Discover and read the best of Twitter Threads about #radiology

Most recents (12)

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Tomorrow, I begin my PGY-31 year: 30 years since graduating med school & 25 since becoming credentialed in #Radiology. Today is #PrideNYC & a celebration of #Stonewall50. Here are some lessons for all about how times have changed & how much more we still can learn. 1/
Med school coincided with the emergence of the AIDS epidemic. As a very closeted and too young medical student (graduated at 23), I watched as too many young (mostly) men were dehumanized. There were many heroes out there. More often, we didn’t do enough. 2/
I remember the frequent “joke” told by my peers/friends in school: “What is the hardest part about having AIDS? Convincing your parents that you are Haitian.” (Ask someone older if you don’t get it). The stigma was huge; the fears were great. 3/
Read 16 tweets
“[T]he American College of Radiology have categorized the various ligands into different safety classes ... despite being grounded in purely observational data,” physiology.org/doi/full/10.11…
#gadolinium ☠️ #patientsafety #radiology #Nephrology
The “American College of Radiology] Committee on Drugs and Contrast Media considers the risk of [‘nephrogenic’ systemic fibrosis] among patients exposed to standard or lower than standard doses of group II [gadolinium-based contrast agents] is ... possibly nonexistent...”
The American College of Radiology, based on more opinion than evidence, guided Group II agents—such as MultiHance—as having “sufficiently low or possibly nonexistent” risk for gadolinium-induced systemic fibrosis. acr.org/Clinical-Resou…
#gadolinium ☠️ #radiology ☢️ #Nephrology
Read 4 tweets
“Gadolinium-based contrast agents: Stimulators of myeloid-induced renal fibrosis and major metabolic disruptors,“ is now in press—sciencedirect.com/science/articl…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
#dermatology
#nephrology
Gadolinium-based “magnetic resonance imaging contrast agent treatment impaired renal function, induced pathologic damage, and increased kidney fibrosis,” sciencedirect.com/science/articl…

#gadolinium
#nephrology
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 11 tweets
1/ It’s been a week.

It’s well into Friday evening & I just got off the phone with a patient who had urgent radiology results. This was after spending > 40 min on the phone w another patient discussing the same this afternoon.

(18 more to come; stick with me.)
2/ I only got 2 items on today’s long “to do” list done — but that’s on me. I was finally able to sit down for a couple hours uninterrupted and dig deep into a few patient cases from the week.

(And I “don’t work” on Fridays.)
3/ As I hung up the phone, I reflected on how #directprimarycare has enabled me to get to the heart of medicine & the doctor-patient relationship.

During that call, my patient’s spouse broke down and — through sobs — simply said: “Thanks for being so kind.”
Read 19 tweets
This Mother's Day, breast health advocates’ daughters share how their moms have inspired them.

#MothersDay #MothersDay2019 #BreastCancerAwareness #breastcancer #HealthCare #GEHealth

newsroom.gehealthcare.com/breast-cancer-…
When a mammogram missed Jacquelyn’s breast cancer due to her dense breast tissue, she learned about this technology

#BreastCancerAwareness #breastcancer #mammography #mammogram #technology #HealthCare #GEHealth

newsroom.gehealthcare.com/ultrasound-gav…
A 1,000-square-foot medical clinic in the Andes Mountains is transforming rural healthcare

In the mountains of #Peru, a husband and wife run a #Quechuan-speaking center where patients pay what they can and are never turned away due to a lack of resources

newsroom.gehealthcare.com/medical-clinic…
Read 40 tweets
“[I]t is known that during those at least 6 weeks [after exposure to gadolinium-based contrast agent] equilibrium has not been reached and [gadolinium] can be measured for all [gadolinium-based contrast agents] in tissue,” fda.gov/downloads/Advi…

#gadolinium
🧠
☢️
“It is important to note that the exact mechanism and in particular other co-factors that are likely needed to trigger [‘nephrogenic’ systemic fibrosis] are still unknown,” fda.gov/downloads/Advi…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
“[T]he levels of gadolinium in the body considered normal in the absence of any [gadolinium-based contrast agent] exposure is, for practical purposes, zero,” fda.gov/downloads/Advi…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 4 tweets
“Notably, in recently published rodent studies, complete clearance of the brain took up to 6 months after injection of a large amount of” gadolinium-based contrast agents. journals.lww.com/investigativer… @HrsQuiet
#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
“[S]o it can be assumed that the total clearance—if achieved at all—might also take months in humans,” after gadolinium-based contrast administration— journals.lww.com/investigativer… @HrsQuiet
#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 4 tweets
“A conspicuous knowledge gap now exists about” the safety of gadolinium-based contrast agents—Dr. Stephen Brown, Harvard Medical School, in
The Need for National Guidance Around Informed Consent About GBCA Safety
tandfonline.com/doi/abs/10.108…
#gadolinium #radiology #patientsafety
“The research protocol under discussion highlights where the [National Institutes of Health] Roadmap around [gadolinium-based contrast agents] falls short,” because informed consent about gadolinium deposition could be left out—Dr. Stephen Brown
tandfonline.com/doi/abs/10.108…
“The [Institutional Review Board] should first clarify that gadolinium deposition is NOT INCIDENTAL in this study,” [emphasis added]—Dr. Stephen Brown, Harvard Medical School, in
The Need for National Guidance Around Informed Consent About GBCA Safety
tandfonline.com/doi/abs/10.108…
Read 7 tweets
“Despite significant differences in the thermodynamic stability between non-ionic Omniscan and ionic Magnevist, the [#gadolinium ☠️] concentrations were about the same in the brain,” nibib.nih.gov/sites/default/…
#radiology ☢️ #patientsafety #publichealth #neurology 🧠 #dermatology
“Chronic symptoms attributed to [gadolinium-based contrast agent] exposure:” paresthesias, dysesthesias, clouded mentation, skin discoloration, skin changes, skin thickening, bone pain, bone/joint pain, muscle spasms, arthralgia, muscular weakness—nibib.nih.gov/sites/default/…
“Chronic symptoms attributed to [gadolinium-based contrast agent] exposure:” fatigue/asthenia, digestive symptoms, nausea, vomiting, diarrhea. nibib.nih.gov/sites/default/…
#gadolinium #radiology ☢️ #patientsafety #publichealth #neurology 🧠 #dermatology #nephrology #rheumatology
Read 14 tweets
"This free AI reads X-rays as well as doctors."
No, it doesn't! The first image I uploaded was an image of an apical pneumothorax from the web, and it completely missed it. This isn't something you want to miss.
snip.ly/quakd3 @FastCompany #radiology #AI
The creator's intention is a good one, but this type of headline is both inaccurate and dangerous. #DeepLearning has a lot of great potential in #medicine, but we have to be careful not to overhype #AI. Oh, btw, this patient does not have cardiomegaly. #radiology #ImagingAI
To be fair, the authors in the original article (arxiv.org/pdf/1901.11210…) do not claim to be as good as or better than radiologists but rather to "augment" or "assist" them. Good: they show potential for an #AI solution with minimal computational cost while preserving pt privacy.
Read 4 tweets
#GE @generalelectric launches #Invenia #ABUS 2.0 in US.

US #breastcancer patients with dense tissue now have another option for detecting the presence of tumors in the form of #GEHealthcare’s Invenia Automated Breast #Ultrasound (ABUS) 2.0.

Read 12 tweets
Letter to my younger self
#FOAMrad #FOAMed #radiologytrainees
A decade into #radiology
#neurorad #pedineurorad
Read on. Add your #rad life lessons too!
A lot of work in radiology can be mundane 'follow up', 'comparison' or 'surveillance'. Don't call it just a 'routine follow up study'
Make the most out of any exam by first BLINDING yourself to the history, opening the BASELINE imaging- be it any modality and QUIZZING yourself.
Read each study with your own standardized approach first.
Tumor follow ups can be much more interesting if you start by quizzing yourself on the baseline.
Also go back in time for size changes, slow growth can be missed.
Read 15 tweets

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