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Old 10-22-2022, 06:09 AM   #1
WilliamTheIrish WilliamTheIrish is offline
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Originally Posted by Monticore View Post
PET/CT is not as readily available at least around here, for staging it is the gold standard for most CA I would assume but MRI has the advantage of not using radiation. Our CT vendor said that CT’s cause 2% of all CA in the US , didn’t fact check that but figured the guy trying to sell us his equipment would lie a bout that , doses are getting lower every year though .

CT has just become such a crutch for doctors it often over prescribed, if I have already located and sized a kidney stone or confirmed an appendicitis on ultrasound you do t really need the CT , but they still order it.
Accumulated dose is an overriding factor in medicine. About 20 years ago, I attended my first dose reduction conference. It really opened eyes about the technical factors used and taught to end users. Just after the turn of the century, end users were using a one size fits all technique. Even for children. Images were incredible. Just outstanding.
And nobody thought much about dose. Since that conference, we worked with a group from Duke University setting up pediatric weight based protocols reducing dose by 75%.

As for the 2% claim, I’d like to see what that’s based on. The risk/benefit factor plays a large role in CT usage. And yes, while you can localize a stone in renal pelvis or lower pole with US, a urologist wants to be sure it hasn’t made its way down to the UPJ or deeper before navigating a wire into the ureter and following that with a rigid scope. Or a flexible scope into the kidney. Delicate surgery, that.
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Old 10-22-2022, 07:29 AM   #2
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Originally Posted by WilliamTheIrish View Post
Accumulated dose is an overriding factor in medicine. About 20 years ago, I attended my first dose reduction conference. It really opened eyes about the technical factors used and taught to end users. Just after the turn of the century, end users were using a one size fits all technique. Even for children. Images were incredible. Just outstanding.
And nobody thought much about dose. Since that conference, we worked with a group from Duke University setting up pediatric weight based protocols reducing dose by 75%.

As for the 2% claim, I’d like to see what that’s based on. The risk/benefit factor plays a large role in CT usage. And yes, while you can localize a stone in renal pelvis or lower pole with US, a urologist wants to be sure it hasn’t made its way down to the UPJ or deeper before navigating a wire into the ureter and following that with a rigid scope. Or a flexible scope into the kidney. Delicate surgery, that.
I can usually see stones at the UVJ or anywhere along the tract and size will probably determine is it needs i intervention , CT might be better To R/O septic stones as U/S isn’t great for acute pyelo.

Last edited by Monticore; 10-22-2022 at 07:36 AM..
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Old 10-21-2022, 06:00 PM   #3
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Also WilliamtheIrish can .

I know as much as he thinks he does.
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Old 10-21-2022, 06:27 PM   #4
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Originally Posted by scho63 View Post
Also WilliamtheIrish can .

I know as much as he thinks he does.
Schmo, shut the **** up. You’re functionally reeruned and don’t know what the **** you’re talking about.

If anybody wanted to know about imaging the inside of a trans hookers molded vagina, the board would gladly come to you as the Britannica.

Until that’s asked, eat a dick.
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Old 10-21-2022, 06:48 PM   #5
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Schmo, shut the **** up. You’re functionally reeruned and don’t know what the **** you’re talking about.

If anybody wanted to know about imaging the inside of a trans hookers molded vagina, the board would gladly come to you as the Britannica.

Until that’s asked, eat a dick.
**** you you jealous douche.

You build scanners as an engineer so you think you a rocket scientist.

My escorts are better than what you're ****ing.
That's your pussy retort to anything I post. A one trick pony.

I know more than you tinker toy builder. Another person who thinks they know about me and what I know.

For the record scumbag, my paternal grandmother lost a breast to cancer, both grandfathers died of lung cancer, my mother died at 60 from ling and brain cancer, my father dies at 57 from liver cancer, my sister had aggressive skin cancer on her leg and had all her lymph nodes removed in her one leg, my two aunts died of cancer and one uncle died of cancer.

I've dealt with more cancers, doctors, CAT scans, MRIs, radiation, chemo than 95% of the people here.

So you can go **** yourself and take your shitty engineering degree with you blowhard.
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Old 10-21-2022, 06:55 PM   #6
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Originally Posted by scho63 View Post
**** you you jealous douche.

You build scanners as an engineer so you think you a rocket scientist.

My escorts are better than what you're ****ing.
That's your pussy retort to anything I post. A one trick pony.

I know more than you tinker toy builder. Another person who thinks they know about me and what I know.

For the record scumbag, my paternal grandmother lost a breast to cancer, both grandfathers died of lung cancer, my mother died at 60 from ling and brain cancer, my father dies at 57 from liver cancer, my sister had aggressive skin cancer on her leg and had all her lymph nodes removed in her one leg, my two aunts died of cancer and one uncle died of cancer.

I've dealt with more cancers, doctors, CAT scans, MRIs, radiation, chemo than 95% of the people here.

So you can go **** yourself and take your shitty engineering degree with you blowhard.
Next he will whine and get you banned for that post.
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Old 10-21-2022, 07:01 PM   #7
WilliamTheIrish WilliamTheIrish is offline
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Originally Posted by Pepe Silvia View Post
Next he will whine and get you banned for that post.
^

Looking to be hired by schmo on a slow Friday.
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Old 10-21-2022, 07:00 PM   #8
WilliamTheIrish WilliamTheIrish is offline
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Originally Posted by scho63 View Post
**** you you jealous douche.

You build scanners as an engineer so you think you a rocket scientist.

My escorts are better than what you're ****ing.
That's your pussy retort to anything I post. A one trick pony.

I know more than you tinker toy builder. Another person who thinks they know about me and what I know.

For the record scumbag, my paternal grandmother lost a breast to cancer, both grandfathers died of lung cancer, my mother died at 60 from ling and brain cancer, my father dies at 57 from liver cancer, my sister had aggressive skin cancer on her leg and had all her lymph nodes removed in her one leg, my two aunts died of cancer and one uncle died of cancer.

I've dealt with more cancers, doctors, CAT scans, MRIs, radiation, chemo than 95% of the people here.

So you can go **** yourself and take your shitty engineering degree with you blowhard.

Furiously googling web MD to discern differences in imaging platforms makes you exactly what you are every day. A dumpy ****ing moron.

Go dive deep into a tranny, schmo.
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Old 10-21-2022, 07:19 PM   #9
scho63 scho63 is offline
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Originally Posted by WilliamTheIrish View Post

Furiously googling web MD to discern differences in imaging platforms makes you exactly what you are every day. A dumpy ****ing moron.

Go dive deep into a tranny, schmo.
And yet Irish the Blowhard ALL my posts are accurate, including my simple first two.

I'll leave the trannies for you to deal with.
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Old 10-22-2022, 10:20 AM   #10
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Originally Posted by scho63 View Post
**** you you jealous douche.

You build scanners as an engineer so you think you a rocket scientist.

My escorts are better than what you're ****ing.
That's your pussy retort to anything I post. A one trick pony.

I know more than you tinker toy builder. Another person who thinks they know about me and what I know.

For the record scumbag, my paternal grandmother lost a breast to cancer, both grandfathers died of lung cancer, my mother died at 60 from ling and brain cancer, my father dies at 57 from liver cancer, my sister had aggressive skin cancer on her leg and had all her lymph nodes removed in her one leg, my two aunts died of cancer and one uncle died of cancer.

I've dealt with more cancers, doctors, CAT scans, MRIs, radiation, chemo than 95% of the people here.

So you can go **** yourself and take your shitty engineering degree with you blowhard.



Only on CP.
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Old 10-21-2022, 07:54 PM   #11
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Too much alpha in this thread.

Geez, wtf. A fight over who knows more about medical scanning equipment.

In my best Rodney king voice "can't we all just get along?"
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Old 10-21-2022, 08:28 PM   #12
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Originally Posted by Lzen View Post
Too much alpha in this thread.

Geez, wtf. A fight over who knows more about medical scanning equipment.

In my best Rodney king voice "can't we all just get along?"
Agree. I tried some levity several posts up but it landed like a thud. Tough crowd lol
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Old 10-21-2022, 08:51 PM   #13
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Wait...

...did I just read trash talking, "shut up engineer, in this thread about million dollar equipment that takes amazing images inside the human body... my whores are great.... ?

via GIPHY

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Old 10-21-2022, 08:55 PM   #14
WilliamTheIrish WilliamTheIrish is offline
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Wait...

...did I just read trash talking, "shut up engineer, in this thread about million dollar equipment that takes amazing images inside the human body... my whores are great.... ?

via GIPHY





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Old 10-22-2022, 10:36 AM   #15
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Wait...

...did I just read trash talking, "shut up engineer, in this thread about million dollar equipment that takes amazing images inside the human body... my whores are great.... ?

via GIPHY

There's the phrase "you're comparing apples and oranges." It's a useful phrase.

This though is like that phrase with an exponent. It's that phrase squared or cubed. It's like comparing hookers to ultrasounds....
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