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2006 proposed fee schedule - American Society of Clinical Oncology

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(radiopharmaceuticals) to diagnose and treat disease. In<br />

nuclear imaging, the radiopharmaceuticals are detected by<br />

296<br />

special types <strong>of</strong> cameras that work with computers to provide<br />

very precise pictures about the area <strong>of</strong> the body being<br />

imaged. In treatment or therapy, the radiopharmaceuticals<br />

go directly to the organ being treated. The amount <strong>of</strong><br />

radiation in a typical nuclear imaging procedure is<br />

comparable to that received during a diagnostic x-ray. The<br />

<strong>Society</strong> for Nuclear Medicine (SNM) states that the science<br />

<strong>of</strong> nuclear medicine, particularly nuclear medicine imaging,<br />

provides physicians with information about both structure<br />

and function <strong>of</strong> certain internal body organs. SNM further<br />

states that “unlike a diagnostic X-ray where radiation is<br />

passed through the body, nuclear medicine tracers are taken<br />

internally; external detectors measure the radiation that<br />

they emit.” (www.snm.org) The ACR, in its March 26, 2004<br />

letter to us, stated that nuclear medicine is considered a<br />

part <strong>of</strong> the specialty <strong>of</strong> radiology. It noted that the<br />

<strong>American</strong> Board <strong>of</strong> Radiology certifies diagnostic<br />

radiologists through an examination process that includes<br />

nuclear medicine in both the written and oral exams. The<br />

AMA also recognizes nuclear medicine as a subspecialty <strong>of</strong><br />

radiology. The AMA’s “Current Procedural Terminology CPT<br />

2005”, (2004), identifies its “Radiology Guidelines

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