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JTI Blog
Current events in cardiopulmonary radiology, updates about the journal’s web site features, and links to other web sites of interest to cardiopulmonary radiologists.
Friday, January 23, 2015
In celebration of the 30th anniversary of JTI, we asked 30 international cardiothoracic radiologists to share their personal perspectives on the most influential JTI publications from the past 30 years.  Their perspectives are revealed in the “30-on-30” feature in this issue of JTI. You may access all of the venerable articles that they have cited in a new 30th anniversary collection on the journal’s website.
 
Please share your personal selection of the most influential JTI publication by posting a comment on our blog, or by sending a message on Twitter followed by hashtag #JTI30on30. We look forward to hearing your personal perspectives and to celebrating this important milestone for the journal together!
Resources:
Volume 30 Issue 1

Friday, January 23, 2015

In celebration of the 30th anniversary of JTI, we asked 30 international cardiothoracic radiologists to share their personal perspectives on the most influential JTI publications from the past 30 years. Their perspectives are revealed in the “30-on-30” feature in this issue of JTI. You may access all of the venerable articles that they have cited in a new 30th anniversary collection on the journal’s website.

Please share your personal selection of the most influential JTI publication by posting a comment on our blog, or by sending a message on Twitter followed by hashtag #JTI30on30. We look forward to hearing your personal perspectives and to celebrating this important milestone for the journal together!


Wednesday, January 14, 2015

The American College of Radiology (ACR) has released a draft of its Lung Cancer Screening Registry data elements.  The ACR is currently developing a lung cancer screening data registry in response to CMS’ proposed requirements for coverage of low dose CT lung cancer screening.

 

ACR is building this registry on the backbone of other ACR registries and is applying to CMS to become an approved registry.  CMS’ final decision regarding lung cancer screening is expected in February 2015, at which time the final required data registry elements should be posted.

 

Please visit JTI's Lung Cancer Screening Corner to access to other lung cancer screening resources.

 

 


Monday, December 22, 2014

The January 2015 issue of JTI has been published online and in print. 2015 marks the 30th anniversary of the journal, and this issue features “30-on-30” in which 30 international cardiothoracic radiologists reflect on the most influential articles published in JTI in the past 30 years. Additionally, former Editor-in-Chief of JTI, Dr. Jeff Klein, has provided us with his reflections on JTI’s past 30 years.

This issue also includes a perspective article by Dr. Mark Parker and colleagues that focuses on the April 2014 decision by the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) to recommend against Medicare coverage for lung cancer screening. This thoughtful piece addresses MEDCAC’s concerns on a point-by-point basis. Since MEDCAC’s decision and the acceptance of this article, the Centers for Medicare & Medicaid Services has subsequently issued draft recommendations for lung cancer screening, although they differ somewhat from the U.S. Preventive Services Task Force (USPSTF) and have rather stringent requirements. Dr. Parker’s article is followed by a response from Diana Zuckerman, PhD, of the National Center for Health Research. These two articles together should encourage the reader to think more about lung cancer screening and how we as a society should consider screening in this changing era of healthcare reform and emphasis on population health.

Also in this issue of JTI is a review article entitled “Developmental Lung Malformations in Children: Recent Advances in Imaging Techniques, Classification System, and Imaging Findings”. This article by Dr. Paul Thacker and colleagues is available for 1.0 self-assessment CME (SA-CME) credits, which can be applied to the American Board of Radiology’s Maintenance of Certification program as well as local licensure requirements. Complementing Dr. Thacker’s article is a review article by Dr. Beatrice Trotman-Dickenson entitled “Congenital Lung Disease in the Adult: Guide to the Evaluation and Management”

Original research articles in this issue include two previously published ahead-of-print articles: “Detection of Pulmonary Embolism on Computed Tomography: Improvement Using a Model-based Iterative Reconstruction Algorithm Compared With Filtered Back Projection and Iterative Reconstruction Algorithms” by Dr. Seth Kligerman and colleagues and “70 kVp Computed Tomography Pulmonary Angiography: Potential for Reduction of Iodine Load and Radiation Dose” by Dr. Julian L. Wichmann, both of which were detailed in previous blog entries.


Thursday, December 11, 2014

Whenever I go to RSNA, I always come back home with a renewed appreciation for how much better many people dress than I do. I used to cite economics (poor resident/fellow excuse) as a point of rationalization, but even now, I still see a discrepancy between what I wear and those who are most fashionable. As I was getting ready for my first day of work after RSNA, this got me thinking--what is appropriate work attire? A typical outfit for me is a button down shirt with rolled up sleeves, dress pants or khakis, and non-sneaker shoes; no white coat. My impression is that they would send me home to change on the east coast while being practically over-dressed in the Pacific Northwest. This is sort of assessment is completely speculative, however.

Really, the question is how does one define “appropriate?” If one is concerned about reducing the spread of infection in the hospital, ties should be banned, white coats should be abolished, and you should not wear anything below the elbows (1). Unfortunately, even I know that the short-sleeved shirt look in the hospital setting is somehow not quite right. This look would clearly not fly in most medical centers of the world. Perhaps we should cater to what patients want? Studies have show that they tend to want formal attire (shirt and tie) and white coats but do not base their level of satisfaction on these things (1) . Moreover, they are amenable to less formal attire from their physicians if they are educated on the rationale behind not wearing ties or white coats. Items universally deemed inappropriate by patients include jeans, shorts, and open-toe shoes. I would include t-shirts, cargo pants, and sneakers; but this is coming from someone who spent his whole residency in scrubs, khakis, a pullover, and clogs.

In the end, what one wears might be most important to his/her own state of mind. In a previous blog, I discussed the idea of enclothed cognition (“Dressing for Success”), essentially, this theory states that what one wears can actually affect performance through influence of psychological processes. If wearing a white coat (disease infested as it may be), can actually improve clinical performance, then it makes sense to wear it. If wearing a suit makes one more confident, decisive, and a better leader for his/her clinical team, then this should be the apparel of choice. For what it’s worth, I wore a blazer to work (no tie; they are disgusting fomites) the last couple days. I don’t know if it made me a better doctor, but it did get me a few compliments, which is better than nothing.

1. Bearman G, Bryant K, Leekha S, Mayer J, Munoz-Price LS, Murthy R, Palmore T, Rupp ME, White J. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol. 2014 Feb;35(2):107-21

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Journal of Thoracic Imaging
Current events in cardiopulmonary radiology, updates about the journal?s web site features, and links to other web sites of interest to cardiopulmonary radiologists.