This is a critical point. I am curious what the team building this looks like? Do they have ultrasound physicists and clinical practitioners in addition to the AI researchers?
Yes, I was thinking about FUS as well! There are clearly ways to penetrate bone, but I have not seen it used for imaging, only for ablation. But I am not an expert there and it sounds like you have more knowledge in…
The machines are expensive (millions range per MRI scanner), staffing the machines nearly around the clock with highly educated technologists, repair/maintenance of expensive specialized machinery, radiologists to read…
Given that current ultrasound probe technology (including butterfly) relies on the probe being essentially in contact with the tissue being imaged, it’s hard to imagine how this set up can be effective with the imaged…
Not taken negatively, and you're right. This is even more difficult with things that are opinion, and not clearly verifiable.
Hah, I'm neither a bot nor written with any help from an LLM, but I'll take the fact that you can't tell the difference as a compliment :)
That's because there isn't any data yet, at least not enough from real patients to be meaningful. I would love to see some of the raw imaging data they have generated though, if that's what you mean.
Your points are well taken, and I think this is the fundamental struggle of anyone who works in a narrow and deep field. It's truly difficult to see things from a different point of view sometimes. It certainly could…
That's generally exactly what we do, which if we need to follow 2x or 10x incidental lesions in the population, leads to cost and availability problems. A lymphoma patient in remission needs follow up scans too, and I…
Some initial thoughts as a practicing radiologist: - This looks really cool and I hope they keep innovating on this. I love seeing new modalities develop and despite my (many) reservations and criticisms, if even one…
It depends on the indication for the scan. Some indications do not require contrast, others MUST have contrast in order to have any value. If you refuse contrast without understanding the reason, you may be simply…
I think you must have misunderstood where the artifact was coming from. Gadolinium retention has been shown to occur, but has not been reliably linked to any clinical symptoms. Gadolinium tissue retention also does not…
I agree with this sentiment. I have always wished, maybe naively, for the type of computing environment that makes possible things you see in sci-fi movies and shows, where someone can simple "route all power to the…
The issue is that in medicine, much like automobiles, unexpected failure modes may be catastrophic to individual people. “Fixing” failure modes like the above comment is not difficult from a technical standpoint, that’s…
Poorer performance in real hospital settings has more to do with the introduction of new/unexpected/poor quality data (i.e. real world data) that the model was not trained in or optimized for. They still do very well…
While a lot of this rings true, I think the analysis is skewed towards academic radiology. In private practice, everything is optimized for throughput, so the idea that most rads spend less than half of their time…
As a radiologist and full stack engineer, I’m not particularly worried about the profession going away. Changing, yes, but not more so than other medical or non-medical careers.
litevna.app - a DICOMweb compatible medical imaging archive, built on cloudflare workers, to optimize fast image delivery globally. Images are all encoded as HTJ2K for progressive image loading, and the popular OHIF…
I use JWTs to let me do auth on cached resources. I can verify permissions in an edge worker and deliver the cached resource without needing to roundtrip to the database. Not sure how to implement that without JWT (or…
Portable low field bedside MRI has been on the market in the US for a few years. See Hyperfine Swoop.
S3 is really cheap, and from the beginning I spent a lot of time optimizing for simplicity and efficiency, so I don’t have much overhead. Since this is targeted towards residents and academic radiologists, it’s…
I started and run https://pacsbin.com, a radiology teaching file/research platform. I’m a radiologist and started this as a resident while unsatisfied with all existing options. It has been really gratifying to work on…
It’s funny to me as a physician to see “you’re not a hospital” as an example of a system that cannot tolerate downtime. Epic, probably the biggest EHR provider in the US, has planned downtime for upgrades at least…
To be fair, this is not how doctors want to practice medicine.
You are partially correct, but I think the value is not in generating a draft for the radiologist to review, but to take a radiologists “raw” dictation, which pertains only to relevant findings in a case, and transform…
This is a critical point. I am curious what the team building this looks like? Do they have ultrasound physicists and clinical practitioners in addition to the AI researchers?
Yes, I was thinking about FUS as well! There are clearly ways to penetrate bone, but I have not seen it used for imaging, only for ablation. But I am not an expert there and it sounds like you have more knowledge in…
The machines are expensive (millions range per MRI scanner), staffing the machines nearly around the clock with highly educated technologists, repair/maintenance of expensive specialized machinery, radiologists to read…
Given that current ultrasound probe technology (including butterfly) relies on the probe being essentially in contact with the tissue being imaged, it’s hard to imagine how this set up can be effective with the imaged…
Not taken negatively, and you're right. This is even more difficult with things that are opinion, and not clearly verifiable.
Hah, I'm neither a bot nor written with any help from an LLM, but I'll take the fact that you can't tell the difference as a compliment :)
That's because there isn't any data yet, at least not enough from real patients to be meaningful. I would love to see some of the raw imaging data they have generated though, if that's what you mean.
Your points are well taken, and I think this is the fundamental struggle of anyone who works in a narrow and deep field. It's truly difficult to see things from a different point of view sometimes. It certainly could…
That's generally exactly what we do, which if we need to follow 2x or 10x incidental lesions in the population, leads to cost and availability problems. A lymphoma patient in remission needs follow up scans too, and I…
Some initial thoughts as a practicing radiologist: - This looks really cool and I hope they keep innovating on this. I love seeing new modalities develop and despite my (many) reservations and criticisms, if even one…
It depends on the indication for the scan. Some indications do not require contrast, others MUST have contrast in order to have any value. If you refuse contrast without understanding the reason, you may be simply…
I think you must have misunderstood where the artifact was coming from. Gadolinium retention has been shown to occur, but has not been reliably linked to any clinical symptoms. Gadolinium tissue retention also does not…
I agree with this sentiment. I have always wished, maybe naively, for the type of computing environment that makes possible things you see in sci-fi movies and shows, where someone can simple "route all power to the…
The issue is that in medicine, much like automobiles, unexpected failure modes may be catastrophic to individual people. “Fixing” failure modes like the above comment is not difficult from a technical standpoint, that’s…
Poorer performance in real hospital settings has more to do with the introduction of new/unexpected/poor quality data (i.e. real world data) that the model was not trained in or optimized for. They still do very well…
While a lot of this rings true, I think the analysis is skewed towards academic radiology. In private practice, everything is optimized for throughput, so the idea that most rads spend less than half of their time…
As a radiologist and full stack engineer, I’m not particularly worried about the profession going away. Changing, yes, but not more so than other medical or non-medical careers.
litevna.app - a DICOMweb compatible medical imaging archive, built on cloudflare workers, to optimize fast image delivery globally. Images are all encoded as HTJ2K for progressive image loading, and the popular OHIF…
I use JWTs to let me do auth on cached resources. I can verify permissions in an edge worker and deliver the cached resource without needing to roundtrip to the database. Not sure how to implement that without JWT (or…
Portable low field bedside MRI has been on the market in the US for a few years. See Hyperfine Swoop.
S3 is really cheap, and from the beginning I spent a lot of time optimizing for simplicity and efficiency, so I don’t have much overhead. Since this is targeted towards residents and academic radiologists, it’s…
I started and run https://pacsbin.com, a radiology teaching file/research platform. I’m a radiologist and started this as a resident while unsatisfied with all existing options. It has been really gratifying to work on…
It’s funny to me as a physician to see “you’re not a hospital” as an example of a system that cannot tolerate downtime. Epic, probably the biggest EHR provider in the US, has planned downtime for upgrades at least…
To be fair, this is not how doctors want to practice medicine.
You are partially correct, but I think the value is not in generating a draft for the radiologist to review, but to take a radiologists “raw” dictation, which pertains only to relevant findings in a case, and transform…