NySiai - A Medical MRI Scan Resource

In my last post, I put forth the notion that in the present world of American hospital-based medicine, we have reached the point where many regulators/administrators/lawyers etc. believe that process improvement is the most important goal - rather than patient care improvement.

So, with profuse apologies to the late Mr. Beethoven, this is sung to the tune of Ode to Joy from his 9th symphony (taking certain liberties with the poem/hymn by Henry van Dyke).

And, for some reason known only to the ancients, "JCAHO" is always pronounced "JAYCO."

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Popularity: 93%

The idea is to have a rendered 3D representation of the anatomy of the patient, and to use that as a basis for the record. This is reported in IEEE Spectrum. Visualizing Electronic Health Records With “Google-Earth for the Body” By Robert N. CharetteJanuary 2008 Andre Elisseeff leads a research team at IBM’s Zurich Research Lab that in September demonstrated a prototype system that will allow doctors to view their patients’ electronic health record (eHR) using three-dimensional images of the human body. Called the Anatomic and Symbolic Mapper Engine, the system maps the information in a patient’s eHR to a 3-D image of the human body. A doctor first clicks the computer mouse on a particular part of the image, which triggers a search of the patient’s eHR to retrieve the relevant information. The patient’s information corresponding to that part of the image is then displayed, including text entries, lab results, and medical images, such as magnetic resource imaging. Elisseeff hopes that by “opening the computer screen to the patient, better communication between doctor and patient can occur.” He also believes that by changing the computer’s role from a physical barrier to a conversation starter that the acceptance of eHRs will increase.

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Popularity: 100%

Please take this survey, I would like to know what is you GFR cutoff rate. We feel good about what we are doing at our hospital , but it would be nice to see what others are doing as well. We follow ACR guidelines and try to keep up with Dr. Kanal Frank Shellock, and Bill Faulkner as they come out with updates. thanks in advance for any participation.

Popularity: 92%

 Gastric tumors may be classified as benign or malignant on the basis of their biologic behavior; epithelial and mesenchymal tumors may be similarly classified on the basis of their origin. More than 95% of malignant tumors of the stomach are adenocarcinomas . The remaining malignant tumors include lymphoma, sarcoma (eg, malignant gastrointestinal stromal tumor), carcinoid tumor, metastasis, and so on. Between 85% and 90% of gastric tumors are benign . About half of these benign tumors are mucosal lesions (mostly hyperplastic or adenomatous polyps) and about half are mesenchymal tumors .
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Popularity: 9%

I scanned a patient with the diagnosis of angiosarcoma. I was not familiar with the disease and had to do a little research before we did the procedure. She had a history of lymphedema for 13 years after her breast surgery for cancer. Her entire right arm was swollen. Her doctor had done a biopsy on two lesions on her arm and confirmed angiosacroma. She had a CT of the Chest and A MRI of the Forearm and Humerus. Here is some background info on Angiosacroma.

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Popularity: 9%

Last night I had the privilege to listen to David Bush MD from John Hopkins speak at Parrish Medical Center. He was very informative about the topic of heart disease and Cardiac CTA. With all of the talk of cut backs on Medicare reimbursements in this area I find it hard to believe that this exam should be considered. CTAs of the Heart are becoming the industry standard for patients that are not experience acute MI symptoms. Those patients will always needs immediate action taken by a cardiologist in a Cathlab setting.
 

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Popularity: 9%