Stan Burch

Breast
Conversion to FFDM requires careful management of analog priors
It's not easy going digital in any area of radiology, but mammography provides special challenges due to its large file sizes, need to access prior exams, and other factors. In this white paper, Stan Burch of archiving services provider SourceCorp Radiology offers guidance on how to make the transition.
July 16, 2009
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Representative cardiac MRI strain images and analysis. Images in the two-, four-, and three-chamber views for strain analysis (left) and left ventricular global longitudinal strain (GLS) and global early diastolic longitudinal strain rate (eGLSR) curves (right) are shown. (A) Example images and GLS and eGLSR curves in a 37-year-old male participant with diabetes mellitus (DM) without events during follow-up after cardiac MRI. (B) Example images and GLS and eGLSR curves in a 45-year-old male participant with DM who had heart failure hospitalization during follow-up after cardiac MRI. In the left images, blue represents higher myocardial strain (higher absolute values of negative strain), whereas red represents reduced strain. In the curves, blue represents GLS, whereas orange represents eGLSR. The left y-axis denotes GLS (%), the right y-axis represents eGLSR (per second), and the x-axis denotes time (milliseconds). For these strain parameters, a lower absolute value indicates more severe myocardial functional impairment; accordingly, GLS and eGLSR were more impaired in participants with events compared with those without events.
MRI
MRI may help predict heart disease risk in patients with diabetes
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The SCAN-MRI risk score outperformed established risk models.
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Representative cardiac MRI strain images and analysis. Images in the two-, four-, and three-chamber views for strain analysis (left) and left ventricular global longitudinal strain (GLS) and global early diastolic longitudinal strain rate (eGLSR) curves (right) are shown. (A) Example images and GLS and eGLSR curves in a 37-year-old male participant with diabetes mellitus (DM) without events during follow-up after cardiac MRI. (B) Example images and GLS and eGLSR curves in a 45-year-old male participant with DM who had heart failure hospitalization during follow-up after cardiac MRI. In the left images, blue represents higher myocardial strain (higher absolute values of negative strain), whereas red represents reduced strain. In the curves, blue represents GLS, whereas orange represents eGLSR. The left y-axis denotes GLS (%), the right y-axis represents eGLSR (per second), and the x-axis denotes time (milliseconds). For these strain parameters, a lower absolute value indicates more severe myocardial functional impairment; accordingly, GLS and eGLSR were more impaired in participants with events compared with those without events.
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Bar graphs show comparison of volume CT dose index (CTDIvol) (A) achievable doses (50th percentile) and (B) diagnostic reference levels (75th percentile) between 2014 (see reference 4 by Kanal et al) and 2025 (present study) for 10 common CT examination types performed without contrast (w/o) and with contrast (w/). Across all 10 adult CT examination categories, CTDIvol achievable doses and diagnostic reference levels generally decreased from 2014 to 2025, with the largest reductions for torso examinations (chest; abdomen-pelvis; and combined chest, abdomen, and pelvis), intermediate reductions for neck and cervical spine, and minimal change for head examinations.
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Images in a 70-year-old asymptomatic woman with a prior excisional biopsy in the left breast yielding lobular carcinoma in situ 3 years earlier. Screening contrast-enhanced mammography (CEM) was performed, which was considered a prevalence screen as the woman had no prior breast MRI in the past 3 years and no prior CEM. (A) Low-energy (26–30 kVp) mediolateral oblique (MLO) and (B) craniocaudal (CC) views show surgical clips but no abnormality. (C) Recombined MLO and (D) CC images show an enhancing mass in the medial left breast (arrows). Biopsy revealed invasive lobular carcinoma. Size was 0.2 cm; tumor grade II/III; negative lymph nodes; and estrogen receptor–positive, progesterone receptor–positive, and human epidermal growth factor receptor 2–negative.
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