Semelka's Spin: Pathways to Imaging Excellence

 
 
  • CT Radiation Risks and a Parent's Concern "There are some who claim that CT has not been associated with cancer, but to me that is intentionally disingenuous, like saying that some new light menthol cigarette does not cause cancer."
  • My Last Take (Hopefully) on the CT Radiation Crisis "I imagine that what Dr. Brant-Zawadzki is including as my ilk is the National Academy of Sciences and the FDA...those are some powerful folks to have on your side of a good ole West Virginia feud."
  • Remembering Lessons From the Past: A 50-Year Anniversary We are all familiar with the saying "Those who do not learn from history are doomed to repeat it," and yet even knowing this, we still sometimes forget.
  • Is MRI Any Safer Than CT? Part I: Systems and Safety Considerations Problems with metal within the area of the magnetic field can be the most dramatic misadventures in MRI -- with cases of wheelchairs, stretchers, and even hammers flying toward the magnet.
  • CT Scans and Radiation Risk: Caveat Interlocutor "It has been estimated that there may be up to a 1 in 1000 chance of developing a cancer as a result of a body CT scan, but that is a best guess only, based on worst-case scenarios."
  • The New Imaging Informed Consent Form "It is clear to me that many clinicians are beginning to recognize the very real dangers of radiation from CT scanning and are moving from contemplation to action on behalf of their patients."
  • When Will Radiologists Do the Right Thing About CT Radiation? "In my conversations with residents and staff...I am able to summon only grudging acceptance of the realities of the adverse biological effects of what has become a nearly reflex use of CT...."
  • Roentgen's Real Legacy, In the Age of Informed Consent With the recognition of the potential deleterious effects of radiation mediated by CT, physicians are now learning that, despite its availability, technology should not always be used.
  • How to Build a Winning Body MRI Program What we remind all of our fellows when they leave is that no physician is going to refer MRI cases to them just because a new radiologist has arrived; they have to build the business and service.
  • Screening for Pancreatic Cancer: Dialogue and Denouement "Our experience with MRI demonstrates that, in addition to improved safety over CT because of the lack of ionizing radiation, MRI is diagnostically superior for the detection of small lesions."
  • Radiology Residents Rule! But What Happens Next? Radiology has been transformed from a helpful profession with no particular expectation of accuracy (at least from a legal standpoint) to a discipline with 100% diagnostic confidence.
  • Semelka's Spin: Appropriate Response to the Dangers of CT? Says one doctor, "I have only been sued for not ordering a CT scan, never for ordering one...1 or 2 more suits like this protecting [patients'/plaintiffs'] rights and I will be out of practice."