Monday, April 30, 2007

Radiology Grand Rounds XI






Here is the the eleventh Radiology Grand Rounds, hosted on the last sunday of each month with archives maintained by me here-
This is a rather short rounds with very few submissions, lets hope we get more the next time.


Case Of the Month-

This is a known case of prostatic carcinoma showing vertebral metastatis on MRI scan.Submitted by Dr Murthy Senior Consultant at Teleradiology Providers


Radiology related link-

Dave's Places In Radiology a research and resource radiology portal for radiology technologist's, radiologist, and student radiologic technologist's based in the US.

"Despite the complexity of the unconscious mind in the field of psychiatry, in Medical and Surgical fields “unconscious competence” is used to describe the requirement that a physician have such a grasp of knowledge of how to take care of patients that he can do it in his sleep. The idea is to prepare the physician so that he can answer a hospital call half asleep or after he has been up all night and make the correct treatment decisions."



Hueina Su presents Life Balance Lessons: 7 Keys to Avoid Burnout posted at Intensive Care for the Nurturer's Soul.
"Chronic stress (from medicine or otherwise) could lead to burnout, which could greatly impact a person's physical & emotional health, relationships, work, and everyone related to him/her. When you are burned out, you can't function at your best, and everyone you care about suffer with you. It's not difficult to see that there is much at stake. Here are some proactive steps you can take today to prevent (or overcome) burnout."

Hot Topic for the Month

Radiology Software download

That wraps up this month's highlights of the Radiology blogosphere. Hope the readers enjoyed the XI edition of the Radiology Grand Rounds. If you liked any of these blogs, keep visiting them. Please email me at sumerdoc@yahoo.com if you are interested in hosting future Radiology Grand Rounds. Also visit our sister concern Teleradiology Providers. Archive for the Radiology Grand Rounds here-Radiology Grand Rounds. Be sure to tune in Next Month Last Sunday 27th may, when Grand Rounds will be hosted at- Sumer's Radiology Site mail to- sumerdoc@yahoo.com

Saturday, April 28, 2007

Bone age estimation

We all are referred a few Xrays wrist every day to assess the skeletal age and we all invariably look for epiphyseal fusion and then calculate the bone age. Tanner Whitehouse is more accurate but slightly tedious method. Here is link to free online software which helps you calculate bone age using TW method.

Sunday, April 22, 2007

Most Read article on British medical Journal is "MRI of coitus"

"The images obtained showed that during intercourse in the "missionary position" the penis has the shape of a boomerang and 1/3 of its length consists of the root of the penis. During female sexual arousal without intercourse the uterus was raised and the anterior vaginal wall lengthened. The size of the uterus did not increase during sexual arousal."

Reference-
BMJ 1999;319:1596-1600 ( 18 December )

UK Radiologist impressed by Indian Hospitals as compared to Glasgow

Source-The London News.Net Thursday 19th April, 2007 (ANI)

"In India we may criticise the medical facilities available here and hail those in the UK, but amazingly, a London-based retired radiologist consultant experienced the opposite. He described the medical facilities in Glasgow as "filthy" and hailed those in India.He said that his wife, who suffered from a head injury after falling off a bicycle, received a "far better treatment" in Ajmer and then in Delhi, as compared to NHS in the UK.Mark Ziervogel's (70) wife Toni (66) first received treatment in Ajmer and then in New Delhi, before flying back to London escorted by a lady nurse and a doctor.Mark said that the hospital in Ajmer, where Toni was seen by a neurosurgeon and given CT scans that revealed bruising to the brain, was "superb". He also praised its cleanliness, the efficiency of the staff and the high standard of equipment.After five days of being admitted in the intensive care unit (ICU), she was transferred to the Max Super Hospital in Delhi and on March 6 she had recovered enough to be taken home to Scotland. She was accompanied on the flight by an Indian doctor and nurse, and Ziervogel said he "blushed" with embarrassment when the Indian doctor walked into the "filthy" Western Infirmary in Glasgow.He said that it was more than four hours before his wife was given a bed on a surgical ward, after which the staff then told him that the hospital was not able to handle patients with head injuries who required rehabilitation.Incidentally, she fell out of the bed and broke her jaw during her stay at the Western. She has since been waiting for five weeks for a bed to become available at the physical disability rehabilitation unit in the Southern General Hospital in Glasgow."
Our sister concern- Teleradiology Providers

Submissions Requested for Radiology Grand Rounds-XI

Dear Readers
As you all know we have hosting Radiology Grand Rounds sucessfully for last 10 months where we summarize the best in the radiology blogosphere at one location, this is hosted on last sunday of each month.Your radiology related blog posts can be submitted over to us.
This month's Radiology Grand Rounds will be hosted at my site-
Sumer's Radiology Site on Last sunday 29-4-2007
So hurry up send your submissions to me at -
sumerdoc-AT-yahoo-DOT-com
Archives and links to previous issue of Radiology Grand Rounds Here-

Sunday, April 15, 2007

Pathological versus stress fractures-Role of MRI

Distinction of long bone stress fractures from pathologic fractures on cross-sectional imaging: how successful are we? by Fayad LM et al in AJR Am J Roentgenol 2005 Oct;185(4):915-24.

"MRI is useful for distinguishing pathologic from stress fractures, especially after inconclusive radiographic findings. Specifically, pathologic fractures exhibit well-defined T1 marrow alterations, endosteal scalloping, and adjacent soft-tissue abnormalities."

Monday, April 09, 2007

MRI for quantitative assessment of adipose tissue

Total and intraabdominal fat distribution in preadolescents and adolescents: measurement with MR imaging by Siegel et al in Radiology 2007 Mar;242(3):846-56. Epub 2007 Jan 23 have found-
"There was a high degree of correlation between single- and multisection MR imaging methods for measurement of subcutaneous, visceral, and total abdominal fat. MR imaging fat measurements strongly correlated with anthropometric measurements. MR imaging percentage of intraabdominal fat measurements highly correlated with DXA abdominal fat measurements. Significant differences were found among healthy subjects, overweight patients, and diabetic overweight patients for total fat volumes but not for fat distribution patterns. Single- and multisection MR imaging measurements for the quantitative assessment of abdominal adipose tissue strongly correlate with clinical and DXA fat measurements."

Tuesday, April 03, 2007

Repeat examinations advised by Radiologists-how much do they contribute to the bulk??

According to a recent article in Radiology. 2007 Mar;242(3):857-64,

From 1997 to mid-2003, MR imaging and CT repeat rates increased (0.71% per year and 1.87% per year respectively). Repeat examinations account for nearly one-third of high-cost radiology examinations and represent an increasing proportion of such examinations. Most repeat examinations are initiated clinically without a recommendation by a radiologist.
Article entitled-
Does radiologist recommendation for follow-up with the same imaging modality contribute substantially to high-cost imaging volume?
Radiology 2007 Mar;242(3):857-64.

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