Orbiting ORBITA
By ANISH KOKA, MD
I’m sitting amidst a number of cardiologists to go over the most recent trials presented at the interventional cardiology conference in Denver. The cardiology fellow presenting goes quickly through the hors de oeuvres until finally getting to the main course – ORBITA.
ORBITA sought to test the very foundations interventional cardiology was built on – the simple idea that opening a stenosed coronary artery was good for patients. The trial was a double blind randomized control trial of patients with tightly stenosed arteries who either had a stent placed or had a sham procedure. Before the resul...
Source: The Health Care Blog - December 4, 2017 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Anish Koka cardiology Orbita Source Type: blogs
List of Open Access Medical Imaging Datasets
Open access medical imaging datasets are needed for research, product development, and more for academia and industry. We hope this guide will be helpful for machine learning and artificial intelligence startups, researchers, and anyone interested at all. This is a growing list and will be periodically updated - if you know of another open medical imaging dataset, please email data@radrounds.com.Radiology Open Repositories:NIH- 100,000 chest x-rays with diagnoses, labels, annotationTCIA - The Cancer Imaging Archive consisting of extensive number of datasets from Lung IMage Database Consortium (LIDC), Reference Image ...
Source: radRounds - December 2, 2017 Category: Radiology Authors: radRounds Radiology Network Source Type: blogs
No Fracture, No Problem?
"It's been hurting for months, but now I'm really having pain and difficulty walking too."The resident relayed those words said by a 60ish-year-old woman in our emergency department. Now the resident was waffling over whether to get an x-ray. On one hand, ordering radiographs will increase her length of stay, and will certainly not show a fracture. On the other hand, the patient's satisfaction might improve by taking some pictures. The resident decided to do the x-ray; adding it probably won't help much anyway.The AP film seemed to confirm his fear of wasted time and resources.When the lateral popped up ...
Source: Lions and Tigers and Bears - December 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
X-rays and Children: FDA Issues Guidance to Minimize Dose
By: Vasum Peiris, M.D., M.P.H. In medicine, knowledge is power and the information and knowledge gained from medical imaging have transformed the way medicine is practiced in less than a generation. Advances in X-ray imaging have evolved dramatically and span … Continue reading → (Source: FDA Voice)
Source: FDA Voice - November 29, 2017 Category: American Health Source Type: blogs
Don ’t let the opioid crisis affect the treatment course for your patients
Mrs. Smith is an 81-year-old female. She worked a long time doing very physical work and is now on a fixed income and comes to my office with chronic pain. X-rays show she has degenerative arthritis in her hips, knees and lumbar spine. She has taken Norco twice a day for years and has been able to be very stable on this. She has always been compliant with her medications. She has not lost them or had them stolen. She lives with her husband, and they use a safe where they keep their medications. The patient has done well with acupuncture and massage in the past but is not able to afford these, and her insurance doesn’...
Source: Kevin, M.D. - Medical Weblog - November 21, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/t-j-matsumoto" rel="tag" > T.J. Matsumoto, PA-C < /a > Tags: Meds Pain Management Primary Care Source Type: blogs
Sensus Healthcare ’s Technology Uses Low-Energy X-rays Directly on Cancer Cells: Interview with CEO Joe Sardano
Sensus Healthcare is a medical device company that focuses on providing non-invasive and cost-effective treatment of non-melanoma skin cancers and keloids utilizing superficial radiation technology (SRT). Their proprietary, FDA-cleared SRT technology is used to effectively and safely treat oncological and non-oncological skin conditions. The radiation is focused onto cancer cells almost exclusively, and it penetrates no more than 5mm under the surface of the skin, sparing nearby tissues.
In 2013, Sensus Healthcare received FDA clearance in the United States to treat keloids with the SRT-100 device. Earlier this summer, Chi...
Source: Medgadget - November 20, 2017 Category: Medical Devices Authors: Alice Ferng Tags: Dermatology Exclusive Oncology Source Type: blogs
Funtabulously Frivolous Friday Five 214
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 214.
Question 1
Who first described the phenomenon of malignant hyperthermia?
+ Reveal the Funtabulous Answer
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Michael Denborough
Question 2
Fox’s Sign ...
Source: Life in the Fast Lane - November 17, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five apocrine miliaria Charles Maitland fox sign george henry fox john addison fordyce jones fracture malignant hyperthermia michael denborough Newgate pimp Robert Jones smallpox william osler Source Type: blogs
The one job robots can never take away from doctors
Robots read EKGs. Computers interpret chest X-rays. Algorithms decide which treatment a patient gets.
I asked myself this question this morning, “What job can I do as a doctor that cannot be done by a computer or a robot?” And one of the first things I said to myself was, “Comfort a human.”
But I dwelt on this for a moment and found it’s not quite true. Because computers and robots can offer comfort to a human. They can react to our negative inputs or habits. Facebook does it everyday. But, at least not now in the early 21st century, humans, in general, don’t accept the comfort that these algori...
Source: Kevin, M.D. - Medical Weblog - November 17, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jeffrey-cannon" rel="tag" > Jeffrey Cannon < /a > Tags: Education Infectious Disease Medical school Primary Care Source Type: blogs
Pulmonary edema seen on chest X-ray supine view
Pulmonary edema on chest X-ray supine view
(Click on the image for a larger view)
Pulmonary edema on chest X-ray supine view. Supine view is identified by the absence of fundal gas bubble below the diaphragm. Moreover, the scapulae are seen within the lung fields, which will not be there in a well positioned chest X-ray PA view. The apparent cardiomegaly cannot be commented upon since it is a supine view.
Standard chest X-ray PA view is taken with the patient standing behind the X-ray film and the X-ray tube at a distance of 72 inches behind. At that distance, the X-ray beam is somewhat parallel and does not produce magnif...
Source: Cardiophile MD - November 12, 2017 Category: Cardiology Authors: Johnson Francis Tags: Cardiology X-ray Source Type: blogs
Two Views are Better than One
A middle-aged man was found on the highway. A concerned passerby called 911, and then EMS made him a patient of mine. Approaching the stretcher, the aroma of alcohol permeated the air. Such is my life as an inner-city nocturnist.This patient was a little different, though. He said he had been short of breath before passing out. Peeking out from the bottom of the sheet was an ankle boot. The patient provided little assistance with his history. His exam was otherwise completely normal.Just that week at the mortality and morbidity conference, a case bearing similarities struck terror in our hearts. A middle-aged man with a le...
Source: Lions and Tigers and Bears - November 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Professionalism And Choosing Wisely
The US health care system is plagued by the use of services that provide little clinical benefit. Estimates of expenditures on overuse of medical services range from 10–30 percent of total health care spending. These estimates are typically based on analyses of the geographic variation in patterns of care. For example, researchers at the Dartmouth Institute focused on differences in care use between high-spending and low-spending regions with no corresponding reductions in quality or outcomes. An analysis by the Network for Excellence in Health Innovation (formerly known as the New England Healthcare Institute) ident...
Source: Health Affairs Blog - October 24, 2017 Category: Health Management Authors: Michael Chernew and Daniel Wolfson Tags: Costs and Spending Quality Choosing Wisely inefficiency overuse of medical services Source Type: blogs
Clinical radiology: UK workforce census 2016 report
This report underlines the situation in UK radiology, with the ongoing shortage of imaging doctors making late hospital diagnoses and delayed scan results a very real likelihood for patients. It finds that, in 2016, the NHS paid out an estimated £88 million for out-of-hours reporting of X-rays and scans, while nearly two-thirds of vacant radiologist posts sat empty for 12 months or more. It also highlights the UK-wide problem of not have enough imaging doctors to fill hospital vacancies.ReportRoyal College of Radiologists - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - October 12, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs
Hate Strength Training?
By Crabby McSlackerStrength training, alas, is still considered a crucial ingredient in the ever-changing recipe for a fit and healthy life. Omitting this key ingredient is like trying to make meringue with no egg whites--the results may be disappointingly gloppier than you were intending.But it's not just about looking more buffed or losing weight more easily. There are plenty of importanthealth benefits from strength training that I'm too lazy to list. But trust me, strength training is good for you in ways that cardio is not! You need both.Of course I realize that many peoplelove weights and hate cardio. To me thi...
Source: Cranky Fitness - October 10, 2017 Category: Consumer Health News Authors: Crabby McSlacker Source Type: blogs
