Wednesday, November 25, 2009

RSNA 2009 Tips from RadGirl

1. Bring walking shoes
2. Stay hydrated! Make use of the ubiquitous free water stations. Those tech exhibits and freebies hunting can wear one down. And the numerous RSNA CME + refresher courses/lectures too!
3. Do odd-hour lunch/breakfast. DO NOT GO AT 12!! To either McDonald's or Starbucks. You will wait there till 2pm. Go early for lunch and go even earlier for breakfast. The RSNA Bistro isn't that bad actually too.
4. Find out early your shuttle to your hotel so you don't waste anytime looking for the #.
5. Coat check in the lakeside - less people (or... don't coat check!)
6. Pre-register! Do not register on site. It's free for residents/students so do it online.
7. Don't try to see everything if it is your first time. Do a focused approach or you will be drained!
8. Take it easy, take a break, perhaps take a day or a few hours to see the city. The RSNA will still be there when you return (if not this year, next year)
9. Don't pick up the bag from RSNA--it just adds weight. Wait, unless you want to get the free stuff. Then you will need a bag :) otherwise, don't carry one because it may just encourage you
10. Finally.. have fun!!!

Wednesday, November 11, 2009

RSNA 2009 - Parties!

Anyone know where the best RSNA parties this year will be? Please post below! Would love to hear.

Sunday, November 1, 2009

RSNA 2009

What is this year's RSNA About? Well I am excited to report some highlights we should expect.

As per RSNA:
"Along with gaining insight into cutting-edge discoveries, evolving techniques and strategies that can translate into better radiology both in the coming years and in current practice, RSNA 2009 attendees will get the latest information on high-profile issues including radiation dose and informatics.

Chest Radiology
Quantitative analysis abstracts in all areas are popular in this year’s programs, but especially in chronic obstructive pulmonary disease, said H. Page McAdams, M.D., subcommit- tee chair. There is a decline in lung cancer screening studies, Dr. McAdams noted, with interest turning instead to thoracic CT dose reduction.

“It is likely that some of the new dose reduc- tion strategies for CT, as well as new quantitative imaging techniques, will significantly affect the current and future practice of chest imaging,” said Dr. McAdams. Other hot topics this year include applications for dual-energy imaging in the chest and chest tomosynthesis, he said.

Emergency Radiology
“This year we assembled an integrated special series on various issues related to practice patterns and management of emer- gency imaging,” said Diego B. Nuñez, M.D., emergency radiology subcommittee chair.

The program combines educational courses and scientific papers on imaging utilization, radiation safety and teleradiology. Scientific paper highlights include optimizing scan- ning times, comparative analysis of various protocols and CT equipment configurations to minimize radiation dose, Dr. Nuñez said. Presentation topics include the use of clinical predictors and the enforcement of appropri- ateness criteria to drive adequate utilization of resources, he said.

“In addition, scientific sessions will include presentations on whole-body CT protocols in polytrauma,” said Dr. Nuñez.

“Sessions will also compare imaging modalities for evaluating vascular and abdominal trauma, skull base, facial and cervical trauma and non-traumatic abdominal emergencies.”

Gastrointestinal Radiology
As dual-energy CT becomes increasingly available, more research is focusing on the “The issue of reduced radiation dose and decreased contrast administration is very prominent and will be particularly highlighted in the cardiac, pediatric and chest areas,” said RSNA Scientific Program Committee Chair Robert M. Quencer, M.D., a professor and chair of radiology at the University of Miami School of Medicine.

Application of 3T MR is demonstrated in a number of gastrointestinal and neuroradiology sessions, Dr. Quencer added. “As has been the trend in recent years, interest remains high in functional neuroimaging, especially with the more widespread use of higher-field magnets, and with trends in CT perfusion and susceptibility-weighted MR imaging.

“Informatics, a topic on everyone’s mind, expands every year,” continued Dr. Quencer. “We will hear of new endeavors in imaging assessment and applications, see and hear newer molecular imaging schemes and get a glimpse of where this field is headed in the future.”

This year the Scientific Program Committee received 10,891 abstracts for consideration. Over the summer, the committee, with its subcommittees, selected 1,750 abstracts as scientific papers and 2,055 for digital presentations.

Breast Imaging
Topics of interest in breast imaging include elastography, tomosynthesis, MR interpreta- tion issues such as the role of BI-RADS 3 and management of small masses, and the ongoing controversy over managing high-risk histology lesions found at core biopsy, said Jennifer A. Harvey, M.D., subcommittee chair.

“Molecular imaging is an emerging field that may provide improved breast cancer detec- tion and specificity, particularly for women at high and moderate risk,” said Dr. Harvey.

This year’s Breast/Nuclear Medicine/Mo- lecular Imaging Series is a combined effort of the Breast Imaging, Nuclear Medicine and Molecular Imaging Subcommittees. Course topics will include gamma imaging, PET and MR spectroscopy and diffusion-weighted imaging, said Dr. Harvey.

The Breast Series will focus on the impact of screening, the evaluation of breast cancer risk and the acceptance of new technolo- gies, she said. Series topics include incident versus prevalent screening for MR and ultrasound, compliance with recommendations for screening of high-risk women and new techniques such as tomosynthesis—an area of increasing interest.

“As radiologists take a more active role in identifying and managing women at high risk for breast cancer, we will have an increas- ing role in recommending imaging beyond mammography,” Dr. Harvey said. “As new technologies develop, we must consider how effective they are in a particular population and realize that results may not translate to the population at large.”

Cardiac Radiology
Cardiac Subcommittee Chair Andre J. Duerinckx, M.D., Ph.D., stressed the strong continuing interest in cardiac CT, with presen- tations focusing on radiation dose, technique development and optimizing contrast volumes. “Cardiac subcommittee members identified many great abstracts in two key areas—early population studies about the use of cardiac CT for risk stratification as well as studies to optimize and possibly reduce contrast usage in cardiac CT,” said Dr. Duerinckx.
Other sessions will cover the use of cardiac MR and CT in cardiomyopathy, valvular heart disease, plaque imaging, chest pain in emer- gency departments, myocardial ischemia and RF ablation procedures, Dr. Duerinckx said. 14

Molecular Imaging
As the specialty continues to gain momentum, molecular imaging demonstrates an increas- ing trend toward clinical applicability, said Umar Mahmood, M.D., subcommittee chair.

“We have a session dedicated to comparison of modalities across a broad spectrum of dis- eases—for example, comparing arterial wall inflammation seen with dynamic contrast- enhanced MR and fluorodeoxyglucose (FDG) PET, or comparing prostate cancer evaluation with 11C acetate verses 18F FDG PET imag- ing,” Dr. Mahmood said.

Another session focuses exclusively on ultra- sound molecular imaging while cell tracking applications have remained popular, he said.

Musculoskeletal Radiology
“T1-weighted imaging with 3T MR imag- ing continues to show promise for the early detection of meniscal degenerative changes,” said Subcommittee Chair Michelle S. Barr, M.D. “This technology can be used to study overuse injuries occurring in everyone from young athletes to weekend warriors, and may serve as an aid in developing standards for early meniscal injury treatment.”

Other notable topics include MR monitoring of inflammatory cell inhibition after admin- istration of minocycline in patients with pain caused by nerve damage, MR for evaluating blood flow in damaged nerve roots and outcomes in cartilage implant procedures. In quantitative imaging, dual-energy CT shows promise in evaluating gout by detecting monosodium urate crystals and monitoring their decrease following effective treatments.

“Many papers are addressing the use of CT to identify osteoporosis,” Dr. Barr added. “Proposals are suggesting that bone density can be evaluated with dual-energy CT, quan- titative CT and a dual technique to evaluate bone density using coronary artery calcium mass scoring software. Another addresses the consequence of long-term osteoporosis treatment with bisphophonates as observed in an atypical fracture pattern occurring in the proximal femur, easily identified once one becomes familiar with this pattern.”

Neuroradiology/Head and Neck
Important new studies in functional MR imaging and advanced MR techniques reveal demonstrable white matter and functional dif- ferences in the brains of autistic patients and characteristic neurological manifestations in those who stutter, said Mauricio Castillo, M.D., subcommittee chair.

“Advanced imaging techniques also showed differences between smokers and non- smokers, identifying the regions of the brain targeted by tobacco use,” said Dr. Castillo. “Additionally, investigators were able to find and map brain abnormalities in antisocial individuals compared to normal controls,” he continued.

Perfusion brain patterns on CT seem to pre- dict prognosis of patients with middle cerebral artery infarctions and difficulty with language generation and susceptibility-weighted brain imaging shows promise in indentifying not only brain infections but their cause as well, Dr. Castillo noted.

In the head and neck, advanced imaging modalities continue to find broader applica- tions, particularly in nodal and thyroid gland diseases.

Nuclear Medicine
Nuclear medicine shows promise in diagnos- ing both neoplastic and non-neoplastic disease, according to Subcommittee Chair Milton J. Guiberteau, M.D. Evolving new techniques such as angiogenesis-targeted tumor imaging and novel applications of existing methods such as FDG PET/CT for distinguishing acute from chronic aortic dissections are among the highlights, he said.

Neoplasm imaging studies address a wide variety of diagnostic and therapeutic response topics including the use of PET/CT in dis- tinguishing more aggressive breast cancers based on receptor characteristics, detecting occult tumors in patients with pan-neoplastic syndromes, evaluating yttrium-90 selective internal radiation therapy for liver metastases and assessing pulmonary lymphangitic tumor spread, said Dr. Guiberteau.

Other topics include combining single-photon emission CT (SPECT/CT) myocardial perfu- sion imaging with CT coronary angiography and evaluating SPECT/CT in diverse settings from iodine 131 whole body imaging to non- specific foot pain, he said.

Also of note, the American College of Surgeons Oncology Group will present initial results of the Cooperative Group Trial of FDG- PET/CT for assessing radiofrequency ablation in Stage 1A non-small cell lung cancer. “The expanding roles of FDG PET/CT quantiza- tion—of standard uptake values—in clinical oncology will be a prominent theme in both the scientific program and a follow-up special focus session,” Dr. Guiberteau said.

Pediatric Radiology

Attendees can look forward to integrated sessions combining review lectures and scientific presentations in neuroimaging, fetal imaging and chest and cardiac imaging, said Lane F. Donnelly, M.D., subcommittee chair. “There will be other important presentations on CT dose, diffusion tensor imaging for body applications and new applications in pediatric interventional radiology,” Dr. Donnelly said. He noted an increasing number of international submissions to the pediatric program.

Physics
Abstracts explore MR for early breast cancer detection, non-contrast arterial spin labeling for assessing kidney perfusion, novel dose reduction techniques in interventional flat detector CT and patient size-corrected index to estimate CT organ dose, said Martin J. Yaffe, Ph.D., subcommittee chair. Dr. Yaffe noted solid overall quality in this year’s submissions.

Radiation Oncology/Radiobiology
“Now more than ever, the scientific program is intimately integrated with the expanded Bolstering Oncoradiologic and Oncoradio- therapeutic Skills for Tomorrow (BOOST) program,” said Subcommittee Chair James S. Welsh, M.D., M.S., who said the quality of sci- entific submissions appears to grow stronger each year.

This year’s program features a roster of excellent papers and posters dealing with cancers of the breast, head and neck, central nervous system and prostate and gastrointes- tinal and gynecologic malignancies, Dr. Welsh said. “Interesting scientific papers and posters will be presented in the basic radiobiologic sciences as well,” he added.

Vascular and Interventional Radiology Trends in interventional oncology in both basic science and clinical application will be a focus this year, said John A. Kaufman, M.D., subcommittee chair. “Peripheral arterial intervention remains strong, indicating the continued important role of interventional radiology in peripheral arterial disease,” said Dr. Kaufman. “New procedures continue to emerge and increase in number and breadth.” Other hot topics will include aortic endografts and embolization therapy, Dr. Kaufman noted.

Focus on Improving Quality, Advancing Imaging Each of the subspecialties is highly focused on implementing and measuring quality im- provement initiatives, Dr. Quencer noted.

“These are but a minor portion of a wide va- riety of papers in all of the planned sessions for RSNA 2009 but this preview does point out some of the trends we expect to see and hear—and all are actively involved in advanc- ing the science of medical imaging,” he said."

Above was from RSNA.org

Please go to this year's RSNA !! http://rsna2009.rsna.org

Auntminnie Minnies

DId you guys know that the "Minnies" from Auntminnie has been announced!?

Congrats to this year's winner for Auntminnie's best residency!! Awesome work !!! :)

Also check out the list from the main auntminnie website... I would list it but a bit lazy!

RSNA 2009 - Here I Come!

RSNA 2009! and cold freeezing Chicago! brrr... Here I am comin'

Can't wait till this year's educational exhibits, refresher courses, and posters... and also the parties from vendors at RSNA!

Sorry for the long time in delay in posts! Been busy w/ life but hope to try to live-blog at times from the RSNA.

Tuesday, September 1, 2009

Cool new PET/CT for Breast! Cool toys for breast imaging

Check out this article on Auntminnie about the latest toys in breast imaging - pretty awesome! http://www.auntminnie.com/index.asp?Sec=nws&Sub=rad&Pag=dis&ItemId=87106

Friday, August 21, 2009

Pulmonary Nodules! Go away!

Check this out... perhaps no more pulmonary nodule counting? just kidding, unlikely but interesting article on Auntminnie about a brazilian team of researchers that merge PACS+CAD for lung nodules/cancers. Pretty cool stuff for us radiologists! I hate those pulmonary nodules.

http://www.auntminnie.com/index.asp?Sec=nws&Sub=rad&Pag=dis&ItemId=86986

Sunday, August 16, 2009

Auntminnie Reports on Dirty X-Ray units

I went into radiology to avoid germs. I guess they follow me anyway. Check this interesting research / article from auntminnie out... lately I am back in the auntminnie reading phases. You may see more from me if I find the auntminnie articles interesting. They are not always interesting but lately, I must say good job auntminnie!!! You have successfully kept my attention for at least a few weeks. Kudos AM!

http://www.auntminnie.com/index.asp?Sec=nws&Sub=rad&Pag=dis&ItemId=86923

Saturday, August 15, 2009

AFIP Housing Misery!! Sigh...

Check this article on auntminnie about a not too uncommon occurence among radiology residents when they go to DC for AFIP. You try to skimp and save money, but you heard perhaps good reviews... you never visited DC before.. the pictures on craigslist looks awesome. You show up. The place has rats and there are bars on the windows.

Check out this article on auntminnie about how some landlords were recently booted from the list. Good call!

http://www.auntminnie.com/index.asp?Sec=nws&Sub=rad&Pag=dis&ItemId=86927
"Officials in charge of housing for courses at the Armed Forces Institute of Pathology (AFIP) have kicked a landlord off the official housing list following complaints from radiologists attending the institute's radiology-pathology course in Washington, DC"

Saturday, August 8, 2009

Auntminnie features article about how repeat CTPE studies are basically useless!!

I couldn't agree more with Auntminnie. Sick and tired of repeating CTPEs on call on patients who don't need it. ER docs need to reduce their overutilization and dependency on radiologists to clear their patients. Too much radiation. Too much cost. Too much lack of common sense. Well perhaps not enough common sense. Why order back to back pulmonary embolism CT's?!?!?!? It's about time someone did this research. Read more about it on Auntminnie (one of my favorite radiology websites by the way!). Go Auntminnie.com!!!!!

Anyway, here is the website link:
http://www.auntminnie.com/index.asp?Sec=nws&Sub=rad&Pag=dis&ItemId=86860

Sunday, May 31, 2009

ABR Radiology Oral Boards are here! - Good luck to all!

Dear friends, good luck to all who are taking the ABR friends including my live-bloggin' friend over at http://radiologygeek.wordpress.com! Awesome post about your first impressions of KY!

Again.. my best wishes, wish of luck, hugs and kisses,

radgirl

please let me know how you'all did!

Tuesday, May 19, 2009

Guest Post: Job Outlook for Radiologists During the Recession

Guest Blog Post:
Job Outlook for Radiologists During the Recession

There are some jobs that are seen as recession-proof; no matter how badly the economy is doing, these jobs are always available as they are the ones that satisfy the basic needs of people. Medicine is one such discipline where the layoffs are not going to be as bad as they are in other fields. But even though the International Labor Organization (ILO) predicts that over 20 million jobs, in construction, retail, financial services, and the automobile industry, will be lost in the year 2009, the healthcare industry is expected to do well because the need for skilled and qualified nurses, doctors, therapists, psychologists, medical assistants, and other medical personnel is not going to decrease.

But are radiologists and their jobs secured too? If we look at the radiology field as an extension of medicine, at first glance, we would think that the job prospects for these imaging technicians are good and that they don’t need to worry too much, recession or not. And although the US Bureau of Labor Statistics predicts that the employment opportunities for radiologists are expected to grow faster than normal, there are warnings that all is not well in this industry.

Doctors may not be out of a job, but with hospitals facing financial setbacks, they have been forced to reduce the salaries of their staff. Besides this pay cut, radiologists are the ones who are likely to bear the brunt of the cascade effect that the layoffs in other sectors have set off. With people being out of a job or on reduced salaries, they’re not going to see their doctors as often as they did before. And even if they did, they’re not filling out their prescriptions.

While they may take the medicines prescribed, they’re going to forgo scans and other costly imaging procedures, especially if they’re really not necessary at the present and if they’ve lost their insurance and have to pay for the tests themselves. And those with insurance will opt not to cover radiologic procedures in their plan if it means higher deductibles because they’re trying to reduce spending more money than they absolutely have to. And this in turn means that radiologists will have less to do, and will eventually have to face the possibility of a pay cut, or worse, a layoff.

If patients are allowed to choose to have imaging procedures at a later date, they are going to defer, and the ones that are forced to undergo the tests because of their medical circumstances will build up the bad debt in a radiology practice. As hospitals and other healthcare facilities come to terms with this bleak outlook, radiologists can look on the bright side and take up a course related to their job; preferably something in the medical sector that will allow them to continue in the same field until the economy starts looking up. The additional qualification will give them a competitive edge both during the recession and after it.

By-line:

This article is written by Kat Sanders, who regularly blogs on the topic of radiology tech schools at her blog The Heath Tech's Blog. She welcomes your comments and questions at her email address: katsanders25@gmail.com.

Twitter Voyeur: See what the world is saying right now

Check this out...

http://search.twitter.com

If you want to see what the whole world is tweeting about...

look up phrases like...

"sleeping" - to see who is sleeping
"good night" - to see who is saying good night
"radiology" - to see who is talking about radiology.. hear our patients calling us nurses and stuff, their opinions about radiologists, and some pretty insightful comments
"auntminnie" - find some news from auntminnie
"radiologist" - see who mentioned us
"MRI" "CT" or your favorite modality! just for kickerz

anyway.. yes, I am still addicted after a few days... please help me stop...

how can I stop?!?!?!? I have to read the Primer or something. I am so going to fail my boards. Oh wait, I should have tweeted that.

Saturday, May 16, 2009

My latest non-radiology obsession



Alrighty... my latest web confession. I am totally addicted to reading people's tweets. Well yes I am also going to post more tweets but it is crazy what people say out there. Also there seems to be more of a radiology following--my blogosphere friend, Dr. Dalai is on there! (shout out)

I am not sure how often I will use it, but for now it is a novelty and it seems like everyone is on there. Oprah, blah blah, so I guess I had to try it out.

I encourage you to at least check it out.

I may tweet from anywhere.. the reading room, line at pete's coffee, bathroom, shower, beach you name it... see you on the twittersphere too!

oh yeah, my address on twitter is... http://www.twitter.com/rad_girl

Thursday, May 14, 2009

Pandora! The best thing ever for call!



Has anyone ever heard of Pandora Radio?! It's the best thing ever for the reading room! It is an amazingly cool internet radioplayer, "music genome project" that can basically play you music you like. It is almost scary how it can determine what you like. It has all the top and latest songs too.. and guess what, there is an iPhone version!

As radio-logists, we gotta love this new innovation in online radios. ok, sorry for my bad joke but just wanted to shake you guys up.

Anyway, I encourage all my readers to try it. http://www.pandora.com

xoxo

Saturday, May 9, 2009

Check this out--wow, my blog was featured on the Top 50 Blog List at this site

Check this out--wow, my blog was featured on the Top 50 Blog List at this site:

Suzanne Smith, the webmaster who runs this blog mentions "Deciding on a career path is a journey. By choosing to become a radiologist or sonographer, you’re launching yourself into a lucrative and rewarding career field. Or are you? These blogs by radiologists, sonographers and industry professionals reveal the ups, downs and nitty gritty details that you would want to read before making a huge decision such as a career path. Check out these top 50 blogs and see if diagnostic imaging is in your future." I am along side of other cool websites in radiology like auntminnie, etc!

Top 50 Radiology and Sonography Technician Blogs

Friday, May 8, 2009

ARRS 2009

I was at the ARRS 2009 and I must say it was simply awesome! Much better than the RSNA. Well I will likely go to RSNA 2009 too though. Gotta go to those parties .. er, I mean gotta go to the refresher courses at RSNA. Anyway, that's it for now.. this was a micro blogpost :) Stay tuned for more on my twitter acccount too... seems like the thing to do these days.

Wednesday, April 15, 2009

Monday, March 30, 2009

Monday, March 23, 2009

"RadiologyArt"



Some dude, a med student at Cornell in NY, scanned a whole bunch of really cool items in a CT scanner. His work has been recently featured in the NYTimes. Really cool, especially the scan of the iPhone!! The website is called radiologyart.com and his name is Satre Stuelke. Check it out: radiologyart.com

The NYTimes Article is located here: http://www.nytimes.com/2009/03/24/science/24scan.html?hp

MSK Board Review Cases I found on Youtube



Good for boards... must know msk auntminnies... Thanks to chrisgovea from Youtube!

Friday, March 20, 2009

Another cool youtube radiology case (an auntminnie): appendicitis!

Cool case of oligodendroglioma (MRI) I found on Youtube

From my favorite website, Youtube :) Sort of an auntminnie... still needs a ddx tho, I noticed there are more radiology videos on there. Worth checking out.

Saturday, March 7, 2009

A cool song.. just heard of these guys (gals!)

They were featured on the Ellen show and a number of other talk shows. Youtube sensations! Cool stuff. xoxo to you guys and nice work. Go girls! Awesome rendition of this song by Beyonce!

Friday, February 20, 2009

This American Idol contestant is crazy!!!

It's fun to watch her but she is so annoying. Entertaining... let's see how long she lasts...

Wednesday, February 18, 2009

Funny Youtube video--I think I am addicted :)

Youtube hit--crazy woman goes nuts after missing her flight in Hong Kong. Pretty hilarious.

Tuesday, February 3, 2009

From Auntminnie--free ride for residents to NC

No doubt that ditching film improves workflow. Besides PACS, what one piece of software most improves workflow efficiency for radiologists? Your answer to this question could get you a free trip to the SIIM (Society of Imaging Informatics) Annual Meeting in Charlotte, NC this June. It's a pretty cool meeting focused on all the latest ways to improve radiology with technology. Plus, it might get you off your fluoro rotation for a week!

http://www.siim2009.org/Resident_Scholarship.html

Thursday, January 29, 2009

My dream car :) If I moonlight enough... maybe one day... sigh

Good riddens!!

File sharing challenges

I am having some issues using ScribD and Slideshare to share large files but I have posted ACR in Service and some other goodies in my library (See Menu on left)

I am working to use another website to store documents/study aids and will post instructions on how to access all this stuff very soon.

Hang in there. Please email me if there are any issues, girlradiologist@gmail.com

Funny "Cute Doctor" Video - Watch till the end.

Check this out... a friend of mine was talking about how there are just not that many cute doctors, especially guy radiologists and cute female radiologists. Well!!! So we did some youtube video searches, yes we had too much time on our hands. We couldn't find any videos about cute radiologists but here is one about a cute MD. XOXO!

Wednesday, January 28, 2009

Funny radiology resident skit ... USC

Check this skit out courtesy from USC... class of 03 (now all attendings of course) - if you have a funny residency skit, I want to know about it. Send me the URL!

Osirix on National TV - check out this new iPhone Ad!!

I finally found it on another radiology website... I guess I wasn't the only one who noticed. It's called "read" Check it out... cool eh? Broadcasted prime time !! I love my iPhone!!

Cool AVM


Find more videos like this on radRounds Radiology Network

Monday, January 26, 2009

Friday, January 2, 2009

Welcome to my first blog!

This is my experiment with blogging... from time to time I will post blogs about my life, radiology, and other random things :) Enjoy and send me email at girlradiologist@gmail.com if you ever want to contact me.

Oh! Almost forgot--who am I? I am a radiology resident at a major university hospital in the West Coast. I plan to focus on Women's Imaging (High Risk Obstetrical Ultrasound and Mammography) so send me job offers if you are looking for someone too.

Please to meet ya!