ThisWeekNotNair (@rtnrad) profile picture

Love books, mystery shows, astronomy, space exploration. Abd. Radiologist with interests in MRI rectal, prostate cancer, hepatobiliary, pancreas, quality/safety

Joined November 2013
Photo by ThisWeekNotNair (@rtnrad)Photo by ThisWeekNotNair (@rtnrad)
Challenge yourself with another biliary case: Case courtesy of Daniel R. Phadke from UVA Radiology @UVARadiology 70 yo woman who presents for follow-up of incidentally detected cystic renal mass. No RUQ symptoms.
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1/Feeling mad every time they ask you if it’s safe to give gad? Do you know which gadolinium contrast material is safe to give? At an impasse about the contrast class? Read on as this month’s @theAJNR SCANtastic answers the question: Is Gad Bad? ajnr.org/content/45/8/1153
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Test Yourself! A 55-yo man with history of ulcerative colitis presents with fever, right upper quadrant pain, and LFT abnormalities. MRCP MIP image, axial T2-weighted image with fat sat, and axial T1-weighted post-contrast image with fat sat. Answer will be posted in a week.
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1/Does trying to figure out cochlear anatomy cause your head to spiral? Hungry for some help? Here’s a #tweetorial to help you untwist cochlear CT anatomy w/food analogies! #medtwitter #FOAMed #FOAMrad #medstudenttwitter #medstudent #neurorad #radres @medtweetorials #HNrad
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Very proud of our graduating Abdominal fellow, Dr Ahmed Sobieh. ⁦@UKyRadiology⁩ ⁦@UKy_RAD_RES⁩
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ThisWeekNotNair retweeted
Hello Twitter, for the next half hour I will answer your pets’ questions about cosmology
Replying to @dog_rates
Muffin is welcome to visit me at @Perimeter we can discuss this
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ThisWeekNotNair retweeted
Regarding #radiology fellowships: 1. Move process to R4 yr. Why must #radres choose a specialty <2 yrs into 4-yr residency & why overlap w/ @ABR_Radiology Core? 2. ALL fellowships should be by @TheNRMP 3. App season should be MUCH shorter. Other opinions? @theAPDR @AURtweet
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ThisWeekNotNair retweeted
'We get to do a lot of procedures that in some other settings are not possible.' Interventional radiologist Dr. Roberto Galuppo shares insight about the wide spectrum of treatment provided by specialists @UKMarkey. ukhealthcare.uky.edu/wellnes…
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ThisWeekNotNair retweeted
How much do you know about mesenchymal tumors of the prostate and seminal vesicles? This is a broad group of rare tumors making up a very small minority of tumors involving the prostate and seminal vesicles. Follow along as we learn about them from Marcal et. al! #RGphx
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Replying to @KapoorRadMD
@KapoorRadMD former resident and future faculty member @UKyRadiology! Congrats - we are so excited for your return to UK!
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ThisWeekNotNair retweeted
These are above and beyond the serious injuries of 2nd, 3rd, and 4th (requiring amputation) degree RF burns, crushing or penetrating projectiles, long-term hearing damage, damage to implants, to say nothing of MR contrast-related injuries.
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ThisWeekNotNair retweeted
If you're unclear what those risks are, let your curiosity guide you. MRI has killed people multiple ways... with magnetic projectiles, by interfering with pacemakers and medication pumps, by pulling on unsafe aneurysm clips, and by asphyxiating people from cryogen exposure.
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ThisWeekNotNair retweeted
... do not take 'the safe modality' pitch at face value. Treat it with skepticism. Recognize that MRI has *different* risks, some of which are graver than any ionizing modality.
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ThisWeekNotNair retweeted
But they're not frivolous. How many recent accounts of grave injury or death have you heard of from a single X-ray exam? CT? Fluoro? PET? This year 2 of the top-10 stories on AuntMinnie were of MRI fatalities (auntminnie.com/index.aspx?se…), though only one is relevant to our point.
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ThisWeekNotNair retweeted
This particular example of circular-logic has proven to be a very formidable half-truth, defeating well thought out regulatory propositions by making them appear frivolous.
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ThisWeekNotNair retweeted
- Minimum Level 1 training to include zones & access, static field, MRI safety structure, basic emerg response, and equipment MR Conditional labeling - Minimum Level 2 training to include time-varying fields (gradient & RF), screening, advanced emerg response, implant labeling
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ThisWeekNotNair retweeted
Always strive to wield the absolute minimum amount of power necessarily for the fulfillment of your responsibilities. Read that again.
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ThisWeekNotNair retweeted
On average, each MRI scanner consumes about 25% of tech labor in implant and device lookups. If the labor cost wasn't significant enough, alone, this lookup time often causes delays (or outright denials) of MRI patient care, producing 'cold table time.'
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