A recent JAMA Pediatrics paper looked at fetal ultrasonography and whether it causes autism. Although apparently worrisome, a scientific analysis reveals that the paper is actually quite reassuring. We review the paper and the controversy here. https://youtu.be/rjf8ji1zr0Q You can read the original open-access JAMA Pediatric article by clicking on the link. – Akshay Baheti, …
Continue reading Is there a link between fetal ultrasonography and autism?
The debate on free-text vs structured reports is probably never ending, but the voice of our customer, the referring physician, sometimes gets lost in the din. We discuss two recent studies which throw light on this issue. https://youtu.be/_fwPAnGFBy0 You can read the AJR and JACR articles discussed by clicking the respective links. – Akshay Baheti, …
Continue reading Free-text vs structured reporting: What does the referring physician want?
A common question asked by a referring physician for a patient of suspected nephrolithiasis is whether to do an ultrasound first or a CT? We review an NEJM paper which answers this critical question. https://youtu.be/phplenxe5tY You can read the open-access article here. – Akshay Baheti, Tata Memorial Hospital PS : If the embedded video is …
Continue reading Patient with suspected kidney stone: Should we do ultrasound first or CT?
Artificial intelligence is the next big thing in radiology, as well as in many other branches of medicine. Whether it will assist us or replace us in the future remains a matter of intense debate, but how many radiologists really understand basics of how AI actually works and how accurate can it get? Understand the …
Continue reading Artificial Intelligence in Radiology: The how and the why of it
The last decade or two have witnessed a plethora of newer chemotherapy drugs being approved for treating cancer, most of which have been approved based on clinical trials using the RECIST 1.1 (or the older RECIST) criteria to demonstrate efficacy of treatment and prolongation of disease-free survival. However, how accurate are the RECIST 1.1 criteria …
Continue reading How accurate is RECIST 1.1 for assessing tumor response?
Radiology has a major role to play in baseline assessment of pancreatic adenocarcinoma, with use of a dedicated pancreatic CT protocol and a dedicated pancreatic reporting template recommended by all major radiology societies. The current limitation of our imaging unfortunately is that we predominantly focus only on surgical 'resectability' of the pancreatic tumor, viz classifying …
Continue reading CT Assessment of ‘Resectability’ of Pancreatic Cancer: Can we do better?
Contrast-induced nephropathy (CIN) is traditionally defined as a 25% or a 0.5mg/dL increase in serum creatinine value over the baseline at 48-72 hours after contrast administration. Various prophylactic measures including IV hydration using NS or sodium bicarbonate or administering N-acetylcysteine, amongst others, are often used to try and prevent CIN in at risk patients receiving …
Continue reading Prophylaxis for contrast-induced nephropathy: Does anything work?
I did my medical school and radiology residency from India, but was also fortunate to spend three years in the US for subspecialty training in various clinical fellowships. I believe these amazing experiences in my formative years across both the systems made me a more complete radiologist. If I compare the residency training in both …
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