Radisphere Radiology

A Sheridan Company

More tests help emergency doctors sleep at night

If emergency department (ED) physicians could spend less time thinking about getting sued, they might order fewer radiology tests for their patients.

The practice of defensive medicine—where clinicians order testing or make referrals primarily to avoid litigation—is prominent in every service line and clinical setting. Ordering imaging in the ED is no exception.

In 2006 the Massachusetts Medical Society found that ED physicians had high rates of ordering scans for defensive purposes: X-rays at 23 percent; CT scans at 30 percent; MRIs at 19 percent; and ultrasound tests at 19 percent. All told, defensive medicine cost the state of Massachusetts $281 million in 2006, with imaging across the ED and other specialties accounting for $181 million. While reliable estimates are scarce, according to one study the annual costs of defensive medicine in the United States may exceed $45 billion.

Inside and outside the ED, patients are being overexposed to radiation. “Many physicians have given up the stethoscope and physical exam in favor of an echocardiogram and a CT scan,” says Kevin Campbell, MD, a cardiologist at Wake Heart and Vascular in North Carolina. Campbell notes a CT scan is nothing to take lightly: “The survivors of the atomic blasts in Japan were exposed to the equivalent radiation to two CT scans.”

Aside from raising the risk of radiation-induced cancer, unnecessary tests often result in incidental findings that cause anxiety to patients and lead to more tests and spiraling medical costs. Further compounding the problem, in-patients who receive unnecessary tests are forced to stay in the hospital longer to await results, which heightens their risk for adverse events such as infection or falls.

In many cases fear of litigation drives tests that may be clinically necessary, but shouldn’t be conducted in the hospital. For example, Katie is being treated for pneumonia and then complains about a pain in her knee. After conquering the pneumonia, rather than keep Katie another night to get a knee MRI and wait for the results, the attending physician could discharge her from the hospital and refer her to a specialist for imaging. The goal should be to get Katie out of the hospital at the appropriate time while ensuring she receives needed treatment. But often, defensive medicine leads to just the opposite.

It would be easier to combat defensive imaging if everyone’s priorities were aligned, but that’s not the case. Insurers are the only ones clearly motivated to reduce imaging overuse (one study found that $8.2 billion could have been saved in one year alone by eliminating redundant lab and radiology tests). Common sense would suggest most patients want to avoid unnecessary tests. But in fact, many patients demand imaging tests despite the doctor’s best advice. And in the current fee-for-service world, providers, especially hospitals, often are incentivized to give patients more of what they want.

Caught in the middle of these competing interests are harried ED physicians. “I find myself exasperatedly trying to talk patients out of the scans they think they need,” wrote a New Orleans ED physician in response to a New York Times article on imaging overuse. And a Toronto surgeon suggested how being sure of diagnosis can easily trump doing what’s right: “The more evidence a physician has to prove that a diagnosis was not missed, the sounder he or she sleeps at night.”

Combatting defensive medicine in radiology will require work on many fronts. While some stakeholders are focusing on tort reform, the Choosing Wisely campaign is educating patients on the benefits and risks of tests and how to discuss imaging decisions with doctors.

But real change will come about only when health systems apply a standard to radiology care and incentives are aligned to bring the full expertise of radiologists to bear. Radiologists are highly trained to know when and which types of scans to use in order to achieve an accurate diagnosis. They can help ED physicians make the right ordering decisions.

By enabling direct communication with radiologists and access to evidence-based guidelines 24 hours a day, health systems can ensure that ED physicians have expert diagnostic radiology advice at their fingertips. Having radiologists take on a more consultative role will protect patients from undue harm while helping ED physicians improve patient care—and at the same time reduce the chances for  litigation. Physicians will choose the best scan (which could be none at all) for optimum patient outcomes, and they’ll have the extra ammunition to say to patients, “These experts agree that you don’t need a CT scan.”

As the value-based care model gains traction in the United States, radiologists will be able to contribute more of their knowledge to improving patient care. And patients, more knowledgeable and better cared for, will be less likely to sue.

4 Ways Sporting Activities Enhance Good Health for Radiologists

Spending time on machines trying to check on your patients’ internal body parts the whole day requires a relaxing moment after work.

Radiographers need a high level of concentration to ensure they get everything right when it comes to body scans.

The prolonged sitting hours with minimal physical activity invites lifestyle illnesses. You don’t expect radiographer also to change positions to become a patient because of swollen feet.

 The best way to avoid such cases is to have a complete lifestyle change focusing on physical activities.

Any task that involves body movement is referred to as physical exercises. They help to enhance blood circulation throughout the body preventing anybody from inflammation.

However, despite all that, other lifestyle changes benefit a radiologist to complement sedentary life.

  • Eat healthy meals
  • Enroll in a workout activity
  • Practice work-life balance
  • Surround yourself with people with positive energy
  • Maintain a regular exercise schedule

4 Ways Sporting Activities Enhance Good Health for Radiologists

1. Table tennis

Most people play table tennis for fun, not knowing if its physical health benefits. It’s one game that stretches all the body parts.

As you hit the ball, your hands get the appropriate stretches. In response to your opponent’s action, you must exercise the lower limbs as you strive to hit back the ball.

It’s one game that exercises all the body parts. Digital technology came in handy for tennis players; when you lack an opponent while practicing, then the ping pong robot is your savior.

You set it based on the kind of game you want to achieve. As a radiographer, all you need is to purchase the table tennis equipment or a robot if you wish to a non-human opponent, and you are good to go.

 Also, you can choose to either play it as an outdoor or an indoor game.

2. Cycling

As an imaging expert looks away from an enclosed environment, then a touch of nature is a good option for sporting activity.

 It’s easy for a radiographer to add weight since the kind of work involves a lot of sitting with minimal body movement.

One of the simplest ways to relax the body and mind and maintain a healthy weight is cycling.

Apart from just the physical activity that promotes weight loss, cycling ignites your passion for exploration.

The interaction of nature gives a relaxing moment away from the conventional machines you use while in the kind of duty.

3. Swimming

Unless you have water phobia, swimming gives you a full-body workout ideal for your general well being.

Now that your body is fully suspended in water, you can’t feel the pain and strain familiar with other workout activities.

 It suppresses all the body aches; it explains why you can swim even when you have an injury and feels no soreness, thanks to 90 percent underwater body suspension while underwater.

Why should a radiographer try his hands in swimming?

  • Boosts energy levels to face yet another hectic day ahead
  • A simple way to exercise even after a hard day’s work
  • Promotes general good health for it reduces the risk of lifestyle illnesses
  • Releases stress, anxiety and depressions allowing a radiographer to get a good sleep and “feel good” experience

4. Taking walks

You may not value walking due to the hype people give workout exercises in the gyms. According to physiologists, walking for a long time is even a better and sustainable form of exercise than also running.

The last thing you expect a radiographer after handling many imaging tests is to engage in a strenuous workout, yet he needs to participate in physical activity.

The best option for him is to take long walks, either alone or with friends. Walking may not even be planned.

In a small way, you can skip the lifts, park your car in a remote place away from the parking lot to facilitate walking to the health facility or evening walks with family to bond and create healthy relationships.

It comes with numerous physical and mental benefits

  • Alleviates fatigue
  • Improves one’s mood
  • Less strenuous form of workout
  • Promotes weight loss with minimal strain]
  • Enhances endurance levels
  • Puts your posture to position
  • Enhances creativity levels

Naturally, as much as we love our job to improve our living, we shouldn’t compromise on our physical and mental health.

It’s essential to have a balanced life to giving you a fulfilling work-life balance. Your state of health is vital for even better jobs, so take good care of it through engaging in physical activity.

Your life should not just revolve around imaging and a health facility. What you do away from work dictates whether you are productive or not.

 What is your pass time as a radiographer? Do you focus on improving your physical health through sport?

If yes, then this article is of benefit to you. Similarly, if not, you now have an idea of what you need to do to maintain a healthy weight.

Generator and Pressure Washer: Non-Radiology Equipment That Radiology Clinics Should Invest In

 The moment you see a market gap in the health sector and you want to fill it, some equipment is necessary to support the idea. For example, when you are aspiring to open a radiology wing in your hospital then a pressure washer and a generator are non-radiology equipment but they are essential in the delivery of service. Remember this is a service industry and top-notch service is required. When you live in an area that has frequent blackouts and power shortages then it will harm your business.

This is the point you now need to have a plan B to make sure that your patients still get the service despite the challenges which are beyond your control. You can get some ideas for some reviews here www.bestcabinettablesaw.com/portable-solar-generator-reviews/. This is a hospital and cleanliness is paramount.

You need to also have a machine that will ensure the area is spotlessly clean to attract clients due to the positive word-of-mouth feedback. Read some features of pressure washers here: bestcabinettablesaw.com/gas-electric-pressure-washer-reviews/ that are ideal for a radiology clinic.

There are cases where the patients are in a critical condition and the treatment cannot continue simply because there is no power to run the radiology test. This is a point the backup generator comes in handy to save the situation. As a person, you will have all the peace and comfort knowing very well you had a machine that came in handy to save someone’s life. 

This is a business strategy such that people will prefer to get to your clinic for the simple reason that they will have service all the time despite the power challenges. Is it not a way of increasing your income?

There is no way you can compromise cleanliness especially in a hospital set up. A pressure washer is one machine that does the cleaning perfectly in that even the bacteria that may find their way to the clinic will be prevented. Your patients will have peace of mind knowing very well they will come out with no other illness. 

There are times the clinic may be too busy and yet you just need to clean. With the pressure washer then you are sure it will be done with minimal disturbance. Its main advantage is the fact that it is efficient and effective when it comes to the delivery of the cleaning services. You are in a world of business competition. You may be offering the same service but in what makes you stand out it the value-added service that you possess above the competition. When your radiology clinic is clean and tidy then it appeals to the eye and it is an effect that will not run away from the mind of the patients and visitor for a long time. This is how people maintain customer loyalty. Radiology clinics should invest in generators and pressure washers to enhance productivity in the industry.

Reasons Why Radiologists Should Invest In Steam Irons

Radiologists should always wear fresh clothes. They do some pivotal jobs in the medical field. Radiologists help to diagnose the patients through Radiology. Many patients trust them. Moreover, radiology is a part of the medical field. So, perfect clothing reflects their perfect skills. All types of imaging are associated with the radiology. MRI, X-ray, different types of scans are done by the Radiologists. It’s an important profession. If they don’t wear freshly ironed clothes, it may be harmful to their profession as it can affect the way how people see them as professionals.

Why Should Radiologists Invest In Steam Irons?
Steam iron has multiple benefits. It can iron the clothes within a very short period and it can iron the clothes perfectly.
Steam iron can benefit radiologists in several ways. All of its benefits are discussed below.

  1. Saves Time
    A medical field is a busy place. As a radiologist, you may have a very little time to it, our clothes. That’s why you should use a steam iron.
    Steam irons are not like traditional irons. It can iron your clothes within a very short time. You just have to follow some simple steps to iron your clothes. This will definitely save your time and you can do your job perfectly on time.
  2. Builds Impression
    Radiologists are part of the medical field. There are lots of people who trust them. So, they should always look perfect. The steam ironed clothes provide them with that perfect look. Steam irons keep them nice-looking. Apart from this, impressive clothes can build a good customer base. A steam iron never leaves any wrinkles on cloth. So, a radiologist will always look perfect. This perfectness may draw a good number of customer’s attention.
  3. Hygienic Steam irons can do more than ironing It can erase many types of dirt and calcium on clothes. These specks of dirt and the calcium are not good for any type of medical professions. If radiologists use the steam irons than they can make their clothes hygienic. Steam iron can also kill a good many germs by its heating technique. So, radiologists should definitely invest in a steam iron.
  4. Easy To Use
    Modern-day steam irons are really easy to use. The automatic temperature settings have made it easy to iron your clothes. There will be hardly any chance of burning your clothes. A radiologist runs many complex machines. So, to them it will be really easy to use the steams irons. Steam irons have different types of sensors and LED indicators. A radiologist may not have to waste his/her valuable time to iron his/her clothes.
  5. Non-Wrinkled Clothing
    When radiologists visit their clinics, they should appear with perfect clothing. Any type of wrinkled clothes can ruin their impressions. Steam irons have a great way of ironing the clothes. Steam iron has many pores. Steams come out from these pores and it makes the clothes crispy and tidy. There will be no wrinkles on a radiologist’s clothes. So. he/she can be busy all day maintaining his/her perfect clothing.

Steam iron is a true friend of a Radiologist. It can save their time and it can build their impression. Perfectly ironed uniforms can make a radiologist more credible. A radiologist should always have a steam iron to maintain his/her perfect image.

Easy to Cook Smoked Recipes For Radiologists

Radiology is a medical aspect that deals with body imaging and diagnosis of diseases that cannot be seen by the human being. A radiologist, on the other hand, is the person that deals with this diagnosis and treatment of such disease. These people are usually exposed to high amounts of radiation that usually possess a threat to their lives. An appropriate diet, on the other hand, is able to protect them from such harm that comes with this career. As for those who prepare their meals, it’s best if we prepare them delicious and healthy dishes so they can continue saving lives. It is undeniable that smoked dishes is one of the most favorite dishes of many people. What to cook in a smoker that can be easily cooked for radiologists?

Fruits and Vegetables
First in line are fruits and vegetables. And yes, some fruits and vegetables can be smoked instead of just eating it raw. In as much as the fact that fruits are boring is true. This diet might be the only thing that your radiologist needs so that he can keep his health in check and ensure that he is alive and healthy. The consumption of many vegetables and fruits is paramount for them. This is because most fruits and vegetables are sources of vitamins for their bodies. This component will also boost their immunity thereby keeping them alive. Taking in vast amounts of fruits will keep them healthy and active. So, it’s best to encourage our radiology doctors to take various vegetables and fruits. Smoking your vegetables, for instance, a cabbage will only take about between 45 to 60 minutes to be ready. Start now and put your veggies in your smoker for your radiologist.

Smoked fish
Taking in smoked fish is also another way to keep your radiologist well and to kick. This is because smoked fish contains various amounts of advantages such as getting rid of any bacteria that is in the fish. The fats in fish are preserved as they were and never get to grow a stale taste. This food will make your radiologist fall in love with your cooking lust because the fish will develop a sweet flavor. Apart from all this, you are probably wondering how it will help their bodies. This will be useful because the fish is an excellent source of cod liver oil. Cord live oil increase one’s brain power. You should also note that when preparing their meals it should be noted that their food should have numerous amounts of onions.

One risk of being a radiologist is that your body is usually exposed to radiation. This is generally dangerous to one’s health. To help such individuals keep. That’s why another excellent example of a smoked recipe for the Parsley. This is very useful and necessary for the detoxification of radiations that radiologist usually has with them or gather during their work time. Detoxification is essential for individuals who are frequently exposed to radiation. Excessive amounts of emissions (radiation) that are not attended to can lead to the development of cancer Therefore, failure to protect our radiologist by helping feeding detoxifying smoked food like smoked parsley could easily lead to their demise. So be sure to pass around by the market and carry with you some Parsley that you should prepare for them.

Radiation is usually harmful to radiologists ensuring that they eat well s those who prepare their food is our paramount responsibility. Smoked veggies, fish and others may be the only shield they have to avoid being infected with cancer due to their exposure to radiation.

How Radiology Can Help Table Tennis Athletes

Radiology is has been practiced by medical practitioners to identify the level of injuries in human anatomy using radiations. X-rays, ultrasound waves, gamma rays, nuclear magnetic resonance, and radioactive isotopes have been mostly used in radiology. This has led to great developments in the medical field making treatment of fractured bones very easy. Table tennis athletes can also benefit much from radiology as we shall see below.

Confirmation of correct diagnosis.
Table tennis is a game loved by many and played around the globe, there is also risk associated with it. Table tennis athletes may be injured by the tennis ball while playing. This may expose them to orthopedic injury. This can limit them from participating in this game if they are not properly attended to This is why radiology will be very important to them. With the correct image of the exact level of injury in their joints, a doctor will get to know the exact medication to prescribe for them. Thus there will be no signs of future problems since the exact problem shall have been cured completely.

Give a clear picture that can help management decide and plan when you can resume playing.
As a player under some medical attention, you may not be able to heal within the first days of your treatment. Because healing is a gradual process, you may feel okay just because you can walk or operate normally. The truth is you may still have an internal problem, let’s say your bones haven’t fully healed. If you go back to the game with this kind of problem, you can do more than harm to yourself. This is why the management will require you to undergo radiology so that they can get a clear picture of your healing process. Thus they can be able to give an accurate information on when you can resume playing your table tennis game.

Pre-participation assessments and screening.
All table tennis athletes need to be fully screened before they participate in the game. This can be very important so that someone with intense injuries may not take part in the game. Games play a very important part of our lives. You can be able to participate so that you can get some income for daily living or you can be playing table tennis for fun. But it’s not supposed to worsen your life. And as a result of this assessing and screening you before you play will help you and protect you’re from acquiring any further injuries.

Technical assistance when handling some procedures.
Orthopedic injuries may be acute, chronic or traumatic. There are some that will need extreme care if they are to be handled effectively. If table tennis athletes got some serious injuries while playing, then radiology can be very essential to them because it can be able to provide technical assistance when handling some treatment procedures. Some rays are not only to provide an inner picture of how our anatomy is but they can also help to help some injuries. If the athletes can start practicing playing table tennis, there might be some factors with the choices of tables playing that can help in keeping the athletes safe.

With this kind of ways in which radiology can help table tennis athletes, we believe that it has brought more benefit in the sports field as more players can enjoy playing and if they get any injury, then they can be examined for using this scientific imaging system for a better medication.

Taking A Shower After Radiology Test And Other Facts Related To Radiology

What is Radiology?
Radiology is a science where the excessive energy radiation is used for the treatment of disease. In a simpler term, it is actually a medical illustration by using ionizing radiation. The most common of all radiological procedures are x-ray, computed tomography, magnetic resonance imaging, and ultrasound.

The preparatory fact for any Radiology Test
For any test the diagnosis is to happen, there is no specific preparation. It is just that you have to think on a matter that which body part will be scanned. And as per the requirement, the clothing is to be worn.

The metal objects should be removed so as not to interfere with the results. If the test requires you to fast for some time; your doctor will let you know in advance. After all the tests and examination things can be taken as normal as usual.

Just a matter of fact is one should reach 20 minutes before the test. Eat all meals as normal, prescribed by the doctor. Never forget the medication, if any, before and after any test.

Is there any Health Issue?
Definitely, there is a radiation that comes out of the machine and that is getting absorbed. So, this definitely is harming the body to some extent. Though there is no direct proof of radiation causing cancer (like someone claim) there can be some skin disease or hair loss or damage to human cells.

Shower — before or after
Taking shower is one common thing that never needed a doubt. It is one’s own decision of whether or not to take shower during or after the radiology tests. Taking before is not a mandate but after the tests become necessary for an individual as during the tests so much of medical ointment is put on the body that one, obviously, won’t like it after the test. Take into consideration also the type of your shower which can determine your shower experience. There may be some types of shower are looking sleek or beautiful physically but doesn’t function well.

Sometimes during the MRI, the doctors ask to undress and then the checkup is being carried forward. In those cases taking shower is one’s own decision as no one would like to be like the way it was checked, throughout the day. A shower is not required before or after an X-ray. As no such ointment or lotion is being put on the body and patients are dry and usual.

The point is, taking showers after the radiology test is neither forbidden nor made a mandate. There is no medical proof of either of the thing. Being the patient, depending on the situation, you can better decide whether or not to go for the shower. A hot shower or a cold shower can be a confusing brainstorming but, hot showers can be taken into consideration as this will not only keep the body but will also keep it fresh and active as so much will be done during tests.

The doctors can also give their take on this query as after the check up you can directly ask them about the doubt and depending on the medical situation they will better tell you about what all precautions are required after the radiology test.

Why Playing Foosball Is Good For Radiologists?

Foosball is a tabletop version of the sports “soccer”. In this game, players turn the rods that are fixed on top of the playing box in flicking the ball and in striking the ball toward the goal. On these rods are miniature soccer player figures. But have you ever considered the thought that playing a sport like foosball can be beneficial for radiologists?

Below are the skills that are needed to play foosball but can also be used in radiology
An Analytical Mind
In playing foosball, it is important to have a good eye for details as well as good observation skills. A quick eye is necessary to make sure that you won’t miss the ball. Sometimes, it gets frustrating when you want to hit the ball but you and up turning the wrong rod. To avoid this, you must be familiar with the rods as well as the miniature players so you won’t commit the mistake of messing up the game. Similarly, radiologists are required to have an analytical mind. This means that radiologists should be able to analyze ideas and to use logic. They should be able to combine tidbits of information in order to draw a conclusion. The purpose of this is to determine strengths and weaknesses.

Concentration and Focus
One important skill in playing foosball is the focus. A player should concentrate on the game to avoid being distracted. With this skill, a player will definitely score more. This skill is also important in the field of radiology. There are a lot of factors that might cause a radiologist to lose focus, and this has to be avoided. A radiologist’s job is critical so less or no mistake should be committed.

A foosball player should gauge the capability of the opponent. If the opponent is a better player than he can study how the opponent plays. This is a good way to adjust and plan for the win. In radiology, there are no opponents but that doesn’t mean this skill won’t apply anymore. Part of a radiologist’s job is to manage oneself and other people. This means he should check how other radiologists are doing something or learning something. He should also know how to manage his time and others’ time to help develop and motivate others.

Perception and Visualization
It may take a pro to be able to imagine the possible outcome from doing one move, but its essential for a player to at least have this skill. Being able to calculate the outcome of one move will be very beneficial for a player to score. In radiology, perception and visualization are two important skills to correctly perform a task. This includes identifying a hidden pattern — object, word, or sound; comparing words, letters, patterns, objects, or pictures quickly and accurately; and imagining how something is going to look like if some of its parts are rearranged or if its moved.

Foosball and radiology are associated with each other, although you didn’t really know that until today. Translating the skills for foosball into the field of radiology can greatly benefit radiologists. In this sense, foosball is of high value for radiologists when it comes to performing their job.

Radiology Reports

Sample Radiology Reports
The following are samples of reports for various modalities and anatomical structures:

  1. MRI Brain With and Without Contrast
  2. MRI Lumbar Spine Without Contrast
  3. MRI Brain With and Without Contrast
  4. MRI Right Shoulder
  5. MRI Right Wrist Without Contrast
  6. MRA Neck With and Without Contrast
  7. CT Chest With Contrast
  8. CT Brain With and Without Contrast
  9. CT Abdomen and Pelvis With Contrast
  10. CT Right Ankle
  11. CT Right Shoulder

Clinical Leadership – Javier Beltran, MD

Javier Beltran, MD

Vice Chairman

Musculoskeletal MRI Specialist
American Board of Radiology, Board Certified

Dr. Javier Beltran joins Radisphere with extensive research and experience in the field of musculoskeletal MRI. A pioneer in musculoskeletal MRI, Dr. Beltran serves as Chairman of the Department of Radiology at Maimonides Medical Center, Brooklyn, NY. He also served as Chief of the Division of Musculoskeletal Radiology at Ohio State University. Widely published and respected in the field of musculoskeletal radiology, Dr. Beltran’s many publications and international lectures have focused on bone and joint imaging to further both his own subspecialty experience and to share knowledge with others in the field.


  • Diagnostic Radiology (Chief Resident), Ohio State University, Columbus, OH

Academic Appointments:

  • Former Assistant Professor of Radiology, Chief, Division of Musculoskeletal Radiology and Associate Professor of Radiology Ohio State University, Columbus, OH
  • Former Clinical Professor of Radiology New York University School of Medicine, New York, NY

Administrative Appointments:

  • Current Chairman, Department of Radiology Maimonides Medical Center, Brooklyn, NY
  • Former Chairman, Department of Radiology Hospital for Joint Diseases, Orthopedic Institute, New York, NY


  • Three books, over 100 articles, 15 book chapters, 25 scientific exhibits, and served in various editorial capacities. Summer 2005 he served as Guest Editor for MRI Clinics of North America issue dedicated to elbow, hand, and wrist.

Course Director:

  • Over 300 lectures in National and International forums


  • Inducted as a Fellow in the American College of Radiology (10% of members are selected for this honor)
  • Radiological Society of North America
  • Society for Magnetic Resonance Imaging
  • American Roentgen Ray Society
  • American, European, and International Skeletal Societies