drwinterpeg

radiologist. teaching society the actual use of AI one post at a time :)

[Francis Deng, MD @francisdeng]

Isolated nausea/vomiting after iodinated contrast should generally NOT be charted in the allergy history section as a contrast allergy and is NOT an indication for steroid/antihistamije premedication.

Doing so may delay diagnoses without benefit.

Delete bad allergy entries.

[drwinterpeg @drwinterpeg]

@DarthBaneIRL @WillyRontgen BRadiologists know WAY more about what's clinically relevant. We have the authority to stop a study from being performed whether you want it or not. You don't get to order unnecessary studies. We decide what the patient needs as we have the most knowledge.

[drwinterpeg @drwinterpeg]

@Gabe__MD It will never go full AI read, and data points towards that it won't. Not sure where you're getting this info from or what AI product you're forced to shill to make money

[drwinterpeg @drwinterpeg]

@radHQ_net Hi! The sign up button is broken. Getting an error saying I don't have the permission to do that when trying to make an account.

[drwinterpeg @drwinterpeg]

@WillyRontgen @benwhitemd The LLM integration to create structured reports can be helpful. Dictating x-rays is waaaaaay faster than having an AI draft. So they actually created a bottleneck.

[Yannick Buccella MD @YannickBuccella]

Amazing! This is exactly how I imagined how AI could enhance radiology and cancer diagnostics in general!

Detecting pancreatic cancer early will help more patients get life saving surgery, when the tumor is still very small or potentially only in it’s beginning stages.

[Nick Mark MD @nickmmark]

A couple points about why radiologists thriving, not disappearing, with AI:
1️⃣Human + AI is a winning paradigm. I get an immediate AI alert as the scan is done (e.g. stroke suspected), then a couple minutes later a more detailed report/call when the human reads it.
2️⃣Radiologists can read more scans with AI helping. This is an great example of Jevon’s paradox; lower cost of scans leads to more scans being done.
3️⃣Radiologists do a lot more than just read scans; calling to discuss results & further studies is a vital part. I talk to a radiologist at least once almost every time I work in the ICU. I don’t want to talk to a chatbot.

[drwinterpeg @drwinterpeg]

@forgedmedicine @EricTopol Immense number of false positives. Healthcare will implode if tools such as these are implemented. At least it doesn't replace anyone.

[drwinterpeg @drwinterpeg]

@Gabe__MD This study is weak and has terrible sensitivity and specificity despite having a extremely biased retrospective cohort. Ultimately this will lead to drowning the system rather than any improvement in societal quality of life.

[drwinterpeg @drwinterpeg]

@buildthefutures @JimPethokoukis Simply wrong. AI is not even close to replacing what a radiologist does, and in fact is not being trained to in any model. It is there to assist, not to replace.

[drwinterpeg @drwinterpeg]

@RISignal @JimPethokoukis Bingo.

[drwinterpeg @drwinterpeg]

@bballer4ever13 @northwoods1980 That's ridiculous. That's the most important part of the report that a human should be writing. 🤦‍♂️ Critically summarizing your findings. AI at most should be used to create structured reporting from your stream of consciousness dictating.

[drwinterpeg @drwinterpeg]

@BUYSCHG @northwoods1980 There is no AI that is trained to replace any radiologist, nor will there be. The tools are being created to help radiologists. Anyone who thinks otherwise is clearly not in the field or simply incompetent.

[drwinterpeg @drwinterpeg]

@morrisonMSK Metallic wire

[drwinterpeg @drwinterpeg]

@shahirmons @WillyRontgen Since intelliSpace is so simple it can be easily coded and customized. It's very powerful and my productivity is way higher.

Sectra is bloated, death by a thousand clicks, and no personal worklist is a hard no for us. Target lesions was nice though for CHAPs

[drwinterpeg @drwinterpeg]

@WillyRontgen @DutchRojas @northwoods1980 @sethmhardy Oh so you work at my hospital?

[drwinterpeg @drwinterpeg]

@FergusCafferty @northwoods1980 I never understand rads who don't try to answer the clinical question.

[drwinterpeg @drwinterpeg]

@AnnulusofZinn @northwoods1980 It's a terrible impression that shows the radiologist has no idea how to practice ER radiology