How radiologists or any clinician
pursuing a diagnosis are like
detectives

  • Start with Curiosity

    • 1- Gather Information

    • 2- Notes Scales and Music Approach

      • Notes
      • Scales
        • How to look
          • Apply a consistent method to evaluate the structures
      • Music
        • What to look for  
        • The art and talent of detection
          • Anticipate where to look
          • Integrate knowledge experience and acquired clues with sequential thinking as the story builds and the problem is solved

 

  • Detective Problem

    • Somebody has been Murdered

    • René Magritte, The Menaced Assassin (1927).

    • How do you approach?

          • Start with Curiosity

            • 1- Gather Information

            • What is known of the
              • History of the murdered person
                • Prior history that is available – public records etc
                • Relationships
                • When last seen alive
            • 2- Notes Scales and Music Approach

              • Notes
                • Where to look
                  • Structures to be evaluated
              • Scales
                  • How to look
                    • Apply a consistent method to evaluate the structures
                      • Structural components of the murder scene
                        • Physical Exam of the Victim
                        • Most immediate surrounds and
                        • making your way  to the expanding environment
              • Music
                • What to look for
                  • The art and talent of detection
                    • Anticipate where to look and what to look for
                      • Integrate knowledge experience and acquired clues with sequential thinking as the story builds and the problem is solved
      • Notes – Anatomy = physical environment of the crime scene
        • The victim
        • The  surrounds 
      • Scales – Method of looking
        •  The Victim
          • Like a Clinical Exam – have a smooth spatially logical way of evaluating the victim
        • The Surrounds
          • Have a fluid method that has logical sense
            • immediate surrounds of the victim
            • progressive spatial  spaces around the victim
      • MusicGame time
        • time to bring observations knowledge memory, experience together in an attempt to solve the problem
          Radiology/Diagnostic Problem –
            • Is there is a disease on the loose?
              Approach with 
              curiosity
            • Notes Scales and Music
  • Start with Curiosity

    • 1- Gather Information

    • What is known of the medical history of the patient

      Prior medical istory that is available – Epic

    • Prior Radiologic history from prior radiology reports
    • 2- Notes Scales and Music Approach

      • Notes
        • Where to look
          • Structures to be evaluated
      • Scales
        How to look
        • Apply a consistent method to evaluate the structures
          • Structural components of the image
            • The search pattern
      • Music
        • What to look for
          • The art and talent of detection
            • Anticipate where to look and what to look for
              • Integrate knowledge experience and acquired clues with sequential thinking as the story builds and the problem is solved
  • An Example