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unsrsly

HN member
Joined
Wed, Feb 20, 2019, 11:08 PM UTC
HN karma
116
Public activity
63 items

About unsrsly

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Recent public activity

  1. comment
    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…

  2. comment
    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 …

  3. comment
    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 …

  4. comment
    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?

  5. comment
    Comment #27430098

    There is zero chance the software allowed the radiologists to work 10x faster... what?

  6. comment
    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…

  7. comment
    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…

  8. comment
    Comment #26677715

    That must have been scary, but I'm glad she had a good outcome.

  9. comment
    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…

  10. comment
    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 …

  11. comment
    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…

  12. comment
    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/…

  13. comment
    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…

  14. comment
    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…

  15. comment
    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 …

  16. comment
    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…

  17. comment
    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 …

  18. comment
    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…

  19. comment
    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…

  20. comment
    Comment #24957362

    As dramatized in Bad Blood? https://en.wikipedia.org/wiki/Bad_Blood_(TV_series)

  21. comment
    Comment #24904327

    I am almost certain this will fail.

  22. comment
    Comment #24893004

    How can you identify brain trauma with ultrasound? The ultrasound waves cannot pass through the skull.

  23. comment
    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…

  24. comment
    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 …

  25. comment
    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 …