the weekly source for radiology professionals

Look Who Else Is Using iTunes

Posted By: Jane Kollmer

Life would be very hard for me without iTunes (well, maybe I'm exaggerating a little). Having all of my music at my fingertips is a luxury. And although I've managed to accumulate a considerable amount of songs over the years, my coworkers and I share our music libraries - which means I have access to all of their music, too.

Everyone's music reflects their unique personalities, and I've been able to expand my musical horizons greatly by being introduced to new bands and sounds. Not a bad deal, if you ask me.

The great thing about iTunes is it has so many features to make organizing, sharing, and listening to your music user-intuitive, or "Jane-proof" (Never claimed to be the most tech-savvy person). I can rate my songs, so it knows which are my favorites. I can sort by album, artist, play count, or genre, to name a few. Or, if I'm feeling particularly random, I can choose "Party Shuffle", which automatically selects songs from my playlist. I can import new music and I can burn CDs very easily. All in all, I can do pretty much anything I need with my music files. Impressive, huh?

It seems I'm not the only person who is impressed with the iTunes program. Recent news reports that radiologists are now using iTunes to sort, save, and search their personal learning files.

According to a recent study conducted by researchers at Renji Hospital and Shanghai Jiaotong University School of Medicine in Shanghai, China, iTunes has the ability to manage and organize PDF files just as easily as music files, allowing radiologists to better organize their personal files of articles and images.

The study authors explain that radiologists gather their information not from conventional sources, such as textbooks, but from electronic databases in the form of PDF files. With the various cases, reviews and abundant, valuable images that are downloaded from these medical papers, it becomes essential for radiologists to have a straightforward method of quickly and easily storing them for further reading.

Organizing and maintaining these files is not easily addressed on a PC because there are often multi-subject articles. But this problem is easily addressed by iTunes' ability to remember a user's favorite articles and its capability to support customized shortcuts for different topics and/or categories.

How the researchers made the discovery is kind of serendipitous.

"One day I just happened to drag and drop a PDF into iTunes and was surprised to find that it was supported by iTunes. This means that you can search, describe, and rate PDFs just like you do the music files," says Dr. Qian, one of the study's authors. "We no longer need to keep PDF files in redundant folders."

You, Again?

Posted by: Bob Stott

My life is a towering mass of boxes, slightly skewed to the right, some appear almost toppling like the Tower of Pisa, but it holds its own. In the family room of the house I am gradually vacating day by day, I add a new box filled to the brim with knick-knacks, term papers from college I still consider pawning off on eBay, and the miscellaneous trinkets and scraps of paper I refuse to part with because "they will be needed someday." I have no misconceptions about my lot. I am my father's son – pack-rat extraordinaire.

True to my nature, the boxes of trinkets, papers, and notes to self number already in the tens, and cleaning out my room of these menial odds and ends is by far the hardest task of moving, which is probably why, on average, it takes me months to do so. However, the eccentricities of a pack-rat often open opportunities to delve into the past, even for a few moments, to look back at another version of yourself when this seemingly useless trinket meant something very important.

Yesterday, packed in between copies of some poetry that got published in a literary journal in San Francisco, an old movie ticket to Star Wars, and a single leather glove a homeless guy in Philly gave me in exchange for the two pairs of cotton ones I offered him, I found an X-ray film of my left arm. Just out of college, I received a nasty hairline fracture to my left forearm. Very clean and no visible distortions as far as the doctors could see, I simply received a Velcro strap-on arm stabilizer and was told to follow-up in two months. As usually is my luck, my insurance ran out about a month after the initial break, so instead of checking back, I simply allowed myself to forget about it and drink extra milk everyday (for the calcium, of course, because that obviously expedites bone growth tenfold).

Unwilling to return to my parent's house yet not quite invested in graduate school yet, I was sleeping on a rotary of couches and futons – a segment of my life I simply refer to as my 'Crashing' phase – and paying bills and school loans by working at a veterinary hospital. About four months after the fracture, and three months after my student insurance dried up, I started to have these painful flashes in my left forearm, which I attributed to lifting the heavier dogs or sleeping on it in my sleep.

The pain came and went, but unwilling – and financially unable because, despite what they say, working in the kennel of a veterinary hospital is not a lucrative career – to go back to a doctor, I simply asked one of the veterinary technicians if they could X-ray my arm to make sure I wasn't growing another arm bone out of the break. Aside from some calcification, I was all clear. Since then, the X-ray have gone with me from residence to residence, usually taped on the upper part of a window so I can look at the fracture anytime I want and reminisce about my time living "off the grid." Over-dramatic yes, but it remains something to tell the kids later in life, how their dad was such a bohemian scrapper, if only for a year.

In a time of the push towards EMR and EHR software technology, I wonder where people who made my transitional lifestyle a permanent one would end up. Will the digital resistance hold out just for them? Sometimes, I think that's more the reason that I hang onto the X-ray – so when my medical record is finally digitalized and computer accessible, I can pull out this X-ray film, a relic from another time, that completes the timeline of my medical encounters.

Behind the Article: Staying Analog in a Digital World

Posted by: Bob Stott

Midway through writing my article Radiology Hits the Road about mobile technologists in rural America, I still didn't know what to do with an idea I had been kicking around for most of the afternoon. The idea had too much weight to go in the current article and instead it rolled around my desk like a bowling ball. I couldn't have included it, even if I could have found a way to – it could cost someone their job.

While searching for experts, I was put in contact with a young mobile technologist, who, after the usual exchange of technical jargon and industry commentary, began to chit-chat about his life in general. In his spare time, he volunteered at a homeless shelter, working the soup kitchen, and "off the record", he admitted that on several occasions, he had secretly brought in homeless people with broken bones or suspect internal injuries to be scanned on the hospital's analog imaging machine. He would have a "friendly" radiologist read it before the end of the shift, and be able to determine whether the person's condition was life-threatening or not. Sadly, he admitted, the upcoming transfer to digital imaging could end his secret acts of kindness. It was possibly the first time I had ever heard anyone in the field speak ill of the digital changeover. The film scans he performed on the homeless people could be taken with them to show a physician at a free clinic, and, ever wary of hospital budget, the meager number of films he produced could just as easily have been attributed to bad scans that were then thrown away. These people couldn't carry a digital image with them to a physician, and they had no electronic record to speak of – furthermore, retrievable archives on the new digital machines made slipping X-rays and mammograms under the administrative nose essentially impossible.

This one part of the conversation stuck with me for weeks. Amid the hype and excitement from advances in digital radiology, it becomes easy to forget about what will be lost in the transition. As a writer in the imaging field, I know I have been easily caught up in the digital revolution, without considering that more than 80 percent of the radiology field is still film-based, and many rural hospitals show no signs of changing anytime soon, either due to low patient volume or the cost of installing a digital system. Always one to root for the underdog in any situation, I began to investigate these rural facilities and ask industry experts their opinions on the imminent struggle between analog and digital systems.

That's always one of the challenges in holding to the concept of "out with the old, in with new" – you always believe the new is better. The argument for analog always breaks down to the quality; whether talking about tapes over CDs or film over digital photographs, there will always be those who disagree that digital allows the same aesthetic depth as their predecessors. Often, it's not quantifiable on the manufacturer's end, but transitional users can always tell an analog system from a digital one.

With new technologies such as film digitizers straining to bridge the gaps between the analog and digital modalities, it's hard to know where to make a stand for an article dealing with a topic this big. The recent phase-out of film products at the Greenwood, S.C.-based FujiFilm Medical Systems provided the a great lead-in to ask imaging professionals where they saw the industry evolving in the coming years. It was intriguing to watch imaging professionals break down into various camps of thought, some backing a fully-digital imaging suite in under ten years, while others resolute in their belief that analog technology and their users will take considerably longer to phase into the digital mainstream.

The article became much more than I had anticipated. Providing an outlet for a debate that professionals were aware of, but not addressing outright, seemed to draw in voices from opposite ends of the spectrum. Being a conduit for the collision of statistics, opinions, and voiced concerns allowed me to finally see that the 'digital evolution' is not as cut-and-dry as I previously thought. From what I have seen, analog may be down but definitely not out.

With this in mind, where do you stand on the debate of digital changeover? How do you envision the future of imaging with this renewed competition between analog and digital modalities?

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