A Call for the Structured Physicist Report

Introduction: The field of diagnostic radiology continues to struggle with the clinical adoption of the structured interpretive report, with many radiologists preferring a semistructured, free-text dictation style to a more rigid, highly structured approach that some professional leaders have promoted [1]. Although structured reporting compliance in the radiologist community has been difficult to achieve, diagnostic radiologists have been thinking about and discussing this important issue for many years; it is also a part of the ACR’s Imaging 3.0_ campaign [2]. In the breast imaging community, the well-established BI-RADS_ recommendations produce a very structured report, with a discussion of interpretive findings culminating in a numeric BI-RADS score ranging from 0 to 6 [3]. Unlike some interpretive radiology reports, which can be ambiguous in terms of the next course of action, the BI-RADS scale is not only a diagnostic scale but also prescriptive of what the necessary follow-up should be

Contrast-enhanced dedicated breast CT detection of invasive breast cancer preceding mammographic diagnosis

Dedicated breast computed tomography (bCT) generates high-resolution, three-dimensional images of the pendent uncompressed breast. Intravenous iodinated contrast during bCT provides additional physiologic information. In this case, a 10.0-mm invasive ductal carcinoma was visualized using contrast-enhanced breast CT one year before mammographic detection. Mammography four months before bCT was negative. The bCT contrast enhancement pattern closely matched the dynamic contrast-enhanced MRI obtained after diagnosis. Lesion enhancement at contrast-enhanced breast CT matched previously published enhancement values of breast cancer. Contrast-enhanced dedicated bCT provided high-resolution tomographic images and physiologic contrast enhancement data that facilitated the detection of an early breast cancer

Editor-in-Chief JEPonline The Marc Pro TM Device Improves Muscle Performance and Recovery from Concentric and Eccentric Exercise Induced Muscle Fatigue in Humans: A Pilot Study

Exercise Induced Muscle Fatigue in Humans: A Pilot Study. JEPonline 2011;14(2):55-67. To date, a product or routine that consistently relieves delayed onset muscle soreness (DOMS) caused by eccentric exercise has yet to be identified. Our latest 56 research results indicate that a new device called Marc Pro™ (MPD) significantly improves muscle recovery and muscle endurance from combined concentric and eccentric exercise in healthy recreational exercisers. In the first study, 14 subjects (no prior soreness upon study entry) performed strength training activity (leg extension exercise with eccentric emphasis) to produce DOMS in the quadriceps muscles. All participants received one-hour of MPD stimulation on the right leg only following the exercise session whereby each participant served as their own control. One day later, assessment of muscle soreness revealed significantly less discomfort in the right leg (MPD) than in the left leg (no MPD) in all subjects and in responders, respectively (p < 0.008; p < 0.002 ). The number of repetitions completed with the right leg (MPD) was significantly greater than the number of repetitions completed with the left leg (no MPD) in all subjects and in responders, respectively (p < 0.03; p < 0.008). In the second experiment, 13 subjects (no prior soreness upon study entry) utilized a modestly challenging uphill/downhill hike to produce DOMS in the quadriceps muscles. Following the hike the subjects' right leg received MPD stimulation for 60 minutes, whereas the left leg received no MPD application. Reported soreness was significantly less in the right leg (MPD) than in the left leg (no MPD) in all participants and in responders, respectively (p < 0.0008; p < 0.0002). These results suggest that MPD stimulation results in a significant reduction in DOMS following strenuous unaccustomed eccentric exercise and significantly greater muscle endurance performance, as measured by leg extension repetitions. Investigation of Marc Pro TM in a larger population is underway and must await confirmation