Here are what the editors at HealthDay consider to be the most important developments in Radiology for November 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.

Bone Indices on CT Scan Predict Fracture Risk in Older Adults

FRIDAY, Nov. 30, 2018 (HealthDay News) — High-resolution peripheral quantitative computed tomography (HR-pQCT) indices improve prediction of fracture beyond bone mineral density and Fracture Risk Assessment Tool (FRAX) scores in older adults, according to a study published online Nov. 28 in The Lancet Diabetes & Endocrinology.

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Deep Learning Algorithm Detects Thoracic Pathologies on CXRs

THURSDAY, Nov. 29, 2018 (HealthDay News) — A deep learning algorithm, CheXNeXt, performs comparably to radiologists in detecting multiple thoracic pathologies in frontal-view chest radiographs, according to a study published online Nov. 20 in PLOS Medicine.

Abstract/Full Text

FDA to Update Medical Device Approvals Process

TUESDAY, Nov. 27, 2018 (HealthDay News) — A major update of the United States’ system for approving medical devices was announced yesterday by the Food and Drug Administration.

CBS/AP News Article
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Four Principles Underlie Patient and Family Partnership in Care

TUESDAY, Nov. 27, 2018 (HealthDay News) — Patient and family partnership in care should include treatment of patients and families with dignity and respect, their active engagement in all aspects of care, and their contribution to the improvement of health care systems and education of health care professionals, according to a position paper published online Nov. 27 in the Annals of Internal Medicine.

Position Paper
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ACA Coverage Substantial, but Did Not Impact Labor Markets

MONDAY, Nov. 26, 2018 (HealthDay News) — Millions of workers gained insurance coverage under the Affordable Care Act (ACA) without adverse effects on labor markets, according to a report published by the Robert Wood Johnson Foundation and the Urban Institute.

Report: How Have Workers Fared Under the ACA?

Lung Cancer Screening Implementation Guide Developed

MONDAY, Nov. 26, 2018 (HealthDay News) — The American Lung Association and the American Thoracic Society have established a website to guide implementation of lung cancer screening, according to an editorial published in the Nov. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

Editorial (subscription or payment may be required)
Implementation Guide for Lung Cancer Screening

ED Utilization Up for Pediatric mTBI After TBI Legislation

WEDNESDAY, Nov. 21, 2018 (HealthDay News) — Implementation of state youth traumatic brain injury (TBI) legislation correlated with an increase in pediatric emergency department utilization for youth sports- and recreation-related mild TBI (mTBI) evaluation, according to a study published in the November/December issue of the Journal of Head Trauma Rehabilitation.

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Performance of AI Dx Tools May Suffer Across Health Systems

TUESDAY, Nov. 20, 2018 (HealthDay News) — Artificial intelligence tools trained to detect pneumonia on chest X-rays have decreased performance when tested on data from outside health systems, according to a study published online Nov. 6 in PLOS Medicine.

Abstract/Full Text

CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018

FRIDAY, Nov. 16, 2018 (HealthDay News) — In the first six months of 2018, 8.8 percent of U.S. individuals of all ages were uninsured, which was not significantly different from 2017, according to a report published Nov. 15 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

Abstract/Full Text

Calcified Nodules in Drusen May Signal Progression of AMD

THURSDAY, Nov. 15, 2018 (HealthDay News) — Calcified nodules in retinal drusen are linked to disease progression in patients with age-related macular degeneration (AMD), according to a study published in the Nov. 7 issue of Science Translational Medicine.

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Patient Experiences Shed Light on Diagnostic Errors

THURSDAY, Nov. 15, 2018 (HealthDay News) — Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors, according to a study published in the November issue of Health Affairs.

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AMA to Collect Data on Suicide Among Doctors-in-Training

WEDNESDAY, Nov. 14, 2018 (HealthDay News) — By collecting data on suicides by medical students, residents, and fellows, the American Medical Association hopes to identify ways to reduce suicides among doctors-in-training. The data collection policy was approved at a meeting yesterday.

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18F-FDG PET Algorithm Allows Early Prediction of Alzheimer’s

TUESDAY, Nov. 13, 2018 (HealthDay News) — Fluorine 18 (18F) fluorodeoxyglucose (FDG) positron emission tomography (PET) of the brain can be used to develop a deep learning algorithm for early prediction of Alzheimer’s disease (AD) that has high specificity and sensitivity, according to a study published online Nov. 6 in Radiology.

Abstract/Full Text

Medicaid Expansion Approved in Three Republican-Leaning States

WEDNESDAY, Nov. 7, 2018 (HealthDay News) — Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections.

CNBC Article

More Frequent Surveillance No Benefit After NSCLC Resection

WEDNESDAY, Nov. 7, 2018 (HealthDay News) — For patients undergoing resection for non-small cell lung cancer (NSCLC), more frequent surveillance is not associated with improved survival, according to a study published in the October issue of the Annals of Surgery.

Abstract/Full Text

Sign-Up Season Begins on HealthCare.gov

FRIDAY, Nov. 2, 2018 (HealthDay News) — The federal government website where Americans can sign up for health insurance under the Affordable Care Act is up and running, officials said yesterday.

AP News Article
HealthCare.gov

Higher Serum Cortisol Level Linked to Lower Brain Volumes

FRIDAY, Nov. 2, 2018 (HealthDay News) — Higher serum cortisol level is associated with lower brain volumes and impaired memory in asymptomatic younger to middle-aged adults, according to a study published online Oct. 24 in Neurology.

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AAD Releases New Guidelines for the Tx of Cutaneous Melanoma

THURSDAY, Nov. 1, 2018 (HealthDay News) — New guidelines have been released for the treatment of primary cutaneous melanoma, according to a report from the American Academy of Dermatology published online Nov. 1 in the Journal of the American Academy of Dermatology.

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Financial Conflicts of Interest Prevalent Among CPG Authors

THURSDAY, Nov. 1, 2018 (HealthDay News) — There is a high prevalence of financial conflicts of interest among authors of clinical practice guidelines (CPGs) related to high-revenue medications and in gastroenterology, according to two research letters published online Oct. 29 in JAMA Internal Medicine.

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