Insights

Perspectives on subspecialty radiology, advanced imaging, and delivering better reads.

Brain Mapping

Why a normative database is the foundation of trustworthy DTI

A DTI report is full of numbers, and every one of them is only as trustworthy as the reference it is measured against.

Read Article
Second Opinions

Where a brain bleed likes to hide

The most common place for the brain to bleed after head trauma sits right against the temporal bone, which is one of the thinnest bones in the skull.

Read Article
Second Opinions

The finding on the sequence nobody opened

A microhemorrhage can be completely invisible on a standard T2 or FLAIR image and light up clearly on GRE or susceptibility weighted imaging.

Read Article
Second Opinions

What a second opinion actually changes

People assume a second read is a formality.

Read Article
Perspective

The real cost of a rushed read

There is a quiet pressure in imaging to move fast.

Read Article
Spine

In the spine, we prove the level

Most spine reads assume the lowest disc is L5 to S1 and move on.

Read Article
Spine

A lumbar MRI is more than the discs

When a lumbar MRI comes across, the easy move is to grade the discs and stop.

Read Article
How We Work

A scan is only as good as who reads it

A scan is only as good as the person reading it, so here is who I am.

Read Article
How We Work

I read the clinical notes first

Here is something that does not make a radiology practice any more money and that I do anyway.

Read Article
Brain Mapping

Where the blow landed shapes the read

After a head injury, where the blow landed shapes what we look for and where.

Read Article
Perspective

Match the study to the subspecialist

This is not a knock on anyone.

Read Article
Spine

A pattern that is reported almost never

Here is a pattern I see reported almost never, even though the medical literature has plenty to say about it.

Read Article
How We Work

When a scan does not arrive ready to read

A scan does not always arrive ready to interpret.

Read Article
Second Opinions

Describe what is happening, not just a label

Radiology loves its labels.

Read Article
Perspective

Teleradiology is not a lower standard

Teleradiology gets a reputation as reading from far away, fast and impersonal.

Read Article
Second Opinions

A missed finding does not stay small

A single missed finding does not stay small.

Read Article
Brain Mapping

Reading a brain injury means reading the clock

After a head injury, the brain does not sit still.

Read Article
Brain Mapping

The strongest comparison is a brain to itself

We all have slightly different brains.

Read Article
Brain Mapping

The injury that shows up late

When the surface of the brain is bruised, it responds fast.

Read Article
Brain Mapping

Brain age, and the drop that matters

Two patients can be the same age on paper and have very different brains.

Read Article
Brain Mapping

This looks smaller is not a measurement

For years, the way many readers judged a brain structure was to glance at the left, glance at the right, and say one looks smaller.

Read Article
Brain Mapping

Reading the brain's wiring, not just its structure

A standard brain image shows you structures.

Read Article
Brain Mapping

Two scars, two very different futures

Two spots of scarring can look almost identical on a quick read.

Read Article
How We Work

Discipline: every bundle, every time

There is a temptation in advanced brain imaging to look at the one famous bundle, judge it, and move on.

Read Article
Brain Mapping

Most maps stop at the forebrain

When someone maps a brain, they usually map the top of it, the forebrain, and then describe it as if they mapped the whole thing.

Read Article
Brain Mapping

A finding without function is just a dot

A brain scan can show a scar with confidence.

Read Article
Perspective

AI assists the read, it cannot own it

There is a lot of talk about artificial intelligence reading scans.

Read Article
Second Opinions

A signed report is testimony in writing

People think of a radiology report as a summary.

Read Article
Perspective

Normal for when, against what, for whom

When a report says normal, it sounds like the end of a question.

Read Article
Brain Mapping

When the injury is subtle, you have to count

A person walks in after a minor collision.

Read Article
Perspective

Why two readers can see two different reports

Hand the identical images to two readers and you can get two different reports.

Read Article

Have a topic you would like us to cover?

Get in Touch
Follow us on LinkedIn
Insights, updates, and the latest from Ugorji Radiology Consultants.
Follow