Viewing profile — unsrsly
unsrsly
HN member- Joined
- Wed, Feb 20, 2019, 11:08 PM UTC
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About unsrsly
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Recent public activity
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Comment #27466848
You're making some very interesting and valid points. You've correctly identified that when receiving bundled services you lose the ability to negotiate or comparison shop on the b…
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Comment #27455952
There's a lot to unpack here! In the USA, the ABR regulates human radiologists via board certification. Medical technology is traditionally regulated by the 510K, PMA, and de novo …
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Comment #27442398
> Still, I'm thinking that as it improves, it's going to show that doctors are not that good at their job on average, and that's going to be fun to watch. Medical AI is trained on …
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Comment #27430107
Interesting, how would the standards of the Board of Computational Radiology be set? Is the implication that the current standards are too high?
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Comment #27430098
There is zero chance the software allowed the radiologists to work 10x faster... what?
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Comment #27425798
Interesting, can you give an example of a radiologist hindering progress? You make an interesting point about radiologists setting practice standards - what alternative do you prop…
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Comment #26692165
For those interested, here's a nice Tweet and video from a neurosurgeon at the Mayo clinic in Arizona demonstrating the use of both fMRI and intraoperative motor mapping: "Preopera…
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Comment #26677715
That must have been scary, but I'm glad she had a good outcome.
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Comment #26674302
I respect your experience, and I'll concede that fMRI for pre-surgical planning in neurooncology is used at only some centers. If you worked mainly in neurooncology you may have mi…
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Comment #26674069
> No such thing exists for fMRI, at minimum you need to buy a 3rd party processing system and may need a research key on your scanner. This is not the case, for example see the GE …
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Comment #26673978
I'm not on the outside of medicine. Significant practice variation exists, but complex neurosurgical conditions are usually managed at academic centers and fMRI is used for plannin…
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Comment #26673926
fMRI is used for planning in neurooncology [1] and epilepsy surgery [2]. [1] https://thejns.org/focus/view/journals/neurosurg-focus/48/2/... [2] https://n.neurology.org/content/88/…
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Comment #26673321
Awake cortical mapping has much better resolution than fMRI, and it avoids image registration issues, but it requires a great deal of planning and patient motivation. If it turns o…
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Comment #26673222
Thank you for sharing your story. Although fMRI has low resolution, it can be very useful for surgical planning in certain clinical scenarios. For example, to determine hemispheric…
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Comment #26673137
fMRI is used to plan procedures that put eloquent cortex at risk. For example, tumor resections. Typically, fMRI is used for initial planning (whether the tumor is in the dominant …
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Comment #26668264
> Approximately nobody does this. fMRI isn't really even on the radar for most neurosurgeons. Except at basically any academic neurosurgery center? https://thejns.org/focus/view/jo…
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Comment #26485504
https://osc.universityofcalifornia.edu/uc-publisher-relation... "All Cell Press and Lancet journals are part of the UC agreement. For these top journals, UC’s shared funding model …
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Comment #26405843
IANAL but HIPAA compliance comes from following certain policies and procedures (e.g. for encryption and account provisioning). These rules are necessary but not sufficient to guar…
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Comment #25075084
I certainly agree with you. Part of the core MR game is to flirt with right wing talking points but keep on playing both sides to get attention. This is really unfortunate and dist…
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Comment #24957362
As dramatized in Bad Blood? https://en.wikipedia.org/wiki/Bad_Blood_(TV_series)
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Comment #24904327
I am almost certain this will fail.
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Comment #24893004
How can you identify brain trauma with ultrasound? The ultrasound waves cannot pass through the skull.
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Comment #24704758
80 years later, knowing what we know now, the Hanford site should be managed better. The fact that it hasn't been cleaned up by now is probably the sort of problem that OP is refer…
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Comment #24693229
Fire burning through grass and vineyards has been a feature of the latest fire season in northern CA. Given how dry and hot the climate is, only dirt is a sure thing. However with …
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Comment #24299386
Disclaimer: this is not medical advice. -The severity of aortic stenosis determines whether any intervention is indicated. Only a cardiologist or cardiac surgeon can reliably make …