Satheesh Krishna
@SatheeshToronto
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Abdominal Radiologist @ImagingToronto . Host of podcast 'Radiologists' ()
Toronto, ON
Joined August 2017
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Awarded the Inaugural 'Excellence in Clinical Practice Improvement'
#CPI
. Honoured and Humbled. It just becomes easy when you are supported by the Dream Team
@imagingtoronto
. Thank you
@UofTMedIm
.
#MIsuccess
.
Stay tuned for some brand new initiatives to shake things up!
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Ladies and gentlemen! Your new
@CARadiologists
President
@kielar_ania
!
Proud to call you friend and mentor.
#LongLiveTheQueen
@imagingtoronto
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Stepped in to deliver Keynote
#GUimaging
#Radiomics
at
#ARRS22
#NOLA
for
@NickSchiedaMD
at the invitation of
@ErickMRemer
. Ended up being featured in
@AuntMinnie
.
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Hold on to your hats!
#ChatGPT
'nearly' passed a
#Radiology
Board Examination.
@RajeshBhayana_
@imagingtoronto
@radiology_rsna
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Radiologists=Sherlock Holmes
what does life of a Radiologist look like?
🔊watch with sound:
Diagnostic Imaging - as seen by Dr. Satheesh Krishna
@SatheeshToronto
, our abdominal radiologist, host of podcast Radiologists and "a real life Sherlock Holmes" of Radiology⬇️
@CARadiologists
@HeidiSchmidtRad
@UHN
@pmcancercentre
@KevinSmithUHN
@bradwouters
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#Radiology
by the Riverside.
#CAR2023
at Montreal does have its perks.
@CARadiologists
@imagingtoronto
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#GPT4
passes
#Radiology
exam by 10% over passing threshold !!!
Higher order thinking improved by 20% over GPT3.5
@radiology_rsna
@RajeshBhayana_
Then they prospectively assessed radiology board exam performance by
#GPT4
. It scored 80% with 81% on "higher-order thinking"
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Surreal presenting to such a packed room.
#CAR2023
. Felt like a rockstar!
@CARadiologists
ASM
Topics in Emergency and Trauma Imaging -
#CAR2023
@CARadiologists
ASM.
Standing room only!
#IamYourRadiologist
#EmergencyRadiology
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It's a tall task trying to measure up to the Giants in
#Radiology
both figuratively and literally! 😂
I had lot of fun recording this story - couldn't stop smiling.
To listen to this and our previous episodes on
@spotifypodcasts
click here: 🔊
🔊A new episode of our podcast Radiologists is live - featuring Dr. David Mikulis, fondly regarded as the Father of Functional MRI of Canada. Dr. Mikulis has retired recently and now shares the incredible story of his career:
@SatheeshToronto
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Top 10 in the World! Hats off Team
@UofTMedIm
!!! 👏 A glowing recognition of our sustained perseverance towards excellence!
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Step 1: Win the Cancer Education Video Award - ✅
Step 2: Create an engaging patient facing video along with
@Nptdot
- 'Anxious about prostate biopsy - what you need to know!' - Challenge accepted!
@JDMIRadiologist
🎥Video Award Competition - Winners work with
#PMCancerEducation
to develop a
#video
resource for
#patients
or staff.
Winners:
Suman Dhanju, Muriel Lopez, Leonard Benoit, & Joanna Vautour (About the Ceremonial Drum) 👏
AND
@SatheeshToronto
&
@Nptdot
(About
#ProstateBiopsy
) 👏
8/
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'To
#ChatGPT
or not to ChatGPT' that is the question!
Entertaining and insightful! 🔊Catch it on
#Spotify
🔊The podcast episode you've been waiting for: ChatGPT and the Future of Radiology!
Dr.
@RajeshBhayana_
joins the Radiologists host
@SatheeshToronto
in his studio. Listen here:
@CARadiologists
@bradwouters
@EricTopol
@UofTMedIm
@HeidiSchmidtRad
@RSNA
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"I don’t burden my memory with such facts that I can easily find in any textbook -
#AlbertEinstein
". Time to use
#ChatGPT
in
#Radiology
for lower order thinking.
@RajeshBhayana_
@radiology_rsna
A passing score on the radiology board exam is 70%.
#ChatGPT
got a 69% and excelled in "lower order thinking" (84%) questions
@radiology_rsna
by
@RajeshBhayana_
@SatheeshToronto
@imagingtoronto
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Methods: know thy mentor! For those who haven't found their mentor, read 50 articles of my mentor
@NickSchiedaMD
A shining example of how to do things right.
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Is the audio podcast not cutting it for you? We are now on video! For a light hearted conversation on Nuclear Medicine and
#Theranostics
with a gorgeous backdrop of the
#Toronto
skyline
@imagingtoronto
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Managing
#RCC
with active surveillance. When does it make sense to 'stand and wait'? What's the role of the
#radiologist
? Join us tomorrow at 7.40am at
#SAR2022
@SocAbdRadiology
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Why is the answer always 'exercise' ?
Why is it never anything else.. like 'French fries' or something ? 😏
Physical activity associated with a nearly 40% reduction in the risk of cancer associated with chronic diseases or markers
#BMJresearch
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Latest addition - 'Photon counting CT' - Beyond Dual energy CT. Join us tomorrow for the virtual conference.
#photoncounting
#CT
#dect
#dualenergy
There's still time to register: happening tomorrow! Should every single CT in your department be performed with Dual energy CT ? ⬇️
@SatheeshToronto
@HeidiSchmidtRad
@KateHanneman
@UofTMedIm
@canadaradwomen
@CARadiologists
@MayoRadiology
@radiology_rsna
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@Vilavaite
@DianaShibaMD
@drjean_neuro
@drroykim
@FawnHoganMD
@SuzanneArtMusic
@kimrindhillon
@DrBobbyS
A cake cut into 8 pieces.. but only 7 plates.. where did that extra piece go?
#unsolvedmysteries
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If you are considering a fellowship, why should Toronto be at the top of your list? 🔊
@minipakkal
, Fellowship Director, tells you exactly why. Listen on
@Spotify
or Apple podcasts
🔊Finally LIVE! Radiology Fellowships in Canada🇨🇦
Tune in now to gain exclusive insights from Dr.
@minipakkal
, the Fellowship Program Director of the Medical Imaging Fellowship program
@UofTMedIm
, 🇨🇦Canada's largest fellowship program:
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There is "AI" in every r'A'd'I'ologist !
Is it true that AI won't cause job losses for radiologists? Probably - but not for the reasons most people think, says Dr. Masoom Haider in the most recent episode of our podcast Radiologists:
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@aamalayeri
@jroblesMD
@cmtomblinson
@pbunchmd
@ShannaMatalonMD
Bosniak v2019 is actually endorsed by the SAR. (In addition there is a whole bunch of original research this year backing it as well)
We have also created a Bosniak v2019 calculator
This is also on the SAR DFP RCC landing page.
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Reminds me of Impact factors and H-index !
“When a measure becomes a target it ceases to be a good measure”.
@MaxHockstein
- amazing quote to discuss use of lactate in critical illness.
#HR2023
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@DrBobbyS
@Vilavaite
@DianaShibaMD
@drjean_neuro
@drroykim
@FawnHoganMD
@SuzanneArtMusic
@kimrindhillon
If it went there, then this gif needs to be reversed !
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With
@kielar_ania
at LI-RADS Outreach and Education Group meeting at
#RSNA17
.. let's spread the word
#LIRADS
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@fl_saloni
@EricTopol
@radiology_rsna
@RajeshBhayana_
@imagingtoronto
GPT4 blew GPT3.5 out of the water
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@midrisdoc
@NickSchiedaMD
Nothing in life is 100%. But usually yes. Although both papillary and AML are T2 hypo, AMLs tend to enhance much more than papillary. The point here is raise suspicion of AML so that it is biopsied, instead of going to surgery right away.
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Well, as my boss used to say, radiologists who use any form of intelligence (artificial or not) will replace rads who do not.
#AI
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Nice example of the 'classic-type' sigmoid volvulus with two transition points. Also showing added value of
#DECT
in this setting - expediting patient care
25 y.o severe abdo pain
Sigmoid volvulus:
▶️Distended sigmoid colon with swirl sign
▶️Thick walled sigmoid colon
▶️No iodine uptake on DE CT= ischemic.
@Dr_RadioLogic
@radiology_rsna
@SocAbdRadiology
@drkeithsiau
#FOAMed
#radres
#radiology
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Quite a good number of patients from my experience, think that the CT machine spits out the report on a paper automatically
"People don't want interaction with a radiologist, they just want a piece of paper that says what the CT shows."
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@bodyradgal
@medicalaxioms
@S_P_MD
Fellow Day 11 : I got this ! (Attending facepalms behind me)
Fellow Day 361 : I still got this ! (Resident facepalms behind me)
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@danatsouza
@BrighamRad
@AURtweet
@FOAMrad
@SAR_RFS
@futureradres
@HarvardMacy
@CBRadiologia
CEUS is usually very good in these cases with equivocal enhancement
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A4: With resurgence of COVID, PPE and deep scrubbing after every MRI still remains. However there is a hesitancy to cut down prostate MRIs due to already huge backlogs.
Q4: With a resurgence of COVID-19 cases (Fall 2020), which strategies employed during the initial wave are still being used and which have been modified at your institution?
#ARRSProstateChat
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Ouch! Knee trauma/ mechanisms and patterns ! Great examples from talk by Dr. Sheikh
#ASERToronto
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It's always good to have many voices of wisdom/reason to make sure we don't stray from the path. As my mom used to tell me "At least one of those voices might penetrate your thick skull" :)
#mentor
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Even Aunt Minnie is impressed!
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Main challenge has been instituting adequate safeguards to protect our most vulnerable older patients, and also reassuring them that all safe practices are in place to protect them from
#COVID
.
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Shoutout to all Residents toiling away on back to back weekends and night shifts
"Researchers have calculated the value of work a resident performs annually is $232,726"
@RosenthalHealth
#AmericanSickness
@ACRRFS
#radres
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'Incidentaloma clinics'.. Now that looks like a fun idea!
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I think I lost at least 5 pounds in 4 days walking to and from the Lakeside center
#RSNA2017
Reasons to attend
#RSNA18
, the latest in
#radiology
research, top notch
#MedEd
, a cornucopia of
#technology
stands, and great exercise walking to and from Lakeside Center! Bye
#RSNA17
!
@RSNA
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A5: Many patients are older and the most vulnerable to COVID. They now have to choose between coming to the hospital risking COVID or delaying pCa diagnosis and risking adverse outcomes!
Talk about a rock and a hard place!
Q5: What will be the long term impact on prostate cancer diagnosis, treatment and outcomes for men with prostate cancer due to the COVID-19 pandemic?
#ARRSProstateChat
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@NickSchiedaMD
@uroegg
Have seen a few weird ones here. I think one was a STUMP. Forgot what the other one was. Possible collaboration for a future poster next RSNA or SAR?
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@KocharShubra
@EricTopol
@radiology_rsna
@RajeshBhayana_
@imagingtoronto
or happy that it will make our lives easier by being a handy helper - like Siri for Radiologists
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AI is here to stay. If you are not using it, it can be potentially used against you!
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Same here. We slashed all our non-emergent MRIs and prostate MRIs were one of the first to be deemed 'non-emergent'. However, we did not actively decrease our prostate biopsy volumes.
#arrsprostatechat
@radiolobt
@ARRS_Radiology
We basically did no prostate mri for all of the spring of 2020 - was VERY sad 😢 - our volumes plummeted. There was a lot of fear about whether they would ever come back and what we and patients would do!
#arrsprostatechat
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@ASER_ERad
Not sure! Although I suspect it will end up as a case of 'Too many cooks spoiling the broth'.
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@ErickMRemer
@epi_rad
@sghafoormd
@NickSchiedaMD
@ElsayesKhaled
Was there a difference in incidence between incidentalomas 10HU or less vs. >10HU with washout?
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A5: There has definitely been delay in treatment. At least anecdotally, initiation of chemotherapy was delayed due to delay in biopsy in a patient with strong clinical suspicion of metastatic pCa with patient having to live with the pain. Long term morbidity/mortality unknown!
Q5: What will be the long term impact on prostate cancer diagnosis, treatment and outcomes for men with prostate cancer due to the COVID-19 pandemic?
#ARRSProstateChat
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Makes a case for universal availability of 24/7 emergency radiologist with super fast turnaround times.
#EmergencyRadiology
#EmergRad
Emergency docs advised to exercise caution with solo CT interpretation
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@NickSchiedaMD
Personally i don't think hitting the urethra is a problem, except for increased pain (referred to penile tip) and increased bleeding (immediately post procedure). I still avoid it routinely. Sometimes if targeted is required, I have been known to infiltrate the area with freezing
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About time the myth was dispelled..
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@LetDdiceFlyHigh
That's surprising! Do they get a Covid test prior to MRI and another test prior to biopsy if biopsy is scheduled after a few days?
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@minipakkal
@ankushjaj
@UHN
@UnityHealthTO
@Sunnybrook
@SKPedRadFellows
@RamVaidhyanath
@UofTMedIm
Fellowship was hands down the best 3 years of my life
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Earlier it was the Bible.. now it's breast implants 😂
#BreastImplants
can lessen gunshot🔫 injuries by slowing bullets
#breast
#breastimplantssavelifes
😆
@newscientist
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About time! Lives of radiologists could really use some colour right now! Here's to everyone who called us boring due to shades of grey
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Should have been named "Radiology, The Oasis in the Desert"
@UMichRadiology
CME Course
Scottsdale, AZ - Feb 26-Mar 2, 2018
Course Director - Joel Platt, MD
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This is unfortunately an unavoidable evil. Patients are getting imaged close to their homes to avoid travel. Immensely thankful to
#Pirads
for providing minimum standards for performing prostate MRI for optimal imaging.
That is scary / sucks to read cases that are performed on your patients done elsewhere due to
#COVID19
- we are seeing this also as the case load is distributed to improve access 😢
#ARRSProstateChat
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@minipakkal
@InsideNatGeo
@RadiologyACR
@AIRP_Radiology
@NatGeo
Good old Syngo viewer from Siemens!
I love how there is a first and last name and date of birth! First name - King Tut!
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Contrast enhanced MRI for the win! But do centers doing MR for appendicitis, routinely administer Gad? (as sens of unenhanced MR is lower)
Young appendicitis-possible patients well imaged with MRI over CT—and sometimes over ultrasound too
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@MicrosoftToDo
2 questions:
1. Is a 'Tomorrow' feature going to be available for ppl who like to plan their day a previous night
2. For tasks with scheduled dates, when are you planning to auto-populate these to 'My Day' (there has to be a better system to schedule 'My Day' entries in advance)
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Shout out to all Emergency Radiologists who have lunch/dinner in front of workstations to maintain turnaround times !
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@chowkydar
@RichDuszak
@MatthewKeadeyMD
@MDaware
Well.. I've already hit my quota for the whole of next year!
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Patient (on phone): Do you think my pain is gastritis?
Family doc: Do you think my tie looks good?
Patient: I haven't seen it
Doc: Exactly!
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Assuming 1% error rate (average estimated error rate is 3-5%), 30 CTs read/day, 200 workdays per year and 30 career years; amounts to 1800 career errors per rad. i.e Rate of 1 error every 3 days (documented in black and white as images and reports).
#hedging
#overuse
as a result.
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Double reads. Four eyes better than two.
Rad reports done without trainees were 12x more likely than those with trainees to have addenda!
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I think the question should be, does effort just stop with a protest?
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