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 | 8/16/2011 7:34:49 PM Scientists at The Institute of Cancer Research and The Royal Marsden Hospital have developed an advanced type of magnetic resonance imaging (MRI) scan that can detect whether late-stage ovarian cancers are responding to chemotherapy treatment after just one cycle. Scientists at The Institute of Cancer Research (ICR) and The Royal Marsden Hospital have developed an [...] (Source: Libby's H*O*P*E*) |
| 8/12/2011 4:00:00 PM Yesterday, I presented the case of a woman with double vision and ptosis and challenged you all to a game of “spot the lesion.” To be honest, I found this stuff impenetrable as a medical student and it was only by sheer force of will that I was able to commit it to memory for exactly long enough to pass a test on it before immediately purging it from my memory. I did this several times for various board exams and such, but it never really “stuck.” Hated neuro beyond words, I did.
As mind-numbing as I found it all in the abstract, I get excited about these cases in application. I may not remember where exactly the internal capsule is or what it does, but when I see someone with an interesting neuro deficit due to a lesion there, all of a sudden it makes so much more ... |
| 6/28/2011 11:00:34 AM This report describes a patient who, despite being mildly disabled and having a low T2 lesion load and no evident brain atrophy, showed a bilateral dentate nucleus T1 hyperintensity.
The patient was a 44-year-old man who had a diagnosis of relapsing-remitting MS (RRMS) in September 1997, after 3 relapses that occurred in June 1995, March 1997, and September 1997. Brain and cord MR imaging and CSF examination were suggestive of MS. After the diagnosis, he started treatment with interferonβ-1α, with clinical stability until January 2009, when he complained of vertigo, which gradually resolved after 5 days of steroidtreatment (methylprednisolone, 1 g daily intravenously). In September 2010, he entered a research protocol and underwent neurologic and neuropsychologic (Rao Brief Repeatable Ne... |
| 6/9/2011 4:45:59 PM I fell in love with healthcare while working as a radiology technician aide at a well-known imaging center in Dallas during college. I was working late one evening with one of our senior technicians, when I realized the profound opportunity a relationship between healthcare and technology could provide.
No sticky
read more (Source: Healthcare IT News Blog) |
| 5/28/2011 4:00:55 PM On the NPR Shots blog, Scott Hensley writes, “Quality Prescription For Primary Care Doctors: Do Less,” about an article in the Archives of Internal Medicine. Excerpt:
“A group of docs who want to improve the quality and cost-effectiveness of primary care tinkered with some Top 5 lists for of dos and don’ts for pediatricians, family doctors and internists.
After testing them a bit, they published online by the Archives of Internal Medicine. Most of the advice falls in the category of less is more.
So what should family doctors not be doing? The Top 5 list for them goes like this:
1. No MRI or other imaging tests for low back pain, unless it has persisted longer than six weeks or there are red flags, such as neurological problems.
2. No antibiotics for mild to moderat... |
| 5/28/2011 2:00:00 PM Heart-ache can be a literal thing, as well as a metaphor for all those weepy, jilted-lover torch songs.
Consensus thinking in the peer-review literature is that the parts of one’s brain responsible for physical pain, the dorsal anterior cingulate and anterior insula, also underlie emotional pain.
Researchers at Columbia University in New York recruited 40 people who’d recently ended a romantic relationship, put them in a functional magnetic resonance imaging machine, and recorded their reactions to physical and then emotional pain.
Physical pain was created by heating the person’s left forearm, compared to having the arm merely warmed. Emotional pain was created by looking at pictures of the former partner and remembering the breakup, compared to when looking at a photo o... |
| 4/8/2011 5:00:48 AM Lower back pain is a common complaint seen by almost every primary care doctor in the United States. So common in fact that 80% of the population will experience at least one episode of significant low back pain in their life. Many will experience recurrent episodes of lower back pains. Of those patients, one third will have some degree of leg pain in one or both legs. Back pain and most cases of associated leg pain do not originate from lumbar (lower back) spinal disc problems. There are many pain fiber bearing structures in the lower back including muscle, tendons, ligaments, vertebral joints and bone itself. The good news is that over 97% of all low back pain problems can be treated without surgery. Low back surgery is the most commonly overly performed surgical procedure in the United ... |
| 4/1/2011 5:00:44 PM Hall WA, Nimsky C, Truwit CL. Intraoperative MRI-Guided Neurosurgery. Thieme 2010, 272 pages, $159.95.
This book is a multiauthored text edited by three senior authors who have a tremendous experience in the use of intraoperative MRI technology. The book is divided into five sections that describe the various iterations of iMRIs that are available, its application for minor procedures, the resection of neoplastic lesions, and its role in the management of nonneoplastic disorders. The last section focuses on the future improvements in design that are likely to improve surgical access and utility of this burgeoning technology.
The first section describes the characteristics of iMRI machines that are available in the low, medium and high field strength. The reader gets a very good idea about ... |
| 3/31/2011 11:00:04 AM By Richard C. Hunt, MD, FACEP
Centers for Disease Control and Prevention
A 17 year-old athlete arrives on the sideline, at your office, or in the emergency department after hitting her head during a collision on the sports field and is complaining that she has a headache and “just doesn’t feel right.”
Can she return to play? If not, when can she safely return to school, sports, and to her normal daily activities? Does she need immediate care, a Head CT or MRI, or just some time to rest?
Do those questions sound familiar?
Each year thousands of young athletes present at emergency departments and in the primary care setting with a suspected sports- and recreation-related concussion. And every day, health care professionals, like us, are challenged with identifying and appropriately man... |
| 3/29/2011 1:38:59 PM Imaging efficiency measures are part of the Measures Management System now being developed by CMS. Its goal is to ensure proper utilization of imaging technology and to guarantee that new proposed payment strategies are based on scientific evidence. The primary focus of the program is on high-cost PET, SPECT, ultrasound, MRI, and CT technologies.
Costs have always made imaging a focus of CMS. In the last 10 years, the volume of diagnostic imaging grew at a rate of approximately 10% per year. To address this, CMS made a series of changes on how hospital outpatient imaging is reimbursed. Starting in 2008, CMS included contrast agents and other supplies within the APC code. Then, in 2009, composite APCs lowered the payment rate when two or more procedures were performed on t... |
2/3/2012 8:00:01 AM Many in the imaging industry say for radiologists to thrive in the future, they must embrace this responsibility. Are you ahead of the curve? (Source: Diagnostic Imaging) |
2/2/2012 12:00:00 PM The more advanced and more complicated the disease process, the more likely the patient will end up with surgery and/or amputation, increasing the cost of initial care and the additional intervention. (Source: Diagnostic Imaging) |
2/1/2012 12:00:00 PM The use of surgical biopsy is "substantially less than the 30 percent previously alleged," researchers found. (Source: Diagnostic Imaging) |
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Most-read rankings are recalculated at the beginning of the month based on usage of full-text and PDF views for the previous month. | |
Heber MacMahon, John H. M. Austin, Gordon Gamsu, Christian J. Herold, James R. Jett, David P. Naidich, Edward F. Patz Jr, Stephen J. Swensen
Nov 1, 2005; 237:395-400
Editorials |
Anne G. Osborn, Michael T. Preece
Jun 1, 2006; 239:650-664
Review for Residents |
Pediatric Radiology and Pediatrics Publications RSS Feed | |
2/6/2012 11:30:06 AM Category: Pediatric Radiology and Pediatrics Magnetic resonance (MR) imaging and computed tomography (CT) are increasingly being used in diagnosis and follow-up of congenital pulmonary vein anomalies in neonates and infants. Such anomalies inclu... |
2/6/2012 11:30:06 AM Category: Pediatric Radiology and Pediatrics Ossification variants of the femoral condyle that involve the subchondral bone plate are not associated with OCD. CLINICAL RELEVANCE STATEMENT: Ossification variants are not associated with OCD, indi... |
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