Showing posts with label Radiology. Show all posts
Showing posts with label Radiology. Show all posts

Thursday, March 17, 2011

Microsoft software to "replace" radiologists - recognizes organs and structures in medical images

Microsoft Research, Mar 8, 2011: InnerEye focuses on the analysis of patient scans using machine learning techniques for automatic detection and segmentation of healthy anatomy as well as anomalies:



Antonio Criminisi is the the researcher shown in the video above.

The InnerEye research project focuses on the automatic analysis of patients' scans by using machine learning techniques for:

- Automatic detection and segmentation of healthy anatomy, as well as anomalies
- Semantic navigation and visualization

Microsoft Research methods aim to combine medical expertise and modern machine learning theory in the design of tools for computer-aided diagnosis, personalized medicine, and natural user interfaces for surgical intervention.

The InnerEye project has a host of famous collaborators, including Johns Hopkins Medical Institute, The University of Oxford, Cornell Medical School, Massachusetts General Hospital, the University of Washington, Kings College London, and Cambridge University Hospitals.

High-Performance Cancer Screening: See how a high--performance, 3-D rendering engine can be transformed into a real-world, life-saving medical application:



References:


Comments from Twitter:

@hrana (Hisham Rana, MD): No thanks. RT @DrVes: Microsoft software to "replace" radiologists - recognizes organs and structures in medical images http://goo.gl/HwNNx

@doctorwhitecoat (Vamsi Balakrishnan): Definitely not a replacement... but cool tool in development.

@DrVes: Well, of course it's not a replacement... :) Just as "Watson" supercomputer won't replace PCPs/specialists...

@doctorwhitecoat (Vamsi Balakrishnan): Watson can't replace 3rd year Med students either; it can't do scutwork...:)

@ILoveOrthopedix (Orthopaedic Resident): MS Radiology! very interesting - the ECG machines recognise patterns & give diagnoses, but all the doctors make their own diagnosis.

@drcrosby (Bradley Dick): Reminiscent of Robin Cook's "Brain"?! (http://en.wikipedia.org/wiki/Brain_(novel))

Tuesday, March 30, 2010

GE Has Clinical IMAGES iPhone App for Radiologists

Clinical IMAGES from GE Healthcare showcases clinical images obtained from GE Healthcare imaging systems. You can choose a product and browse by anatomy or by applications specific to the selected system. The application contains both static images and video of various image acquisitions.



References:
GE Healthcare Releases Clinical IMAGES iPhone App for Radiologists
Clinical IMAGES for iPhone, iPod touch, and iPad

Sunday, March 14, 2010

Emphysema and Airflow Obstruction Associated with Impaired Left Ventricular Filling

Very severe chronic obstructive pulmonary disease (COPD) causes cor pulmonale - elevated pulmonary vascular resistance and secondary reductions in left ventricular filling, stroke volume, and cardiac output.

The authors of this NEJM study hypothesized that emphysema, as detected on computed tomography (CT), and airflow obstruction are inversely related to left ventricular end-diastolic volume, stroke volume, and cardiac output among persons without very severe lung disease.

Of the study participants, 13% were current smokers, 38% were former smokers, and 49% had never smoked.

A 10% increase in emphysema on CT was related to decrease in left ventricular end-diastolic volume, stroke volume, and cardiac output.

Percent emphysema and airflow obstruction were not associated with the left ventricular ejection fraction (LVEF).


Mind map of Chronic Obstructive Pulmonary Disease (COPD) (click to enlarge the image).

References:
Percent Emphysema, Airflow Obstruction, and Impaired Left Ventricular Filling. R. Graham Barr et al. NEJM Volume 362:217-227 January 21, 2010 Number 3.

Wednesday, December 30, 2009

What is the radiation exposure from full-body scans used for airport security screening?

There are 2 types of full-body scanner machines that use "weak" X-rays and radio waves respectively:

- Backscatter radiation X-ray full-body scanners. The image looks like a chalk drawing (shown right).

- "Millimeter wave" (radio wave) full-body scanners. The image looks like a fuzzy photo negative.

Backscatter radiation X-ray full-body scanners

The older type of full-body scanners use so-called backscatter radiation to scan the entire body to detect foreign objects. Passengers will be directed to stand against a refrigerator-size backscatter machine as a "pencil-thin" X-ray beam rapidly scans them to produce textured "charcoal outlines" of their bodies. The backscatter uses a narrow, low-intensity X-ray beam that scans the entire body at a high speed. The X-ray is not strong enough to penetrate much beyond the skin, so it cannot find weapons that may be hidden in body cavities.

The amount of radiation used during this scan is equal to 15 minutes of exposure to natural background radiation such as the sun's rays. One scan emits less than 10 microrem, the unit used to measure radiation. Comparably, an hour on an airplane at a high altitude exposes a passenger to 300 microrem, and the average person is exposed to 1,000 microrem of radiation over the course of a normal day.

Thirty hours of airplane travel is the equivalent of one chest X-ray (CXR) - an important health warning for frequent flyers.

A backscatter X-ray scan gives a person as much radiation as he or she would get from two minutes of flying in an airplane at 30,000 feet. A traveler would have to undergo more than a thousand scans in a year to equal one standard chest X-ray.

Dr. Albert J. Fornace Jr., an expert in molecular oncology at Georgetown University Medical Center, said such a low dose was inconsequential, even for pregnant women. “Obviously, no radiation is even better than even a very low level,” Dr. Fornace said. “But this is trivial.” But David J. Brenner, a professor of radiation oncology at Columbia University, said that even though the risk for any individual was extremely low, he would still avoid it.

"Millimeter wave" (radio wave) full-body scanners

The newer type of scanners, called a "millimeter wave" machine, doesn't use radiation. It uses electromagnetic waves to create an image based on energy reflected from the body. According to the TSA these devices deliver 10,000 times less energy than a person's cell phone.

The millimeter wave machine works like this: A person walks into a large portal that resembles a that resembles a glass elevator (9 feet tall and 6 feet wide), pauses and lifts his or her arms while the machine takes two scans using radio waves. The scans take 1.8 seconds, and it takes about a minute for the image to appear on a computer screen in a separate location.

Privacy concerns

The Transportation Security Administration (TSA) promises no one will see the revealing images except trained security agents staring at computer screens in a nearby room. The body scans will be deleted after 12 seconds.

Special “privacy” software intentionally blurs the image, creating an outline of a body that is clear enough to see a collarbone, bellybutton or weapon, but flattens details of revealing contours.

Lawyers for the American Civil Liberties Union (ACLU) have raised objections, calling the X-ray scan a “virtual strip-search.”

References:
Dutch to use full body scans for U.S. flights. CNN.
New Airport X-Rays Scan Bodies, Not Just Bags. NYT.
For their eyes only? Boston Globe.
Manufacturer says full body scanners at airports are a valuable tool in fighting terror. The Plain Dealer.
Body-scan machine eyed for airports. AP.
Manchester airport trials naked-image security scans. Guardian.
Radiation risk low with whole-body airport scanners. Reuters, 2010.
New Airport Scanners: Radiation Risk Tiny. WebMD, 2010.
Image source: Wikipedia, backscatter X-ray, US Transportation Security Administration part of U.S. Department of Homeland Security, public domain.

Updated: 01/08/2010

Read more on a Kindle:

Sunday, November 8, 2009

BMJ video: The woman who knew too much


BMJ video: Alice Stewart: The woman who knew too much.

"Alice Stewart was one of Britain's foremost epidemiologists. However her recognition came late in her career, having spent her life fighting the establishment's enshrined views.

In the 1950s when she started her work, x-rays were routinely used in foetal monitoring. It was Stewart who first showed the link between the practice and childhood leukemia. She went on to look at the effects of low-level radiation exposure - uncovering the true adverse effects of chronic exposure, and thus earning herself the enmity of the nuclear industry."

Wednesday, September 30, 2009

Food Examples in Radiology

From Twitter account of @scanman, a radiologist in India:

Vijay
scanman Food examples in radiology - apple core, scalloping, berry aneurysm, lemon & banana (Chiari II), hamburger sign, coffee bean, dinner fork…
Vijay
scanman More… Onion skin (Ewing's), sausage digit (sarcoid), eggshell rice grain & popcorn calcification, pepper pot skull, honeycombing, donut…
Vijay
scanman My personal favourite is "licked candy stick appearance" of psoriatic arthropathy
Vijay
scanman Omental cake, pancake vertebra, celery stalk metaphysis, millet seed (miliary TB), cottage loaf sign (traumatic diaphragmatic rupture)

Related:
Selections from the Buffet of Food Signs in Radiology. Clare J. Roche et al. November 2002 RadioGraphics, 22, 1369-1384.
“Milk of Calcium” and Food Signs in Radiology. Lee A. Shratter, MD. May 2003 RadioGraphics, 23, 686.

Saturday, September 12, 2009

Video: Routine Miracles with Dr. Conrad Fischer: Interventional Neuroradiology



"This book covers medical advances that would once have been called miracles but are now merely routine. The patients' stories within this book yield hope, optimism, and triumph. This is the best time to come out of medical school and training. This fact will inspire and uplift everyone in the medical profession as well as all of us who must, at some point, rely on the art of medicine to see us through." -- Conrad Fischer, M.D.

Visit http://seefisch.wordpress.com for more information about Dr. Fischer and Routine Miracles or follow Dr. Fischer on Twitter: @SeeFisch

See all videos of Routine Miracles with Dr. Conrad Fischer on YouTube: http://bit.ly/2TPUkU