CME Radiology Grand Rounds

• Current guidelines for CT diagnosis of fibrosing interstitial pneumonias (usual interstitial pneumonias, nonspecific interstitial pneumonia, and fibrosing hypersensitivity pneumonitis)
• Differential diagnosis of fibrosing interstitial pneumonia
• Multidisciplinary diagnosis
• Emerging information on limitations of current diagnosis criteria
• Complications of fibrosingi interstitial pneumonia
• Quantitative CT evaluation of disease extent

5 years from the passage of the ACA, how are things looking in the world of health policy? Adapting to audience interest, we take a look at what is known about how the ACA has performed thus far and look ahead to areas where future policy efforts and reforms are likely to be directed. Recent data have started to shed light on the effects of Medicaid expansions and new state insurance marketplaces (exchanges) on insurance plans, premiums, and coverage. There is increased interest in new forms of delivery system organization, particularly Accountable Care Organizations, and emerging analyses of their impacts on health care delivery and costs. There are also ongoing efforts to drive payment reforms, including Medicare value-based payment initiatives, bundled payment initiatives, and other efforts by private insurers. Even with current efforts, we still face the big task of managing the growth of health care costs, which seems likely to demand continued attention and prompt further efforts at delivery system and payment reform.

Surgical assessment of tumor extension and margins has not dramatically changed during the past years. Over the past five years optical imaging in the operating room has become approved and reimbursed for assessment of tissue perfusion. The development of this field in cancer imaging is expanding exponentially as the device probe and optical dye technology has improved over time. The talk will review approved in brain and bladder cancer and developing technologies in a range of tumor types.