roentgen

4 ms·

1.
by roentgen 15y ago
The system in this article is not interpreting mammograms, which is something that radiologists do. This is looking at tissue samples on slides, the domain of pathologists.
2.
by roentgen 15y ago
> an example might be a mammogram analyzer. These exist, google for "mammogram computer aided detection". While the data on their efficacy is equivocal at best, I well tell you that they are useless. I do get to bill more for reading a
3.
by roentgen 15y ago
Have you seen a typical medical school class recently? The people getting in these days is almost shocking. I have a hard time believing that qualified people are being shut out of admission.
4.
by roentgen 15y ago
> it's one of those areas where the problem is a lot harder than it seems. Yes, exactly. To computer savvy people unfamiliar with radiology it looks like something a computer might be good at, but I suspect the best we can hope for is a
5.
by roentgen 15y ago
You have accurately described me.
6.
by roentgen 15y ago
Not really, no.
7.
by roentgen 15y ago
This guy gets it. Many replies in this thread are asking about computers interpreting scans, assuming I know nothing about the underlying technology, or am blinded by some form of bias. I have been programming computers since I was 5 years
8.
by roentgen 15y ago
I use this software when we perform a CT scan looking at the coronary arteries. Under perfect conditions it can correctly idenitfy the coronary arteries, and subtract away the rib cage, heart, and lungs. It sounds like you already understan
9.
by roentgen 15y ago
I've sort of answered this problem above. I happen to think the problem is not solvable any time soon. If you or someone you know would like to prove me wrong, I will invest in your venture.
10.
by roentgen 15y ago
I'm not sure if you've ever seen a CT stroke study, which typically includes 4,000 images. If you think a computer can accurately interpret one of these any time soon, I would say you are poorly informed. See my response below, and look int
11.
by roentgen 15y ago
I don't have any hard evidence, but I insist that it is true. Bright and determined baby-boomers became doctors and lawyers and accountants. Today smart and determined people aren't even going to college. The HN demographic is a perfect exa
12.
by roentgen 15y ago
BINGO. You win the thread. The Clintons learned this the hard way, but most people don't understand how this could be true.
13.
by roentgen 15y ago
Sorry, but I wanted to be completely honest. There were a few guys like me in my medical school. There needs to be a counterpoint to the doom and gloom reports of "no life" and "living hell".
14.
by roentgen 15y ago
I have sort of answered this question below. Final interpretations must be performed by a radiologist residency trained in the USA, licensed in the state there are reading from, and credentialed for the facility and the insurance company. W
15.
by roentgen 15y ago
I don't know any secrets. It's hard to get a radiology residency. You need good grades. I don't think research experience matters. It also helps to be somewhat normal. The people interviewing you for residency have to be willing to sit next
16.
by roentgen 15y ago
In fact, the medical licensing exams and board exams are too lenient. The general quality of people going to medical school in the US has been dropping for a generation. The standards are sliding, to our detriment.
17.
by roentgen 15y ago
You make some good points. Of course, I cannot prove that the tests insure quality. In fact, this is not what the radiology board exam does. The board exam is designed to weed out dangerous doctors, which is probably the best we can hope fo
18.
by roentgen 15y ago
If you read my other comments, I state that I make twice the average salary, because I read twice as many films. > increasingly radiology has been outsourced overseas with mostly technicians required stateside (scan during the day, radi
19.
by roentgen 15y ago
True, but I knew about the lifestyle when I picked radiology, and it is a very hard residency to get. There are others with a similar lifestyle, like Dermatology, Ophthalmology, and Radiation Oncology. Guess what? They are the hardest resid
20.
by roentgen 15y ago
We see things differently. Radiology is a very difficult field to get into after medical school, something like 2/3 of American grads who apply get turned away. Additionally, for those who get in, up to 1/3 never pass all the board exams. I
21.
by roentgen 15y ago
> I could imagine Khan Academy for Radiology taught by JHU and Harvard professors to be quite good. You have got to be kidding me. How would this work for surgery? There are no short cuts to medical competency. Sure, some of what I do i
22.
by roentgen 15y ago
I'm going to respectfully disagree. This may be possible in some medical fields (I doubt it), but not radiology. There is simply too much to learn. I completed 4 years of medical school followed by a 5 year residency. Some radiologists go t
23.
by roentgen 15y ago
See my other answers. "Final reads" must be performed my a physician who did a radiology residency in the USA, and credentialed in the USA. Note, you don't need to be located in the USA, but it doesn't matter, there is no competing on price
24.
by roentgen 15y ago
I'm not sure if you're being serious or not, but I'll answer. I happen to think real AI will not happen in my lifetime, if ever. This is not an uninformed opinion, I have MS in Neuroscience, and I'm a programmer. I'm sure others reading HN
25.
by roentgen 15y ago
My group does this, but not because we're evil. Larger groups often have fellowship trained radiologists who are experts in a certain sub-specialty, for example Neuroradiology. Smaller groups are usually all 'general' radiologists. If we ca
26.
by roentgen 15y ago
Well, people aren't going to stop being sick anytime soon, so I guess I'm happy that I'm around to help them get well again.
27.
by roentgen 15y ago
Exactly, you stated it much better than I could.
28.
by roentgen 15y ago
Many surgical specialties earn more than I do, like Urology, Neurosurgery, Orthopedics, etc.
29.
by roentgen 15y ago
Correct. When a CT scan is performed, there are two charges generated. A 'Technical Fee' for performing the study, and a 'Professional Fee' for reading it. The technical fee is almost always larger. If you work for a hospital they keep the
30.
by roentgen 15y ago
Not at all. I'm very good at my job, and I worked very hard to get where I am. Sick people should be happy that I'm reading their CT scans. If the pay wasn't good I would have chosen a different field, and somebody else would be doing my jo

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