
Musculoskeletal Radiologist. Husband. Obsessive reader. Investor. Python. Grateful to share my daily MSK and Tanzanian activities #radiology #radtwitter #MSKRad
Madrid, Comunidad de Madrid
Joined December 2022
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25/6/2026. 🧠📄 Visual summary of my recent Scientific Reports paper on AI-based shoulder X-ray classification.
🔗 Full article: nature.com/articles/s41598-0…
#Deeplearning #medicalAI #generalization #shoulder #XRAY
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🧠📊 In medical AI, data splitting is critical.
A good strategy keeps the test set untouched until the final evaluation and uses stratified cross-validation only within the training set.
This helps reduce bias and provides a more reliable estimate of generalization.
#MedicalAI
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🧠 Data Generators are key for scalable deep learning with medical images.
Instead of loading the full cohort into RAM, they stream mini-batches from disk to the model, enabling efficient CNN training and embedding extraction.
🔗 Code example
github.com/mirandabautistaju…
#MedicalAI
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16/12/2025🏃♂️💥Málaga Marathon (14 Dec 2025) → 1 day later I wanted to see the DOMS, not just feel it. 🧲🦵
Axial FSDP (R thigh): patchy exercise-related edema in VL/VI+adductor magnus+semitendinosus — classic post-endurance micro-trauma, not a tear.
#Marathon #MalagaMarathon
JuanMiranda retweeted
Hot-off the press: The Prognostic Impact of Enteropathy and Liver Disease in Common Variable Immunodeficiency
@eltipotranquil1 @digestivoHGUGM journals.lww.com/ctg/abstrac…
26/11/2025.🖐️37M with central dorsal wrist pain.
US-guided arthrography showed immediate contrast passage from RC into the MC joint → intrinsic ligament tear.
📸 CT & MR arthrograms confirmed complete lunotriquetral ligament rupture
#MSK #Radiology #SLIL #WristPain #MRI #CT🩻
17/11/2025 – 53 y/o woman with heel pain.
Sagittal & axial ankle FSPD MRI:
✅ Insertional plantar fasciopathy
💥 Plantar fat pad edema
💫 Edema deep to FDB + inferior calcaneal process
⚠️ Deep central band fibers disrupted → medium-grade partial tear
#Radiology #MSKR #Ankle
24/10/2025🧗♂️ 21-year-old climber with sudden pain + “pop” at the PIP joint of the right middle finger.
US (volar, sagittal) shows widening between the volar cortex of P1 and the flexor tendons, with fluid occupying the gap → acute A2 pulley injury—classic in climbers.
#MSK🖐️🔍
21/10/2025.🦵 46F, knee MRI. Coronal & sagittal DP (± fat sat): AVM in Hoffa’s fat pad.
🩸 Serpiginous tubular flow-voids = anomalous arteries
🔎 Perivascular fat signal change → nidus
#Radiology #MSK #KneeMRI #AVM #HoffasFatPad #FlowVoid
20/10/2025. ✅🦴 56F, hip pain.
AP pelvis + axial L hip: bilateral coxa vara, bilateral acetabular protrusion (severe L), OA advanced on the left with greater trochanter–superolateral acetabular impingement.
#Radiology #XRay #HipPain #CoxaVara #ProtrusioAcetabuli #HipOA #MSK
9/10/2025. 🟥🦴 What do you see here?
(AP pelvis X-ray)
Notice the altered trabecular pattern in the right femoral head — with a subtle articular collapse and a well-defined subchondral lytic lesion with sclerotic margins.
Any guesses? 👀
#Radiology #MedTwitter
3/10/2025.🦴⚠️69yo male, h/o bilateral TKA, c/o R knee pain.
XR (Right knee):
🟥 Loss of polyethylene + metal-on-metal contact
🟨 Prosthesis loosening
🟩 Capsular distension w/ metallic debris
✅ Left knee: normal
❌ Right knee: advanced metallosis
#Metallosis #Radiology #TKA
2/20/2025🚨 Procedure! 🚨
3-min dorsal radiocarpal & distal radioulnar joint injection ✅ under #fluoroscopy → ready for Arthro-CT & Arthro-MRI.
Do you prefer #ultrasound or fluoroscopy for guidance?
🔗 More cases: lnkd.in/dv2VxnDC
#Radiology #ArthroMRI #ArthroCT
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1/10/2025. 🤚✅ Successful dorsal radiocarpal & distal radioulnar joint contrast injection in just 3 min under #fluoroscopy — ready for Arthro-CT & Arthro-MRI.
📸 Final X-ray image .
#Radiology #MSKImaging #ArthroMRI #ArthroCT #Fluoroscopy
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29/9/2025.🟥 14y boy, h/o distal tibia epiphysiolysis II (7mo ago).
MRI shows:
Altered physeal/periphyseal signal
Edema epi/metaphysis
Oval lesion disrupting trilaminar pattern
➡️ Suspicious for physeal bar → risk of growth arrest, deformity, LLD.
CT pending for confirmation.
29/9/2025. 📢 New article available PDF free (until Nov 1st!) 🟧
Ultrasound-guided botulinum toxin: uses & techniques 🆓
👉 Download here: sciencedirect.com/science/ar…
#Medicine #Ultrasound #BotulinumToxin #Radiology #Research


























