Dr Navarro
@DocNavarrow
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Neuroradiologist. Advisory Editorial Committee member in "Radiología" @RevistaRADIOLO2 Editor in "Clinical Neurology and Neuroscience"
HGUC, Castellón
Joined August 2022
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🔎Understanding Cavernous Malformations: The Zabramski Classification system identifies four types based on MRI features🧠From acute hemorrhage (Type 1) to chronic, calcified lesions (Type 4), this classification aids in diagnosis and management.👩⚕️👨⚕️
#NeuroRad
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En cerca del 75% de los abscesos cerebrales, la resonancia magnética revela el signo del doble anillo, útil para diferenciar estos de un glioblastoma. Consta de dos anillos concéntricos que rodean la cavidad, uno externo hipointenso y el interno, más hiperintenso
#Neuroradiolog
ía
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Radiologist 💰: "Canada has the highest estimated annual income for both private ($700,000/year) and university radiologists (600,000) while Spain has the lowest income for private practice (68,000) and Portugal has the lowest income for university practice (57,300)"
#radiology
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💫Challenging case for the sharpest minds: A young patient with headache and behavior changes shows complex intraventricular lesions on MRI. What rare diagnosis could explain these findings? Only for those who thrive on difficult diagnoses!🕵️🧑⚕️
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💡Diabetes is linked to FLAIR hyperintensities in the anterior callosal splenium, which correlates with mild cognitive impairment🧠👴Could this be a new biomarker for cognitive decline?🤔
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🔍🧠 Medical challenge! What is this lesion on the MRI? The answer will be revealed in 24 hours. Drop your theories below!
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🤔Spotting an extraaxial mass might make you think meningioma, but what if I said the patient has Waldenström's macroglobulinemia? Can you connect the dots for a rare diagnosis?😶🌫️
#Neurorad
#NeuroTwitter
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❓Not every extra-axial lesion is a meningioma🤔 A 47-year-old patient presents with a right temporal lesion, suspected to be benign. But as with many things in neuro-oncology, appearances can deceive😕 Stay tuned for the surprising twist in this challenging case🌀
#Neurorad
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Case courtesy of Vitalii Rogalskyi, . From the case
These embryological fluid-filled spaces are common anatomical variants:
1. Cavum septum pellucidum
2. Cavum septum pellucidum et cavum vergae
3. Cavum veli interpositi
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Two distinct tumors in one patient! 🧠🔬 Can you spot the differences between the tumors marked A and B in these MRI images? What characteristics help you identify them?
#Neurorad
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📢New research reveals that choroid plexus enlargement on MRI could be an early indicator of mild cognitive impairment in elderly patients🧓, independent of brain atrophy. This finding suggests a potential new biomarker for early diagnosis and intervention in cognitive decline💡
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Paradoxical brain herniation is a rare, serious complication post-surgery, where low intracranial pressure causes the brain to shift abnormally. Early recognition is crucial, as traditional treatments can worsen it. Awareness and prompt action are vital.
#Neurorad
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📚 Actualización esencial sobre la prevención y tratamiento de reacciones adversas a medios de contraste. El paper revisa las recomendaciones actuales, refinando enfoques para mejorar la seguridad del paciente, especialmente en casos de hipersensibilidad.
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The Schizas classification scale for lumbar spinal stenosis (LSS) grades the severity based on MRI images, ranging from A (mild) to D (severe). This scale helps predict patient outcomes and guide treatment decisions, making it a vital tool in managing LSS
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Challenging all medical detectives out there! 🕵️♂️ Can you guess an alternative diagnosis for an intradural mass initially thought to be a meningioma? Hint: Sometimes associated with cervical lymphadenopathy, fever, and leukocytosis. Let's hear your guesses! 🔎
#Neurorad
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🧠🔍 Challenge Time! Check out these two brain imaging scans. Can you figure out the diagnosis? 🤔 It's a rare case with some unique features—think hard! 🧩 Drop your thoughts in the comments and let’s see who gets it right!
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🔑Key characteristics of hippocampal malrotation: 💡A) Rounded, medially displaced left side of the hippocampus, B) Vertical collateral sulcus, C) Enlarged-appearing temporal horn 🤿 Dive deeper into the implications for neuroscience by clicking the link:
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📢The ERICA score enhances Alzheimer's diagnosis by focusing on entorhinal cortex atrophy 🧠via MRI, providing a complementary angle to the traditional MTA score. Its ⬆️higher accuracy in differentiating Alzheimer's from cognitive decline marks a pivotal stride in AD research.
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Think it's a meningioma? Look again! Sometimes, it's a cerebral varix.
Case courtesy of Neguib Rosado Buenfil
From the case
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💡Is our understanding of spinal stenosis distorted by MRI angulation? 📐This study reveals how different slice orientations can significantly alter radiological assessments, potentially leading to misdiagnosis. 🤔Reflect on the unseen variables in medical imaging...🫣
#Neurorad
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@OGdukeneurosurg
A left atrioesophageal fistula, a rare complication of radiofrequency ablation, can allow air to enter the bloodstream and travel to the brain. This results in massive cerebral air emboli, leading to severe neurological damage or death.
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🚨 New findings reveal MRI contrast agents, GBCAs, can retain gadolinium in the brain! ⚠️ No detected neurological issues yet, but the widespread use calls for urgent development of safer, more stable alternatives. 🧠💡 Are we missing potential long-term risks?
#Neurorad
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📢Meningiomas are typically known to occur in the brain, but let's not forget, they can surprise us by appearing elsewhere. A recent case highlights a Primary Pulmonary Meningioma, reminding us of the importance of considering rare locations in diagnosis.
#Meningioma
#lungcancer
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Descubre en
@RevistaRADIOLO2
el artículo "Nefroprotección y contrastes yodados" de C. Sebastià y colaboradores. Conoce las mejores prácticas para prevenir la lesión renal aguda poscontraste y la importancia de la hidratación. ¡Imprescindible para profesionales de la salud! 📚✨
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💡The solution is a tentorial cavernous malformation, often mimicking a meningioma. Discover more about this rare case in the paper! 🧠🤔
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Las enfermedades neuroinmunológicas pediátricas incluyen desórdenes desmielinizantes y encefalitis autoinmune. Diagnosticar y tratar temprano con inmunoterapia puede mejorar el pronóstico. Los radiólogos deben conocer las características de imagen clave.
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Con una tasa de burnout del 51%, Radiología es una de las especialidades a la cabeza en cuanto a agotamiento de sus profesionales. 🥵🥵🥵
#Radiolog
ía
#Burnout
#Agotamiento
Any surprises on specialities and burnout. Neurosurgeons were too busy spending enjoyable and rewarding time in and out of the hospital to vote. Medscape
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@OGdukeneurosurg
For the next tattoo, consult more reliable anatomical references, like the one I present below. Adding a fibula is optional and depends on your personal preferences.
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¿Son los estudiantes 🩺en el servicio de 🩻 una oportunidad para el crecimiento personal y profesional o son una fuente más de burnout❤️🔥? Si quieres averiguarlo, lee las interesantes reflexiones de
@garsantos
en
@RevistaRADIOLO2
DOI: 10.1016/j.rx.2023.08.002
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🧠💡 Can you identify which condition is associated with punctate restricted diffusion in the hippocampus in up to 80% of cases? 🤔 Discover the answer in this fascinating case from
@AuntMinnie
! 🌟
#Neurorad
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🧠👶Excited to share our new research on ventricular size in preterm infants! We've developed reference nomograms using ultrasound, aiming to improve diagnostic accuracy and early interventions. Check out our findings for better neonatal care! Free Access:
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Acceso abierto temporalmente a mi artículo en
@RevistaRADIOLO2
sobre los meningiomas, con correlación radio-patológica y clínico-radiológica:
#Neurorradiolog
ía
@SENR_org
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💡CT and ultrasound (US) can be superior to MRI in diagnosing certain conditions, especially those involving calcifications. Optic nerve drusen are a prime example where CT and US outperform MRI, making them more effective for detection 👁️🧑⚕️
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📢Excited to share my new publication! 🎉 My letter 📨to the editor responds to "Why Medical Students Pursue Radiology," highlighting the transformative impact of AI in radiology🩻🤖. Read, reflect, and join the conversation!🤔
#Radiology
#MedicalAI
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@radRounds
Left uncal herniation (subtype of unilateral descending tentorial herniation). Subdural hematoma creates a widening of the ipsilateral basal cistern and narrowing of the contralateral. Dilatation of the right temporal horn.
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Me siento feliz de compartir nuestra última publicación en
@RevistaRADIOLO2
sobre la talla ventricular en neonatos pretérmino. Agradecimientos a mis coautores por su esfuerzo y dedicación 🧠👶
#Radiolog
ía
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📢Nuevo artículo de
@RevistaRADIOLO2
destaca la responsabilidad de los radiólogos en el uso de medios de contraste, subrayando la necesidad de consentimiento informado📜y comunicación efectiva con los pacientes para asegurar prácticas seguras y éticas🧑⚕️
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People think radiology is "easy", but it's not all black and white. There's a lot of gray area.
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The correct answer: Arrow A indicates an intra-axial glioblastoma, an aggressive tumor with infiltrative edema in the callosal genu and cingulate gyri. Arrow B points to an extra-axial meningioma, a homogeneously enhancing mass straddling the high frontal interhemispheric falx.
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Just read a comprehensive article by
@FraSanvito
on standardized brain tumor imaging protocols for clinical trials. It's a must-read for anyone in the field of neuro-oncology, offering current recommendations and integration tips. 🧠🔬📈
#Neurorad
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📢New study compares guidelines on CT imaging before lumbar puncture 💉for suspected meningitis. UK/ESCMID guidelines reduce unnecessary scans and still identify patients at risk😟Adopting these could cut delays in diagnosis and treatment, improving patient outcomes👌
#Neurorad
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Can the injection of contrast produce this CT image? 🤔Yes, if injected into an artery! A case of unintended intra-arterial injection during an intracranial CT angiography shows why anatomical knowledge is essential. We really need to watch where we stick the needle! 🫣
#Neurorad
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On this day in 1919, Sir Godfrey Hounsfield was born. His pioneering work in developing the first CT scanner revolutionized medical imaging, earning him a Nobel Prize in 1979. Hounsfield's invention has since saved countless lives, making a lasting impact on healthcare.
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Alicante estrena las radiografías🩻con cámara📹de inteligencia artificial. La colimación inteligente es la delimitación del área que se va a iluminar con un haz de rayos x mediante un sistema que calcula los parámetros óptimos para un paciente determinado
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💡MRI is crucial in tuberous sclerosis for detecting cortical tubers, subependymal nodules, and SEGAs, providing detailed brain imaging that guides both diagnosis and treatment decisions. Explore more in this review.
#Neurology
#MRI
#Neurotips
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@drmankad
Some pathologies that can produce restricted diffusion in the corticospinal tracts on diffusion-weighted MRI in children:
- Krabbe disease
- Adrenoleukodystrophy
- Hypoxic-ischemic encephalopathy
- Vitamin B12 deficiency
- Acute ischemic stroke
- ...
Adults: ALS, PML, NMO, ...
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🎉📈 La
@RevistaRADIOLO2
sigue creciendo en calidad y relevancia científica, ¡logrando en 2023 un pico en el nivel de evidencia de sus publicaciones! Un logro más en su compromiso con la medicina basada en la evidencia.
#Radiolog
ía 🌟📚
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@drmankad
ADC decreases overall during early childhood brain maturation due to an increased concentration of macromolecules and cellular proliferation, which are physiologic barriers to water diffusion.
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Meningiomas, over a third of primary CNS tumors, can be highly morbid. The 2021 WHO CNS5 now uses molecular markers like pTERT mutations & CDKN2A/B deletions for better recurrence risk stratification. Advances in imaging & genetics are crucial for improved management.
#Neurorad
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This is an intraventricular presentation of Rosai-Dorfman Disease. Radiological clues like T2 hypointensity, GRE blooming, and homogeneous enhancement can suggest the diagnosis, but histopathology is essential for confirmation.
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📢Discover our latest study on Subependymal Giant Cell Astrocytomas in Tuberous Sclerosis Complex 🧠 It highlights the importance of long-term monitoring 💻and early intervention 🔪for preventing complications like hydrocephalus.
Read more:
#Neurorad
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Comparto pequeña charla sobre los abstracts visuales que tuve el placer de dar en el Curso de Avances de
@RevistaRADIOLO2
en la Plataforma Formación Diagnóstico por la Imagen. Un honor debatir con
@salvasapedraza
@villar_gar
@garsantos
via
@YouTube
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Mesmerized by the hypnotic dance of cerebrospinal fluid flowing through the Sylvian aqueduct in this phase contrast sequence. There's a profound beauty in witnessing the unseen mysteries of the human brain in motion, a perfect choreography hidden from the naked eye
#neurotwitter
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Are we doing our best in neonatal MRI studies? 🤔Premature neonates 👶👼present unique challenges: small size, temperature regulation, immature CNS. Teamwork 🧑🤝🧑, planning, non-sedation techniques can enhance safety & image quality 👌 Let's rethink & optimize our approach
#mri
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📝Interesante el editorial "A nuestros revisores y revisoras" de
@villar_gar
en
@RevistaRADIOLO2
Es fundamental reconocer y apoyar a quienes dedican tiempo y esfuerzo a garantizar la calidad científica. La iniciativa de créditos de formación es un paso en la dirección correcta📈
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El lunes charlaremos sobre los meningiomas en buena compañía.
Sesión “Actualización sobre el meningioma. II Curso de Avances de la revista Radiologia” del Dr Antonio Navarro 19 de febrer (08.00-09.00). Para participar sólo hace falta clicar el siguiente link y hacer el registro:
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📢BT-RADS: A structured imaging scoring system revolutionizing brain tumor assessment 🧭 With quantitative MRI criteria and simple management implications, it enhances clinical workflows and standardizes reporting for improved patient care 👩⚕️👴 Read more in
@EurRadiol
#NeuroRad
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📢Commentary in
@EurRadiology
by
@alexrovirarayos
&
@carloqua
emphasizes careful gadolinium use in neuroimaging🧠, citing safety🦺 & environmental concerns. It suggests AI 🤖diagnostics and better agents for reduction👌
#radiology
#neuroradiology
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📢El número de profesores👨🏫especialistas en radiodiagnóstico🩻en las universidades españolas está disminuyendo ⏬¿Solución? Paso 1: Leer este interesante artículo de
@pakosendra
en
@RevistaRADIOLO2
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📢Nuevo estudio revela que solo el 3.3% de los TFG de Medicina en universidades españolas son en Radiología🩻. La falta de concienciación 🤔entre docentes y oferta limitada de temas en Radiología contribuyen a esta baja proporción📉
#Educaci
ónMédica
#Radiolog
ía
#TFG
#Universidad
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@Neuromed_
Bilateral hemorrhage of the globus pallidus is rare. Possible causes include severe uncontrolled hypertension, traumatic brain injury, diabetic ketoacidosis, penetrating head injury, lightning strike, toxoplasmosis...
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🍼The "feed-and-swaddle" technique is a valuable method to calm infants👶for MRI scans without sedation 💉Effective in over 90% of cases, it minimizes risks and improves imaging quality. An essential resource in pediatric radiology!💡
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@DrAGhanim
I appreciate your educational contribution! However, it's worth noting that while meningiomas typically do not invade the internal auditory canal (IAC), there are exceptions. Research has shown that in about 36% of posterior fossa meningiomas, invasion into the IAC can occur.
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🤿Dive into a unique case of Rosai-Dorfman disease presenting as a lumbar intradural lesion ↔️ Expand your knowledge on this rare entity by reading the full case report 👨⚕️👩⚕️😷
Challenging all medical detectives out there! 🕵️♂️ Can you guess an alternative diagnosis for an intradural mass initially thought to be a meningioma? Hint: Sometimes associated with cervical lymphadenopathy, fever, and leukocytosis. Let's hear your guesses! 🔎
#Neurorad
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📢 ¡La educación en IA es esencial para el futuro de la radiología! 🌟 Estudios recientes muestran que el entrenamiento en IA mejora el diagnóstico y reduce el miedo a la automatización 🤖 Impulsemos la innovación y la colaboración!
#iA
#radiologia
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Acabo de leer el artículo publicado en
@RevistaRADIOLO2
sobre la utilidad de la Rx simple de abdomen en urgencias. Es un asunto complejo, pero hay datos que invitan al debate:
- El 84,6% de las RXA no cambiaron el manejo.
- El 97% no tenían informe.
DOI:10.1016/j.rx.2023.01.005
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Why settle for gradients when you can go for the gold standard? 🥇 SWI in MRI reveals vascular malformations with clarity and finesse. It's like comparing a sketch to a masterpiece! 🎨🧠
#Neurorad
#neurotwitter
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💡The contrast ratio (CR) in T2-weighted MRI helps 💁differentiate spinal tumors by comparing signal intensities of the tumor (SItumor) and spinal cord (SIcord). Calculated as (SItumor - SIcord) / (SItumor + SIcord), a higher CR can indicate a schwannoma 🤔🫂
#Neurorad
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📢Recent study shows only 0.08% of orbital radiographs 👁️detect dangerous foreign bodies before MRI, suggesting a $4.8M cost per QALY saved. This low rate calls for re-evaluating the necessity of routine pre-MRI orbital x-rays to reduce costs and imaging delays🤔
#Radiology
#MR
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🧐 Highlighting a doctor's nationality in headlines risks promoting stereotypes and bias. Let's focus on professionalism and accountability without reinforcing harmful generalizations. Errors aren't tied to nationality
#EthicalJournalism
#MedTwitter
A UK medical tribunal has found a Spanish
#radiologist
guilty of making two serious errors and subsequent dishonesty while working as a locum in a large London hospital.
#radiology
#medicolegal
#radiologia
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Recordemos con
@RevistaRADIOLO2
a los pioneros de la neurorradiología en España, su pasión y sacrificio. Desde los primeros rayos X por Comas y Prió, hasta la angiografía cerebral y la resonancia magnética. Su legado ilumina el camino de la medicina moderna.
@SENR_org
#rxd
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📢 Publicado en
@RevistaRADIOLO2
:
Descubre cómo la IA mejora la interpretación de radiografías de neumonía COVID-19, incluso sin entrenamiento específico. Un avance especialmente útil para lectores no expertos.
@SEICAT_RAD
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📊🔍 Nuevo estudio en
@RevistaRADIOLO2
muestra que el 82.7% de los radiólogos en España participan en comités multidisciplinares, mayormente oncológicos. A pesar de valorar su impacto, enfrentan problemas de tiempo y recursos. ¡Mejoremos la organización!
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El artículo "La neurorradiología como especialidad radiológica y médica" publicado en
@RevistaRADIOLO2
hace 14 años mantiene su vigencia en nuestros días. Su análisis sobre la evolución y los retos de esta especialidad médica son especialmente interesantes
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@drmankad
Yes, that's it. Most commonly, perivascular spaces are located in the lower half of the basal ganglia, especially in the anterior perforated substance along the line of the anterior commissure.
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"Clarity in radiology reporting is crucial! 🏥🖊️ Dr. Paul McCoubrie emphasizes using words carefully—be concise, precise, and clear. Short sentences and direct language make all the difference. Learn more about his insights in the full article.
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Innovative MRI techniques without gadolinium-based contrast agents can reduce patient risks, costs, and environmental impact while maintaining accuracy. Advanced MRI and AI-generated synthetic images show promise for safe, effective brain tumor diagnosis and monitoring.
#Neurorad
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📢Checked out a great video📼on Imaging of Demyelinating Diseases - NMOSD, ADEM, MOGAD. Highly informative! 😃Just recommended it to the radiology residents at my hospital for a better grasp on these conditions. A valuable watch! 🪙💎
#Radiology
#Neurorad
Having difficulty keeping NMOSD, ADEM, and MOGAD apart, and being able to tell what discriminates them from one another on imaging? You're not alone! A video presentation on imaging findings can be found here:
#Radiology
#MedTwitter
#MedED
#FOAMed
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@villar_gar
@RevistaRADIOLO2
@SERAM_RX
@AntonioLR81
@Herran_Dario
@ElenaSerrano91
@almudenaperezl1
@blanca_domenech
@albaigual
@sagompe
@albasalpar
@EAHornia
@jav_encinas
@saralojo86
Desde luego ¿Dónde hay que firmar?
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🧠 Exciting News! 📢 Just Published: "Update on meningioma: Clinical-radiological and radio-pathological correlation"
👉 Read it here:
Let's dive into the world of brain tumors together!
#Meningiomas
#NeuroRad
#Neuro
🤓
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This case turned out to be a primary meningeal melanoma, a rare and aggressive tumor that can mimic more benign lesions in imaging. Despite its homogeneous appearance, it harbors malignancy. Curious to learn more? Read the full paper for the fascinating details!
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I’d like to take a moment to honor the late Drs. Juan Rosai and Ronald Dorfman, who first identified Rosai-Dorfman Disease. Their groundbreaking work continues to guide us in diagnosing this rare condition. Their legacy lives on in every patient we help.
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🪩Discover the potential of using ultrasonographic measurement of the optic nerve sheath diameter to detect intracranial hypertension! 👁️This observational study highlights a non-invasive, reliable alternative to traditional methods, improving patient care in the ICU.💡🤔
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💡MRI interpretation tip: Always be cautious with swallow artifacts😝 A clear scan is vital for accurate diagnosis👍
Source:
#Neurorad
#Radiology
#MRI
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Galardón muy merecido. Enhorabuena
@garsantos
Felicitamos al Dr. García-Santos por recibir la medalla de oro de
SERAM que recogerá en el próximo congreso nacional en Barcelona.
#visibilidaddelaradiologia
@SERAM_RX
@garsantos
@serammeA6SALUD
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🔍 Medical Challenge! Can you name this specific fracture in the C2 vertebra? 🦴
#MedicalMystery
#MedTwitter
#Neurorad
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📢Este estudio de
@RevistaRADIOLO2
refleja un optimismo cauteloso entre radiólogos 🇪🇸 sobre la IA, viéndola como una oportunidad ⬆️ Sin embargo, subraya la importancia de la formación para una integración efectiva, desafiando a la comunidad médica 👩⚕️a adaptarse y evolucionar 💪
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📢New study delves into distinguishing between multiple brain metastases and multifocal glioblastoma. 🌟Highlights include detailed analysis of clinical and imaging features🩻, enhancing diagnostic and treatment strategies👌
#Neurorad
#Neurology
#Radiology
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