Dear AuntMinnie Member,
Dr. David C. Levin of Thomas Jefferson University isn't afraid to pull punches. Known for years as a vocal opponent of physician self-referral, Dr. Levin added teleradiology to his list of peeves in a controversial article in the February issue of the Journal of the American College of Radiology.
Associate editor Kate Madden Yee caught up with Dr. Levin for the next installment in our Leaders in Imaging series, which we're featuring this week in our Imaging Leaders Digital Community. The article explains Dr. Levin's opinions on several issues, including why he thinks radiologists shouldn't be afraid to take night call back from teleradiology firms -- in part because he did it himself for 17 years.
Read more by clicking here, or visit the community at leaders.auntminnie.com.
More CT brain perfusion woes
In other news, the touchy topic of radiation overdose in CT brain perfusion studies is getting headlines again, this time after news reports covering events at a hospital in West Virginia.
The hospital reported earlier this month that patients had received radiation doses that were nearly six times higher than guideline recommendations during CT scans performed in 2010. The most disturbing thing about the incident, however, is that it occurred after widely publicized overdoses at hospitals in California and Alabama in 2009.
The incident indicates that manufacturers and healthcare providers can't move quickly enough in adopting scanner enhancements that will enable technologists and radiologists to view the amount of radiation dose a patient receives at the time of the scan -- and not weeks or months later.
Read all about it by clicking here, or visit the CT Digital Community at ct.auntminnie.com.

















![Images show the pectoralis muscles of a healthy male individual who never smoked (age, 66 years; height, 178 cm; body mass index [BMI, calculated as weight in kilograms divided by height in meters squared], 28.4; number of cigarette pack-years, 0; forced expiratory volume in 1 second [FEV1], 97.6% predicted; FEV1: forced vital capacity [FVC] ratio, 0.71; pectoralis muscle area [PMA], 59.4 cm2; pectoralis muscle volume [PMV], 764 cm3) and a male individual with a smoking history and chronic obstructive pulmonary disorder (COPD) (age, 66 years; height, 178 cm; BMI, 27.5; number of cigarette pack-years, 43.2, FEV1, 48% predicted; FEV1:FVC, 0.56; PMA, 35 cm2; PMV, 480.8 cm3) from the Canadian Cohort Obstructive Lung Disease (i.e., CanCOLD) study. The CT image is shown in the axial plane. The PMV is automatically extracted using the developed deep learning model and overlayed onto the lungs for visual clarity.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/03/genkin.25LqljVF0y.jpg?auto=format%2Ccompress&crop=focalpoint&fit=crop&h=112&q=70&w=112)