samngeno

3rd eye...

[samngeno @samngeno]

@Meghyem0ut Beautiful samburu!Likely guy wanted to ask for some handout...keep cycling!

[samngeno @samngeno]

@reda_getachew When they are being bombed by drones is fun, right?

[samngeno @samngeno]

@TheAbojani Run, murife run!

[RADIOLOGISTS @DrAyubaD]

Most headaches are still migraine.
Most dense sinuses are still not clot.
But a painless-looking CT in the wrong patient is how CVT is missed until there is a bleed or a hemiparesis.
I am a radiologist. This is teaching file not a consult.
If the post helped share it so the case travels.

[Andrei Purysko @Purysko]

🚨Pleased to share our latest work in @AJR_Radiology on implementing PI-QUAL in clinical practice, which I like to call a practical “PI-QUAL implementation manual.”

🎯MRI-directed prostate cancer diagnosis starts with high-quality images. PI-QUAL makes image quality visible, measurable, and actionable, helping practices identify and correct common quality issues.

🙌It was an enormous pleasure working with my senior author @giga_fra and the brilliant panel @AsbachP Ronaldo Baroni @Tristan_Radiol @AdrianoDiasRad @GiorgioBre @SilviaChangMD @MaartendeRoij @vbloegager Raphaele Renard-Penna and @ATongMD. Grateful for the editorial assistance from @arosenkrantzmd and @NickSchiedaMD

🙏🏼Lastly, I greatly appreciate the support from @theNAMedicine and CMSS in advancing this work 🙏🏼

[samngeno @samngeno]

@DrCriticalCare Algorithms are now part and parcel of clinical management, lol

[Mert Metin Tekdemir @mertmetindev]

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İnternet, algoritmanın önünüze koyduğu o beş siteden ibaret değil.

[Laura Heacock, MD @heacockmd]

Soon, radiology residents will replace radiology AI models.

Pedrini et al (2026) looked at 3 months' worth of CT scans (2,153) interpreted by an on-call resident. 15.4% of them had intracranial hemorrhage (ICH).

The residents had a sensitivity of 96.4% and specificity of 99.6%. The same studies were given to directly to a commercial AI software, which generated heatmaps. The results and heatmaps were separately evaluated as part of the research protocol (aka not available at interpretation time) with sensitivity of 84% and specificity of 94.4%. Performance by AI improved with multiple hemorrhagic types or sites, but did not outperform the resident.

Of 12 FN reports by residents, 6 would have been caught by the model; the attending that overread the preliminary report obviously found all 12.

AI mislabeled 101 cases as FP for ICH. If these were autonomously read, this would have likely led to increased length of stay, follow-up imaging, or inappropriate treatment changes, including discontinuation or non-administration of thrombolytic therapy in patients with ischemia.

The study authors note that the AI FP "typically would not cause confusion with ICH for radiologists interpreting CT scans, as they are easily recognized as various hyperdense intracranial abnormalities not related to ICH."

Take-home points: 1) Clinical deployment studies are increasingly important for medical AI. The commercial model used here was good and well-validated. 2) Perhaps you should hire a Swiss radiology resident to read all your ICH cases, they seem pretty good.

https://t.co/GBxJhGcPdi

[Lea Alhilali, MD @teachplaygrub]

Just because you don’t see it, doesn’t mean it’s not there!!!

Just because you don’t see all cranial nerves on MRI doesn’t mean they aren’t there!

You must know their anatomy so you know when pathology might affect them.

Here is a figure w/the anatomy you NEED to know!

➡️Just remember this easy rule of four from Peter Gates:
There are:
🔸 4 cranial nerves from above the pons (including 2 from the midbrain)
🔸4 from the pons
🔸And 4 from the medulla oblongata!

Now you won't have be nervous when it comes to this nerve anatomy!

[samngeno @samngeno]

@DanChepta How did they get the giraffes to pose?looks pre-arranged...who says the animals are cheap and free😂

[Tiny Buddha @tinybuddha]

"Don’t let a 10-minute problem consume a 24-hour day. The email was uncomfortable. The train was late. The conversation went poorly. Feel it, deal with it, then allow the rest of your life to remain intact.” ~Colby Kultgen

[samngeno @samngeno]

@DrAyubaD Lentiform fork sign....uraemic encephalopathy

[samngeno @samngeno]

@ouma_neko Siege mentality...disturbing old people.There is life after the elections

[Lea Alhilali, MD @teachplaygrub]

1/Nothing strikes fear into the heart of a radiologist like the question,“Is it safe to do an MRI on this pt w/an implanted device?”

Do questions about pacemakers & MRIs send your heart racing?

Never fear again! Here’s a thread on how to navigate implanted devices & MRI!

[samngeno @samngeno]

@teachplaygrub Awesome Prof!Thanks

[samngeno @samngeno]

@khaledzeid Online link?

[samngeno @samngeno]

@reda_getachew Why is the government subjecting the region to a siege?It might have accelerated the worsening relations and destroyed the little hope that there ever will be a peaceful solution

[samngeno @samngeno]

@enaicca @DStv_Kenya @Safaricom_Care I also received multiple times....ignored all as I had already paid my dstv

[Masoud Pezeshkian @drpezeshkian]

What message does attacking hospitals, pharmaceutical companies and the Pasteur Institute as a medical research center in Iran convey? As a specialist physician, I urge WHO, the Red Cross, Doctors Without Borders and physicians worldwide to respond to this crime against humanity

[Seyed Abbas Araghchi @araghchi]

Striking civilian structures, including unfinished bridges, will not compel Iranians to surrender.

It only conveys the defeat and moral collapse of an enemy in disarray. Every bridge and building will be built back stronger. What will never recover: damage to America's standing.