An Integrated Service

The Department of Radiology provides imaging services to diagnose and treat patients at many stages of care.Learn more about Treatments and Services learn more

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Who we are

The Department of Radiology offers full-service medical imaging with a staff of more than 100 specialty-trained radiologists supported by hundreds of highly trained technologists and support employees.

 

What we do

Operating in several locations across Massachusetts, we provide patients and referring clinicians with diagnostic clarity, image-guided treatment options, and the assurance that comes with choosing a world-renowned care provider.

 

Why choose Mass General FOR Imaging?

As a patient, you have the right to choose your imaging provider. Here are 10 reasons to consider Mass General.

  1. Specialty expertise: Every scan is interpreted by a radiologist with specialty training in the area of the body being studied. Specialists are capable of seeing and understanding subtle things thanks to advanced training and singular focus.
  2. Safety: Along with making the diagnosis, ensuring patient safety is our top priority. We pay special attention to minimizing radiation exposure—without giving up image quality.
  3. Compassionate care: Our people are committed to treating every patient with respect and genuine compassion. Read patient testimonials.
  4. Convenience: Our network of Massachusetts locations offers convenient access to a full range of imaging services. Most of our community facilities offer evening and weekend appointments, free parking, and easy access from major routes.
  5. Image-guided treatments: In addition to diagnostic exams, we offer minimally invasive treatments for specific conditions.
  6. Coordinated care: We work in close consultation with your doctor to schedule and plan your exam. We provide swift results, including a written report and image access.
  7. World-class hospital: When something requires a closer look, we coordinate additional studies and can bring together a multidisciplinary team from across Mass General. Our radiologists are part of Mass General's multidisciplinary care centers: the Cancer CenterDigestive Healthcare Center, the Institute for Heart, Vascular & Stroke CareTransplant Center, and the MassGeneral Hospital for Children.
  8. Leading-edge technology: We not only adopt the latest advances in technology, such as intraoperative MRI and CT, but also work with manufacturers to define future improvements. We employ full-time physicists to independently check scanner functions, especially for scanners that produce ionizing radiation, such as CT machines.
  9. Strong clinical and research foundation: Imaging services at Mass General are provided by the Department of Radiology, which also runs world-renowned education and training programs and conducts leading-edge research to advance the state of the art in medical imaging.
  10. Experience and history: We perform more than 600,000 exams per year across all types of imaging technology. And with roots dating back to 1896 and the creation of one of the first X-ray images in the United States, we have a long history of providing high-quality patient care.

Learn more about Mass General Imaging >

07/15/2014: #1 in New England, #2 in the nation

U.S. News & World Report ranks Massachusetts General Hospital among the top hospitals in America based on our quality of care, patient safety and reputation in 16 specialties.

07/07/2014: Study demonstrates the feasibility of evaluating myofibers after stem cell therapy in the heart

A team of researchers at the Massachusetts General Hospital Institute for Heart, Vascular and Stroke Care has taken a giant leap toward the possibility of noninvasively assessing the efficacy of stem cell therapy in the heart.

06/24/2014: Mass General West Imaging doubles MRI capacity

Mass General West Imaging in Waltham has doubled its MRI capacity with the addition of a new 1.5 Tesla scanner.

06/06/2014: Mass General West Imaging in Waltham, MA named a top imaging center in the country

The American College of Radiology recognizes Mass General West Imaging in Waltham at the highest level of excellence in medical imaging care.

05/30/2014: Cardiovascular Images Newsletter

Cardiovascular Images is a web-based monthly newsletter produced jointly by the Department of Radiology and the Department of Cardiology. Presented in case-study format and with plenty of actual clinical images, the newsletter provides physicians and healthcare professionals with factual and up-to-date information about cardiovascular examinations and procedures.

05/29/2014: Activation of brain region can change a monkey's choice

Artificially stimulating a brain region believed to play a key role in learning, reward and motivation induced monkeys to change which of two images they choose to look at.

05/23/2014: New chief of the Emergency Imaging Division named

The MGH Department of Radiology has announced that Michael H. Lev, MD, FAHA, FACR, has been named the new chief of the Emergency Imaging Division, effective June 1.

05/20/2014: Mass General radiologist practices in Rwanda

Read a Q&A with Mass General interventional radiologist David Rosman, MD about his work to help build the medical infrastructure in Rwanda.

04/15/2014: Casual marijuana use changes brain structures involved in reward, emotion and motivation

Even casual use of marijuana appears to cause significant structural changes in key brain structures of young adults, a new study finds. Researchers from MGH and Northwestern University have found differences between casual users of marijuana and non-users in the size, shape, and structure of brain regions involved with motivation, emotion and reward.

03/25/2014: Mass General Imaging in Chelsea, MA named a top imaging center in the country

The American College of Radiology recognizes Mass General Imaging in Chelsea at the "pinnacle of medical imaging care."

03/14/2014: A new kind of mammogram comes to Revere

The latest breakthrough in mammography, breast tomosynthesis (3D mammography) is now available at the MGH Revere HealthCare Center.

03/07/2014: Mass General leads protocols for managing cardiac CT radiation exposure

Since Mass General acquired an advanced dual-source CT scanner in 2009, researchers in the Department of Radiology have used new scanning methods to minimize radiation dose for cardiac CT.

01/31/2014: A New Approach to Fibroid Management

The Fibroid Program at Massachusetts General Hospital offers patients access to a full range of multidisciplinary options to treat uterine fibroids.

01/24/2014: Decision-support tool improves adherence to recommendations for lung nodule follow up

Researchers in the Department of Radiology at Massachusetts General Hospital have identified an approach to improve adherence to evidence-based guidelines for lung nodule follow-up care.

01/15/2014: 'Barcode' profiling enables analysis of hundreds of tumor marker proteins at once

A new technology developed at the Massachusetts General Hospital Center for Systems Biology allows simultaneous analysis of hundreds of cancer-related protein markers from miniscule patient samples gathered through minimally invasive methods.

12/31/2013: National experts publish final lung cancer screening recommendations

With implications for insurance coverage, the U.S. Preventive Services Task Force recommends annual low-dose CT scans to reduce lung cancer deaths.

12/09/2013: Mass General exhibits lauded at RSNA 2013

Mass General radiologists and researchers figured prominently in the list of winning educational and scientific exhibits presented at the RSNA annual meeting.

11/29/2013: Interventional radiologists discover potential new approach to treat obesity

In a study to be presented at this year's RSNA, Mass General radiologists observed potential for a minimally invasive approach to treat obesity.

11/25/2013: Mass General radiologists to present at RSNA 2013

Mass General radiologists will present over 100 papers and posters at the upcoming RSNA annual meeting.

11/19/2013: Age Affects Short-term Quality of Life After Breast Biopsy

Breast biopsies can adversely affect short-term quality-of-life, and the effects are more pronounced in younger patients, according to a new study published online in the journal Radiology.

11/19/2013: Study Finds Altered Brain Connections in Epilepsy Patients

Patients with the most common form of focal epilepsy have widespread, abnormal connections in their brains that could provide clues toward diagnosis and treatment, according to a new study published online in the journal Radiology.

11/19/2013: Mass General thoracic imaging expert answers questions about lung cancer screening

Director of Thoracic Imaging and Intervention in the Mass General Department of Radiology, Dr. Jo-Anne Shepard explains what the recent lung cancer screening recommendations mean for patients.

11/05/2013: Pleasure and pain brain signals disrupted in fibromyalgia patients

New research indicates that a disruption of brain signals for reward and punishment contributes to increased pain sensitivity, known as hyperalgesia, in fibromyalgia patients.

11/04/2013: Imaging studies may predict tumor response to anti-angiogenic drugs

Advanced imaging techniques may be able to distinguish which patients' tumors will respond to treatment with anti-angiogenic drugs and which will not.

10/15/2013: Mass General breast imaging experts share tips for getting through your first mammogram

Across four locations, Mass General Imaging has 50 breast imaging technologists who guide women through mammograms every day. Read their advice for your first mammogram...or your twentieth.

10/01/2013: Breast Cancer Awareness Month 2013: Mass General Imaging Events

Every year in October, Mass General Imaging hosts educational events to support women's breast health. Learn more about this year's events in Boston, Waltham, Danvers, Revere, Worcester and Chelsea.

09/25/2013: How difficult are diagnostic and screening tests for patients?

Medical tests with greater morbidity are less likely to be completed by patients, and this lack of health maintenance adherence has implications for future health outcomes.

09/18/2013: Extremity CT scanner now available at Mass General Hospital

Mass General Imaging has invested in advanced CT technology to deliver high-quality extremity imaging with low radiation dose.

09/09/2013: New study supports mammograms before age 50 to reduce breast cancer death

In a study published in the journal Cancer, Mass General researchers, with colleagues from Brigham and Women's Hospital and the Dana-Farber Cancer Institute, found that the majority of women who die from breast cancer do not have regular mammograms.

08/18/2013: New MR analysis technique reveals brain tumor response to anti-angiogenesis therapy

A new way of analyzing data acquired in MR imaging appears to be able to identify whether or not tumors are responding to anti-angiogenesis therapy, information that can help physicians determine the most appropriate treatments and discontinue ones that are ineffective.

07/30/2013: National experts issue statement on lung cancer screening

The U.S. Preventive Services Task Force recommends low-dose CT scans to screen high-risk patients for lung cancer.

07/16/2013: #1 in New England, #2 in the nation

U.S. News & World Report ranks Massachusetts General Hospital among the top hospitals in America based on our quality of care, patient safety and reputation in 16 specialties.

07/16/2013: Fat in organs and blood may increase risk of osteoporosis

Excess fat around the belly has recently been identified as a risk factor for bone loss. A new study by Mass General radiologists has determined that excess liver and muscle fat also may be detrimental to bone.

07/09/2013: Recent issue of Scientific American examines CT scans and risk of cancer

In its July 2013 issue, Scientific American highlights the unique work of two Mass General researchers in their quest to reduce CT radiation dose.

07/08/2013: Study examines parental understanding of potential CT risks

A recent study in Pediatrics found that half of parents are aware of the potential increase in future cancer risk associated with pediatric CT scans.

06/10/2013: Study points to the importance of radiation-dose reduction in pediatric CT scans

Published by JAMA Pediatrics, a large study to quantify trends in the use of pediatric CT scans links associated radiation exposure with future cancer risk.

06/06/2013: Professional society names new editor-in-chief of multidisciplinary journal

Peer-reviewed medical journal on interventional pain management names Mass General radiologist as new editor-in-chief.

05/21/2013: New tracking of patient's radiation exposure

Mass General Radiologist-in-Chief James A. Brink, MD discusses radiation dose in The Wall Street Journal.

05/17/2013: Meet the world's most advanced brain scanner

As part of the NIH's Human Connectome Project, Mass General researchers are using the most advanced brain imaging technology in the world to map the brain's structure.

05/05/2013: Mass General radiologists inducted as fellows in the American College of Radiology

Six Mass General radiologists were recently inducted as American College of Radiology fellows, demonstrating a history of service and dedication to patients.

04/08/2013: High-tech imagery helps surgeons combat epilepsy

The Boston Globe reports on imaging's role in surgery as a growing treatment option for children with epilepsy.

03/25/2013: The rise of radiology patient consultation services

Radiologist Garry Choy talks about the Radiology Consultation Clinic, a pilot program that provides an opportunity for patients at Mass General to consult directly with a radiologist.

03/21/2013: Experts weigh risks of CT scans

Multiple studies have examined the benefits and risks of CT scans. Read the latest coverage on the issue in USA Today.

03/19/2013: Primary health risks outweigh long-term radiation concerns

Immediate health risks supersede lifetime radiation-induced cancer risk in patients undergoing CT surveillance for testicular cancer, according to a new study.

03/08/2013: Padihershef unwrapped

Some answers as to how the MGH's Egyptian mummy Padihershef lived and died are now being explored through a conservation project - which included a full body X-ray and CT scan.

02/16/2013: Scans reveal intricate brain wiring

Mass General Imaging researchers are generating images of the brain using one of the world’s most powerful scanners.

02/14/2013: New company launches tool to manage electronic health records

Software developed at Mass General Imaging enables clinicians to gain better insights from electronic health records, according to its developers.

02/06/2013: Brain research provides clues to what makes people think and behave differently

Differences in the physical connections of the brain are at the root of what make people think and behave differently from one another. Researchers reporting in the February 6 issue of Neuron shed new light on the details of this phenomenon, mapping the exact brain regions where individual differences occur.

02/05/2013: Benefits of CT Outweigh Cancer Risks in Young Adults

The underlying medical conditions facing young adults who undergo computed tomography (CT) exams represent a significantly greater health risk than that of radiation-induced cancer from CT.

02/01/2013: Can we detect cancer earlier?

Researchers affiliated with the Massachusetts General Hospital Department of Radiology have developed a simple, noninvasive way to detect early cancer by using new technology to look at a component in the blood.

02/01/2013: Survey examines primary care perspectives on radiology reporting

According to a study conducted by Mass General Imaging researchers, primary care physicians prefer to deliver the results of radiology exams to patients.

01/29/2013: Physicians' brain scans indicate that doctors can feel their patients' pain – and their pain relief

In a novel investigation in which physicians underwent brain scans while they believed they were actually treating patients, researchers have provided the first scientific evidence indicating that doctors truly can feel their patients’ pain – and can also experience their relief following treatment.

01/28/2013: New guidelines issued for clinical use of amyloid PET imaging

A panel of experts convened by the Alzheimer’s Association and the Society of Nuclear Medicine and Molecular Imaging have issued new guidelines on the use of amyloid PET imaging in diagnosing Alzheimer's disease.

01/14/2013: Impaired coordination of brain activity in autism involves local, as well as long-range, signaling

A new study finds that local functional connectivity of the brain – the extent to which activity within a small brain region appears to be coordinated – is reduced in individuals with autism spectrum disorders. It had been believed that local connectivity was increased in the brains of autistic individuals while long-range connectivity was reduced.

01/11/2013: Brink named new chief of Radiology

James A. Brink, MD, has been named the new chief of the MGH Department of Radiology.

12/18/2012: Immediate Health Risk Must Be Weighed Against Radiation-Induced Cancer Risk

The lifetime risks of cancer from medical radiation may be overemphasized relative to more immediate health risks, according to a new study.

12/03/2012: Digital 3-D mammograms show promise

Device companies race to improve breast cancer screening, but the effectiveness of new methods is still being studied.

11/28/2012: Men with Belly Fat at Risk for Osteoporosis

Visceral, or deep belly, obesity is a risk factor for bone loss and decreased bone strength in men, according to a study presented today at the annual meeting of the Radiological Society of North America.

07/17/2012: Massachusetts General Hospital Ranked #1 in the Nation on U.S. News & World Report Honor Roll

Massachusetts General Hospital has moved into the number one spot on the 2012-13 U.S. News & World Report’s “America’s Best Hospitals” list.

07/06/2012: DOC (The Robot) Retires

After twelve years of dedicated courier service to the Image Service Center, DOC (the Robot) retires. Doc and his co-workers celebrated with a small party this summer and reminisced about his years on the job.

06/26/2012: Tiny magnetic coils modulate neural activity, may be safer for deep-brain implants

Magnetic fields generated by microscopic devices implanted into the brain may be able to modulate brain-cell activity and reduce symptoms of several neurological disorders.

06/18/2012: Evolution of Coronary Computed Tomography Radiation Dose Reduction at a Tertiary Referral Center

A large study to be published in the August issue of the American Journal of Medicine reports a record radiation dose reduction of 74.8% to MGH Cardiac CT patients during the past 6 years.

06/11/2012: Brain area identified that determines distance from which sound originates

Researchers at the Martinos Center for Biomedical Imaging at Massachusetts General Hospital have identified a portion of the brain responsible for determining how far away a sound originates, a process not relying solely on how loud the sound is.

06/11/2012: Safety: Children and CT Scans

Dushyant Sahani, MD, Director of CT at Massachusetts General Hospital Imaging, answers parents’ questions on the June 2012 study in The Lancet that found that children who get several CT scans have a slightly higher chance of brain cancer and leukemia in later life.

05/25/2012: In General 05.25.12

In General awards and honors

05/23/2012: Dr. Sanjay Saini, spoke at this year's Fulbright Seminar: Lab to Market

From Lab to Market are a series of annual Fulbright enrichment seminars hosted by the U.S. Department of State’s Bureau of Educational and Cultural Affairs (ECA) for students in science and technology fields from developing countries as part of its flagship Fulbright program.

05/15/2012: New test offers hope for easier colon screening

A new method of performing virtual colonoscopy using a CT scan - which does not involve the dreaded laxative preparation to clear the colon the night before - may be about as effective as a standard colonoscopy at identifying the large polyps most likely to become cancerous, according to research conducted at Massachusetts General Hospital, Brigham and Women’s Hospital, and elsewhere.

05/15/2012: Oh, Joy! The Prospect Of Laxative-Free Colonoscopies

The point isn’t just to make life easier for people getting colonoscopies. It’s to help persuade them to get the test in the first place.

05/15/2012: New laxative-free colonoscopy shows promise

If you're turning 50 or you're already there, colorectal screening is in your future. Although you would only have to be screened every 10 years (if no polyps are found), the prospect of getting prepped for procedure is a big turn-off for many. You've probably heard some of the horror stories about the pre-screening laxatives, the taste, the amount, the ensuing "cleansing."

05/15/2012: The Laxative-Free 'Virtual Colonoscopy'

Eliminating the Need for Bowel Prep Could Spur More People to Get Screened for Colon Cancer.

05/14/2012: Laxative-free colon screening procedure may be as accurate as standard colonoscopy in detecting high-risk polyps

A CT-scan-based form of virtual colonoscopy that does not require laxative preparation appears to be as effective as standard colonoscopy in identifying the intestinal polyps most likely to become cancerous.

05/11/2012: In General 05.11.12

In General awards and honors

03/30/2012: 3D colon imaging technology wins Microsoft award

The MGH is among the 2012 recipients of the Microsoft Health Users Group Innovation Award in the “Health Collaboration” category.

03/29/2012: Mass. General-led study reveals simple structure underlying complexity of the primate brain

An MGH research team has discovered a remarkably simple organizational structure in the brains of humans and other primates, finding that the pathways carrying neural signals through the brain are arranged not in a disorganized tangle but in a curved, three-dimensional grid

03/29/2012: ACC: CCTA can improve chest pain diagnoses without increased costs

Using cardiac CT angiography can improve chest pain diagnoses without increased costs. Data presented by Udo Hoffmann, MD, MPH

03/14/2012: Q&A: Taking on the Challenges of Imaging Prostate Cancer – Diagnostic Imaging

Prostate cancer is the second most common form of cancer in men, yet diagnosing this condition still presents a challenge. Physicians have traditionally used the prostate-specific antigen (PSA) blood test to screen for prostate cancer. However, this diagnostic test may produce unclear results.

01/26/2012: Remembering Haiti Two Years After Tragedy

In the days following the devastating 7.0 magnitude earthquake that decimated the island nation of Haiti on January 14, 2010, volunteers from the MGH were en route to assist the response. Two years later, members of the MGH community gathered to commemorate, remember, and reflect on the experience that forever impacted an untold number of lives.

01/09/2012: Experts’ Tips to Optimize Radiation Dose in Pediatric CT

Experts’ Tips to Optimize Radiation Dose in Pediatric CT – coverage of study led by MGH physician Mannudeep Kalra

11/29/2011: Growth Hormone Increases Bone Formation in Obese Women

In a new study presented today at the annual meeting of the Radiological Society of North America, growth hormone replacement for six months was found to increase bone formation in abdominally obese women.

11/16/2011: Radiologists rarely guilty of placing high-cost followup orders

Radiologists' recommendations for followup imaging generated only 5.3 percent of chest and abdominal CT, brain and lumbar spine MRI and body PET exams, according to research performed at Mass General.

11/06/2011: Combined arterial imaging technology reveals both structural and metabolic details

A new device that combines two microimaging technologies can reveal both the detailed anatomy of arterial linings and biological activities that, in coronary arteries, could indicate the risk of heart attacks or the formation of clots in arterial stents.

10/20/2011: Neurointerventional surgery journal accepted into Medline

The Journal of NeuroInterventional Surgery (JNIS) has been accepted for inclusion in the Medline bibliographic database of the U.S. National Library of Medicine (NLM).

10/18/2011: Chief radiologist James H. Thrall elected to Institute of Medicine

Mass General Radiologist-in-Chief James H. Thrall is among 65 new members honored with election to the prestigious Institute of Medicine.

10/06/2011: Mass General research addresses early breast screening for gene-mutation carriers

Starting breast cancer screening as early as age 25 may help women who carry a genetic mutation linked to a higher risk of cancer live longer, according to a U.S. study.

10/03/2011: Mass General Imaging expands 3D mammography service to Waltham

Mass General West Imaging - Waltham introduces new technology that improves cancer detection while reducing callbacks.

09/23/2011: Joshua A. Hirsch, MD, elected president of Society of Neurointerventional Surgery

The SNIS is a national organization of physicians who have special expertise in treating such conditions as stroke, aneurysms, carotid stenosis and spinal abnormalities through minimally invasive procedures.

09/20/2011: Thrall: Healthcare IT can help rads tackle radiation exposure

It's imperative that radiologists proactively find ways to keep radiation dose to a minimum, and healthcare IT can help, according to Dr. James H. Thrall, who spoke on the topic this week at the New York Medical Imaging Informatics Symposium.

08/22/2011: Radio ads debut for Mass General Imaging - Worcester

Radio ads inform central Massachusetts residents about the services and expertise available at Mass General Imaging's Worcester location, including 3D mammography.

08/15/2011: Are 3D mammograms a breast cancer breakthrough?

In what doctors hope is a big step forward, new 3-D mammograms promise better detection and fewer false alarms for hundreds of thousands of American women.

08/11/2011: Mass General Imaging introduces CT lung-cancer screening

Research shows a clear benefit for CT lung-cancer screening among individuals who meet strict criteria. Patients and referrers should understand both the benefit and the potential for false positive results.

08/03/2011: Our experts share tips on reducing head-CT radiation

Continuing Mass General Imaging's leadership role in reducing CT radiation, radiologists from Mass General have co-authored a journal article summarizing methods for dose optimization in head CT scans.

08/01/2011: Rebuilding Japan needs imaging technology, expertise

The recovering country needs to replace destroyed imaging equipment, and the Mass General Imaging Global Health Programs is working to help.

07/29/2011: Mass General Imaging-Worcester offers 3D mammography

Along with the MGH main campus, Mass General Imaging-Worcester is now the second location statewide to offer 3D mammography.

07/22/2011: Advanced MRI pinpoints prostate tumors

To provide doctors with the most accurate information, Massachusetts General Hospital Imaging is now providing advanced prostate MRI exams.

07/21/2011: OB/GYN group urges more frequent mammograms

Gynecologists should urge women to have annual mammograms starting at age 40, a national doctors group said Wednesday.

06/30/2011: Mass General Imaging brings 3D mammography to Worcester

Mass General Imaging - Worcester now introduces 3D mammography technology that promises to improve breast cancer detection.

06/21/2011: Repeat CT scans not an issue at Mass General

Medicare claims show overuse of chest CT scans at many hospitals nationwide, but not at Mass General.

06/17/2011: MGH group envisions worldwide access to quality Imaging care

According to a recent report from the World Health Organization (WHO), two-thirds of the global population lacks access to diagnostic imaging care. At the MGH, a team of Imaging staff is working to address this need through a new initiative: MGH Imaging Global Health Programs.

06/01/2011: Mass General Imaging customizes CT radiation doses via 'virtual autopsy'

Using cadavers, researchers at Massachusetts General Hospital are testing and customizing CT protocols to dramatically cut the dosage needed for live patients by as much as half the reference levels nationally.

05/25/2011: Mass General Imaging leads charge to reduce CT radiation with launch of research center, publication of clinical protocols

First-of-its-kind Webster Center for Advanced Research and Education in Radiation devoted to achieving the lowest radiation dose for every patient. Availability of CT exam protocols gives radiology practitioners worldwide access to more than a decade’s worth of clinical expertise on reducing radiation exposure

05/25/2011: Mass General Imaging expands radiation-dose-reduction efforts

Announcing the Webster Center, a research effort devoted not only to reducing radiation exposure for our patients but also to sharing our methods with the world.

05/18/2011: Cardiac CT makes strong predictions of major heart trouble

Cardiac CT gives emergency physicians the ability to predict major adverse cardiac events (MACE) in patients presenting with chest pain, according to a study published in the May issue of the Journal of the American College of Cardiology.

05/17/2011: Mass General clinicians show that simple blood test prevents contrast complication

Mass General researchers have shown that a simple blood test for certain patients about to receive an MRI exam can stem a serious complication related to contrast agents.

05/04/2011: Poll: Women in their 40s want mammograms

About 57 percent of women believe mammograms should start at age 40, according to a Harris Interactive/HealthDay poll.

05/03/2011: Mass General researcher gets grant to study optical breast imaging

Massachusetts Life Sciences Center has awarded Qianqian Fang, PhD, and Philips Healthcare a $500,000 grant aimed at equipping traditional mammography systems with a low-cost optical imaging system with the potential to dramatically improve breast cancer detection.

05/03/2011: Mass General research: Image reconstruction slashes chest CT radiation

An image processing technique called ASIR allows radiologists to reduce radiation levels in chest CT exams without sacrificing image quality or diagnostic confidence, according to a paper just published by Mass General researchers.

04/26/2011: What to know before getting a CT scan

Two Mass General experts talk about what patients need to know when their doctor suggests a CT scan.

04/21/2011: Meditation may help the brain "turn down the volume" on distractions

The positive effects of mindfulness meditation on pain and working memory may result from an improved ability to regulate a crucial brain wave called the alpha rhythm, which is thought to "turn down the volume" on distracting information.

04/20/2011: Mammograms and thyroid cancer: The facts about breast-cancer screening

Alarmist claims about a connection between thyroid cancer rates and mammography are not only without merit but also potentially harmful if they deter women from their annual screening.

04/15/2011: Career Information Day at MGH

MGH Hotline 4.15.11 Tiesha Cabral, a patient service coordinator in the Cancer Center, listened with interest as Sandra Woodworth, RT(R)(CT), a clinical instructor for MGH Imaging, described the day-to-day life of a radiologic technologist.

04/08/2011: In General: 2011 HMS Mentoring Awards and Patricia Donahoe, MD

In General awards and honors

03/30/2011: Alzheimer's-like brain changes found in cognitively normal elders with amyloid plaques

Researchers using two brain-imaging technologies have found that apparently normal older individuals with brain deposits of amyloid beta – the primary constituent of the plaques found in the brains of Alzheimer's disease patients – also had changes in brain structure similar to those seen in Alzheimer's patients.

03/18/2011: 3D mammography

MGH Hotline 3.18.11

03/16/2011: When does Japan radiation threat become harmful?

Mass General Imaging Radiologist-in-Chief James H. Thrall, MD, discusses real and imagined threats from the Japan nuclear crisis.

03/15/2011: Despite fears, radiation health risk remains low, experts say

Amid dire reports of melting fuel rods and sickened workers at Japan’s beleaguered Fukushima Dai-ichi nuclear reactor, the public health risk from radiation exposure remains very low in that country—or abroad, according to experts including Mass General Radiologist-in-Chief James H. Thrall, MD.

03/07/2011: Massachusetts General Hospital is first in the nation to do mammography screening using 3D breast tomosynthesis

The Breast Imaging Program at Massachusetts General Hospital today welcomes its first patient to undergo three-dimensional breast tomosynthesis screening. Also known as 3D mammography, this technology promises to improve cancer detection and reduce false positives.

03/07/2011: 3D mammogram newest weapon against breast cancer

Important breast cancer detection method, mammograms, gets a 3D upgrade; Doctors get to "look through" tissue.

02/26/2011: Prototype portable scanner provides fast, accurate cancer diagnosis

Dr. Ralph Weissleder and his colleagues at Massachusetts General Hospital have developed a miniaturized nuclear magnetic resonance scanner, or micro-NMR to effectively increase both the speed and accuracy of tumor diagnoses.

02/23/2011: Mass General Imaging reduces cardiac CT radiation doses 75 percent

Radiation-reduction case study: Cardiovascular imaging team reduces radiation dose for cardiac CT angiography by employing new scanner technology and carefully tailoring each exam to the patient.

02/11/2011: FDA approves first 3-D mammography imaging system

The U.S. Food and Drug Administration on Friday approved the first X-ray mammography device that provides three-dimensional (3-D) images of the breast for breast cancer screening and diagnosis.

02/04/2011: New radiation oncology technologies in the Lunder Building

MGH Hotline 02.04.11 While the foundation of MGH Radiation Oncology is built upon the expertise, skill and dedication of the department’s staff members, the incorporation of the most advanced technologies helps to support the overall objectives of caregivers who aim to provide the best quality and safest patient care possible.

01/25/2011: Picturing lower costs: Imaging usage declined in 2010

As health care costs climbed over the past decade, many of the most popular tests that helped push overall medical expenses higher took place in radiology and imaging labs. But something very different happened in 2010.

01/21/2011: CT scanning aids rapid diagnosis, treatment planning for abdominal pain

The use of CT scanning to evaluate abdominal pain in emergency departments can help physicians arrive at a diagnosis quickly and decisively.

01/21/2011: Lunder Building brings medical imaging technologies to the patient

MGH Hotline 1.21.10 Medical imaging technologies, which are involved in nearly every discipline at the hospital, will be a feature of the Lunder Building’s procedural and operating room suites on the fourth floor and inpatient imaging suite located on the sixth floor.

12/09/2010: Supercomputer 'virtual cleanse' aims to ease CT colonography prep

Image processing technologies being tested by Massachusetts General Hospital intend to take the yuck factor out of colorectal cancer screenings.

12/09/2010: Edwards' death highlights need for early breast cancer screening

Edwards reportedly failed to get annual screenings herself, which may have been the reason for the late stage diagnosis of her disease. Article quotes Mass General radiologist Dr. Daniel Kopans.

12/07/2010: Mass General radiologists, researchers win awards at annual RSNA conference

Mass General radiologists and researchers figure prominently in the list of winning educational and scientific exhibits presented at RSNA 2010, the annual meeting of the Radiological Society of North America.

12/06/2010: 'Defensive medicine' leads to over-ordering of exams

Three imaging studies when a single chest x-ray would have sufficed.

12/03/2010: In General awards and honors 12.3.10

MGH Hotline 12.3.10 In General awards and honors

11/30/2010: Belly Fat Puts Women at Risk for Osteoporosis

A study presented at the annual meeting of the Radiological Society of North America found that having too much internal abdominal fat may have a damaging effect on bone health.

11/24/2010: 3D mammogram on brink of FDA approval

A new three-dimensional mammogram device purported by the device maker Hologic to more precisely detect breast lesions and reduce the number of follow-up breast cancer screenings, when used in conjunction with conventional digital mammograms, cleared an FDA hurdle Monday.

11/09/2010: Combined Imaging Technologies May Better Identify Cancerous Breast Lesions

By combining optical and x-ray imaging, radiologists may be better able to distinguish cancer from benign lesions in the breast, according to an MGH study.

11/05/2010: CT scans found to lower chances of lung cancer deaths

Study raises hopes of early detection

10/25/2010: A personal perspective on the mammography debate

This first-personal article, which quotes Mass General Imaging radiologist Dr. Daniel Kopans, discusses one woman's experience being called back for additional imaging after a mammogram.

10/11/2010: On a quest to map the brain's hidden territory

Dr. Van Wedeen, a physicist and radiologist at the Martinos Center for Biomedical Imaging at Massachusetts General Hospital, is helping to lead an effort to develop a superscanner that can provide new insight into the brain.

10/06/2010: ER use of MRI, CT scans triples over decade

The use of CT and MRI scans for injury-related emergency room visits in the United States has tripled since 1998, new research finds.

09/22/2010: Norwegian study renews mammogram debate

Critics including Mass General breast-imaging radiologist Dr. Daniel B. Kopans believe the study's conclusion is flawed and will only serve to further confuse women and their physicians.

09/07/2010: Overexposed? Radio discussion focuses on appropriate use of imaging

In this radio segment produced by Boston's public-radio station WBUR, a panel including Mass General Imaging radiologist-in-chief Dr. James H. Thrall discusses so-called "overuse" of imaging technology.

09/03/2010: In General: Michael S. Gee, MD, PhD

MGH Hotline 09.03.10 In General awards and honors

08/24/2010: Radiologists call for curbs on overuse of imaging

Many doctors order tests that will not find the cause of their patients' complaints.

08/09/2010: Connecting electronic medical records

Software developed by Michael Zalis and his Massachusetts General Hospital colleague Mitchell Harris harnesses search-engine technology to help physicians access disparate records.

07/02/2010: Mass General Imaging Chelmsford hosts open house

MGH Hotline 07.02.10 More than 60 guests – including Mass General Imaging leadership, staff, referring physicians and members of the local community – gathered at the new offices of Mass General Imaging Chelmsford during an evening open house June 17

05/04/2010: Adaptive image filters lower CT radiation dose

Adaptive image filters can lower the patient radiation associated with chest and abdominal computed tomography (CT) scans while significantly improving image quality, according to a study by Mass General researchers.

04/15/2010: Stroke victim's recovery rare, astonishing

New Bedford woman recovers from severe stroke after treatment by the Mass General Stroke Team, including Mass General Imaging interventional specialist Dr. James Rabinov.

04/14/2010: The right scan at the right time

Article highlights Mass General Imaging's efforts to reduce unnecessary scans using decision-support software that provides intelligent feedback to the doctors ordering exams.

04/05/2010: CT and MRI scans: Shorter hospital stays?

Mass General study suggests the use of CT scans and MRI might shorten the length of a person's hospital stay.

03/02/2010: Helping doctors make informed decisions about CT scans

New clinical decision support tools help doctors decide whether or not a CT scan is necessary based on medical evidence.

02/24/2010: Minimally invasive procedure eases back pain

Nucleoplasty, a minimally invasive, image-guided treatment performed by Dr. Joshua Hirsch at Massachusetts General Hospital Imaging brought relief to a local woman suffering from herniated disc pain.

02/22/2010: Screening with mammography and breast MRI effective for women with high cancer risk

The combination of MR imaging and mammography can provide a cost-effective way of improving life expectancy for women who have an increased risk of breast cancer, according to a study authored by Mass General Imaging radiologist Janie M Lee.

02/16/2010: TV report highlights radiation safety efforts at Massachusetts General Hospital Imaging

Steps local hospitals are taking to keep patients safe.

02/09/2010: FDA to increase oversight of medical radiation

The FDA puts its regulatory muscle behind a growing movement to make life-saving medical radiation—both diagnostic and therapeutic—safer.

01/27/2010: Gaming tech spurs development of hyperfast medical imaging systems

University, Mass General team to build tools to boost medical image processing by 1,000 times.

01/16/2010: Boston medics rally to aid quake victims

Imaging nurse Joy Williams is among those heading to Haiti to provide care.

01/08/2010: Reducing CT radiation exposure an ongoing point of emphasis

Amid growing alarm about radiation from CT scans, Mass General Imaging is leading the way to reduce patient exposure.

01/06/2010: Radiation risk low with whole-body airport scanners

The radiation risk from full-body scanners used to improve airport security is low and unlikely to raise an individual's risk of cancer, according to experts including Mass General's Dr. James Thrall.

12/21/2009: Q&A: Look closer at CT scan cancer risks

In many cases, the benefits of these tests—in finding cancers, aneurysms or blood clots—far outweigh the relatively low risks of radiation.

11/16/2009: Experts question motives of mammogram guidelines

Critics of the guidelines, issued on Monday by the US Services Task Force, an independent panel sponsored by the US Agency for Healthcare Quality, say the new guidelines are a step backward and will lead to more cancer deaths.

10/06/2009: Hospitals monitor radiation exposure

A small number of hospitals and outpatient imaging centers across the United States automatically transmit radiation data to a patient's record whenever certain scans are done.

09/03/2009: Imaging technology reveals mummy embalming techniques

Neurologists and radiologists at Massachusetts General Hospital took part in the analysis of an Egyptian Middle Kingdom mummy for Boston's Museum of Fine Arts.

08/29/2009: Beyond the biopsy: A tiny monitor for cancer

The magnetic nanoparticle technology used in the device was developed by Ralph Weissleder, a professor at Harvard Medical School and director of the Center for Systems Biology at Massachusetts General Hospital in Boston.

08/26/2009: Study looks at radiation exposure

As many as two-thirds of adults underwent a medical test in the last few years that exposed them to radiation and in some cases, a potentially higher risk of cancer, a study in five areas of the US suggests.

08/24/2009: Patients, doctors say vertebroplasty works

Recent studies have challenged the effectiveness of a popular kind of back surgery, yet many patients, and their doctors, say vertebroplasty works

08/06/2009: MRI may help diagnose, treat diabetes

Researchers at Massachusetts General Hospital and Harvard Medical School said MRI has the ability to evaluate beta cell mass, a major factor of insulin secretion.

08/05/2009: Studies question using cement for spine injuries

Two new studies cast serious doubt on a widely used and expensive treatment for painful fractures in the spine.

08/04/2009: Rapid TB detector employs MRI principles

Researchers at Massachusetts General Hospital and Harvard University have demonstrated that a handheld device can be used to count as few as 20 bacteria in a sputum sample in a half hour.

08/03/2009: Researchers uncover spleen's role

Researchers from Massachusetts General Hospital and Harvard Medical School describe studies showing that the spleen acts as a reservoir for huge numbers of immune cells called monocytes, which it releases in the event of serious trauma.

05/08/2009: CT colonography removing barriers to colon testing

Editorial by Mass General Imaging radiologist Michael Zalis, MD.

05/04/2009: 'Brain bucket' improves MRI brain scans, could impact Alzheimer's fight

Developed and implemented at Massachusetts General Hospital, the device is a helmet featuring a myriad of sensors and coils connected an MRI machine.

05/01/2009: Disposable robot aims to guide way to biopsies

Developed by researchers at Mass General and MIT, the system uses3D technology to allow the radiologist to see the needle’s action in near real time.

03/12/2009: The value of CT scans

There is no reason to create obtrusive coverage policies that will block access to these lifesaving tools that are truly transforming care for millions of patients.

02/27/2009: MGH Durant fellows

MGH Hotline 2.27.09 As a true humanitarian, Thomas S. Durant, MD, spent his life bringing hope to some of the bleakest parts of the world. In honor of his service and compassion, the MGH Durant Fellowship in Refugee Medicine helps health care professionals bring their skills to those in critical need around the globe.

10/13/2008: The scan that didn’t scan

All MRIs are not created equal: Look for expertise among those administering the exams and among the radiologists reading them.

02/01/2014: Radiology Rounds

Image Guided Venous Sampling for the Localization of Endocrine Tumors
The source of excess hormone causing diseases such as Conn’s syndrome or ACTH-dependent Cushing’s syndrome cannot be reliably determined using only non-invasive diagnostic tools.
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12/01/2013: Radiology Rounds

Communication of Results in Radiology
Communication of radiology results may be either standard (written report) or non-standard (direct contact sometimes with acknowledgement)
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10/01/2013: Radiology Rounds

Technical Advances in Interventional Radiology
New robotically controlled C-arm systems are capable of fluoroscopy and 3D imaging (cone-beam CT).
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09/01/2013: Radiology Rounds

Amyloid PET Imaging with Florbetapir for Diagnosis of Alzheimer's Disease
[18F]-Florbetapir-PET may allow earlier diagnosis of Alzheimer’s disease (AD), aid in the diagnosis of non-AD neurodegenerative diseases, and provide prognostic information for patients with mild cognitive impairment (MCI).
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08/01/2013: Radiology Rounds

Simulation as a Training Tool for Vascular Interventional Radiology
Simulation is being introduced as part of the curriculum for training radiology residents.
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07/01/2013: Radiology Rounds

Biplanar Full-Body X-Ray Imaging
A new biplanar x-ray imaging system acquires simultaneous lateral and anteroposterior images while the patient is in a weight-bearing position.
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06/01/2013: Radiology Rounds

Fetal MRI. Part II: Non-CNS Imaging
MRI is used as an adjunct to ultrasound to provide further diagnostic information for abnormalities affecting the thorax, neck, and abdomen.
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05/01/2013: Radiology Rounds

Fetal MRI. Part I: Neuroimaging
MRI may provide additional information and influence patient management when fetal ultrasound suggests a potential for abnormalities.
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04/29/2013: Cardiovascular Images

Atrial Baffle Stenosis: A Late Complication after Mustard Repair for d-TGA
A 37 year old male with a history of d-transposition of the great arteries and Mustard atrial switch operation as an infant presented with abdominal distension and facial swelling.
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03/01/2013: Radiology Rounds

QPID, an Ontology-Driven Search Tool for the Electronic Medical Record
QPID (Queriable Patient Inference Dossier) is a programmable search tool that uses natural language processing to extract meaningful information from the electronic health record (EHR).
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02/01/2013: Radiology Rounds

Intraoperative MRI
Intraoperative MRI allows visualization of lesions, which may shift after a craniotomy is performed and can allow a more extensive resection.
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01/01/2013: Radiology Rounds

Radiology Consultation Clinic
The Radiology Consultation Clinic is a pilot program that provides an opportunity for patients to consult directly with a radiologist.
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12/21/2012: Cardiovascular Images

Unroofed Coronary Sinus – A Rare Type of ASD
Unroofed coronary sinus is a rare congenital cardiac anomaly which might be difficult to diagnose. It is classified as an atrial septal defect and constitutes the rarest form of this group of congenital heart disease.
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11/26/2012: Cardiovascular Images

Ruptured Coronary Sinus Aneurysm
Sinus of Valsalva aneurysms most commonly originate from the right coronary sinus in 70-80% and less commonly from the non coronary (10-20%) and left sinuses (<5%) and may be congenital or acquired.
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11/01/2012: Radiology Rounds

Integrated PET/MR in Oncology
Integrated PET/MR is a newly available imaging technique that includes a simultaneous whole body MR and PET examination.
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10/01/2012: Radiology Rounds

Coronary CT Angiography for Acute Chest Pain
Patients who undergo CCTA as the initial diagnostic test have the same or lower rates of major adverse cardiac events in a 28-day follow-up as patients who undergo standard therapy including functional testing.
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10/01/2012: Cardiovascular Images

Myocardial Infarction-induced Ventricular Septal Defect
Ventricular septal defect (VSD) is a mechanical complication of myocardial infarction and typically occurs three to five days after an acute MI.
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09/01/2012: Radiology Rounds

Imaging for Carotid Artery Stenosis
Patients with severe carotid artery atherosclerosis are at high risk for stroke and may benefit from revascularization.
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08/01/2012: Radiology Rounds

PET/CT in Oncology
Positron emission tomography (PET) is a molecular imaging method that provides complementary information to anatomic imaging by CT or MRI.
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07/02/2012: Radiology Rounds

Magnetic Resonance Spectroscopy in the Brain
Magnetic resonance spectroscopy (MRS) is a technique that detects metabolites, such as n-acetyl aspartate, choline-containing compounds, creatine/phosphocreatine, and lactate.
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06/01/2012: Radiology Rounds

Magnetic Resonance Angiography Using a Blood-Pool Contrast Agent, Gadofosveset
Gadofosveset is a new MR contrast agent with an intravascular half-life of about 28 minutes, which allows steady-state contrast-enhanced MR angiography for up to 1 hour after administration of the contrast material.
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05/01/2012: Radiology Rounds

Importing Outside Images from CD/DVDs to PACS
Each year, doctors at the MGH receive between 50,000 and 100,000 CDs/DVDs containing patient images. These CD/DVDs are a storage and management problem.
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04/23/2012: Cardiovascular Images

Kawasaki Disease
Kawasaki disease is a systemic vasculitis presenting in the infant or young child, and is the leading cause of children's acquired cardiac disease in the United States.
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03/21/2012: Cardiovascular Images

Truncus Arteriosus
The value of CT and MRI lies in reliable quantification of ventricular function and detailed assessment of the presence or absence of the pulmonary arteries. This is especially true in the case of newborns in whom surgical correction is planned.
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02/01/2012: Radiology Rounds

Palliative Interventional Radiology in the Abdomen, Part 2: Nutritional Support and Comfort Measures
Nutritional support, administered after the placement of a gastrostomy tube, a gastrojejunostomy tube, or a jejunostomy tube can prevent aspiration and prolong life.
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01/23/2012: Cardiovascular Images

Congenital Absence of the Pericardium
Congenital absence of the pericardium is an uncommon anomaly, and can be either complete or partial (more commonly left-sided). The pathogenesis is believed to be secondary to an in utero vascular insult.
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01/02/2012: Radiology Rounds

Palliative Interventional Radiology, Part 1: Image-Guided Techniques for Pain Relief
Neurolysis of the celiac plexus or superior hypogastric plexus can provide pain relief emanating from upper abdominal and pelvic organs, respectively, allowing reduction in opioid medications and their side effects.
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12/20/2011: Cardiovascular Images

Thrombus or Tumor?
Differentiating intra-cardiac thrombus from tumor can be challenging. Cardiac MRI allows for multi-planar visualization, which enables optimal anatomical characterization and assessment of invasion into surrounding structures in the case of malignancy.
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11/21/2011: Cardiovascular Images

Scimitar Syndrome
While both CT and MRI can delineate many congenital cardiovascular anomalies, MRI has the added advantage of being free of radiation. In addition, MRI can be performed with or without gadolinium contrast.
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11/04/2011: Radiology Rounds

Non-contrast MR Angiography
Concerns about the safety of gadolinium-based contrast materials in high-risk patients--coupled with advances in hardware, imaging sequences, and gating technology--have revived interest in non-contrast MR angiography (NC-MRA).
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10/24/2011: Cardiovascular Images

Chagas Disease Presenting with Renal Infarcts
Cardiac MRI is useful in assessing cardiovascular complications from the parasitic infection Chagas disease.
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10/03/2011: Radiology Rounds

Staging Colorectal Cancer
Treatment of colorectal cancer varies greatly depending on the location and extent of the disease. CT, MR, and PET-CT imaging all play important roles in staging and management.
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09/20/2011: Cardiovascular Images

Senile Cardiac Amyloidosis
The characteristic delayed enhancement pattern makes MR a valuable imaging modality in the workup of amyloidosis.
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09/06/2011: Radiology Rounds

CT Screening for Lung Cancer for High Risk Patients
Mass General Imaging now offers low-dose CT lung cancer screening, which according to a major prospective randomized study delivers a significant mortality benefit for former and current smokers who meet certain criteria.
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08/01/2011: Radiology Rounds

Imaging Obese Patients
The imaging of obese patients presents challenges within most modalities, ranging from equipment weight limits to attenuation by fat tissue. Solutions including specialized equipment and new image-reconstruction techniques are helping to serve this growing patient group.
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07/01/2011: Radiology Rounds

Elastography
Elastography is a promising technique for several purposes, including identification and localization of prostate cancer for biopsy and therapy, and for staging of liver fibrosis.
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06/20/2011: Cardiovascular Images

Supravalvular Aortic Stenosis
Although the primary uses for cardiac CT include anatomic imaging of the chest and coronary arteries, dual-source cardiac CT has superior temporal resolution that allows functional imaging.
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06/01/2011: Radiology Rounds

Ultra-Low Radiation Dose Renal CT Examinations
Mass General Imaging has dramatically lowered the CT radiation dose for renal stone examinations. While the reported average dose for abdominal/pelvic CT is 15 mSv, at Mass General the dose is about 5.4 mSv for initial diagnosis and 0.85 to 3 mSv for follow-up examinations.
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05/25/2011: Cardiovascular Images

Takotsubo Cardiomyopathy
In this case, cardiac CTA enabled the assessment of coronary artery anatomy and cardiac function with a single non-invasive examination.
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05/02/2011: Radiology Rounds

Mass General Imaging Global Health Programs
Mass General Imaging Global Health Programs (IGHP) aim to address unmet medical imaging needs and healthcare disparities for vulnerable and crisis-affected populations.
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04/25/2011: Cardiovascular Images

Myocardial Viability by Cardiac MRI
Cardiac MRI offers superior spatial resolution and has emerged as the gold standard for the quantification of myocardial scar via late gadolinium enhancement (LGE).
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04/01/2011: Radiology Rounds

3D Mammography
Breast tomosynthesis offers better sensitivity and specificity than conventional mammography, with fewer false positives, fewer false negatives, and a radiation dose that is well within recommended guidelines.
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03/31/2011: Cardiovascular Images

Left Circumflex to Coronary Sinus Fistula
Cardiac CT provides detailed evaluation of a coronary AV-fistula (CAF) and its relationship with surrounding structures.
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03/07/2011: Radiology Rounds

Flat Panel Volume CT (fpVCT)
Flat panel volume CT (fpVCT) covers larger volumes, has higher spatial resolution, and suffers from fewer artifacts than multidetector CT. The technology, now available for clinical research at Mass General, has applications in musculoskeletal and vascular imaging.
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02/21/2011: Cardiovascular Images

Asymptomatic Partial Anomalous Pulmonary Venous Return
Cardiac CT has the combination of excellent spatial resolution and a large field-of-view, and is thus ideally suited for the delineation of associated cardiovascular anomalies.
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02/01/2011: Radiology Rounds

Gastric Emptying Scintigraphy
The protocol for gastric emptying scintigraphy at Mass General has been updated to conform to internationally recognized standards, including a standard low-fat meal labeled with 99mTc- sulfur colloid followed by imaging immediately after eating and at 1, 2, and 4 hours.
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01/31/2011: Cardiovascular Images

Fever in a Young Man with Mechanical Valves
Transesophageal cardiac ultrasound is the gold standard in evaluating suspected prosthetic valve endocarditis. Initial results have demonstrated that cardiac CT compares favorably and has added value in pre-operative planning and exclusion of coronary artery disease prior to surgery.
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01/03/2011: Radiology Rounds

Diagnosing Insufficiency Fractures in the Pelvis and Proximal Femur
MRI is more sensitive than radiography or CT imaging for the diagnosis of insufficiency fractures. MRI may be helpful in distinguishing insufficiency fractures from pathological fractures due to tumor infiltration.
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01/01/2011: Mass General Magazine

Read more at www.massgeneralmag.org
Mass General Magazine is a publication for supporters and friends of Massachusetts General Hospital that takes you inside the hospital and explores its patient care and research programs here and around the world. It features rich photo essays and in-depth profiles from across the Mass General world.

12/17/2010: Cardiovascular Images

A Problematic Pediatric Pulmonary Artery
This case demonstrates the complementary role of cardiac CT to traditional imaging modalities in the evaluation of complex congenital heart disease in carefully selected patients.
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11/19/2010: Cardiovascular Images

Apical Hypertrophic Cardiomyopathy: Calling a Spade a Spade
ApHCM is characterized as concentric, apical left ventricular thickening, resulting in a spade-like morphology of the left ventricular cavity during end diastole. In the case presented here, cardiac MRI was vital in demonstrating focal areas of fibrosis in the apical wall of the left ventricle.
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11/05/2010: Radiology Rounds

STAT Radiology Orders
In order to minimize inappropriate use of STAT radiology examinations, Mass General is changing the physicians order entry (POE) process. All patients who need STAT exams must be transported by medical staff to the designated scanner (with the exception of portable examinations).
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10/01/2010: Radiology Rounds

Gadoxetic Acid (Eovist) and Hepatobiliary MR Imaging
Gadoxetic acid (Eovist) is a new hepatobiliary MR contrast agent that is specifically taken up by hepatocytes and therefore provides increased lesion-liver contrast compared to standard extracellular contrast agents.
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10/01/2010: Cardiovascular Images

Epicardial and Mediastinal Fat Mimicking Pericardial Effusion
Excess epicardial and mediastinal fat can mimic pericardial effusion and/or pericardial masses. In addition, excess fat can also have mass effect with or without hemodynamic significance.
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09/01/2010: Radiology Rounds

Multi-Energy Computed Tomography - New Opportunities In Imaging the Abdomen
Materials can be distinguished based on their differences in attenuation properties at different x-ray energies. CT scanners are now available that can almost simultaneously acquire images at two energy levels, either by using two x-ray tubes or a single x-ray tube capable of rapid energy (kVp) switching. Multi-energy scanning may be advantageous for lesion detection and characterization, but the benefits must be weighed against the potential for increased radiation exposure.
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08/02/2010: Radiology Rounds

Multiparametric MR Imaging for Prostate Cancer
Diffusion weighted MRI (DWI), and dynamic contrast enhancement (DCE) MRI increase the sensitivity and specificity of prostate cancer detection over that of T2 weighted imaging alone; the combination of these techniques is referred to as multiparametric MR imaging.
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07/01/2010: Radiology Rounds

Hybrid SPECT/CT: Enhancing Nuclear Medicine
SPECT/CT combines the anatomic details seen in CT images with functional information from single photon emission computed tomography (SPECT) nuclear imaging, providing better anatomic localization of lesions than standard nuclear medicine images.
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06/28/2010: Cardiovascular Images

Secundum Atrial Septal Defect (ASD)
Cardiac ultrasound is the primary imaging modality for diagnosis, morphologic assessment and follow-up of patients with ASDs (atrial septal defects). Knowledge of the size, location and associated abnormalities is critical for planning of surgical or percutaneous procedures, and in such cases cardiac CT has desirable imaging characteristics.
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06/01/2010: Radiology Rounds

CT Perfusion Imaging of the Brain
CT perfusion imaging is used to estimate infarct core in acute stroke patients for whom MR-DWI (diffusion weighted imaging) cannot be obtained in a timely manner or is contra-indicated. Strict protocol rules ensure that total radiation exposure is substantially below the FDA maximum dose of 500 mGy.
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05/26/2010: Cardiovascular Images

An Incidental Left Atrial Congenital Anomaly
Cor triatriatum sinister is a residual membrane in the left atrium. The diagnosis can be made by 2D or transesophageal echocardiography, cardiac CT, or cardiac MRI. In the case discussed here, second-generation dual-source CT technology offered a high-quality diagnostic test while exposing the patient to a low radiation dose.
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05/03/2010: Radiology Rounds

Whole-Body MRI
Whole-body MRI is a noninvasive technique that acquires images of the entire body in the coronal plane only using fast MR pulse sequences. Among other uses, it is a promising method for screening pediatric patients with small round blue cell tumors for metastases, including lymphoma and neuroblastoma.
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04/23/2010: Cardiovascular Images

CT Angiography with Reduced Radiation - The Dawn of a New Era
Our patient was scanned in the "Flash" mode using the new high-pitch CT scanner, which has a scanning speed of up to 43 cm/s and a temporal resolution of 75 ms. Therefore, an entire chest examination can be completed in just 0.6 seconds.
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04/01/2010: Radiology Rounds

Three-dimensional Ultrasound Imaging
Three-dimensional (3D) ultrasonography employs a transducer that records spatial information; the entire data set is stored for subsequent analysis. 3D imaging adds accurate volume measurements of lesions and structures, which is not available with current 2D ultrasound imaging.
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03/22/2010: Cardiovascular Images

Caseous Necrosis of the Mitral Valve
Caseous necrosis of the mitral valve is a rare form of mitral annular calcification (MAC) in which there is high atherosclerotic burden with central "caseous" necrosis, which can resemble a tumor. In this case, cardiac CT was an ideal complementary modality that was helpful in narrowing down the differential diagnosis.
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03/01/2010: Radiology Rounds

CT and Radiation Safety Issues
Although substantially higher than that from conventional x-ray imaging, the radiation exposure associated with diagnostic CT imaging is considered to be low by the Health Physics Society. At Mass General, a number of dose-reduction strategies are in place to minimize radiation exposure from CT imaging.
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02/26/2010: Cardiovascular Images

Sudden Hypotension and Transient ST Segment Changes in a Patient with an Aortic Valve Mass
A CT was performed to exclude a pulmonary embolus, with surprising results: a mobile mass.
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02/01/2010: Radiology Rounds

Vertebral Augmentation
Despite two recent small studies that failed to demonstrate statistically significant benefit from vertebral augmentation in osteoporotic patients, we continue to offer bone augmentation for properly selected patients with osteoporotic vertebral compression fractures, as well as metastatic bone lesions.
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01/27/2010: Cardiovascular Images

Left Main Coronary Artery Arising From the Right Sinus of Valsalva
Coronary CTA is emerging as the gold-standard in elucidating the origin, the size, the course, and the presence or absence of proximal anatomical or functional obstruction of congenital coronary anomalies.
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01/04/2010: Radiology Rounds

Imaging Suspected Cervical Spine Trauma
Radiographic imaging is not recommended for cervical trauma patients who meet low-risk criteria. Large-scale studies have demonstrated that certain clinical criteria can be used reliably to guide the selection of patients for cervical imaging using CT, x-ray, or MRI.
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12/07/2009: Cardiovascular Images

Pulmonary Artery Percutaneous Stenting in a Patient with Takayasu's Arteritis
Simultaneous diagnostic enhancement of the coronary and pulmonary arteries is now possible with modern scanners and protocols.
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11/23/2009: Radiology Rounds

Decision Analysis
Investigators in radiology are actively expanding research efforts in decision analysis to compare new and existing imaging techniques, and to identify which imaging approaches can most benefit at-risk populations
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11/02/2009: Radiology Rounds

Special Issue: Response to the USPSTF Recommendations for Mammography
We believe that the US Preventive Services Task Force recommendations on mammography are based on flawed analysis of the data and continue to support the scientifically based recommendations of the American Cancer Society that annual mammographic screening should begin at age 40.
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11/02/2009: Cardiovascular Images

ECG-gated Cardiac CT of a Saphenous Vein Graft Aneurysm Pre/Post- Percutaneous Intervention
This case highlights the added clinical value of using non-invasive ECG-gated cardiac CT for surveillance and management of graft aneurysms pre- and post- surgical/percutaneous interventions.
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10/05/2009: Radiology Rounds

Iterative Image Reconstruction Method (ASIR): Lowering CT Radiation Dose and Improving Image Quality
A new CT reconstruction algorithm, adaptive statistical iterative reconstruction (ASIR), has effectively increases image quality by reducing noise, also enabling lower radiation doses.
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10/05/2009: Cardiovascular Images

Delayed Myocardial Enhancement at MDCT in a Patient with Sarcoidosis and ICD
Despite the relative lower contrast to noise ratio of CT images compared to MRI, contrast-enhanced CT can detect myocardial fibrosis in the majority of cases with delayed enhancement techniques.
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09/07/2009: Radiology Rounds

MR Enterography for Crohn's Disease
For patients with Chron's disease, MR enterography offers an alternate imaging method that provides high image resolution and excellent soft-tissue contrast without exposure to the ionizing radiation of a CT exam.
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09/07/2009: Cardiovascular Images

Adenosine Induced Stress Myocardial Perfusion Imaging Using Dual Source Computed Tomography
Cardiac CT may allow non-invasive simultaneous evaluation of coronary anatomy and physiology in a single study.
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08/03/2009: Radiology Rounds

Imaging for Sinusitis
Multidetector CT (MDCT) is the imaging modality of choice for chronic sinusitis because it clearly shows air spaces, opacification of sinuses, and bony anatomy.
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07/06/2009: Radiology Rounds

Augmentation Therapy for Vertebral Compression Fractures
Augmentation therapy, including kyphoplasty or vertebroplasty, in which cement is placed percutaneously into a fractured vertebral body, results in a marked improvement in pain within 24 hours in 80-90% of those treated.
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06/08/2009: Cardiovascular Images

Persistent 5th Aortic Arch in Patient with Known Intrauterine Thalidomide Exposure
Persistence of the 5th aortic arch is a rare congenital vascular anomaly which may be seen in isolation or associated with other congenital cardiac or vascular anomalies.
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06/01/2009: Radiology Rounds

Preparing Children for Imaging Studies
Fast scanning methods, combined with behavior distraction techniques, can often help children undergo imaging studies without sedation or general anesthesia.
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05/04/2009: Radiology Rounds

High Field (1.0 T) Extremity MRI
The dedicated extremity MR scanner at Mass General Imaging West, Waltham, is designed for scanning the hand, wrist, elbow, foot, ankle, and knee. Diagnostic quality is comparable to 1.5 T conventional MR scanners.
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05/04/2009: Cardiovascular Images

Intravenous Leiomyomatosis Presenting as Recurrent Syncope
Intravenous leiomyomatosis is a rare proliferation of histologically benign smooth muscle cells within the venous system, whose etiology has been postulated to result from vascular invasion of a uterine leiomyoma.
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04/06/2009: Radiology Rounds

Evaluation of Pelvic Floor Dysfunction by Defecography
Defecography is a dynamic fluoroscopy examination that is valuable for patients with pelvic floor disorders, primarily constipation and certain forms of fecal incontinence.
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04/06/2009: Cardiovascular Images

New-Onset Chest Pain
LMCA (left main coronary atresia) is a rare coronary anomaly in which there is no left main ostium, and the proximal left main trunk ends blindly.
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03/02/2009: Radiology Rounds

Surveillance Imaging for Inherited Cancer in Pediatric Patients
Targeted imaging surveillance is often necessary to detect developing cancers in the early stages to maximize treatment benefits and survival. Ultrasound and MR are the primary imaging modalities used for surveillance
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03/02/2009: Cardiovascular Images

Cardiac Arrest While Walking in the Park
Cardiac CTA was useful in excluding coronary anomalies or cardiomyopathies, and led to a surprising diagnosis.
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02/02/2009: Radiology Rounds

Incidental Adrenal Nodules
All incidentally detected adrenal nodules need clinical evaluation and laboratory tests for hormonal secretion. Adrenal protocol CT has a high sensitivity for differentiating between benign and malignant masses.
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02/02/2009: Cardiovascular Images

51 Year Old Man with a Left Ventricular Apical Mass
Left ventricular apical aneurysm can be a sequela of myocardial infarction, most commonly from anterior wall myocardial infarction, occurring in up to 40% of these patients.
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01/05/2009: Radiology Rounds

Update on Image Guided Ablation of Liver Tumors
In certain cases, percutaneous image-guided ablation may be considered for biopsy-confirmed hepatocellular cancer (HCC) and for colorectal cancer (CRC) metastases.
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01/05/2009: Cardiovascular Images

Bacterial Pericarditis with a Distal RCA Pseudoaneurysm
While coronary angiography has traditionally been considered the gold standard for evaluation of coronary artery aneurysms, coronary CT angiogram (CTA) has emerged as a reasonable alternative.
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11/03/2008: Radiology Rounds

Uterine Artery Embolization
Uterine artery embolization (UAE) is recognized as a Level A (based on good and consistent scientific evidence) treatment option for the management of leiomyomas in carefully selected patients.
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11/03/2008: Cardiovascular Images

35 Year-old Woman Presenting with Dyspnea and Chest Pain
This case demonstrates the complimentary information offered by the multimodality workup of a rare myocardial tumor.
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10/06/2008: Radiology Rounds

CT Perfusion Imaging and Oncology
CT perfusion, which evaluates blood flow, blood volume, mean transit time, and vascular permeability from dynamic changes in contrast enhancement, has been used for stroke evaluation and has an emerging role in the evaluation of tumor angiogenesis.
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10/06/2008: Cardiovascular Images

Left Atrial Appendage Mixing Artifact Vs. Thrombus
64-detector-row CTA is a noninvasive and sensitive modality for detecting thrombi in the left atrial appendage of stroke patients.
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09/01/2008: Radiology Rounds

Imaging for Pre-Transplant Evaluation of Living Donor Liver Transplantation
Imaging, including CT and MR, as well as 3-D post-processing, plays a vital role in assessing the suitability of a potential donor for transplantation and for planning surgery.
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09/01/2008: Cardiovascular Images

WATCHMAN Device is on the Watch
Preliminary data suggests that LAA occlusion with a WATCHMAN System is safe and feasible, and cardiac CTA is an excellent modality to assess the integrity of the WATCHMAN device.
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08/04/2008: Radiology Rounds

Percutaneous Image-Guided Thermal Ablation of Renal Tumors
Three image-guided ablation therapies are in use at MGH: radiofrequency ablation, cryoablation, and microwave ablation; selection among these is dependent on tumor- and patient-specific factors.
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07/07/2008: Radiology Rounds

Dual Energy CT for Renal Stones
Multidetector CT (MDCT) scanning using two energy levels, 80kVp and 140kVp MDCT can be used to characterize renal stone composition prior to treatment.
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06/02/2008: Radiology Rounds

MRI for Prostate Cancer
MR imaging can be used for prostate cancer detection and is commonly recommended if cancer is suspected despite negative transrectal US and biopsy findings.
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06/02/2008: Cardiovascular Images

48 Year-Old Woman with a Left Main Coronary Artery (LMCA) Stent and Much More...
Dual source coronary CT represents a valuable non-invasive imaging tool capable of providing surveillance of LMCA stents and can also elucidate other important findings in a single examination.
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05/05/2008: Radiology Rounds

CT Colonography
The American Cancer Society recommends CT colonography (CTC) every 5 years as a screening option for asymptomatic adults who are at average risk of developing colorectal cancer starting at age 50.
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05/05/2008: Cardiovascular Images

Young Man with Chest Pain and Positive Cardiac Enzymes
Our case illustrates that CMR is an attractive clinical imaging modality for the non-invasive diagnosis of myocarditis.
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04/07/2008: Radiology Rounds

Dual Source CT for Cardiac Imaging
Dual source CT has very high temporal and spatial resolution, making it possible to freeze cardiac motion and obtain diagnostic quality images of the coronary arteries regardless of heart rate.
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04/07/2008: Cardiovascular Images

26 Year-Old Woman Presenting with Exertional Chest Tightness and Arm Discomfort
Multidetector CT is an excellent noninvasive tool, in the long-term follow-up of symptomatic patients with giant coronary aneurysms.
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03/03/2008: Radiology Rounds

Interventional Treatments for Ischemic Stroke
Interventional endovascular therapies, including intra-arterial thrombolysis, mechanical disruption (thromborhexis) and clot removal (thrombectomy) offer alternatives to recombinant tissue plasminogen activator (tPA) in the treatment of proximal occlusions.
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03/03/2008: Cardiovascular Images

54 Year-Old Man with an Abnormal Nuclear Stress Test
This case demonstrates the unique ability of CT angiography to easily and definitively define the inter-arterial course of the RCA originating from the left coronary cusp.
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02/04/2008: Radiology Rounds

Minimizing CT Radiation Dose
Dedicated CT protocols are in place to minimize pediatric radiation exposure. Other strategies for minimizing radiation include avoiding unnecessary CT examinations, utilizing alternate modalities when appropriate, and using state-of-the-art CT dose reduction technologies.
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02/02/2008: Cardiovascular Images

Muscular Ventricular Septal Defect (VSD)
This case illustrates the potential of cardiac CT to not only definitely exclude or rule in the presence of coronary anomalies, fistulas or myocardial bridges, but also to quantify ventricular function and to detect structural abnormalities.
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01/07/2008: Radiology Rounds

Cerebral Aneurysms
CT angiography with post processing to create 3-D and maximum intensity projection (MIP) images is an excellent non-invasive method to diagnose aneurysms, while endovascular repair (coiling) offers an alternate treatment to craniotomy and clipping.
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01/07/2008: Cardiovascular Images

49 Year-Old Woman with New-Onset Exertional Dyspnea and Chest Pain
This case demonstrates the unique power of multi-detector CT to demonstrate not only the length but also the depth of a myocardial bridging segment.
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11/05/2007: Radiology Rounds

Multidetector CT for the Diagnosis of Acute Mesenteric Ischemia
CT angiography which is comprised of noncontrast, arterial phase, and venous phase multidetector CT acquisition, has a sensitivity of about 94% for the diagnosis of mesenteric ischemia.
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11/05/2007: Cardiovascular Images

Cardiac Sarcoidosis Imitating Arrhythmogenic Right Ventricular Dysplasia
Cardiac MRI and PET scanning together confirmed the diagnosis and extent of cardiac sarcoidosis.
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10/01/2007: Radiology Rounds

Image-Guided Pain Management, Part 2: Steroid/Anesthetic Injections for Musculoskeletal Pain
Image-guided injection of a short-acting anesthetic and anti-inflammatory steroid can be useful in the management of patients with pain that has not resolved after conservative therapy.
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10/01/2007: Cardiovascular Images

Recurrent Scapular Pain in Elderly Woman with History of Coronary Artery Disease and Hypertension
The assessment of myocardial perfusion by cardiac MDCT suggests that a comprehensive evaluation of morphology, function, and perfusion can be achieved with a single study.
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09/03/2007: Radiology Rounds

Image-Guided Pain Management, Part 1: Celiac Plexus Block for Palliative Pain Relief
When opioid narcotics are no longer effective or their side effects become intolerable, celiac axis block can be an effective palliative method for minimizing pain from large infiltrating pancreatic tumors.
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09/03/2007: Cardiovascular Images

Densely Calcified Pericardium in a Patient with Previous Tuberculosis
A 64-slice retrospectively ECG-gated contrast-enhanced cardiac CT was performed prior to proceeding with coronary artery bypass grafting. The imaging study revealed severe coronary artery disease.
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08/06/2007: Radiology Rounds

Selective Internal Radiation Therapy (SIRT)
Selective Internal Radiation Therapy (SIRT) is an FDA approved treatment for liver metastases from colorectal cancer.
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07/02/2007: Radiology Rounds

Radiofrequency Ablation of Lung Tumors
Radiofrequency ablation (RFA) is a minimally invasive therapy for biopsy-proven lung tumors in patients who are not surgical candidates due to medical conditions.
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06/04/2007: Radiology Rounds

Nephrogenic Systemic Fibrosis
Nephrogenic systemic fibrosis is a newly discovered disease that has been associated with the use of gadolinium-based MRI contrast agents in patients with severe renal disease, most commonly those on dialysis.
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05/07/2007: Radiology Rounds

When to Select PET/CT versus Stand-Alone PET
PET and CT are complementary imaging techniques that, when used in conjunction with one another, have better diagnostic accuracy than either technique alone.
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04/02/2007: Radiology Rounds

New Guidelines for Breast MRI
In March 2007, the American Cancer Society (ACS) published new guidelines for breast screening with MRI, recommending the exam annually for women with certain risk factors and for women newly diagnosed with breast cancer.
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03/05/2007: Radiology Rounds

Incidentally Detected Adnexal Masses
An algorithm to evaluate adnexal masses with imaging is presented. The goal is to identify patients with definitely benign lesions from those that require further clinical evaluation for ovarian cancer.
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02/05/2007: Radiology Rounds

Contrast-Media Induced Nephropathy and Diagnostic CT
Predisposing factors for iodinated contrast media induced nephropathy (CIN) include chronic renal insufficiency, diabetes, dehydration, congestive heart failure, nephrotoxic medications, and age > 70 years.
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01/01/2007: Radiology Rounds

Evaluation of Renal Masses
Small renal masses are now commonly detected incidentally during US, CT, or MRI examinations for non-urologic indications. CT and MR imaging techniques can differentiate between benign and malignant lesions.
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11/06/2006: Radiology Rounds

Vertebral Osteomyelitis
Vertebral osteomyelitis accounts for 2-4% of all cases of bone infection and is most often found in men over 50 years. This article compares the use of different imaging modalities in diagnosing the condition.
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10/02/2006: Radiology Rounds

Neuroimaging for Headache
The overall yield of neuroimaging studies for headache without accompanying neurologic abnormalities is low. This article presents the algorithm used to determine when imaging is appropriate and what modality should be used.
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09/04/2006: Radiology Rounds

Percutaneous Image-Guided Breast Biopsy
Image-guided biopsy is indicated for both palpable and non-palpable breast lesions suspicious for malignancy and is a cost-effective procedure that reduces the number of surgeries.
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08/07/2006: Radiology Rounds

Evaluating Pulmonary Nodules
A detailed guideline algorithm for the management of pulmonary nodules found on chest x-ray or CT is presented.
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07/03/2006: Radiology Rounds

Adrenal Masses
Most non-functional adrenal masses can be definitively characterized with CT; functional masses are best diagnosed by clinical examination and laboratory testing.
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06/05/2006: Radiology Rounds

Osteomyelitis and the Diabetic Foot
A definitive diagnosis of osteomyelitis is made with bone biopsy and subsequent examination by histology and microbiology. Imaging is often used as an aid to diagnosis in patients who can't undergo the invasive biopsy procedure.
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05/01/2006: Radiology Rounds

Aortic Aneurysms
Abdominal aneurysm size can be measured with ultrasound imaging in most patients; thoracic aortic aneurysm size is best measured with CT.
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04/03/2006: Radiology Rounds

Neuroimaging for Dementia and Alzheimer's Disease
Data supports either CT or MRI under most circumstances at the time of initial dementia assessment to identify rare pathologies such as neoplasms or subdural hematomas.
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03/06/2006: Radiology Rounds

Imaging for Male Infertility
Ultrasound is the imaging modality of choice because it can adequately demonstrate all the essential parts of the male reproductive system.
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02/06/2006: Radiology Rounds

Pulmonary Mycobacterium Avium-Intracellulare Infections in Women
Imaging plays an important role in the diagnosis of MAC infection and the criteria for diagnosis includes certain radiographic findings on chest CT examination, plus microbiological evidence.
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01/02/2006: Radiology Rounds

Imaging for Diagnosis of Appendicitis
Appendiceal CT allows for rapid and accurate diagnosis of appendicitis, eliminating unnecessary appendectomy and/or hospitalization for observation.
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11/07/2005: Radiology Rounds

Cystic Pancreatic Lesions
Multi-detector CT and MRI can help classify cystic pancreatic lesions by morphology into four sub-types, unilocular cysts, microcystic lesions, macrocystic lesions, and cysts with a solid component.
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10/03/2005: Radiology Rounds

When Should Breast MRI Be Used?
Women at high genetic risk for breast cancer or with ≥2 first degree relatives with breast cancer may benefit from MRI screening.
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09/05/2005: Radiology Rounds

Imaging Evaluation of Knee Pain
For knee pain evaluation, an initial radiographic (X-ray) examination should be ordered and MRI is only indicated for evaluation of pain without mechanical symptoms if unexplained pain persists for 3-6 weeks.
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08/01/2005: Radiology Rounds

Bone Density and Osteoporosis
Screening for low bone-mineral density (BMD) is appropriate and, as pointed out in a recent report of the Surgeon General, may prevent many osteoporotic fractures.
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07/05/2005: Radiology Rounds

Imaging and Obese Patients
In addition to increasing risk for the development of chronic disease, obesity is a limiting factor in radiology used in all aspects of medical diagnosis and treatment. These limitations include both logistical and image quality issues.
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06/06/2005: Radiology Rounds

Nuclear Cardiology Stress Tests for Coronary Artery Disease
Discusses the use of Myocardial Perfusion Imaging SPECT (MPI SPECT), Stress Myocardial Perfusion Imaging SPECT, and Myocardial Perfusion Imaging PET (MPI PET).
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05/02/2005: Radiology Rounds

Diagnosis of Lower Extemity Deep Vein Thrombosis
Ultrasound, CT venography, and MR venography may all come into play for the diagnosis of DVT in the lower extremities.
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04/04/2005: Radiology Rounds

Ultrasound in the Evaluation of Abnormal Vaginal Bleeding
Saline infusion sonohysterography (SIS) is a very sensitive ultrasound technique for detecting focal lesions because a small volume of saline (<20 ml) is used to distend the uterine cavity in order to improve visualization of the endometrial surface.
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03/07/2005: Radiology Rounds

Management of Thyroid Nodules
The detection rate of thyroid nodules has increased dramatically because they are common incidental findings during carotid ultrasonography as well as MRI and CT images of the neck and thorax, ordered for a variety of diagnostic purposes.
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02/07/2005: Radiology Rounds

MRI Safety
MRI is generally regarded as a very safe imaging modality since it does not use ionizing radiation and because toxic reactions to MRI contrast agents are very rare. However, cardiac pacemakers, implanted cardiac defibrillators, otic/inner ear/cochlear implants, and metal fragments in the eye contraindicate MRI.
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01/03/2005: Radiology Rounds

Screening for Hepatocellular Cancer in Cirrhotic Patients
Ultrasound imaging and monitoring blood concentrations of alpha-fetoprotein are recommended for screening for hepatocellular cancer. If ultrasound images detect a lesion or if the liver echotexture is heterogeneous, MRI is recommended for further evaluation.
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11/01/2004: Radiology Rounds

Renal and Lower Extremity Contrast-Enhanced MR Angiography
Renal/abdominal MR angiography (MRA) is a sensitive method for detecting stenoses in renal arteries as well as vascular abnormalities in other abdominal arteries; run-off MRA is a sensitive method for detecting stenoses and aneurysms in the iliac, femoral, popliteal, and crural arteries.
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10/04/2004: Radiology Rounds

CT and MR Imaging for Evaluation of Acute Stroke
CT and MR imaging now play a significant role not only for diagnosis but also for assessing the volume of ischemic damage and amount of residual perfusion. This data, although still under investigation, plays a role in decision making on whether it is appropriate to give the patient thrombolytic treatment.
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09/06/2004: Radiology Rounds

Percutaneous Radiofrequency Ablation of Tumors in the Liver and Kidney
Percutaneous radiofrequency ablation (RFA) may be considered for biopsy-confirmed tumors that cannot be resected or when patients are not good candidates for surgery. RFA is most effective for tumors <2.5 cm diameter positioned away from large blood vessels and vital structures.
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08/02/2004: Radiology Rounds

Coronary CTA
Coronary angiography remains the “gold-standard” for evaluating coronary artery disease. Coronary CTA is a non-invasive alternative to angiography for some patients.
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07/05/2004: Radiology Rounds

Evaluating Pulmonary Nodules
An algorithm aids in the selection of CT, PET, and needle biopsy for evaluating potentially cancerous pulmonary nodules.
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06/07/2004: Radiology Rounds

Magnetic Resonance Cholangiopancreatography (MRCP)
Compared with ERCP (endoscopic retrograde cholangiopancreatography), MRCP is a less costly, non-invasive, and sensitive technique for evaluating the biliary and pancreatic ductal systems.
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05/03/2004: Radiology Rounds

PET/CT for Tumor Imaging
Combined PET/CT scanning is now available at Mass General. In cases where both PET and CT are needed, PET/CT offers the advantages of convenience for patients and superior co-registration of images.
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04/05/2004: Radiology Rounds

Screening for Developmental Hip Dysplasia
Radiological imaging can be a valuable adjunct to the physical examination for hip dysplasia and as a means of monitoring treatment.
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03/01/2004: Radiology Rounds

Vertebroplasty
Vertebroplasty can provide pain relief and prevent further collapse of fractures that do not heal naturally. Patient selection is the critical factor in achieving treatment success.
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02/02/2004: Radiology Rounds

Risks From Ionizing Radiation in Pregnancy
Maternal health risks must dictate the need for radiation-based medical imaging during pregnancy, as exposure to ionizing radiation associated with most radiological examinations is substantially lower than that required to produce adverse effects.
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01/05/2004: Radiology Rounds

When is Imaging Helpful for Patients with Back Pain?
In the vast majority of cases, acute back pain is a self-limited condition that resolves with analgesic treatment and activity modification. The challenge is to identify red flags that would distinguish patients who should have a more intensive work-up.
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12/01/2003: Radiology Rounds

Uterine Fibroid Embolization
Several studies have demonstrated that uterine artery embolization is a safe and effective treatment for fibroids of any size that compares favorably with the alternative treatments, hysterectomy or myomectomy.
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11/03/2003: Radiology Rounds

Urinary Tract Imaging
Multidetector CT imaging has become the gold standard for the diagnosis of urinary tract calculi, the investigation of hematuria, and the characterization of renal masses and has largely replaced both plain film excretory urography and ultrasound examinations for these purposes.
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10/06/2003: Radiology Rounds

Minimizing Adverse Reactions to Contrast Agents
Although significant adverse reactions to iodinated contrast agents are rare, they justifiably arouse concern among patients, referring physicians, and radiologists. This article presents information on risk factors and protocols for minimizing adverse reactions.
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09/01/2003: Radiology Rounds

Headache - When is Neuroimaging Needed?
Based on the accumulated evidence, screening patients with isolated headache by CT or MRI is generally not warranted. This article presents guidelines for recognizing the instances where such scanning is necessary.
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08/04/2003: Radiology Rounds

Screening Mammography - Who Needs It? What are the Benefits?
Several very rigorous studies have directly demonstrated the benefit of mammographic screening in women over 40 and there has been a 20% drop in the death rate due to breast cancer since 1990, which can be directly attributed to screening mammography.
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07/07/2003: Radiology Rounds

Diagnosis of Pulmonary Embolism
Up until recently, patients with suspected pulmonary embolism were most commonly referred for ventilation/perfusion (V/Q) lung scanning. CT pulmonary angiography (CTA) is an alternate and now frequently used method of visualizing perfusion for the diagnosis of pulmonary embolism.
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05/30/2015: Intensive Review in Diagnostic Neuroradiology: 2015

The educational objective of this intensive two-day course is to provide a comprehensive, focused review of the of the basic and advanced principles of clinical diagnostic neuroradiology.

04/07/2015: Radiology Update: 2015

An intensive review of radiology through a series of lectures and case review sessions.

11/03/2014: Chest Imaging: 2014

In this course, faculty from Harvard Medical School, Massachusetts General Hospital and other institutions present sessions on imaging in lung cancer, interventional radiology in the chest, interstitial lung disease, vascular and cardiac diseases as well as mediastinal pathologies, airways diseases, pulmonary nodule evaluation, pulmonary infections and methods or radiation dose reduction.

10/25/2014: Interventional Radiology Symposium 2014

The goal of the Interventional Radiology Symposium at Massachusetts General Hospital is to introduce current medical students to the innovative, minimally invasive, and clinically oriented field of interventional radiology.

09/15/2014: Neuroradiology Post Graduate Course: 2014

In this course, faculty from Harvard Medical School, Massachusetts General Hospital and other institutions review the acquisition and interpretation of structural and functional neuroimaging studies.

06/26/2014: Sports Medicine: 2014

This course focuses on advances in Sports Medicine and is designed for multidisciplinary learning.

04/25/2014: Imaging Biomarkers in Clinical Trials: Current Practice & Future Trends

In this program, we will review the current practice of imaging biomarkers in clinical trials in oncology. Additionally, we will highlight advanced imaging techniques that have potential as surrogate biomarkers.

An advanced cardiac CT scanner

Physicians at the Massachusetts General Hospital Heart Center use leading-edge technology to identify possible cardiac abnormalities.

Celebrating 200 Years: 1811 - 2011

Since 1811, people have counted on Mass General for answers, innovations and medical leadership. As our third century dawns, we remain ready to serve.

3D Mammography

Pioneered and now available at Mass General Imaging, 3D mammography, also known as breast tomosynthesis, provides a clear view through overlapping layers of breast tissue in order to improve breast-cancer detection while reducing callbacks.

Images of Imaging: CT (computed tomography)

Get an inside look at CT exams at Mass General Imaging. Learn about CT technology, the professionals who guide patients through the exam process, and the specialty-trained radiologists who interpret every scan.

Images of Imaging: MRI (magnetic resonance imaging)

Learn about MRI exams at Mass General Imaging. See what MRI scanners and images look like, understand MRI safety, and learn about the specialty-trained radiologists who interpret every scan.

Images of Imaging: Nuclear medicine

Learn about nuclear medicine exams at Mass General Imaging. See what nuclear medicine scanners and images look like, what to expect from the exam process, and the key role played by our specialty-trained radiologists.

Webster Center takes on radiation-dose reduction

Dr. James H. Thrall, Department of Radiology chairman emeritus, discusses The Webster Center for Advanced Research and Education in Radiation, a unique research effort dedicated to reducing radiation dose for every exam Mass General Imaging performs.

Radiation reduction: Our ongoing commitment

As CT (computed tomography) technology has transformed the practice of medicine, Mass General Imaging has dedicated itself to making sure each exam exposes the patient to the lowest achievable amount of radiation. Department of Radiology Chairman Emeritus James H. Thrall, MD, discusses our decade-long commitment—and our success—regarding this issue.

Decision tools support radiation-reduction efforts

One effective way to reduce radiation exposure is to avoid unnecessary exams. That's why Mass General Imaging has been a leader in developing software tools that guide referring physicians by not only making sure the selected exam matches the patient's needs but also suggesting radiation-free alternatives when appropriate.

Imaging specialists, focused on you

Each radiologist at Mass General Imaging is a specialist in a particular area of the body. Department of Radiology Chairman Emeritus James H. Thrall, MD, explains how patients benefit from the additional specialty training our physicians have completed.

Imaging technology enables non-surgical treatments

Department of Radiology Chairman Emeritus James H. Thrall, MD, explains how the ability to see deep inside the body has driven the development of minimally invasive methods of treatment—a trend in which Mass General Imaging has played a key role.

Jonathan Friedstat, 2012 Mass General Marathon Team Runner

As a burn and critical care fellow at Mass General, Jonathan has worked closely with MGHfC staff. Why is he running to raise money for pediatric cancer care and research? “None of these kids asked for this problem, and neither did their families."

Delva talks about why she chose UFE

A patient whose life was regularly disrupted by fibroids, Delva Campbell decided to take action and opted for UFE (uterine fibroid embolization).

Melissa talks about struggling with fibroids

Melissa Leverett King is an active mom and teacher who lived with limiting discomfort and pain until she got treated for fibroids with UFE (uterine fibroid embolization).

Vascular: Bilateral grafts from the chest to the pelvis

Volume rendered 3D rotation to demonstrate bilateral grafts from the subclavian arteries to the iliacarteries.

GI / GU: CT bilary tract

3D CT MIP rotation to demonstrate the biliary tract for pre-surgical planning of potential liver donor patients.

Chest: Chest with broken ribs

3D volume rendered model of the chest wall, scapulae removed to demonstrate broken ribs.

Vascular: CT angiography (CTA) for aortic dissection

3D Volume rendered rotation to demonstrate an aortic dissection.

Vascular: CT pulmonary veins with stents

3D volume rendered lateral rotation of the pulmonary veins used in the treatment planning of atrial fibrillation.

Vascular: CT pulmonary veins with stents tumble views

3D volume rendered downward rotation of the pulmonary veins used in the treatment planning of artrial fibrillation.

Neuro: CT venogram (CTV) of the head

3D MIP rotation of the head with the skull bones removed to demonstrate the cranial venous vasculature. Used in the assessment of venous sinus thrombosis.

Orthopedics: Knee fracture

3D volume rendered rotation of the entire knee to demonstrate a complex tibial fracture.

Oral Maxillofacial Surgery: Facial tumor

3D volume rendered model of the face to demonstrate bone tumor.

Vascular: Heart with coronary artery bypass grafts (CABG)

Coronary CT angiography with two grafts. Left internal mammary artery to the left anterior descending artery and saphenous vein graft to the right coronary artery.

Chest: CT virtual bronchoscopy

Three-dimensional virtual bronchoscopy used in the assessment of tracheomalacia.

Orthopedics: Entire pelvis with fracture

3D volume rendered downwards rotation of the pelvis to demonstrate a right acetabular fracture.

Orthopedics: Pelvis fracture with right femur removed

3D volume rendered downwards rotation of the pelvis with the right femoral head removed to demonstrate an acetabular fracture.

Orthopedics: Scapula and humerus fractures

3D volume rendered batch rotation of the shoulder joint to demonstrate scapula and humerus fractures.

Orthopedics: Tibia with fracture

3D volume rendered rotation of the tibia with tibial plateau fracture.

Orthopedics: Ankle joint

3D volume rendered rotation of a normal ankle joint.

A Mass General breast cancer patient overcomes her challenges

Blind since birth, Lil had difficulty getting to medical appointments including annual mammograms. With help from a patient navigator, she learned to overcome the many challenges she faced with a breast cancer diagnosis.

An opera singer overcomes infertility

Painful fibroids kept opera singer Denyce Graves from conceiving. With the help and expertise of John Petrozza, MD, director of the Division of Reproductive Medicine and In Vitro Fertilization and co-director of the Mass General Fibroid Program, she gave birth to a baby girl. "He was the most hopeful of all the doctors I'd seen," she said.

Epilepsy: The Road to a Cure

A young man's quest to find a cure for his epileptic seizures takes him on a journey from Albania to Boston.

Mass General West Imaging doubles MRI capacity

Mass General West Imaging in Waltham has doubled its MRI capacity with the addition of a new scanner. Take a tour of the new space from a patient's perspective.

Breast tomosyntehsis gains momentum

Learn more about breast tomosynthesis in this podcast featuring Mass General staff radiologist and Harvard Medical School instructor Phoebe Freer, MD. Courtesy of Harvard Medical Labcast, March 2012, Harvard Medical School Office of Communications and External Relations

patient

Discover the Imaging patient experience

Mass General offers specialty-trained radiologists, leading-edge technology and a caring staff that's committed to patient safety and comfort.

patient

Schedule an exam at Mass General Imaging

Find scheduling information for patients and referring physicians.

patient

Radiation safety

Learn how Mass General Imaging works to increase patient safety by reducing radiation exposure.