India's First Satellite Based PGME classes-DAMS SKY
Largest event ever in the history of India via satellite regarding latest trend in AIPGME on 25th January. Clear all your doubts on this day.  Meet Dr Sumer Sethi LIVEFrom 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 10, 2014 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Radiology Spotter Video-Cryptococcal Meningitis
Cryptococcal organisms spread from the basal cisterns through the Virchow-Robin spaces to the basal ganglia, internal capsule, thalamus, and brainstem. The production of voluminous mucoid material may enlarge the perivascular spaces. 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 10, 2014 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Cumbo Sign- Radiology Teaching File
Presenting a rare sign of hydatid cyst called as cumbo sign.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 9, 2014 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Diffusion Kurtosis Imaging-New Technique
Diffusion kurtosis imaging provides independent and complementary information to that acquired with traditional diffusion techniques. The additional information is thought to indicate the complexity of the microstructural environment of the imaged tissue and may lead to broad-reaching applications in all aspects of neuroradiology.Read More: American Journal of Roentgenology. 2014;202: W26-W33. 10.2214/AJR.13.11365In another article authors have used DK imaging for stroke. Aco=cording to authors, although diffusion-weighted imaging and its metric, the ADC, have been widely used in the evaluation of stroke, DK imaging w...
Source: Sumer's Radiology Site - December 27, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Radiology Film Reading Part-1
Hope you enjoy two classic radiological signs being discussed by me via video conferencing. Here two signs are being discussed related to Hallevorden spatz disease and Tension pneumocephalus. 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 - December 27, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Wish you a Merry Christmas!
Wishing all readers a Merry Christmas & a Happy New YearFrom 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 - December 25, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

RIP-Robert Steiner
Steiner and his team from EMI demonstrated first major medical application of MRI by using it to reveal plaques in the brain in multiple sclerosis, a disease that had not previously received significant radiological attention. These were shown on a scale not before seen except at post-mortem.Read more: The Age:  Radiologist who made MRI breakthroughFrom 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 - December 25, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Radiology MCQ discussion on DAMS SKY
Radiology questions from our KCET mock discussed via DAMS Sky India's first Satellite based PG medical network.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 - December 23, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

I Love Radiology Because______________
Please fill in the blank. I love being a Radiologist because____________________Top Answers from our Facebook group:DrVishal Kumat It's is the eye of medicineRaghav Sawal People usually blame doctors if prognosis is poor even if rx is gud...but no one can blame a radiologist if diagnosis is correct...Sumer Sethi Radiologists make the diagnosis in vivo and pathologists make the diagnosis once the battle (surgery) is over...Sumer Sethi Radiology is a cerebral branch...Chetan Sarvakar Because a radiologist can see what others can't see........Ravi Masand_ we provide answers for lifeMelissa H. Kalej the needs for a radiologist...
Source: Sumer's Radiology Site - December 23, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

10,000 plus members on Radiology Resident Club on Facebook
Congratulations, we are now 10,000 plus strong members of this facebook group.https://www.facebook.com/groups/radiologyresidentclub/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 - December 20, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Concept of eFAST
Radiographic findings in an eFAST (Extended Focused Assessment with Sonography for Trauma) allow an emergency physician to decide whether a patient has pneumothorax, hemothorax or pleural effusion. IMPORTANT SIGNSStratosphere sign  in an eFAST examination indicates pneumothorax. This finding in the M-mode tracing as pleura and lung being indistinguishable as linear hyperechogenic lines and is fairly reliable for diagnosis of a pneumothorax.Seashore sign is another eFAST finding usually in the lungs in the M-mode that depicts the echogenicity of the lung abutted by the linear appearance of the visceral pleura. Thi...
Source: Sumer's Radiology Site - December 18, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Radiologist Focussed Social Media-Radbuzz.net
Social media outlets such as Facebook, Twitter and LinkedIn have grown to be incredibly influential in our  personal lives, gradually they are becoming the place to be for medical professionals including radiologists as well. Our effort www.radbuzz.net  to create an exclusive radiologist community by the radiologists for the radiologists.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 - December 15, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Saphenous Nerve Neurofibroma-Presenting as medial thigh Pain
24 year old male presented with medial thigh pain and swelling and shows  evidence of elongated tandem lesions along the medial aspect of thigh in the adductor canal extending inferiorly till the medial aspect of medial femoral condyle at the knee joint with three areas of relative swelling and nodular enlargement in the superior/mid and inferior part. These lesions appears isointense on T1 weighted images and hyperintense on T2 & STIR images. Differential diagnosis includes multiple neurofibromas in medial thigh along the saphenous nerve. Clinical and histopathological correlation suggested.From Sumer's Radiology...
Source: Sumer's Radiology Site - December 14, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Extradural Hematoma-NCCT
Classic Acute Extradural Hematoma - Biconvex hyperdense appearance. Very common spotter for medical students.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 - December 12, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Bronchial Cut Off-CXR
At first glance there is clearly "white out" of the right hemithorax with the clue to the etiology in the appearance of the right main bronchus, which is abruptly cut off (arrow), in this case due to a cancer, confirmed on CT.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 - December 12, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Possible Sarcoidosis-CXR
Bilateral hilar lymphadenopathy with and Right paratracheal strip enlargement Bilateral infiltrates involving predominantly the mid zones, possibly indicating a diagnosis of sarcoidosis.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 - December 12, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Team Radbuzz.net welcome Radiologists & Nuclear Medicine Physicians
Radbuzz.net project is headed by Sumer Sethi, MD well known radiology blogger, who also spearheads leading medical education & teleradiology initiatives in India along with a group of colleagues with a vision to create an online community specifically designed for radiologists to collaborate and consult with each other. To make this a reality, they have teamed up with Skipta, a company in Lancaster, Pennsylvania, with extensive expertise in the medical networking space.We also welcome nuclear medicine professional to join our group www.radbuzz.net and take the concept of fusion imaging to the next level. &nbs...
Source: Sumer's Radiology Site - December 10, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Indian Perspective of Teleradiology
My presentation on Indian perspective of teleradiology in International Telemedicine conference in Jaipur, Telemedicon-2013: Sumer SethiFrom 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 - December 4, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Cornuate Navicular Bone
Especially prominent navicular tuberosity called a cornuate navicular (type 3 accessory navicular bone)thought to represent a fused type 2 and is occasionally symptomatic as a result of painful bunion formation over the bony protuberance.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 - November 28, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Dementia MRI evaluation- Is it Alzeimer's?
This is a 68 year old female with history of memory loss and depression with significant temporal atrophy along with some parietal lobe atrophy. Not much white matter lacunar lesions. Alzeimers is suspected. Some signs of specific dementias on MRI to be looked for are:Alzheimer's disease (AD): medial temporal lobe atrophy (MTA) and parietal atrophy.Frontotemporal Lobar Degeneration (FTLD): (asymmetric) frontal lobe atrophy and atrophy of the temporal pole.Vascular Dementia (VaD): global atrophy, diffuse white matter lesions, lacunes and 'strategic infarcts' (infarcts in regions that are involved in cognitive function).Deme...
Source: Sumer's Radiology Site - November 27, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Buzzworthy Consult on Radbuzz.net: Social media For the Radiologists
Here is the latest consult on the Social Network focused on Radiologists.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 - November 27, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Telemedicon 2013
Dear All, it gives me great pleasure & proud to inform that i am presenting "Teleradiology  Indian Perspective'  in Telemedicon2013, Jaipur on 29th November.  Largest telemedicine conclave in India, theme for this year is empowering rural health through ehealth . We have been working in Teleradiology in India for last 7 years now and it gives me great pleasure to be a part of this event: Sumer SethiFrom 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 - November 21, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Is triboluminescence future of Xray generation?
Can you imaging a mobile sized Xray source and its implication for rural telemedicine set up and patient centric approach to management. People are already working on this. "A California startup called Tribogenics is using a novel method of producing X-rays, fleshed out by Darpa-funded research at UCLA, to make X-ray emitters sturdier and more portable. The firm derives its name from a natural process called triboluminescence. When some materials—tape, sugar, or famously, Wint-O-Green Life Savers—are pulled apart, positive and negative charges separate and, like lightning, reunite in a flash of light. M...
Source: Sumer's Radiology Site - November 19, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Tablet Based -Point of Care ultrasound
 Samsung Electronics Co. Ltd have announced the launch of its first tablet-based ultrasound system – the Samsung UGEO PT60A.  The system received 510(k) FDA clearance in August and completed its domestic product review in September in time for the October launch at this week’s meeting. Equipped with state-of-the-art clinical technology, the UGEO PT60A features:  Full 10.1 inch LED touch-screen monitor  Needle Mate™, for precise identification of the needle’s location  SDMR™, providing clearer imaging with an innovative noise reduction filter  SCI™, deli...
Source: Sumer's Radiology Site - November 18, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Term of the day: Blake`s Pouch Cyst
Blake described a posterior evagination of the tela choroidea developing as a posterior expansion of the fourth ventricle in a normal 13 day old human embryo. This evagination represented a normal developmental stage and was associated with a normal vermis and had no communication with the perimedullary spaces.  The persistent Blake`s Pouch Cyst is a cystic malformation of the posterior fossa thought to derive from persistence and expansion of the normally transient Blake`pouch that arises from the area membranacea inferior (AMI) and that normally regresses during the fifth to eighth gestational weeks.  BPC ...
Source: Sumer's Radiology Site - November 17, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Bilharzial periportal fibrosis-CT
In periportal fibrosis, the the portal tracts, in which portal vein is situated , contain much fibrous tissue which appears echogenic in ultrasound and hypodense in CT as in this case. Caroli disease is cystic dilatation of biliary tracts which passes in portal vein branches in portal tracts . Its diagnostic sign is central dot sign which is the portal vein branch in each portal radicle.Case shared by : Khaled Abd El BakyFrom 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 - November 15, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Na-fluoride PET for identification of high-risk coronary atherosclerotic plaques-Lancet Reports
Nikhil Joshi et al in The Lancet, Early Online Publication, 11 November 2013 doi:10.1016/S0140-6736(13)61754-7  discuss the use of non-invasive imaging to identify ruptured or high-risk coronary atherosclerotic plaques which would represent a major clinical advance for prevention and treatment of coronary artery disease. Brief:"In this prospective clinical trial, patients with myocardial infarction and stable angina  underwent 18F-NaF and 18F-FDG PET-CT, and invasive coronary angiography. 18F-NaF uptake was compared with histology in carotid endarterectomy specimens from patients with symptomatic caroti...
Source: Sumer's Radiology Site - November 14, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Is medical education's call for change getting repeated again and again without any conclusions?
"The 1910 Flexner report is credited with beginning the modern era of medical education. Since that time, a regular calliope of calls for changes in the way that medical students are selected and educated has been heard. Yet authors such as Bloom and Christakis have noted that these calls for reform are ‘remarkably consistent,’ with perennial themes and similar recommendations. Whitehead likens this revolving pattern to a carousel, observing that “medical educators were regularly returning with fresh and un-remembering minds, to the same concerns.”Reference: Ann Fam Med. 2013 Nov-Dec;11(6)...
Source: Sumer's Radiology Site - November 14, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

New Knee Ligament- MSK Radiologists Beware
Two knee surgeons in Belgium have found a previously unknown ligament in the centre of the human knee (pictured horizontally). The new ligament - marked by the arrows below the blue box - has been called the anterolateral ligament and 97 per cent of people are thought to have one. (LCL stands for lateral collateral ligament) The researchers, who have been investigating the injuries for four years, began by studying an 1879 article by the French surgeon Paul Segond who speculated about the existence of an additional ligament located in the centre of the front part of the knee. Image source and more details BBC News ...
Source: Sumer's Radiology Site - November 9, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Radiology Centric Social Network
Latest Buzzworthy case review on Radbuzz.net , social network by the Radiologists for the Radiologists. Sample of the quality of posts happening on this buzzing network. 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 - November 8, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Tribute to Roengten on International day of Radiology
Wilhelm Conrad Röntgen was a German physicist, who, on 8 November 1895, produced and detected electromagnetic radiation in a wavelength range today known as X-rays or Röntgen rays, an achievement that earned him the first Nobel Prize in Physics in 1901. In honour of his accomplishments, the International Union of Pure and Applied Chemistry (IUPAC) named element 111, roentgenium, a very radioactive element with multiple unstable isotopes, after him. From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@telerad...
Source: Sumer's Radiology Site - November 8, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Bilobed Testes-USG
This young male patient underwent sonography of the scrotum, Sonographic images show a deep horizontal cleft passing partially through the testicles on both sides. The tissue on either side of the cleft, bilaterally, show the same echogenicity and echotexture as the normal testes. This appearance is similar to duplication of testes (polyorchism or polyorchidism). The main difference is that in duplication, the supernummerary testes is much smaller in size than the main testicle. Thus these ultrasound images are suggestive of bilateral bilobed testes.  Ultrasound images submitted by Dr. Ravi Kadasne, MD, UAE. ...
Source: Sumer's Radiology Site - November 8, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Primary Angioplasty-Cardiac Imaging
Acute anterior wall M I Primary angioplasty. Diagnostic shot is a bit under filled. 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 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 - November 8, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Lipoma arborescens-MRI
51 year old male with clinical history of ? Psoriatic arthritis.: Evidence of extensive fluid in the knee joint distending the suprapatellar bursa and medial/lateral recess, along with significant synovial hypertrophy and thickening.   There is vilous filiform pattern of synovial hypertrophy with areas of lipomatous signal on all sequences possible lipoma arborescens. Lipoma arborescens is a rare intraarticular lesion characterized by villous Iipomatous proliferation of the synovium, usually involving the suprapatellar pouch of the knee joint. A patient with the condition typically has a slow increase in painless s...
Source: Sumer's Radiology Site - November 6, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Voice recognition-Pros and Cons
In recent article by Matthew Fox et al in IJRI discusses the pros and cons of using VR.  Authors examine how VR technology works, outline the positive and negative aspects of VR technology on work fl ow and identify common VR transcription errors. Pros include reduced turn around times and intregation into RIS and PACS.  Cons include  errors, local accent issues and proof reading issues. Reference: Fox MA, Aschkenasi CJ, Kalyanpur A. Voice recognition is here comma like it or not period. Indian J Radiol Imaging 2013;23:191-4. From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radi...
Source: Sumer's Radiology Site - November 4, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

CSF flow study in Chiari Malformation-Teaching Points
45 year lady with neck pain on routine MR suggests tonsillar ectopia of approximately 8 mm (to the level of body of C2) with phase contrast CSF flow study suggesting subtly reduced signal intensity and flow pattern of the CSF column in the posterior subarachnoid space, possibly representing benefit from surgical decompression (could be deferred for periodic reviews in view of no significant neurological deficit). Teaching points by Dr MGK Murthy, Dr Krishna Mohan, Dr Sumer Sethi, Mr Narasimhulu: -      Chiari-I exhibits downward displacement to the cerebellar tonsils, may bilateral et...
Source: Sumer's Radiology Site - November 4, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Secret to Low cost of Healthcare in India
Interesting article in Harvard Business Review Blog, which talks highly of common sense practices in Indian hospitals which lead to cost saving. Key points from the article: Three major practices have allowed these Indian hospitals to cut costs while still improving their quality of care. A Hub-and-Spoke Design: Indian hospitals create hubs in major metro areas and open smaller clinics in more rural areas which feed patients to the main hospital Task Shifting: The Indian hospitals transfer responsibility for routine tasks to lower-skilled workers, leaving expert doctors to handle only the most complicated procedures.&...
Source: Sumer's Radiology Site - November 4, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

RadBuzz.net- Social Media Initiative for Radiologists
Sample of the Curbside consults happening on our social media channel called as Radbuzz.net , social media initiative by the Radiologists for the Radiologists. Join the network today. www.radbuzz.net 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 - November 2, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Gravid seizures-MRI
19 year gravid patient with seizures and systolic hypertension shows asymmetrical vasogenic edema in the perisylvian regions with extension to frontoparietal locations with reduced caliber of right cavernous and  supracavernous ICA and MCA as compared to the left, suggesting possible perusion abnormality on account of loss of autoregulation (Akin to PRES). Teaching points by Dr MGK Murthy, Dr Sumer Sethi, Mr Narasimhulu, Mr Venkat: -      Brain perfusion is maintained by autoregulatory system of the small arteries and arterioroles that has myogenic and neurogenic components. End...
Source: Sumer's Radiology Site - November 2, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Radiology Crossword-Teaching Tool
Teaching tool to make learning more interesting. Games are an integral part of learning and teaching medical students. 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 - October 31, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

GCT of Tendon Sheath-MRI
35 year old lady with painful gradually increasing swelling of the index finger in middle phalangeal region of long duration with no history of trauma, with cytology suggesting GCT, shows on MRI, a well defined, lobulated intermediate to low signal intensity SOL in relation to the middle phalanx with no MR demonstrable calcification or intra-articular involvement. Teaching points Dr MGK Murthy: -      Second most common tumor of the hand after simple ganglion cysts. 30 – 50 years is the peak incidence. Female to male ratio is 3 : 2. -      Associ...
Source: Sumer's Radiology Site - October 31, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Medical Education Bubble-NEJM Article
Although this NEJM article is US centric, it makes interesting reading. Even in Indian setting with cost of private medical education rising this question would soon arise. I suspect this we have already witness this with Dental education. Do you think we will be able to justify crores of capitation fees for Radiology degree in Indian Pvt medical colleges in near future? David Asch and Colleagues write: "Are we in a bubble market in medical education? In medicine, students buy their education from medical schools and residency programs (which pay wages that are lower than the value of the work that residents provid...
Source: Sumer's Radiology Site - October 31, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Interrupted IVC with Azygos Continuation
  Patient required a CT coronary, when dilated azygous system was seen and venogram was studied,study was done using 320 slice CT. Images show an interrupted IVC, with azygous continuity.  This variance is usually of no consequence, unless the cardiologist  tried cardiac cath from IVC, where he would be stuck at hepatic IVC, till  he realizes there is IVC interruption. 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 Radiolo...
Source: Sumer's Radiology Site - October 29, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Record Compensation Awarded in Medical Negligence Case In India
Doctors and hospitals are a worried lot after the Supreme Court on Thursday awarded a record compensation of Rs 5.96 crore in a medical negligence case dating back to 1998. Compensation by SC was decided by the worth of patient an leads us all to a question , should Doctors also charge according to the patients worth. Positive side of the verdict it makes Doctors aware that there is a need to provide patients with recourse however, large punitive damages are known to have a negative impact on healthcare systems, by making doctors practise defensive medicine and increasing the cost of healthcare overall.  How muc...
Source: Sumer's Radiology Site - October 28, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

International Day of Radiology -Global Initiative
International Day of Radiology 2013, which will be celebrated on  8th November 2013 (The 118th Anniversary of the X-rays). This is a global initiative from European Society of Radiology (ESR), American College of Radiology (ACR) and the Radiological Society of North America (RSNA), which was initiated in 2012. 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 - October 28, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Hypertrophic olivary degeneration-MRI
 Case Report: 50 year old hypertensive with prior history of stroke, presents with loss of fine voluntary movements. MRI shows an ill defined, T2 low signal intensity foci in the lower pons suggesting hemosiderin and ferritin deposits with relatively well defined T2 hyperintensity and enlargement of the left anterior medulla in the inferior olivary nucleus region with no restricted diffusion, suggesting possible hypertrophic olivary degeneration (HOD) secondary to pontine haemorrhage. Case submitted by Dr MGK Murthy, Mr Sentil & Mr Venkat Teaching points : - Is a form of trans-synaptic degenerat...
Source: Sumer's Radiology Site - October 28, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

World Most Powerful MRI-11.75Tesla
The most powerful MRI machine in the world is nearing completion. The new instrument will be able to generate 11.75 Tesla, a field strong enough to lift 60 metric tons. Squeezing out those last few Tesla (the previous record for field strength was around 9.4) requires extraordinary precision in the design and manufacture of the superconductor magnets at its core. As a research tool, a machine like this would allow the brain to be imaged in unprecedented detail—a voxel size of .1mm as compared to 1 mm previously.   Read more at: Phys.Org From Sumer's Radiology Site http://www.sumerdoc.blogspot.com...
Source: Sumer's Radiology Site - October 28, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Cavernosal Hematoma-MRI
 Adult Male with history of coitus injury of 10 days duration ,with Ultrasound suggesting cavernosal bleed , shows on MRI, symmetrical , relatively well defined , focal hematoma(bright on T2 and Blooming on Gradient ) with no break in tunica with cavernosal arteries flow voids as well as urethra apparently normal ,consistent with caverosal haematoma. Trauma can occur in vigorous coitus. Penile fractures can be identified by breaks in tunica albuginea with surrounding hematoma. Teaching points by Dr MGK Murthy, Dr Sumer Sethi Relevant Anatomy : Three basic cylinders (two paired dorsal c...
Source: Sumer's Radiology Site - October 22, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Resident Training in the Digital Age
In an article published in Radiographics. 2013 Aug 29. [Epub ahead of print]  Authorsn discuss a vital issue which probably has even more relevance for a country like ours where radiology training is non-uniform and less focus is on report writing skills.  Authors Gorniak et al  mention "During their radiology residency, trainees must learn multiple facets of radiology practice, including the writing of radiology reports. An important factor in the trainee’s development of reporting skills is feedback from the attending radiologist on the trainee’s preliminary reports. As radiol...
Source: Sumer's Radiology Site - October 22, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Photography & Radiology
I think radiology and photography have many similarities and there are many skills which are required form both including centering of image, magnifying the region of interest, having the right contrast setting, and avoiding the motion blurring. Then there is an element of post processing with cropping off the unnecessary areas, adjusting the brightness and contrast, publishing in the right resolution.   Note the changing colors of sunset in these pictures taken in a few moments gap. Do you love both of these? From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Telerad...
Source: Sumer's Radiology Site - October 15, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs