Urachal Anomaly: Case Reports
Presenting two case reports of urachal anomalies. Submitted by Dr MGK Murthy, Dr GA Prasad Case 1(MRI)14 yrs boy with h/o periumbilical pain, swelling& discharge with periumbilical sinus in USG presents for MRI which show- An ill defined irregular subtle fluid signal intensity focus suggested in the infraumbilical region with a long thin linear low signal intensity on all pulse sequences properitoneal track identified extending to the superior aspect of urinary bladder with no definite fluid contents/ bladder diverticulum/secondary tracks/intraperitoneal extension/ presence of air /air fluid l...
Source: Sumer's Radiology Site - December 21, 2018 Category: Radiology Authors: Sumer Sethi Source Type: blogs
AI Collaboration Being Tested at University of Rochester Medicine
The radiology department at the University of Rochester Medicine has fully embraced artificial intelligence (AI) with their recent announcement that they ’re testing Aidoc, an artificial intelligence-based software that analyzes medical images to detect abnormalities.The testing program is part of the American College of Radiology ’sDSI ASSESS-AI registry, an initiative to determine how AI solutions impact radiology practices. With careful evaluation of various AI programs, healthcare institutions can decide on the most effective AI protocol.The Aidoc solution is being used in conjunction with Nuance ’s PowerScribe...
Source: radRounds - December 14, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs
Amazon Launches New Medical Record Language Processing Service
One of the most significant factors in extracting information from EHR record is the use ofnatural language processing (NLP) which I have referred to in a number of previous notes (see, for example:EMRs and the Data Entry Paradox; Same Concept Not Applicable in the LIS World;Assessing Drugs Using"Real World Evidence" in Addition to Clinical Trials;AI Allows Computers to"Read" EHR Records and Make Predictions). A recent article discussed why one should"care" about Amazon's new medical language processing service (see:Why Should You Care About Amazon's New Medical Language Pr...
Source: Lab Soft News - December 13, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Computer Security Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Information Lab Regulation Medical Research Medicolegal Issues Predictive Analytics Source Type: blogs
Thinking About Dumping Your Psychiatrist? You Might Not Need To
It’s tempting. I’ve been there. You hit a rough patch with your psychiatrist and you think, “I’m outta here.” There may be some things you can do to not only get your relationship back on track but also give it a turbo boost. I want to explore just a few of the things we can do to improve our relationships with our doctors.
First some basic facts. Psychiatry is a rare discipline of medicine and the population of psychiatrists is aging and not being replaced quickly enough by younger physicians. There are many areas of the country, small town and rural particularly, that have few to no psychiatrists. Some of us ge...
Source: World of Psychology - December 3, 2018 Category: Psychiatry & Psychology Authors: Tova Feinman Tags: Bipolar Communication Personal Psychotherapy PTSD Schizophrenia Psychiatry Source Type: blogs
The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock
A 60-something presented with hypotension, bradycardia, chest pain and back pain.She had a h/o aortic aneurysm, aortic insufficiency, peripheral vascular disease, and hypertension. She had a mechanical aortic valve. She was on anti-hypertensives including atenolol, and on coumadin, with an INR of 2.3. She was ill appearing. BP was 70/49, pulse 60.A bedside echo showed good ejection fraction and normal right ventricle and no pericardial fluid. Here is the initial ECG:What do you think?This ECG actually looks like a left main occlusion (which rarely presents to the ED alive): ST Elevation in...
Source: Dr. Smith's ECG Blog - November 30, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs
Say Hello to Explorer, Your New Favorite Full-Body Scanner
TheEXPLORER, the new full-body scanner created in partnership between University of California Davis and United Imaging Healthcare in Shanghai has officially started producing images.A hybrid of positron emission tomography (PET) and x-ray computed tomography (CT), EXPLORER delivers whole-body scans in under 20 to 30 seconds. Most PET imaging systems are slow to develop each single slice of image, and once all the pieces of the images are generated then it takes around 30 to 40 minutes to be compiled into a principal three-dimensional image. This lag time makes it very challenging for physicians to assess the body in real ...
Source: radRounds - November 29, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs
GE Healthcare ’s New Revolution Apex CT with Deep Learning Image Reconstruction
GE Healthcare unveiled a new CT scanner in its lineup of Revolution family of devices. The Revolution Apex device features the brand new Quantix 160 X-Ray tube and Deep Learning Imaging Reconstruction, a system built on GE’s Edison platform to produce “TrueFidelity” images in challenging cases.
GE believes it offers the “industry’s leading spatial resolution, temporal resolution, coverage and spectral capability” and that the new X-ray tube and underlying software will provide even better results.
The company says that the images have an improved, natural look that’s not so grainy, a h...
Source: Medgadget - November 29, 2018 Category: Medical Devices Authors: Editors Tags: Critical Care Emergency Medicine Radiology Surgery Source Type: blogs
New X-Ray from Canadian Startup Could Replace CT Scan for Lung Cancer Screening
Grand River Hospital in Waterloo, Ontario is introducing a portable multi-energy x-ray imager as an alternative to CT scan for lung cancer screening. The makers of the device claim it to be cost-effective and emit 50 times less radiation than a CT scan.The creators of the x-ray are KA Imaging, a Canada-based startup with a robust and innovative range of medical imaging products. Previously, they were awarded $1 million Canadian dollarsfrom the Grand Challenges Canada fund to develop a LCD-based x-ray that uses less radiation and is cheaper to manufacture." With our single X-ray, you sort of walk up to the X-ray, they get...
Source: radRounds - November 27, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs
Radiology Crisis in the UK Forces 56,000 Angina Patients to Forgo CT Scans
In the United Kingdom, around 56,000 patients with angina, a chest condition that can decrease blood flow to the heart, were unable to undergo necessary CT scans last year due to the region ’s radiologist shortage.According to a recent review from the Royal College of Radiologists (RCR) and the British Society of Cardiovascular Imaging (BSCI), there should have been 132,090 CT coronary angiography (CTCA) tests performed throughout England, Scotland, Wales, and Northern Ireland in 2017. However, only 75,791 —or 57 percent — of those tests were administered.Approximately 69,900 scans were performed in England, the high...
Source: radRounds - November 17, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs
AI Doesn ’ t Ask Why — But Physicians And Drug Developers Want To Know
We describe phenomena using science, which gives us a sense of understanding and structure – yet we often lack actual understanding about what we’re observing, or why our treatments work. We have scientific explanations that may appear solid at first glance, but are flimsy upon closer inspection. More commonly, I imagine, we rely on scientific explanations as heuristics to enable us to get through our days, as a scaffold upon which to organize our information.
I suspect AI is viscerally uncomfortable, and challenging to apply to clinical care or drug discovery (see part 2), because of the psychological importance and c...
Source: The Health Care Blog - November 16, 2018 Category: Consumer Health News Authors: matthew holt Tags: Artificial Intelligence Pharmaceuticals Physicians AI David Shaywitz Health Tech Source Type: blogs
A CT scan for kidney cancer? It may depend on where you live.
About one in fifty people reading this essay will be diagnosed with kidney cancer at some time in their life. In fact, one out of one people writing this essay has already been diagnosed with kidney cancer. (I had a small tumor removed from my left kidney not long after I turned 50.) But how many people […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/peter-ubel" rel="tag" > Peter Ubel, MD < /a > Tags: Conditions Nephrology Oncology/Hematology Source Type: blogs
HoloLens Used to Looks at Heart Scars in High Resolution
At the Beth Israel Deaconess Medical Center in Boston, researchers have been investigating the use of the Microsoft HoloLens augmented reality headset for visualizing myocardial scars during surgical interventions.
During ablations and other electrophysiology procedures, the surgeon must have a good idea of where scars and other relevant items are within the heart. Typically, this is displayed on a computer screen and keyboards, mice, knobs, joysticks, and balls are used to control the zoom, rotation, and slicing of the images. All of these methods require the physician to look away from the patient and to use a physical c...
Source: Medgadget - October 29, 2018 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Radiology Source Type: blogs
Managing Digital Health Regulatory Uncertainty
Uncertainty abounds when managing digital health regulatory uncertainty regarding the FDA and other international regulatory bodies. For this discussion we'll divide uncertainty into two categories, uncertainty due to a lack of knowledge about the potential regulations on the part of manufacturers and uncertainty about just what various regulatory agencies are doing - or going to do - about new and innovative products that meet the definition of a medical device.
What is a Medical Device?
Let's start with the first category; there is an astounding amount of misinformation and just plain wrong-headedness on the part of many...
Source: Medical Connectivity Consulting - October 24, 2018 Category: Information Technology Authors: Tim Gee Tags: Regulatory Bibliography Standards & Regulatory Source Type: blogs
Siemens Releases New MRI and PET/CT Scanner for Radiation Therapy Planning
At the American Society for Radiation Oncology annual meeting, Siemens Healthineers has unveiled its RT Pro edition for Biograph Vision PET/CT scanner and MAGNETOM Sola 1.5 Tesla MRI machine to help with radiation therapy planning. Both systems are specifically designed to aid in planning of radiotherapy procedures and each features some major improvements over previous devices.
The RT Pro Edition for Biograph Vision PET/CT comes with a brand new detector that has the highest available sensitivity characteristics and produces higher image resolutions. Its 78 cm bore lets large bodies slide in and out and allows for vari...
Source: Medgadget - October 22, 2018 Category: Medical Devices Authors: Editors Tags: Oncology Radiation Oncology Radiology Source Type: blogs
Unexpected Lessons Learned From the Wheat Belly Lifestyle
In the seven years since the original Wheat Belly book hit bookstores and turned the nutritional world topsy-turvy and millions of people have engaged in a grain-free lifestyle, many unique lessons have been learned.
Even though I had engaged the practices of this lifestyle for a number of years and in thousands of people before I broadcast these ideas through books, expanding the audience to many more people yielded feedback on an enormous scale, new lessons that even surprised me.
Among the new lessons learned along the way:
Plantar fasciitis—I did not expect to have so many people report that this painful condition t...
Source: Wheat Belly Blog - October 17, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bowel flora gluten gluten-free grain-free grains Inflammation Weight Loss Source Type: blogs
