Matthew A. Michela

PACS/VNA
Why interoperability is suddenly a very real thing
Life Image President and CEO Matthew Michela explains why healthcare IT companies must step up now to enable interoperability and digital image sharing. As the healthcare delivery system grapples with a global pandemic, the consequences of noninteroperability are very real.
May 4, 2020
2020 05 04 23 22 1021 Michela Matthew
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Patient Woman Doctor2 400 (1)
Womens Imaging
SNAP participation boosts cancer screening among food-insecure adults
Food insecurity is tied to people not getting their cancer screening, but SNAP participation may help.
F-18 fluciclovine PET/CT images in a 59-year-old man with biochemical recurrence after prostatectomy (prostate-specific antigen level, 0.42 ng/mL; Gleason score, 5 + 4 = 9; T3BN1M0). (A) Coronal PET and (B) maximum intensity projection images show multiple retroperitoneal lymph nodes with abnormal radiotracer uptake (arrows). (C) Axial PET and (D) axial fused PET/CT images show the index lesion (arrow), measuring 13 × 10 mm, on the right precaval lymph node. The initial decision to offer radiation therapy to the prostate bed and pelvis was changed to a decision not to offer radiation therapy.
Molecular Imaging
PET/CT guides treatment in men with recurrent prostate cancer
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AI
Most patients want to know if AI being used for imaging reports
An example of machine learning–based multiorgan body composition assessment (TotalSegmentator V2.0.4, 1.5-mm high-resolution model) in a 63-year-old man with obstructive coronary artery disease and a skeletal muscle attenuation below the median. (A) Transverse, (B) coronal, and (C) sagittal CT images and curved planar reformations of the (D) left, (E) circumflex, and (F) right coronary arteries.
CT
Low muscle density on coronary CT linked to heart risk
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MRI
Podcast: The pivotal MRI accident that launched MRI safety
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F-18 fluciclovine PET/CT images in a 59-year-old man with biochemical recurrence after prostatectomy (prostate-specific antigen level, 0.42 ng/mL; Gleason score, 5 + 4 = 9; T3BN1M0). (A) Coronal PET and (B) maximum intensity projection images show multiple retroperitoneal lymph nodes with abnormal radiotracer uptake (arrows). (C) Axial PET and (D) axial fused PET/CT images show the index lesion (arrow), measuring 13 × 10 mm, on the right precaval lymph node. The initial decision to offer radiation therapy to the prostate bed and pelvis was changed to a decision not to offer radiation therapy.
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Low muscle density on coronary CT linked to heart risk
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An example of machine learning–based multiorgan body composition assessment (TotalSegmentator V2.0.4, 1.5-mm high-resolution model) in a 63-year-old man with obstructive coronary artery disease and a skeletal muscle attenuation below the median. (A) Transverse, (B) coronal, and (C) sagittal CT images and curved planar reformations of the (D) left, (E) circumflex, and (F) right coronary arteries.
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Examples of DAWM on FLAIR MRI slices. Transversal slices of 1.5T FLAIR MRI scans. For visualization only, brains were skull-stripped and DAWM is shown with dotted lines (occipital DAWM is red, parietal DAWM is orange). Top row images (25% of lobar WM) show larger, more confluent configurations of DAWM, extending beyond the slices shown here.
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