Ryan McBeth

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#MyRadGirlfriend No. 88: Data is king, but food fills seats
Data is all the rage as healthcare analysts look for quantitative measures of healthcare quality. But how do you get busy attending physicians and residents to fill out surveys? Find out one trick in the next installment of #MyRadGirlfriend.
June 27, 2019
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#MyRadGirlfriend No. 87: The feminist narrative
Do today's research trials adequately reflect medical outcomes in women? Or are they too focused on men? Ryan starts to wonder in the next installment of #MyRadGirlfriend.
June 13, 2019
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#MyRadGirlfriend No. 86: Think before you scoot
Electric scooters are everywhere now, and while they can be a lot of fun, they also can have unintended consequences. One of those is more work for radiologists who read imaging studies from the emergency room -- including Andy, who decides to make a statement in the next installment of #MyRadGirlfriend.
May 30, 2019
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#MyRadGirlfriend No. 85: The magic of Cinco de Mayo
With the Cinco de Mayo holiday approaching, many hospital residents who aren’t working or aren’t on call have the opportunity to blow off a little steam. Priya and Andy are no different, as we discover in the next installment of #MyRadGirlfriend.
May 2, 2019
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Emergency Radiology
#MyRadGirlfriend No. 84: The most dangerous place
Yes, the emergency room can be a dangerous place for a physician. But even greater danger can be found elsewhere in the hospital, as we learn in the next installment of #MyRadGirlfriend.
April 11, 2019
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#MyRadGirlfriend No. 83: Circling the drain
One of the most challenging things about a radiologist's job can be dealing with referring clinicians, especially ones that are particularly obstinate, as Dr. Rankin is in the next installment of #MyRadGirlfriend.
March 21, 2019
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#MyRadGirlfriend No. 82: When you hear hoofbeats ...
It's been a late night in the reading room, and Andy encounters a perplexing case that could have a variety of differential diagnoses. Find out how she settles on the correct one in the next installment of #MyRadGirlfriend.
March 7, 2019
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#MyRadGirlfriend No. 81: The price to pay for being antivax
Antivaxxers may think they're doing the right thing for their kids, but there's a price to pay for not getting vaccinated -- and it's mainly paid by their children, as Andy and Ryan find out in the next installment of #MyRadGirlfriend.
February 21, 2019
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#MyRadGirlfriend No. 80: Anxiety in the reading room
What fears push your anxiety buttons? For some radiologists, it's the board exam, while others have more existential concerns. Andy has to face some of her internal demons during a long night in the reading room in the next installment of #MyRadGirlfriend.
February 7, 2019
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#MyRadGirlfriend No. 79: How sweet it is
Most folks would agree that the explosion of new coffee varieties is a great thing. But they can have a downside, as Andy and Priya find out in the next installment of #MyRadGirlfriend.
January 24, 2019
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Example of AI-assisted pulmonary nodule detection and longitudinal volumetric assessment in a 65-year-old woman with peripheral arterial disease, a 24-pack-year smoking history, emphysema, and a family history of lung cancer. An incidental 8.5-mm right lower lobe pulmonary nodule is identified at CT angiography of the abdomen in July 2022 but does not receive follow-up. Subsequent imaging demonstrates interval growth, and CT-guided biopsy confirms stage IA lung adenocarcinoma. Contrast-enhanced axial chest CT images obtained on February 2, 2024, before robotic-assisted thoracoscopic segmentectomy, show a 12.1-mm spiculated right lower lobe pulmonary nodule. (A) Conventional contrast-enhanced axial chest CT image without AI assistance shows a 12.1-mm spiculated right lower lobe pulmonary nodule. (B) Corresponding CT image with AI-assisted pulmonary nodule detection, automated segmentation, and quantitative nodule assessment identifies a solid pulmonary nodule (nodule #1) measuring 13 × 8 (11) mm, with a volume of 739 mm3, a 45% volumetric increase compared with the previous contrast-enhanced chest CT performed on October 9, 2023 (510 mm3), and an estimated volume doubling time (VDT) of 216 days. (C) AI-generated longitudinal nodule analysis displays automated segmentation of the current (February 2, 2024) and previous (October 9, 2023) CT examinations, 3D nodule reconstruction, and quantitative volumetric assessment for longitudinal follow-up. The AI interface is displayed in the original software language (Dutch).
PCCT on par with MRI for diagnostic breast imaging
By Amerigo Allegretto
PCCT performed similarly to MRI for characterizing breast lesions and finding additional lesions.
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Detection and extent of BI-RADS suspicious calcifications (amorphous, coarse heterogeneous, fine pleomorphic, and fine linear or fine linear branching) at axial photon-counting CT (PCCT) versus full-field digital mammography (first three images, craniocaudal view; last image, mediolateral oblique view). Calcifications found on mammography showed only partial visualization at ultrahigh-resolution PCCT (0.2 mm), while amorphous calcifications could not be distinguished from image noise. Corresponding abnormal enhancement was clearly depicted on contrast-enhanced PCCT images.
Self-interpreting by ordering clinicians tied to low-value imaging
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POCUS improves timeliness in emergency pregnancy care
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Emergency POCUS can reduce length of stay and time to diagnosis while not leading to more missed diagnoses of ectopic pregnancy.
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Bayer's PET agent meets endpoints in phase III cardiac amyloidosis study
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Overall sensitivity was 94% (95% CI, 85% to 98%) and specificity was 86% (95% CI, 77% to 92%).
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This figure shows fused I-124 evuzamitide positron emission tomography (PET)/computed tomography (CT) images from patients without amyloidosis and from patients with ATTR cardiac amyloidosis, early ATTR cardiac amyloidosis, light chain cardiac amyloidosis, gelsolin-mediated amyloidosis, and systemic organ amyloid. The columns represent radiological transaxial, sagittal, and coronal views except for the last row middle and far right columns, which are coronal projections. The blue asterisks represent physiological activity (tracer activity in the stomach and esophagus). The arrowheads represent pathological uptake. Note the small amount of cardiac uptake in the basal septum and the basal lateral walls (likely early ATTR cardiac amyloidosis), splenic uptake and pleural uptake in light chain amyloidosis, and cardiac and kidney uptake in gelsolin-mediated amyloidosis. The bright yellow color represents more tracer uptake.
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PET outperforms CT in ovarian cancer
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Comparison of contrast-enhanced CT (ceCT) and FAPI-PET in detecting peritoneal carcinomatosis in patient with advanced ovarian carcinoma. (A) ceCT shows subtle peritoneal thickening that is difficult to delineate. (B) Maximum-intensity-projection image demonstrating diffuse intense FAPI uptake corresponding to extensive peritoneal carcinomatosis. (C) FAPI-PET shows intense uptake corresponding with peritoneal carcinomatosis, with improved lesion conspicuity over ceCT.
Advanced ultrasound techniques improve soft tissue tumor evaluation
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Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.
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Choropleth map of state-level imaging-associated greenhouse gas emissions per 1,000 Medicare Part B fee-for-service beneficiaries in 2022. Darker shades indicate higher per-beneficiary greenhouse gas emissions. District of Columbia (not shown) is in 3-4 MTCO2e per 1,000 range. MT CO₂e = metric tons of carbon dioxide equivalent
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