Tuesday, September 16, 2014

Radiology Reports-New Age Changes

In an open letter publisher in JACR, authors Michael A Bruno et al have made an interesting point. According to them, historically, radiologists' official written reports have functionally been proprietary communications between radiologists and referring providers. As patient-centered care, transparent communication, and electronic archiving have converged, however, radiologists' reports, like many other medical record components, are increasingly accessible to patients via web-based “portals.”   Direct consequence of such accessibility is need for radiologist to be clear worded and avoid technical lingo.  

 Authors emphasize that  radiologists urgently need to consider quality implications for their report writing in order to address the challenges these developments pose, and to best harness the potential benefits for patients and providers.

Reference and Further Reading: The “Open Letter”: Radiologists' Reports in the Era of Patient Web Portals. Journal of the American College of Radiology. Volume 11, Issue 9, Pages 863–867, September 2014. 

Monday, September 15, 2014

Best Teacher in Life- Failure

People often underestimate the value of occasional failure in life.  I think it is often the turning point in many success stories. Imagine, if you just could win all the time, would you ever know the value of winning, would you be able to put the same intense effort everytime without knowing the dejection you feel on failing. You can not just have it easy all the time and yet have the hunger, the desire and the fire to win. I sincerely believe you win some, you lose some. You get charged by winning but you get to know the true you when you lose.  That’s the life’s way of teaching you, you get to know where you went wrong and even more importantly you sometimes you get to explore new paths altogether.  It makes you humble, and enables  you to value sweet taste of success when it comes.  It is all about taking failure positively, learn from it, realize that even best people lose at times and make mistakes. It is not winning that makes someone great. It is learning from mistakes which creates the “magic”. Sometimes you just have to fail to succeed….

Quadriceps Strain-MRI

Altered signal intensity appearing hyperintense on T2 and STIR images in the vastus medialis.  There is altered signal intensity in the oblique fibers of the vastus medialis in the femoral origin and in medial patellar retinaculum.   These findings likely indicate strain/partial tear of the vastus medialis.  Vastus Medialis is the most medially located of the quadricep muscles. The portion of the muscle just above the knee is known as VMO (vastus medialis oblique). This is important in stabilising the knee joint and often becomes inhibited following injury.

Saturday, September 13, 2014


23 year old lady with seizures on MRI presents grossly nodular subependymmal margins of the lateral ventricles particularly in the trigones and occipital horns with isointense signals to grey matter with hypoplasia of corpus callosum suggesting grey matter heterotopia of subependymal variety.

Teaching points by Dr MGK Murthy :

Ø  Also known as periventricular heterotopia. X-linked recessive gene possibly responsible. Affected males usually do not survive on account of associated anomalies. Affected females suggest cognitive dysfunction as well with seizures.

Ø  The nodules represent clusters of neurons and supporting glial cells in the course of abnormal neuronal migration.

Ø  Right ventricle is more affected then the left (neurons migrate right later than left). The types include unilateral, bilateral or focal and diffuse varietis.

Ø  Antenatal MR could identify easily after 26 weeks (prior to this germinal matrix could simulate the condition). Differentials include hamartomata of tubers or Giant cell astrocytoma or normal variation.

Thursday, September 11, 2014

iWatch- Is this the beginning of the end for elegant Swiss Watches

iWatch and the awe it inspires opens a new question for watch lovers like me, will there be a time when people will prefer iWatch to a designer swiss watch? Is this the end of an era? Is it the victory of geekiness over sheer elegance? Utility over style? 

Is this beginning of an end to the era of beautiful watches?

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