In recent times, these changes have stepped up the modality’s usefulness in a much wider range of clinical applications. While further studies are warranted, research has been extremely promising in key areas in addition to the well-known benefits in breast cancer screening.
Highlights include:
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Chest
Diagnosis of suspected pulmonary lesions, elimination of false positives and follow up of known nodules. It also has applications in cystic fibrosis, tuberculosis and asbestos-related diseases. Further, DTS may be a useful substitute for CT in COVID diagnosis.
Abdomen
Evaluation of a range of abdominal anatomical structures and in helping to diagnose urinary tract calculus disease.
Fractures
Significant improvement over X-ray in detecting both routine and micro- and occult- bone fractures. Notably, missed fractures on X-ray constitute 80% of all missed diagnoses.
Rheumatology
Imaging joint spaces and erosions and detection of degenerative and inflammatory arthritis. It also can be used in evaluating osteoarthritis, rheumatoid arthritis and gout.
Head & Neck
Sinus imaging and diagnosis of TMJ dislocations and orbital fractures. It also has demonstrated success in dental implant planning.
The sky is the limit
Significantly, with an MSaaS delivery model, outsourced reading and a part-time technologist, specialists at freestanding practices treating many of these conditions can more easily provide DTS exams in-house. There is no need to maintain a critical exam volume to justify costs. In addition, rapidly growing DTS technology coupled with this innovative delivery model can provide a comprehensive, accessible and affordable imaging ecosystem that can be implemented anywhere.
About the author: Michael Yuz, MD, is a board-certified diagnostic radiologist, with extensive experience in advanced modalities, including MRI and Cardiac CT. A serial entrepreneur, he is founder, CEO and Executive Radiologist of USARAD, a major teleradiology firm. Dr. Yuz trained at several preeminent healthcare institutions, including New York University and Thomas Jefferson and received an MBA in Healthcare from George Washington University. He previously held positions as Chief Radiologist, Director of a Cardiovascular CT laboratory and Head Medical Instructor for a Cardiovascular and Body Section program at the major University teaching program.
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