John Raseman

[John Raseman @john_raseman]

@francisdeng 🤯 or maybe this is the equivalent of head CT with tech note of “patient denies head trauma”

[John Raseman @john_raseman]

@francisdeng @AnonRadDoc I had a similar experience and didn’t realize how amazing it is until after I was an attending. Nothing else can compete. It blows my mind how low quality StatDx is comparatively.

[John Raseman @john_raseman]

@daniel_gewolb @Radiopaedia @ASHNRSociety Mets?

[John Raseman @john_raseman]

@francisdeng Absolutely agree with you, but yes. But feel like any nuance in stroke imaging has already been lost to CT/CTA for all. Used to have to fight to get reflexive CT perfusions cancelled on dizziness patients.

[John Raseman @john_raseman]

@daniel_gewolb Ah yep see that now. Great case

[John Raseman @john_raseman]

@northwoods1980 Seems like a novelty. New group im at does in/out phase imaging regularly and find this much more helpful for equivocal cases.

[John Raseman @john_raseman]

@northwoods1980 @Kdog1980YNWA I call autofusions on about every other elderly patient. Never knew everyone had seronegative spondyloarthropathy…

[John Raseman @john_raseman]

@radfugee Looks like a mild C7 compression fx

[John Raseman @john_raseman]

@daniel_gewolb Called a shrinking, enhancing extrusion that was misdiagnosed as a meningioma today thanks to you!

[John Raseman @john_raseman]

@psycheureka @francisdeng please come to the rescue

[John Raseman @john_raseman]

@northwoods1980 First thought would be hemorrhage. Head CT available?

[John Raseman @john_raseman]

@francisdeng @dhairyalakhani @radiology_rsna Agreed. Especially if you have a case with a limited number of lesions

[John Raseman @john_raseman]

@northwoods1980 Currently reading an MRI brain, MRA head and neck and MR neck for angioedema. Gotta rule out stroke!!

[John Raseman @john_raseman]

@NeilPowrie @northwoods1980 But is that the context of what it was studied in? Seems like a potential misapplication. All I can find in general is language that it should be used to stratify osteopenic patients.

[John Raseman @john_raseman]

@northwoods1980 @NeilPowrie I agree this isn’t correct but I caved a while ago and started putting in the score “for reference” because clinicians kept complaining. Do you have a reference on the FRAX website? Having trouble finding it there.

[John Raseman @john_raseman]

@francisdeng Want to use this terminology, but often feel there are cases where I’m not sure. Any guidance in the literature on when to call “non-fracture deformity”? Feel like there are plenty of cases where I’m not sure, though I’m guilty of overusing ambiguous language when I don’t need to

[John Raseman @john_raseman]

@francisdeng Thanks a lot. I’ll start doing the same.

[John Raseman @john_raseman]

@francisdeng Do you put caveats on overestimation when it’s near the 30 mL threshold? Assuming they used the same simple volume calculation so best to just leave be, but clearly inaccurate in many cases depending on hemorrhage morphology.