Telerad Providers featured in Hindustan Times
Our Teleradiology Firm was featured in the Punjab edition of HT yesterday.  We have a large number of installations now in Punjab region. From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - January 31, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Causes of Medical Malpractice Suits against Radiologists
In an article February 2013 Radiology, 266, 548-554 by Jeremy S Whang et al, authors have determined the most frequent causes of malpractice suits as derived from credentialing data of 8401 radiologists. According to them Errors in diagnosis are, by far, the most common generic cause of malpractice suits against radiologists.  In this category, breast cancer was the most frequently missed diagnosis, followed by nonvertebral fractures and spinal fractures.  Failure to communicate and failure to recommend additional testing are both uncommon reasons for initiating a suit. From Sumer's Radiology Site http://www...
Source: Sumer's Radiology Site - January 29, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Top Medical PG Coaching Institute-DAMS
It feels good to be validated by third party surveys. Last 14 years we have been working in this business to create value based medical coaching for PG aspirants in India.  Our team at DAMS PvtLtd has been tirelessly working towards this and we have delivered results year after year.  We have delivered AIIMS topper for last 4 years now in continuity and 24/top 50 were DAMSONIANS last year.   Here are some excerpts from the survey with the weblinks. Prominent medblogger has recognised DAMS as the top most institute in this business through his survey with medical students. We thank all involved and promi...
Source: Sumer's Radiology Site - January 27, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Grey Matter-DAMS National Quiz
After year long process of  preliminary college based and zonal rounds, finally time has come for the final round of DAMS 2012-13 grey matter quiz, which will be held in AIIMS on 5th Feb, the mecca of medical education in India and I ll be hosting this quiz. This quiz is part of our effort to spread and promote learning in medical students and working on our theme that learning can be fun.  All medicos are invited. Personally i believe quizzes are an integral way of promoting competitive learning among medical students. From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top R...
Source: Sumer's Radiology Site - January 27, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Radiology Department on a Hospital Ship-Africa Mercy
This report describes good work being done in this unique concept. Well done! From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - January 24, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Is it ethical to add to referring physician's order?
Valid question raised in AJR February 2013 vol. 200 no. 2 W216, which questions if radiologists should or could add to the request if they feel added study will be required in the said case. Although, it sounds perfectly ok to proceed and help the patient as much as possible but does it make sense considering the reimbursement rules. Shouldn't radiologist be the person to decide on the required investigation even for reimbursments? Or the referring physician will rule over this for the time being? What are your thoughts and comments on this? From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiol...
Source: Sumer's Radiology Site - January 24, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Stroke & Smart Phones
I read with great interest the study by Demaerschalk et al in the September edition of Stroke, regarding the validity of smartphone-based assessment of brain CT scans in the context of acute stroke. The authors demonstrate a high level of agreement for identification of intracranial hemorrhage, neoplasm, or any radiological contraindication to thrombolysis on an iPhone 4 display compared with PACS and desktop. Especially in a country like ours stroke management would benefit greatly by using smart phones like iPhone & iPads. More work needs to be done n this in India in near future. From Sumer's Radiology Site http://...
Source: Sumer's Radiology Site - January 20, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

DICOM Conference in India
'First DICOM conference' ever held in India will be in Bangalore.  Link to the event homepage: http://www.dicomconference.org From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - January 18, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Oncological CT Follow Up-Linked to Second Cancer Induction
In a study published in Health Phys. 104(1):1–8; 2013, authors evaluate the risk of second cancer developing after CT follow ups.  " The goal of establishing prompt localization of the malignant spread or recurrence of a tumor has found a powerful solution in the definition of follow-up protocols, which include the indication for CT scans on an annual or semiannual basis. In the case of long-surviving patients, however, this approach will lead to a considerable integrated dose level over a period of several years after recovery from the illness.  According to Calandrino, R et al, the evaluated absol...
Source: Sumer's Radiology Site - January 15, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Achilles Tendinopathy-MRI
48 years female with complaints of pain posterior aspect of the foot with no trauma, shows markedly irregular and heterogeneous distal tendoachilles with areas of edema with insertional site enthesitis with enlarged and irregular retrocalcaneal bursa with suggestion of retroachilles bursa with reactive marrow edema – Achilles Tendinopathy with Enthesitis is suggested.  Case submitted by Dr MGK Murthy. Teaching points : Formed in the mid leg by confluencing of two head of gastrocnemius (lateral joining lower than medial) and soleus. Is enclosed in paratendon (equivalent of synovium). Inserted ...
Source: Sumer's Radiology Site - January 11, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Stensen's Duct-MRI
42 years old man with left sided pain on eating with old USG (2 weeks)  suggesting tiny calculus in the Stensen's duct. The MRI shows essentially normal gland (left) with asymmetrically prominent duct  (as compared to the right), within the gland / at the exit / stensen's components.  The musculature and soft tissues are normal, could represent recently passed calculus / inflammation. Teaching points by Dr MGK Murthy, MRI Technician- Umamaheshwar: Stensen's duct is 4 to 7 cm long and 2 to 3 mm in diameter. MDCT Sialogram is an ideal modality for evaluation.  MR plays complementory role in...
Source: Sumer's Radiology Site - January 11, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

The Beatles & CT- History that you never knew
"In 1962, a new English rock-and-roll band named The Beatles signed a recording contract with Electric & Music Industries (EMI). The Beatles were so financially successful that EMI was able to fund research and development in other divisions of the company; in particular, the work of an enterprising young engineer named Godfrey Hounsfield. His groundbreaking work in x-ray imaging produced the first commercially available head-only CT scanner, and a Nobel Prize." So, we owe the first CT scan to musical success to The Beatles Art & science are more inter-related than we can imagine at times.  Ref...
Source: Sumer's Radiology Site - January 8, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Lad spasm
For cardiologists and radiologists . Spasm of LAD beyond second diagonal causing rest angina. Pain and spasm cleared following intra coronary nitroglycerine. Myocardial bridging will appear as if vessel is squeezed in systole , normal in diastole . In spasm , it will look narrow persistently, irrespective of systole and diastole , and relieves completely with nitroglycerine. Contributed by Dr Rakesh Gopal , Apollo hospital Chennai  (Consultant Interventional Cardiologist) Studied Interventional Cardiology at Sree Chitra Tirunal Institute for Medical Sciences and Technology From Sumer's Radiology Site ht...
Source: Sumer's Radiology Site - January 8, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Occipital Encephalocele: Fetal MRI
MRI role is to evaluate the fetal brain, particularly when an abnormality has been detected on prenatal US or when a fetus is at increased risk for neurodevelopmental anomalies. Fetal MRI has higher contrast resolution, is not affected by the shadowing from the calvarium or by low amniotic fluid volume, allows a larger field of view and can easily be performed using ultrafast T2-W sequences, making it more useful than US in late pregnancy. This patient shows bony defect in the occipital bone with associated encephalocele. From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teler...
Source: Sumer's Radiology Site - January 7, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Now Sony offer innovative Radiology products.
With its Organic Light Emitting Diode (OLED) driven technology, and the successful launch of its PVM-2551MD medical monitor in 2011, Sony has launched a new medical 3D recorder, new 3D camera and five new diagnostic displays for radiology.  Further details AME Info  From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - January 7, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

10th Year of RadBlogging
After posting my latest case report on 1st Jan 2013, i look back at the start i made in 2004.  Never knew that i will continue so long  & did not know about the power of Internet or power of Web 2.0 . Thank you to all my readers and weblog followers for being connected through this medium.  Wish you all a happy and prosperous New Year 2013. Regards Sumer Sethi, MD From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - January 2, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Hemimegalencephaly-MRI
This is 11 year old girl with seizure disorders. MRI shows presence of asymmetrical enlargement of right cerebral hemisphere relative to left with thickening of gyri, which suggests possibility of congenital hemimegalencephaly. Hemimegalencephaly is a rare congenital disorder of cortical formation with hamartomatous overgrowth of part of all of a cerebral hemisphere. This results from either increased proliferation or decreased apoptosis (or both) of developing neurons. Case submitted by Dr Swati Shah, FRCR. From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiol...
Source: Sumer's Radiology Site - January 1, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs