Radiology News


NYMI Associates is pleased to offer your patients 3-D TOMOSYNTHESIS MAMMOGRAPHY.

Low dose GeniusTM 3D MAMMOGRAPHY exams are clinically proven to be superior to conventional 2D exams

3-D Tomosynthesis Mammography is a new FDA-approved mammography technology that produces a series of 1mm thick, 3-dimensional digital images of the breast.  Breast abnormalities such as masses, distortions, and asymmetric densities are better visualized with 3-D mammography. As reported in JAMA (6/25/2014), the addition of tomosynthesis to digital mammography is associated with a statistically significant increase in cancer detection rate and a decrease in recall rate. Michelle Morgan MD

3-D tomosynthesis is different from a standard mammogram in the same way a CT scan of the chest is different from a standard chest X-ray.  Standard mammography includes two X-rays of each breast from different angles, typically top to bottom and side to side. Standard mammograms are very effective, but are limited by dense breasts and overlapping tissue. Digital tomosynthesis overcomes these issues by taking multiple images of each breast allowing visualization of the breast tissue through multiple layers and angles.

The benefits of 3-D tomo include:

  • Statistically significant increase in detection of invasive cancers compared to 2D alone.
  • Statistically significant decrease in recall rate from screening mammography.
  • Statistically significant relative increase in PPV for biopsy.
  • Statistically significant relative increase in PPV for recall.

Medicare covers 3D tomosynthesis. But, at this time, not all private insurers are covering this examination.  For patients who do not have coverage for this procedure, there is a charge of $100.

As an American College of Radiology designated Breast Center of Excellence, we thank you for trusting us with the care of your patients and look forward to offering them this significant advance in breast cancer screening.

To schedule your patients or for additional information about 3-D TOMOSYNTHESIS MAMMOGRAPHY, please call us at (212) 535-9770.

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Gastro-Intestinal Imaging

Gastro-Intestinal Imaging

NYMI Associates is dedicated to your GI health. With over 150 years of combined radiology experience, NYMI is well equiped to serve all of your Gastrointestinal Imaging needs.

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Breast Cancer Screening

Breast Density - Breast Cancer Screening!

The American Cancer Society, American College of Radiology, Society of Breast Imaging and American College of Obstetricians and Gynecologists, among others, recommend that all women have yearly mammograms beginning at age 40. Women at high risk may benefit from starting earlier.

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Earns ACR Lung Cancer Screening Center Designation

ACR Lung Cancer Screening CenterNew York, NY (July 11, 2014) — [New York Medical Imaging Associates] has been designated a Lung Cancer Screening Center by the American College of Radiology (ACR).

The ACR Lung Cancer Screening Center designation is a voluntary program that recognizes facilities that have committed to practice safe, effective diagnostic care for individuals at the highest risk for lung cancer.

In order to receive this elite distinction, facilities must be accredited by the ACR in computed tomography in the chest module, as well as undergo a rigorous assessment of its lung cancer screening protocol and infrastructure. Also required are procedures in place for follow-up patient care, such as counseling and smoking cessation programs.

Lung cancer screening with low-dose computed tomography scans, and appropriate follow-up care, significantly reduces lung cancer deaths. In December 2013, the United States Preventive Services Task Force recommended screening of adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Lung cancer is the nation’s leading cancer killer – taking the lives of more people each year than breast, colon and prostate cancers combined.

The ACR, founded in 1924, is one of the largest and most influential medical associations in the United States. The ACR devotes its resources to making imaging and radiation therapy safe, effective and accessible to those who need it. Its 36,000 members include radiologists, radiation oncologists, medical physicists, interventional radiologists and nuclear medicine physicians.

For more information about the Lung Cancer Screening Center designation, visit: acr.org.


9 million smokers should get yearly lung screening, task force says

Maggie Fox NBC News - July 30, 2013

Up to 9 million people who have smoked the equivalent of a pack a day for 30 years might be affected by a new recommendation for yearly scans. Some say the annual screening could save up to 20 percent of future deaths from lung cancer.

Heavy smokers who are at least 55 should have an annual CT scan to check for lung cancer, a government panel says. The recommendation, which could apply to about nine million Americans, would mean Medicare and many health insurance companies must start providing the test for free to patients.

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Low-Dose CT Lung Cancer Screening Best for Highest Risk Patients

July 18, 2013

Screening for lung cancer with low-dose computed tomography (CT) was the most beneficial in people who had the highest likelihood of dying from the disease, according to data taken from participants in the National Lung Screening Trial (NLST).

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Low Dose CT (ASIR)

Using Advanced Staistical Iterative image Reconstruction algorithms, our GE 64 Multi-Detector CT provides excellent “freeze-motion” high-resolution, while reducing radiation doses up to 40% as compared to conventional scanners.

Typically, dose reduction causes an increase in noise and image artifacts. But ASIR solves this by subtracting noise, not merely masking it. As a result, ASIR delivers enhanced image quality by improving low contrast detectability while preserving anatomical detail.

Low Dose Radiation CT Scan


Make CT Scans Part of Lung Cancer Screening

Patients at high risk for lung cancer should have regular screening with low-dose CT scans, according to guidelines issued by a consortium of the nation's major cancer centers.

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November 16, 2010 - CT Scans Cut Lung Cancer Deaths, Study Finds

WASHINGTON — Annual CT scans of current and former heavy smokers reduced their risk of death from lung cancer by 20 percent, a huge government-financed study has found. Even more surprising, the scans seem to reduce the risks of death from other causes as well, suggesting that the scans could be catching other illnesses.

The findings represent an enormous advance in cancer detection that could potentially save thousands of lives annually, although at considerable expense. Lung cancer will claim about 157,000 lives this year, more than the deaths from colorectal, breast, pancreatic and prostate cancers combined. Most patients discover their disease too late for treatment, and 85 percent die from it.

No screening method had proved effective at reducing mortality from the disease. Four randomized controlled trials done during the 1970s showed that chest X-rays, while they helped catch cancers at an earlier stage, had no effect on overall death rates. Since then, researchers have suggested that CT scans — which use coordinated X-rays to provide three-dimensional views — could detect lungtumors at an even earlier stage than X-rays.

“This is the first time that we have seen clear evidence of a significant reduction in lung cancer mortality with a screening test in a randomized controlled trial,” said Dr. Christine Berg of the National Cancer Institute.

Cancer doctors and others predicted that the study’s results would soon lead to widespread use of CT scans, in particular for older smokers, who have a one in 10 chance of contracting lung cancer.

“These people are worried about lung cancer, and now there is an opportunity to offer them something,” said Dr. Mary Reid, an associate professor of oncology at the Roswell Park Cancer Institute in Buffalo.

But health officials involved in the study refused to endorse widespread screening of current or former smokers, saying more analysis of the study’s results is needed to further identify who benefited most. Such an analysis is months away. And they pointed out that the study offers no reassurance about the safety of smoking or the advisability of CT scans for younger smokers or nonsmokers.

“No one should come away from this thinking that it’s now safe to continue to smoke,” said Dr. Harold E. Varmus, director of the National Cancer Institute.

Patients wishing to get a CT lung screen will most likely have to pay the roughly $300 charge themselves, since few insurers pay for such scans unless an illness is suspected. The federal Medicare program will soon reconsider paying for such screens, a Medicare official said.

The study, called the National Lung Screening Trial, was conducted by the American College of Radiology Imaging Network and the cancer institute. It involved more than 53,000 people ages 55 to 74 who had smoked at least 30 pack-years — one pack a day for 30 years or two packs a day for 15 years. Ex-smokers who had quit within the previous 15 years were included in the group.

Each was given either a standard chest X-ray or a low-dose CT scan at the start of the trial and then twice more over the next two years. Participants were followed for up to five years. There were 354 lung cancer deaths among those who received CT scans and 442 among those who got X-rays. The $250 million study, which began in 2002, was paid for by the cancer institute and carried out at 33 sites.

Its preliminary results were announced days after an independent monitoring board determined that the benefits of CT scans were strong enough to stop the trial. The study will be published in the coming months.

The study found that for every 300 people who were screened, one person lived who would otherwise have died during the study. But one-quarter of those given CT scans were found to have anomalies, nearly all of which were benign. These false signals generally led to more worry, more CT scans and sometimes to lung biopsies and thoracic surgery.

“There are economic, medical and psychological consequences of finding these abnormalities,” Dr. Varmus said.

Deaths due to all causes declined by 7 percent among study participants who received CT scans, suggesting the tests helped to detect other life-threatening diseases besides lung cancer.

Dr. Claudia Henschke, a clinical professor of radiology at Mount Sinai Medical Center and a longtime advocate for use of CT to screen for lung cancer, said the study was likely to have underestimated the benefits of CT scans because participants were screened only three times. Had the screening continued for 10 years, as many as 80 percent of lung cancer deaths could have been averted, she said. Dr. Henschke’s research has been controversial because of its statistical methods and its financing, which included money from a tobacco company. She earns royalties from makers of CT machines.

“What we also have found is that low-dose CT scan gives information on cardiovascular disease, emphysema” and other pulmonary diseases, Dr. Henschke said. “Those are the three big killers of older people. There is just tremendous potential.”

But Dr. Edward F. Patz Jr., professor of radiology at Duke who helped devise the study, said he was far from convinced that a thorough analysis would show that widespread CT screening would prove beneficial in preventing most lung cancer deaths. Dr. Patz said that the biology of lung cancer has long suggested that the size of cancerous lung tumors tells little about the stage of the disease.

“If we look at this study carefully, we may suggest that there is some benefit in high-risk individuals, but I’m not there yet,” Dr. Patz said.

Since 46 million people in the United States smoke and tens of millions more once smoked, a widespread screening program could cost billions annually. Any further refinement of those most at risk could reduce those costs. Low-dose CT scans expose patients to about the same radiation levels as mammograms. Little is known about how the cumulative risks of years of such scans would balance the benefits.

The study’s results could have both legal and political consequences. Suits against tobacco companies have sought to force cigarette makers to pay for annual CT screens of former smokers. But with the science uncertain, those claims have so far been rebuffed. Congress has diverted some research money to create pilot CT lung screening programs, diversions that may gain momentum now.

Some Obama administration officials argued during the debate on the health care law that patients’ health was often harmed by getting too many tests and procedures that, if reduced, would improve health while reducing costs. This study suggests that, at least in lung cancer, spending more on tests saves lives.

Laurie Fenton, president of the Lung Cancer Alliance, which has lobbied for widespread CT lung screening, said the debate about the advisability of such scans is now over.

“The challenge now shifts from proving the efficacy of the method to developing the proper quality standards, infrastructure and guidelines to bring this needed benefit to those at high risk for the disease — now,” Ms. Fenton said. But Dr. Peter B. Bach, a pulmonologist at Memorial Sloan-Kettering Cancer Center in New York, said no one should rush out and get a CT scan yet because further analysis will better define whom the screening helped.

“Very soon we’ll have an answer about who should be screened and how frequently,” Dr. Bach said, “but we don’t have that answer today.”

Source: www.nytimes.com

Editorial comment from NYM Editors: "This review supports our contention that CT trumps Chest X-ray in screening persons at risk, such as smokers and industrial workers."


October 14, 2010 - NYMI Associates have been designated as one of the few ACR Breast Imaging Center of Excellence facilities.

By awarding facilities the status of a Breast Imaging Center of Excellence, the ACR recognizes breast imaging centers that have earned accreditation in mammography, stereotactic breast biopsy, and breast ultrasound (including ultrasound-guided breast biopsy).

Peer-review evaluations, conducted in each breast imaging modality by boardcertified physicians and medical physicists who are experts in the field, have determined that this facility has achieved high practice standards in image quality, personnel qualifications, facility equipment, quality control procedures, and quality assurance programs.

The ACR is a national professional organization serving more than 34,000 diagnostic/interventional radiologists, radiation oncologists, nuclear medicine physicians, and medical physicists with programs focusing on the practice of medical imaging and radiation oncology and the delivery of comprehensive health care services.

ACR Accredited Modalities Include

  • Digital Mammography
  • Breast Ultrasound
  • Breast MRI
  • MRI Guided Biopsy
  • Sterotactic Breast Biopsy
  • Ultrasound Guided Biopsy

Feel free to contact one of our Breast Imaging Specialist:

Barry D. Berson M.D. Jolinda Mester M.D.


March 9, 2009 - Virtual Colonoscopy Roll-back

On February 11, 2009, the Centers for Medicare and Medicaid Services (CMS) proposed not to cover computed tomography colonography (CTC) for colorectal cancer screening for Medicare patients.  This decision comes despite the overwhelming evidence from the 2008 ACRIN CTC trial that shows virtual colonoscopy is just as effective as optical colonoscopy at detecting polyps >10mm that require removal.

The ACR, along with the American Gastroenterological Association, the Colon Cancer Alliance, and the American Cancer Society are working to reverse CMS’s decision not to cover this important non-invasive screening tool as an option for Medicare patients. We need your help.

Your Member of Congress has the opportunity to weigh in with Medicare by signing on to a letter being circulated by Rep. Kay Granger (TX) and Rep. Patrick Kennedy (RI) that will be sent to the agency urging that they cover CTC as a screening option.

Please call your House Member and ask him/her to sign on to the Granger—Kennedy letter to CMS regarding coverage for virtual colonoscopy for colon cancer screening. What you may point out to your Member of Congress:

CMS is about to make a huge mistake and limit the options for Medicare patients seeking to get screened for colon cancer.

Colon cancer is the third most common cancer in the United States and the second leading cause of cancer deaths.  Screening rates for colon cancer lag behind both breast cancer and cervical cancer as only 50% of eligible seniors are getting necessary screening.  Colon cancer is very curable if detected, therefore no one should die from this disease.

Public health officials and physicians believe that the invasiveness of the optical colonoscopy may act as a barrier for those who should be screened.  In order to provide alternatives to the colonoscopy, physicians have developed the virtual colonoscopy which can detect colon cancer and polyps that need to be removed via CT imaging.  This technology has been evolving and improving for over 18 years.  The evidence is now here to warrant coverage for virtual colonoscopy for colon cancer screening by Medicare.  Despite recent published evidence from a national clinical trial showing virtual colonoscopy’s comparable effectiveness to the standard colonoscopy, Medicare has proposed not to cover this non-invasive option. Along with the radiology community, the American Gastroenterological Association, the Colon Cancer Alliance, and the American Cancer Society all support coverage.

Other areas of the government recognize the benefit of virtual colonoscopy.  The Department of Defense has large volume screening programs using virtual colonoscopy at Walter Reed Army Medical Center and the National Naval Medical Center.  Walter Reed has determined their program to be a success and is working with the Department of Veterans Administration to deploy virtual colonoscopy screening throughout the VA Health System.  Medicare patients deserve the same access to colorectal cancer screening.

"I ask that Congressman/woman ... please sign on to the Granger—Kennedy letter to CMS urging the agency to reconsider their decision not to cover this valuable screening tool."


May 6, 2008 - BRAINLAB Image Guidance for Endoscopic Sinus Surgery.

Upon request from your ENT surgeon, we will submit a special set of your sinus CT images directly to BrainLab for processing into a 3D virtual display. The data will be used during surgery as a virtual guide to the nasal passages.

Please address any questions to Tina Opong (212) 535-9770 or e-mail: ahyman@makimaging.com.


October 22, 2007 - Virtual 3D Colon Checks Out!

"Researchers at the University of Wisconsin School of Medicine have found that non-invasive CT colonography, which creates a 3D computer scan of the colon, can detect advanced polyps-the precursors to colon cancer- just as accurately [as conventional colonoscopy]."

Health Watch, U.S. News and World Report , October 15, 2007

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