Doug Lake

My 4-yo w pulmonary vein stenosis dunking with @udoka_azubuke! Later breaking down w @KUHoops @CoachBillSelf @espn Proud daddy! Her determination to get that ball in the hoop is symbolic! Thank you @BostonChildrens #CHD #heartwarrior

23 yo for mouth numbness and in all four limbs after eating lunch today. Now complaining of facial weakness CTA H&N w contrast At my 200 bed regional hospital we did 600+ “stroke alert” cases like this How many got tPA you ask? We tracked here and at referral sites — 5

IYKYK Radiology wRVUs today and yesterday. Heavy days for some reason

Is Tom Cruise at the Chiefs game a not so subtle Mission Impossible reference at left tackle?

This headline makes me shake my head I guess the headline “Buy a $4M new CT scanner to save $3 per coronary CTA” wasn’t as catchy? Checks notes… Assuming 8 CTAs per day and 250 working days per year, the payoff interval is over 600 years.

Strong list here Lived in Ames 11 years, Charleston 5 years and visited Santa Barbara, Georgetown, Santa Cruz and Greenville. Ames definitely wins on cost vs college town amenities apple.news/Akne9fl6DSNmGmpaF…

An ER physician at my institution found a new whole body CT After a fall, they ordered: CT head wo CT c-spine wo CTA chest for PE CTA A/P with runoff Yep, top of head to toes 🙄

Deep thyroid nodule biopsies in large patients where I nearly bury a spinal needle to reach it… …Should pay 3x or 5x a normal thyroid bx amount IFKYK

As a 4 year KC resident, Ted Lasso’s 4th season debut sure was a love letter to KC Danny Manning Elementary— LOL! apple.news/AnuZ3Zg0gRwGQsypH…

Mammo AI scores abnormalities on a 100-pt system 100=CA <10=B9 It gave this a 66 — AI says it’s pretty sure it is cancer! Classic secretory calcs 2nd year radiology resident would know this Mammo AI will be transformative, but not yet

Here’s a reminder to not set your facility’s Mammo AI threshold too low Some set it at 10. Our vendor recently advised us to raise it to 30 Well, mammo AI scored this case a 20 Subtle Bx proven IDC

Lesson learned from a Mammo AI Don’t set your abnormality score too high 0=B9. 100=CA One paper says everything under 30 is typically B9 Some AI vendors set threshold to 30 We set ours at 10 Well, this was scored a 17 by AI Obvious CA

AI in radiology will be transformative Someday But not yet This AI scored the case less than 10, which means no cancer Look at the L CC view Obvious new lesion US and Bx positive Not quite ready for AI to take over Mammo

I’m excited for AI in radiology It has tremendous potential But, it’s not there yet This AI assigns 1-100 score Higher # = more likely cancer Here’s a 98! AI says cancer! It’s another lumpectomy site 🙄 I guess there’s no need for radiologists…

I’m excited for AI in radiology It has tremendous potential But, it’s not there yet This AI assigns 1-100 score Higher # = more likely cancer It assigned this a 94 — in other words AI says cancer! It’s a lumpectomy site 🙄 AI in radiology has a ways to go

What is this sorcery at Arrowhead? BTW, if crowd energy was worth a goal, Ecuador would be up 2 or 3 goals before the match started Fantastic energy

Certified MRMD another 10 years To be clear, I’m a board certified radiologist This is board certification as a magnetic resonance medical director and supervise the safe use of MRI