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Double scanning is also common among privately insured patients who tend to be younger.
If a point could be found that is within a certain distance of the new point, this can be seen as a red flag of double scanning.
By implementing these stages combined with other developed algorithms such as "preventing double scanning," "determining the side of a curve" and "returning from a lost tracking," the results validate the high performance of the developed comprehensive and adaptive local scanning method.
Confocal Z sectioning was performed at 0.8 μm intervals using a × 60 (NA=1.42) oil-immersion objective for single and double scanning.
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By changing protocols, the percentage of double scans is now "hovering around 5 percent," Mr. Anderson said.
In 2008, about 75,000 patients received double scans, one using iodine contrast to check blood flow, and one that did not.
Double scans expose patients to extra radiation while heaping millions of dollars in extra costs on an already overburdened Medicare program.
Medicare paid St. John roughly a quarter of a million dollars for the double scans in 2008, but Mr. Anderson said money was not a factor in why they were done.
The review of that data found more than 200 hospitals that administered double scans on more than 30 percent of their Medicare outpatients — a percentage that the federal agency and radiology experts considers far too high.
Commonly called "double scans" by the media, combined pre- and postcontrast thoracic and abdominal CT examinations have been the focus of recent CMS policy initiatives.
In brief, transfected C2C12 cells grown on fibronectin-coated coverslips were observed in an open heating chamber (Warner Instruments, UK) mounted on an Olympus double scan-headed FluoView1000 confocal microscope, equipped with a Plan-Apo 100×/N.A. 1.45 oil objective, and controlled by FV10-ASW software (Olympus).
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