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Astrocytoma & MRI
2007-10-05 00:21:00
Cerebellar astrocytoma is the most common posterior fossa neoplasm in the child. Occasionally, these tumors present in young adults. Eighty-five percent are of the pilocytic type, which appear relatively well-circumscribed, are partially cystic and often contain a mural nodule of enhancing solid tissue. Pilocytic cerebellar astrocytomas uncommonly calcify (20%) and rarely hemorrhage. Hydrocephalus is often present, leading to patients' common presenting symptoms of nausea, vomiting, headache, or ataxia. There is an increased frequency of occurrence with neurofibromatosis type I. Pilocytic astrocytomas are associated with a 90-95% 25-year survival rate, the highest of all primary brain gliomas. The less common fibrillary astrocytoma comprises 15% of cerebellar astrocytomas. This subtype carries a worse prognosis and tends to be infiltrative.Medulloblastoma is primarily a neoplasm of children but occurs in adults 30% of the time. Peak incidence is in the latter half of the first deca...
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My Medical Blog Community
2007-09-23 19:36:00
Here are a few blogs I enjoy, and find usefull as well. Take a look I hope you will too.NeuroRAZ Looking inside people mindBrain blogger The GNIF Brain Blog ger covers topics from multidimensional biopsychosocial perspectives. It reviews the latest news and stories related to neuroscience, psychiatry, and neurology. It serves as a focal point for attracting new minds beyond the science of the mind-and-brain and into the biopsychosocial model.radswiki blogNot only is radiology one of the coolest job out there?Some of us are just not cut out for interacting with patients.Here is a true storyThe Nurse Practitioner's PlaceMarried, proud mother of four. I am a newly graduated Family Nurse Practitioner somewhere in Florida.On The WardsOn The Wards (OTW) is a medical blog devoted to diverse topics related to medicine, medical education, and health care. The motivation of this project primarily stems from a professional interest in academic medicinescan man's notesThis is my personal blog....
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Twins With SMA - Spinal Muscular Atrophy
2007-09-23 19:05:00
Donations WelcomeOn Line Sports AuctionSeveral Premiership and Championship Football Clubs as well as Derbyshire Cricket Club donated memorabilia ? signed shirts, photos, a cricket bat, stadium tour, match tickets and a signed pennant were sold online and raised just over £100. Many thanks to Derbyshire Cricket Club, Middlesbrough FC and Leicester City FC.Sunday 16th September 2007 ? Watercolour Exhibition/SaleThe exhibition held by the twins Grandma (Pat Wilson) raised just under £800. The day was a great success with Pat selling 39 of her 51 paintings. Money was also raised from the sale of postcards, greetings cards and prints as well as a raffle. Thank you to everyone who came and spent!!!Monday 17th September 2007 ? Evening of MediumshipTamworth Spiritualist Church held a special evening to raise funds for Sam and Alex and raised nearly £350. Many thanks to all those who attended as well as the special guests who gave their time free of charge. Particular thanks to Sonia Cherri...
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Portable CT scanner
2007-09-22 22:39:00
Eric Bailey from NeuroLogica Inc, a Danvers, MA company, recently brought his miniaturized CereTom? CT scanner to a boxing match. He positioned it just off the ring, and offered the organizers the ability to diagnose anything that might happen, right on the spot. Lo and behold, after a match that ended with an off the ring CT scan, Lorenzo Bethea was rushed by ambulance to a hospital for diagnosed intracranial bleeding. His life was saved. American football teams have taken notice and some are purchasing the relatively mobile and affordable CereTom scanners for their fields.... the Las Vegas incident intrigued enough teams in the NFL that two -- the Oakland Raiders and Indianapolis Colts -- have agreed to use the CereTom in their home stadiums. The hope, Bailey said, is that teams can use the CereTom to immediately examine players for serious underlying conditions that might not register in regular screenings. google_ad_client = "pub-8043481447081947";google_ad_width = 200;google_ad...
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BOW CHICK A BOW WOW AND MRI PORN STARS
2007-09-21 01:29:00
OH BABY.................................!!SH OP THE BUNNYHow did they get them in there at the same time? they both must have been about 100lbs.The participants (pairs of men and women) were recruited by personal invitation and through a local scientific television programme. Respondents were invited to participate if they met the following criteria: older than 18 years, intact uterus and ovaries, and a small to average weight/height index. The experimental procedure was explained in a letter sent to respondents along with an informed consent form. Participants were assured confidentiality, privacy, anonymity, and the possibility of withdrawing from the study at any time. After written informed consent had been obtained, the participants were invited to come for a scan when the equipment was available on a Saturday. The tube in which the couple would have intercourse stood in a room next to a control room where the searchers were sitting behind the scanning console and screen. An imp...
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Starr-Edwards Heart valve and MRI safety
2007-09-20 23:20:00
Lasker Awards AnnouncementAmerica's highest medical prizes, the Lasker Awards, have been announced, and some of the winners are developers of prosthetic heart valves.From the official announcement by the Lasker Foundation:The Lasker Award for Basic Medical Research honors Ralph M. Steinman, 64, of the Rockefeller University, New York City, who discovered dendritic cells. These immune cells trigger other components of the immune system to thwart microbial invaders. Steinman's work has opened up novel therapeutic avenues for combating cancer and pathogens.The Lasker Award for Clinical Medical Research honors Alain Carpentier, 74, of Hôpital Europeen Georges Pompidou, Paris, and Albert Starr, 81, of the Providence Health System, Portland (OR), who developed prosthetic mitral and aortic valves. These devices have prolonged and enhanced the lives of millions of people with heart disease, providing treatment where none existed before.The Mary Woodard Lasker Award for Public Service, awa...
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SanDisk Takes Action against Alzheimer?s Disease with Special SanDisk Ultra
2007-09-16 22:52:00
MILPITAS, Calif.--(BUSINESS WIRE)--SanDisk® Corporation (NASDAQ:SNDK) today joined the fight against Alzheimer ?s disease, a devastating and fatal illness now afflicting more than 5 million Americans, by introducing special editions of two products: a two-gigabyte (GB)1 SanDisk Ultra ® II SD? card and a two-gigabyte SanDisk Cruzer® Micro USB flash drive.SanDisk will contribute $1 to the Alzheimer?s Association, the leading volunteer organization for Alzheimer?s research and family support, for each specially-branded product purchased through August 2008, up to a maximum of $1 million. The two products, which carry the same manufacturer?s suggested retail price as SanDisk?s regular 2GB SanDisk Ultra II SD card and 2GB Cruzer Micro drive, stand apart from the SanDisk line because they are purple ? the signature color of the Alzheimer?s Association.?SanDisk as a company is dedicated to preserving digital memories, so it?s appropriate for us to do what we can to help stop a disease that a...
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Siemens Technology of the future
2007-09-14 23:22:00
New brain scanners promise to deliver images of higher resolution than any now available from a commercial instrument. By using multiple sensors placed close to the head, the device can generate accurate images in less time, which could ultimately aid in the diagnosis of diseases such as Alzheimer's and epilepsy. Medical imaging giant Siemens is developing a commercial version of the technology."This might be the biggest-impact development [in brain imaging] for the next few years, especially because Siemens is commercializing it," says John Gabrieli, a neuroscientist at MIT. "If you have a more precise view of the brain, you could take a big step forward."In magnetic resonance imaging (MRI), a magnetic field generated by a large magnet sends protons in the brain spinning. Specially constructed coils of wire in the machine detect changes in the spin, which differ in different tissue types, as the magnetic field changes. Computer algorithms then use measurements from different parts...
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$9 million operating room with an MRI that guides brain surgeons.
2007-09-09 20:02:00
Photo by David Denney, Star TribuneStaff members in a new surgical suite at Abbott Northwestern Hospital moved an MRI scanner into position. The surgery is paused while scans are made of the patient’s surgery site. The process allows doctors to compare scans made before and during the surgery. At Childrens hospital in Boston, They have a Suite similar to this one. "Unlike other intraoperative MR machines, the mobile MRI lets surgeons use their usual metal surgical tools because the unit is moved into the shielded garage when surgeons are operating," says Joseph R. Madsen, MD, a neurosurgeon in the Department of Neurosurgery at Children's Hospital Boston and associate professor of Surgery at Harvard Medical School. Brain tumors are the most common solid tumors in children—approximately 1,800 are diagnosed in the United States each year. Today, more than half of all children diagnosed with a brain tumor will be cured of the disease. The most effective form of treatment is the su...
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MRI Safetey
2007-09-04 22:44:00
In the MRI field Safety is of Highest priority. We take great care when talking to our patients to find out what type of medical procedures and surgeries they have had in the past. Some Surgeries will stop the technologist from doing the MRI or the MRA exam. If you have had recent surgery, within the last two months it is important to tell the MRI technologist that will be doing the procedure on you. If you have a pacemaker, aneurysm clips, neurostimulator, or metal in your eyes, please let the technologist know. Some of the devices may be scanned with proper documentation. Many coronary artery stents and peripheral stents can be scanned upon implantation, but some must wait 6-8 weeks. All bullets and shrapnel must be assumed to be ferromagnetic and treated as such. If they are near any critical anatomy such as Spinal cord, then the radiologist and the referring physician should be consulted as to benefit vs. risk of procedure.Here are a few Questions you may be asked when having an...

MedCalc cool stuff
2007-09-03 23:34:00
Caseblog has a post about MedCalc, a free medical calculator for handheld devices, is now available for Windows Mobile (aka Pocket PC). The application includes more than 80 formulas and has these additional features:* formulas sorted by categories* units available either in S.I. or local units (defaults can be set for each item)* most formulas come with bibliographic references and clinical tips* results can be saved for later retrieval (Palm OS only)* available in English and French versions (French version for Palm OS only)MedCalc home page...(hat tip: Clinical Cases and Images...)Other Free Stuff
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What is Kleine-Levin Syndrome?
2007-08-31 02:28:00
Rip Van Winkle Disease, also known as Klein e-Levin syndrome is a rare disorder that causes recurring periods of excessive drowsiness and sleep (up to 20 hours per day). Symptoms, which may last for days to weeks, include excessive food intake, irritability, disorientation, lack of energy, and hypersensitivity to noise. Some patients may also experience hallucinations and an abnormally uninhibited sex drive. Affected persons are normal between episodes, although depression and amnesia may be noted temporarily after an attack. It may be weeks or more before symptoms reappear. Onset is typically around adolescence to the late teens. The disorder is 4 times more common in males than in females. Symptoms may be related to malfunction of the hypothalamus, the part of the brain that governs appetite and sleep. In KLS, the association of an infection before the onset of a disease, a young age at onset, a recurrence of symptoms and possible genetic predisposition is suggestive of an autoimmu...
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Fear of Electric Shock to Pac-Man Game.
2007-08-25 17:03:00
Researchers at University College London look to have taken a slightly unconventional approach in their studies on fear, with the BBC reporting that they've crafted a "Pac-Man-like" game that boasts the added risk of electric shock. Apparently, volunteers play the game while an MRI scanner monitors them, moving a blue triangle through a 2D maze while trying to avoid a red dot "predator." If that dot catches them, they receive an electric shock. As that danger neared , the researchers found that players stopped using their their prefrontal cortex in their forebrain and instead relied on their midbrain area, which controls "gut-level reflexes." At least that's what they're saying. We have a sneaking suspicion it may all just be an elaborate trick the researchers play on freshman students.Via The InquirerThe forebrain is active during periods of anxiety, and helps coordinate escape strategies to avoid the threat, he said.But when the computer game predator moved nearer, blood flow s...
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220 Million Pixels on New System at UCSD
2007-08-25 16:12:00
A new super high resolution display system developed at UCSD is going to allow scientists to visualize data like never before.Engineers at the University of California, San Diego have constructed the highest-resolution computer display in the world - with a screen resolution up to 220 million pixels.The processing power will come in handy for the kinds of large-scale applications that are likely to make use of the HIPerSpace system. Calit2 will make the displays available to teams of scientists or engineers dealing with very large data sets, from multiple gigabytes to terabytes, notably in the Earth sciences, climate prediction, biomedical engineering, genomics, and brain imaging. "The higher-resolution displays allow researchers to take in both the broad view of the data and the minutest details, all at the same time," said Kuester. "HIPerSpace also allows us to experiment on the two campuses with distributed teams that can collaborate and share insights derived from a better under...
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Chaga's Disease
2007-08-25 15:32:00
Chagas' disease shown on MRI. Contrast-enhanced axial and coronal T1-weighted images of brain show multiple enhancing lesions (arrows) without significant mass effect. Involved areas include corpus callosum, periventricular white matter, deep white matter, subcortical regions, and cerebellum.What is Chagas? Disease ?Also called American trypanosomiasis (tri-PAN-o-so-MY-a-sis), Chagas? disease is an infection caused by the parasite Trypanosoma cruzi. It is estimated that as many as 11 million people in Mexico, Central America, and South America have Chagas disease, most of whom do not know they are infected. If unrecognized and untreated, even silent infection is life long and can be life threatening. The most recognized marker of acute Chagas disease is called Romaña's sign, which includes swelling of the eyelids on the side of the face near the bite wound or where the bug feces were deposited or accidentally rubbed into the eye. Even if symptoms develop during the acute phase, the...
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11.7 Tesla Bruker BioSpin MRI
2007-08-24 01:06:00
Well I thought 3 Tesla was alot, but at the National Institutes of Health in Bethesda, MD they has just installed a 11.7 Tesla Ultra Shielded Refrigerated (USR) system, a device simply called BioSpec 117/16 USR. This system doesn't scan humans, it enables reserchers to take highly resolved routine images of the rat brain leading to outstanding quality. The signal-to-noise ratio obtained at this field strength allows one to acquire high resolution images of the microscopic structures in the brain!

Other Cool Things
2007-08-23 01:53:00
Behold: Dell's XPS 420Should anyone be wondering what Dell's got up its sleeve with its next-gen XPS system, here's the scoop: the XPS 420 will be appropriately bigger, badder, better equipped, and even have fun features like a hardware MPEG-4 encoder and SideShow display up top.Core 2 Duo, Extreme, or Quad (up to 8MB) processor optionsIntel X38 Express chipset, DDR2 800 (up to 8GB)MiniView LCD 3 x 2-inch QVGA display (runs SideShow on the front, picture after the break)Dell Xcelerator - dedicated media coprocessor for transcoding video streams to MPEG-4 formats. Can cut encode time on a 2 hour HD movie in half and use far fewer CPU cycles.SATA II (with RAID 0 or 1 support)PCI Express x16, gigabit Ethernet(2) front USB, (6) rear, (2) internal; one front and rear 1394; one eSATA, frontal audio portsSome MiniView display modesDefault - shows time, date, month calendar, and system stats (including number of users connected)PC monitoring - Shows detailed system stats like CPU speed /...
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Nearly half of early breast cancers missed
2007-08-23 00:26:00
Cancer screening programmes are failing to detect nearly half of the earliest cases of breast cancer according to research which suggests women's lives could be saved if all were offered hi-tech MRI scans.The study in the Lancet medical journal found that x-ray based mammograms detect only 56% of early lesions in high risk women compared with 92% when magnetic resonance imaging scans (MRI), more commonly used for brain scans, are used. (SOURCE)Christiane Kuhl, the lead researcher at the University of Bonn said: "If you picked up all cases of ductal carcinoma in situ [DCIS] you would prevent virtually all cases of breast cancer. Our finding that MRI is superior to mammography in detecting it turns things upside down."Polly Curtis, health correspondentFriday August 10, 2007The Guardian The Lancet study trialled MRI and mammography in 7,319 women referred from screening programmes, after having had a breast cancer or because there was a familial trait of cancer. Some 167 women were di...
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Epilert
2007-08-22 23:55:00
The Epilert is a simple system, still in development stage, that comes with a sensor that is worn by an epileptic around the wrist or foot, and will detect vibrations that are typical in an epileptic seizure. A warning can be sent to family members or a medical facility through the telephone system.EPILERT is an Alert device that warns parents andcaregivers of an on going epileptic seizure, especiallywhen the patient is alone and unattended (sleeping,alone in room, outdoors etc.).EPILERT is a watch-like Sensor Unit worn by the patienton the hand or the foot. Epilert detects and processesthe specific vibrations of epileptic seizures and transmitsan alarm to Alert Units of caregivers with options forauto-call for medical help services.EPILERT will also record data of all the Epileptic Eventsfor further medical treatment.EPILERT is designed to be very reliable. Advanced digitalsignal processing assures accurate detection of attacksthus eliminating annoying false alarms.The Epilert prog...

Healing Enviroments
2007-08-22 23:11:00
At Parrish Medical Center, CEO George Mikitarian, with his usual speed at implementing good ideas at America's top-ranked Heal ing Hospital, worked with his team in designing a card similar to the one in this picture. They decided they only needed the image in the center to symbolize the trinity of symbols that mark Radical Loving Care - The Golden Thread of the healing tradition, the intersecting circles of the Sacred Encounter, and Servant's Heart. The nice thing about this is that each caregiver is taught the significance of the symbol without words. What a beautiful message to give to caregivers - to stop a moment and touch the card before washing their hands and entering the patient's room. To remember the sacred nature of work... Check out:Radical Loving Care: Building the Healing Hospital in America By Erie Chapman(amazon)preview (google books)
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The CyberKnife Robotic Radiosurgery System is the...
2007-08-21 23:27:00
The CyberKnife Robo tic Radiosurgery System is the world?s only radiosurgery system that utilizes intelligent robotics. This enables the CyberKnife to ablate tumors anywhere in the body with sub-millimeter accuracy. The CyberKnife System treats patients in single or staged (typically 2-5) sessions by delivering multiple beams of precisely directed radiation that converge upon the tumor while minimizing injury to surrounding healthy tissue. The CyberKnife uses a combination of image guidance and computer controlled robotics to continuously track, detect and correct for tumor and patient movements throughout the treatment with pinpoint sub-millimeter accuracy. Because of the extreme precision and accuracy of the CyberKnife, no head or body frame is required. CyberKnife has proven to attract a new patient population to a physician?s practice and complements existing radiation therapy, IMRT or IGRT programs. With over 120 systems sold and a large body of peer-reviewed publications suppor...
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Epilepsy..........The Chronic Seizure Disorder
2007-05-31 01:49:00
There has always been a sort of stigma about Epilepsy and seizures, dating far back into our history. People thought that patients experienceing seizures were possesed. It is the their lack of understanding that leads them to this belief, like all other things. Seizure can be cuased by many things. For the people suffering from them the cause is not as important as a cure or treatment. I know this from a very personal level, as I too have Epilepsy. I am one of the most fortunate, my seizure disorder is very controlable. I take medication that allows me to work and function at a very high level. This is certainly not the case for everyone. The Epilepsy Foundation is continually doing research to find better ways to help thoose who need it. One of the leaders in reaserch is Shands at Jacksonville, FL. When my mother , who was working for the epilepsy fondation of Brevard County, in Florida went to Shands to see there research she was amazed at the progress and the knowledge they had a...
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FDA gadolinium alert
2007-05-24 01:53:00
The FDA along with the ACR has stayed on top of the Gadolinium concerns of many, in the last year. This latest update is now asking all of the Gadolinium pharmaceutical companies to change the packaging to warn about NSF. The FDA has provided some information for Healthcare Providers to better understand and to handle the complexities of this patient population. They have also set-up some FAQ for people.
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Please take this survey....Thank You
2007-05-19 21:19:00
If you took my earlier survery thanks but I had to start this new one, so please retake it. I appreciate your patients with me. If you are using differnt contrast than the list leave me a comment please. If you are thinking about changing contrast due to nsf I would be intrested in hearing from you also. Thank you Chris.What type of Gadolinium are you using?OmniscanOptimarkMagnevistMultihance ProhanceOtherDisplay Poll Results
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Science of Death
2007-05-05 23:05:00
I read this article today. I sounded like pretty cool stuff. I hope one day we can get to this point. Check out this article at Newsweek. I love to hear what think. send me your coments.......
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Sturge-Weber syndrome
2007-05-05 15:51:00
What is SWS? Sturge-Weber syndrome (SWS) is the association of a facial port-wine stain with abnormal vessels on the surface of the brain (leptomeningeal angioma), ,-->glaucoma , or both. Some people have an isolated intracranial variant, meaning abnormal brain blood vessels with no skin or eye symptoms. SWS does NOT generally run in families. It can affect one side (in about 85%) or both sides (in about 15%) of the body. The presence of a port-wine stain involving the forehead or eyelids raises the suspicion of SWS. These infants and children must be followed closely for other medical issues, including vision problems, epilepsy, and developmental delays. MR perfusion imaging and MR spectroscopic imagingcan be safely used to characterize the earlyhemodynamic and metabolic changes in Sturge-Webersyndrome. A better understanding of the naturalprogression of disease may aid in early diagnosis,perhaps before development of symptoms and directappropriate therapeutic intervention.Here is ...
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Erdheim Chester histocytosis
2007-05-02 23:28:00
Today, I scanned a pt who I have been scanning for the last couple of years. We scan her every 3-6months or so. She has been trying different therapy for her Erdheim Chest er disease. The most recent, a 6 month course of Chemo. I can say that her scans are markedly improved over the last time we scanned her. I was very impressed. I can say this is the best part about what I do . When I see some one getting better it is a great feeling. When I first saw this patient I was not sure what to think, I know i was worried for her. The Radiologist working that night said to me a few words I'll always remember. He said, " this is the rarest case you will see over and over and over again." I thought it was wierd at the time becuase I knew how true it was. I knew I would be seeing this patient again and again for follow up scans, but I will probally never see another case on non-langerhans histocytosis or Erdheim Chester s Disease. Being in the medical feild is sometimes a double edge sword. W...
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RESOLUTION OF CHIARI MALFORMATION AFTER REPAIR
2007-05-02 05:25:00
A baby girl born at termto a 23-year-oldmother was noted to have alarge fluid-filled, skincoveredsoft tissue massprotruding from themidthoracic region in the dorsal midline. Birth weight was 3.5kg, and the baby had Apgar scores of 9 at 1 and 5 minutes.Examination revealed the anterior fontanelle to be soft andflat, and the patient?s head size was normal. No dysmorphicfeatures were noted. There was a small sacral dimple. Theinfant had no obvious neurological deficits, moved all extremitiesequally, and had normal reflexes.A magnetic resonance imaging (MRI) scan of the brain andspinal cord revealed a posterior thoracic meningocele withdisplacement of the spinal cord into the base of the sac, whichotherwise seemed to be devoid of neural elements. AnMRI scan of the brain and craniocervical junction revealed anassociated Chiari malformation with herniation of the caudalcerebellum down to the midportion of C1 . The ventricleswere of normal size and configuration.A repair of the thoracic me...
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THROMBOSIS OF A FUSIFORM INTRACRANIAL ANEURYSM IN...
2007-04-26 14:34:00
THROMBOSIS OF A FUSIFORM INTRACRANIAL ANEURYSM INDUCED BY OVERLAPPING NEUROFORM STENTS: CASE REPORT.(Neurosurgery. 60(5):E950-E951, May 2007.Ansari, Sameer A. M.D., Ph.D.; Lassig, Jeffrey P. M.D.; Nicol, Ewen M.S., P.A-C.; Thompson, B. Gregory M.D.; Gemmete, Joseph J. M.D.; Gandhi, Dheeraj M.D. )This was a very intresting article in which the doctors were attempting to embolize this anuerism in the basilar artery. The were not able to do that but they put two Neuroform stents inplace. They found six weeks later after doing MRI and MRA's the pt. had developed a thrombis in the Anuerysm sac, and the vessel was very patent. A DSA Cerebral Arteriogram confirmed this at 12 months.CONCLUSION: Overlapping Neuroform stents may induce spontaneous thrombosis of intracranial aneurysms and facilitate parent artery reconstruction through flow remodeling and stent endothelialization. Double stent placement may be a viable option in dissecting or fusiform intracranial aneurysms that are not amena...
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Medical devices that make like easier.
2007-04-26 12:33:00
I-stat is a revolutionary hand held micro lab. I allows you to test lab values very quickly.I have heard of many Radiology departments going to this device to check Creatine levels on their patients. Once a Creatine level is established you can go to Nephron.com to get a EGFR level on any patient. This is a great this for renal failure patients, with the new concerns of NSF and the managing renal insuficient pt.neuroArmThe world?s first MRI-compatible surgical robot, unveiled today, is the creation of neurosurgeon Dr. Garnette Sutherland and his team. Dr. Sutherland has spent the last six years leading a team of Canadian scientists, in cooperation with MacDonald, Dettwiler and Associates Ltd. (MDA), to design a machine ?that represents a milestone in medical technology.? Quick, Cheap & Easy Bedside Diagnosis of Brain InjuryInfrascanner?is a hand-held, non-invasive, near-infrared (NIR) based mobile imaging device to detect brain hematoma at the site of injury. It is being tested ...
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