M.D.

Extracapsular extension (ECE) is a major clinical indicator for brachytherapy or external beam treatment of prostate cancer. The prostatic capsule is a thin layer of compressed fibrous tissue and ultrasound imaging depicts the pericapsular fat as a strongly echogenic structure while magnetic resonance imaging (MRI) demonstrates a dark envelope. The capsule tends to be incomplete around the apex accounting for greater extraprostatic spread from apical tumors.

Iridium Cancer Network consists of all seven hospitals in the Antwerp region, closely collaborating regarding radiation oncology. The network acts as a single radiation therapy department, making it the largest in Belgium with its annual 5,300 patients. Iridium was first to use the RayCare* oncology information system (OIS) clinically, only two months after it was released from RaySearch.

Sudhen Desai, M.D.

Burnout has become a popular buzzword in today’s business world, meant to describe prolonged periods of stress in the workplace leading to feelings of depression and dissatisfaction with one’s occupation. The topic has become so pervasive that the World Health Organization (WHO) addressed it at its 2019 World Health Assembly in Geneva in May, adding burnout to the 11th revision of the International Classification of Diseases (ICD-11) — although classifying it as an “occupational phenomenon” rather than a medical condition.
Wearing personal radiation measurement badges to measure dose exposure is crucial.
Mukta Acharya

Doctors and technologists are exposed to on-the-job radiation often on a daily basis. It is critical to be aware of how much radiation the clinician is being exposed to, and some of the best methods of monitoring that exposure.
Heath information technology diagram showing use of cloud storage.

In healthcare, critical systems are being used to deliver vital information and services 24x7x365. Clinicians demand easy, always-on access to patient data; the quality of care can suffer if data is unavailable or slow to retrieve. As healthcare relies more and more heavily on digital, connected equipment and imaging systems, the volume of data is growing at an accelerating pace. Combine that accelerating data growth with long data retention requirements, and it is easy to see why healthcare executives are concerned about storage.

OSF HealthCare in Peoria, Ill., recently added a new Carestream DRX-Evolution Plus System to its portfolio of Carestream imaging solutions across the integrated health system’s diverse operations. The imaging portfolio include Carestream DRX-Revolution mobile X-ray systems and Carestream DRX-Ascend systems, along with Carestream DRX-Plus detectors.

LAP LLC announced its Apollo MR3T positioning laser for radiation therapy has received U.S. Food and Drug Administration (FDA) 510(k) approval. The magnetic resonance (MR)-compatible room laser is currently the only product of its class approved the FDA, according to the company.

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