Colonoscopy patients unexpectedly receiving bills; MR imaging more effective than ultrasound-guided biopsy for treatment of prostate cancer;

> A report from the Kaiser Family Foundation, the American Cancer Society, and the National Colorectal Cancer Roundtable shows that while patients think colonoscopies will be provided without a co-pay or deductible under the Affordable Care Act, coding variations among physicians' offices has resulted in some patients getting unexpected bills. Article

> Lower back pain is one of the major causes of visits to physicians on an outpatient basis. Now, radiologists at Emory University Hospital in Atlanta and Georgia Health Sciences University in Augusta have developed evidence-based guidelines to help physicians manage patients complaining of lower back pain. The guidelines include a suggestion to avoid imaging in assessing acute low back pain that is non-specific or associated with radiculopathy or spinal stenosis. Article

> Prostate MR imaging is more effective than transrectal ultrasound-guided biopsy (TRUS) for the diagnosis, staging and treatment of prostate cancer, say a group of researchers from the University of Cincinnati. In an article in the October issue of Abdominal Imaging, the researchers said MRI-guided biopsies were more accurate than TRUS in identifying prostate tumor cells and will be increasingly used in daily practice. Article

And Finally... Not exactly a nutritious meal. Article