Dr. Bill W.

Practice Management
Imaging self-referral: An inside manifesto
My name is Bill W. Like the fellow in the AA meetings. I'm a radiologist, and I'm addicted to imaging self-referral. Maybe you know something about this, maybe you participate too, and maybe you don't care. But you should. For your wake-up call, I think it's time to share an inside view of a very ugly issue.
March 18, 2009
2009 03 18 16 29 16 358 Silouette 70
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Top Stories
Shoulder Joint 400
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Practice Management
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(A) Overview of study participants with different clinical phenotypes depicted in distinct colors: Limbic encephalitis (LE)/temporal lobe epilepsy (TLE): Blue; cerebellar ataxia (CA): Green; stiff person syndrome (SPS): Red, including overlapping clinical features with an overview of the analyzed parameter; generated in Biorender. (B) F-18 F-DED uptake, as visualized by SUVr with global mean scaling, is shown for three representative patients with GAD65-AIE: Patient #6 with LE/TLE, showing mesiotemporal F-18 F-DED uptake; patient #16 with overlapping clinical features of CA, SPS, and LE, showing both mesiotemporal and cerebellar F-18 F-DED uptake; and patient #17 with isolated SPS showing no increased F-18 F-DED uptake. Additionally, the average F-18 F-DED uptake of eight controls is shown on the right.
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Representative images of participants with difficulty with breath holding and arrhythmia. In the lower right corner of A–L, the position coordinates of the images are marked. Short-axis (SA) view images in the end-systole (A–F) and end-diastole (G–L) phases in participants with atrial fibrillation. (A–C, G–I) Balanced steady-state free precession (bSSFP) cardiac cine. (D–F, J–L) Deep learning–enhanced compressed sensing (AI-CS) single-shot cardiac cine. In contrast to AI-CS single-shot cardiac cine, endocardial contours were challenging to identify on conventional segmented cine in midventricular and apical sections. (M) Line graph of time curve during the whole cardiac cycle obtained from bSSFP cardiac cine. (N) Line graph of time curve during the whole cardiac cycle obtained from AI-CS single-shot cardiac cine. LV = left ventricle; 2D = two-dimensional.
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