Jonathan Kay and Andrea Wolf

MRI
Breast cancer screening beyond mammography needs better coverage
Women may not be getting the breast screening they need, due to a lack of insurance coverage for modalities beyond mammography. Jonathan Kay and Andrea Wolf of the Brem Foundation offer a perspective.
April 22, 2021
2020 09 02 17 38 3121 Insurance Coverage 400
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(A) Overview of study participants with different clinical phenotypes depicted in distinct colors: Limbic encephalitis (LE)/temporal lobe epilepsy (TLE): Blue; cerebellar ataxia (CA): Green; stiff person syndrome (SPS): Red, including overlapping clinical features with an overview of the analyzed parameter; generated in Biorender. (B) F-18 F-DED uptake, as visualized by SUVr with global mean scaling, is shown for three representative patients with GAD65-AIE: Patient #6 with LE/TLE, showing mesiotemporal F-18 F-DED uptake; patient #16 with overlapping clinical features of CA, SPS, and LE, showing both mesiotemporal and cerebellar F-18 F-DED uptake; and patient #17 with isolated SPS showing no increased F-18 F-DED uptake. Additionally, the average F-18 F-DED uptake of eight controls is shown on the right.
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Representative images of participants with difficulty with breath holding and arrhythmia. In the lower right corner of A–L, the position coordinates of the images are marked. Short-axis (SA) view images in the end-systole (A–F) and end-diastole (G–L) phases in participants with atrial fibrillation. (A–C, G–I) Balanced steady-state free precession (bSSFP) cardiac cine. (D–F, J–L) Deep learning–enhanced compressed sensing (AI-CS) single-shot cardiac cine. In contrast to AI-CS single-shot cardiac cine, endocardial contours were challenging to identify on conventional segmented cine in midventricular and apical sections. (M) Line graph of time curve during the whole cardiac cycle obtained from bSSFP cardiac cine. (N) Line graph of time curve during the whole cardiac cycle obtained from AI-CS single-shot cardiac cine. LV = left ventricle; 2D = two-dimensional.
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