Dr. Marc Underhill Talks about Drowning with WTHR-TV

Most drownings and near-drownings occur during late spring and summer (May through August), and Northwest Radiology’s Dr. Marc Underhill recently spoke with WTHR-TV Channel 13 about drowning, the misleading term “dry drowning,” and symptoms to look for after having a water-related incident.

  • Drowning is the No. 1 cause of unintentional injury-related death for children ages 1-4.
  • It is the No. 2 cause of unintentional injury-related death for children up to 14.
  • Drowning is a process of aspiration leading to hypoxia and eventually cardiac arrest. However, it is not synonymous with death: it can be interrupted.
  • “Dry drowning” or “secondary drowning” are both misleading terms propagated by social media – causing a lot of unnecessary panic surrounding the idea that some patients may worsen due to pulmonary edema after aspirating small amounts of water. (reference below or other articles)
  • Anyone who experiences consistent cough, breathlessness or other worrisome symptoms such as vomiting or extreme sleepiness within 8 hours of a water-related incident should seek medical advice immediately.
  • Prevention is key! Small children should be continuously and uninterruptedly supervised within arm’s reach while in the water, even if a lifeguard is present.
  • Other preventive measures are lifejackets, fences completely enclosing pools or ponds, and swimming and water safety lessons.

Northwest Radiology Network Welcomes Becker as Pediatric Radiologist

Northwest Radiology Network welcomes Richard Leroy Becker, M.D., as a new pediatric radiologist.

After receiving his Bachelor of Science and Master of Science in mechanical engineering from the University of New Mexico and Purdue University, respectively, he worked as a field engineer for an oilfield services company. He was later commissioned in the United States Navy and returned to academic study, receiving his Doctor of Medicine from the University of Nebraska Medical Center.

After training and serving as a U.S. Navy flight surgeon, Dr. Becker completed his residency in diagnostic radiology at Walter Reed in Bethesda, Maryland, the nation’s leading academic military medical center.  He served a total of 14 years on active duty, most recently as flight surgeon and staff radiologist at the Naval Hospital in Pensacola, Florida, and remains active in the Navy reserve currently. He has received the Navy Commendation Medal three times as well as the Joint Services Commendation Medal.

Dr. Becker completed a fellowship in pediatric radiology at the Children’s National Medical Center in Washington, D.C. He is a member of the American College of Radiology, the Radiological Society of North America and the Society of Pediatric Radiology.

He has contributed to a number of publications and presentations on topics including glenohumeral joint sepsis; pre-natal evaluation of lower extremity anomalies; and non-refluxing, non-obstructed primary megaureter. 

Dr. Becker joins one of Indiana’s largest and most experienced staff of physicians specializing in quality high-end imaging services.

Northwest Radiology Network Welcomes Seltman as Neuroradiologist

Northwest Radiology Network welcomes Rachel Elizabeth Seltman, M.D., as a new neuroradiologist.

After receiving her dual Bachelor of Arts in chemistry and biology from Anderson University, Dr. Seltman received her Doctor of Medicine from the Indiana University School of Medicine.

She completed her radiology residency in diagnostic radiology at the Indiana University School of Medicine followed by a neuroradiology fellowship at the Indiana University School of Medicine. She is board eligible by the American Board of Radiology. She is also a member of the Radiological Society of North America, American College of Radiology, American Society of Neuroradiology, American Society of Head and Neck Radiology, Women in Radiology (Indiana University School of Medicine Chapter) and American Academy of Neurology.

Dr. Seltman has contributed to a number of publications and presentations on topics including brain tumors, petrous apex lesions, cerebral venous and sinus thrombosis, neoplasia-related jugular vein thrombosis and frontotemporal dementia.

She was the recipient of the medical student scholarship given at the American Academy of Neurology Annual Meeting, and she received the American Academy of Neurology Medical Student of Excellence Award the following year.

Dr. Seltman is a teacher in the fourth-year medical student radiology clerkship lecture series at the Indiana University School of Medicine, and she is also a contributor to the IU Department of Radiology’s “Case of the Day” series for neuroradiology and head and neck imaging.

Dr. Seltman joins one of Indiana’s largest and most experienced staff of physicians specializing in quality high-end imaging services.

Northwest Radiology Network Welcomes Brown as Nuclear Medicine Radiologist

Matthew R. Brown, M.D.After receiving his Bachelor of Science in nuclear engineering from Purdue University in West Lafayette, Dr. Brown received his Doctor of Medicine from the Indiana University School of Medicine.

He completed his radiology residency at the University of Toledo followed by a nuclear medicine fellowship at Mallinckrodt Institute of Radiology in St. Louis, Mo. He has dual board certification by the American Board of Radiology and the American Board of Nuclear Medicine.

Dr. Brown has contributed to a number of publications and presentations on topics including Klippel-Feil syndrome, a congenital, musculoskeletal condition characterized by the fusion of at least two vertebrae of the neck; and Sprengel deformity, a rare disorder in which the scapula is too high on one side of the body.

His research experience includes working to update the nuclear medicine sections of the third edition of the “Essential Radiology” textbook. In addition, he has a paper being published this fall in “Radiology: Imaging Cancer,” a new journal from the Radiological Society of North America (RSNA).

Dr. Brown joins one of Indiana’s largest and most experienced staff of physicians specializing in quality high-end imaging services.

Dr. Richard Hallett II Presents at Stanford University

Dr. Richard Hallett II is a leading expert in cardiovascular imaging. In addition to serving as Northwest Radiology’s chief in this field, he works as an adjunct assistant professor of radiology at the prestigious Stanford University. Hallett is named one of Indianapolis Monthly’s “Top Doctors” for the fifth time.

Dr. Hallett recently presented to Stanford University residents on the topic of Real World Radiology: Navigating the Changing Radiology Landscape. He discussed the current state of private practice radiology, employment options, group structures and answered questions submitted by the residents.

See Dr. Hallett’s presentation embedded below or click/tap here to view in another tab.

Hansen of Northwest Radiology Network Named Executive Committee Member of Strategic Radiology

Northwest Radiology Network President and CEO W. Kent Hansen M.D., Ph.D. is now the newest member of the Strategic Radiology executive committee.

Strategic Radiology is a coalition of quality-focused local, private radiology practices that have come together to improve quality, gain operational efficiencies through practice expense consolidation, and preserve radiology’s private practice model.

The physician officers, chief operating officer, and executive committee take a collaborative approach to leadership by crafting and implementing policy that is approved by our Board of Managers, composed of member shareholders from each core practice.

“There are great things we do at Strategic Radiology, including quality, data analytics, sharing best practices and ideas, and cost savings, which are all very important. I want to contribute to our vision for how we continue to support the core members and larger practices, but also be a flagship organization to mid-sized and smaller affiliate practices to provide the support for their growth and survival,” Dr. Hansen said.

Learn more about Strategic Radiology here.

Wilgus of Northwest Radiology Network Named President-Elect of Radiology Business Management Association and Winner of 2019 RMBA President’s Award

Northwest Radiology Network Executive Director and CFO Linda Wilgus, CPA, MBA, has been named president-elect of the Radiology Business Management Association (RBMA).

The RMBA elected an all-volunteer group of board members and officers from among their peers.

Wilgus is the current chair of the RMBA Federal Affairs Committee and is the recipient of the 2019 RBMA President’s Award “for going above and beyond to promote an atmosphere that enhances networking and Progress Through Sharing.”

RBMA will be managed by an all-women executive council in 2019-2020. For more information about RBMA, visit www.rbma.org.

National Stroke Awareness and High Blood Pressure Awareness Month

What is a stroke?

A stroke happens when blood flow to an area of the brain is cut off. Brain cells are deprived of oxygen and begin to die. A stroke can cause you to permanently lose speech, movement and memory.

Stroke statistics:

  • Stroke is the fifth leading cause of death in the United States and a leading cause of adult disability.
  • Every 40 seconds on average, an American will have a stroke.
  • About 795,000 Americans have a new or recurrent stroke annually.
  • About 90% of stroke risk is due to modifiable risk factors — 74% is due to behavioral risk factors.

Prevent stroke by:

  • Identifying your personal risk.
  • Reducing your controllable risk factors, such as high blood pressure and high cholesterol.
  • Recognizing and responding to the signs and symptoms of a stroke.

Use the letters in FAST to recognize the warning signs of a stroke:

  • Face drooping: Smile. Is your smile uneven or lopsided?
  • Arm weakness: Raise both arms. Does one arm drift downward?
  • Speech difficulty: Repeat a simple sentence. Can you correctly repeat the words?
  • Time: Time to call 911. Time is important, so don’t delay!

How is a stroke diagnosed and evaluated?

  • CT of the head: A CT of the head can detect a stroke from a blood clot or bleeding within the brain.
  • MRI of the head: An MRI can detect brain tissue damaged by a stroke and highlight blood flow within the arteries and veins.
  • Carotid ultrasound: The ultrasound shows the inside of the carotid arteries in your neck, highlighting buildup of fatty deposits, or plaques, and blood flow in your arteries.

Make sure you act FAST!


ACR/RBMA Webinar to Prepare You for Medicare AUC Mandate

Practice Managers: Mark your calendar and register now!

The American College of Radiology (ACR) and Radiology Business Management Association (RBMA) will co-host a webinar on Feb. 20 at 7pm ET to help prepare you for the coming Medicare appropriate use criteria (AUC) mandate. Register now!

Medicare has confirmed that providers must consult AUC prior to ordering advanced imaging for beneficiaries starting Jan. 1, 2020.

  • See how and why your practice should work with referring providers now to get ready to meet this mandate
  • Learn steps to implement AUC-based clinical decision support (CDS) in your practice
  • Gain insight on how such CDS systems may work on a daily basis
  • Get answers to your questions by taking part in a robust Q+A session

Register now for this free webinar!

X-rays in Infants and Young Children


  • Viral infection common in young children and infants
  • Leading cause of hospitalization for children in the first year of life in the U.S.
  • Most cases are caused by respiratory syncytial virus (RSV), flu or the common cold
  • Outbreaks peak during the winter season

According to a research letter from the Journal of the American Medical Association, X-rays were used in nearly half the children admitted to a U.S. emergency department for bronchiolitis between 2007-2015.

Excessive imaging leads to:

  • Higher healthcare costs
  • Radiation exposure
  • Antibiotic overuse


Northwest Radiology pledges to Image Gently, following guidelines to lower the amount of radiation used in medical imaging and eliminating unnecessary procedures.

Image Gently Alliance:

  • Provides safe, high-quality pediatric imaging
  • Raises awareness of the need to adjust radiation doses when imaging children

Questions to ask

Is this X-ray necessary?

How will it improve my child’s care?

Are there alternatives to the X-ray or scan?

Will you be using a lower dose of radiation?

Be your child’s advocate!