Reddit radiology vs cancer Every oncology field (surgical, medical, radiation) has its own role in treating cancer. A community for Indian Medical Students and Practitioners (under- and post-graduates) to discuss and share their opinions, tips, study recommendations, memes, and to help upcoming Medical students ease their transition into the field of medicine. My father had prostate cancer and a mass in the base of his brain the size of a peach. Can be a lot of on call holiday and weekends and you will definitely miss out on family events due to that. Seldomly do people employ lead glasses (probably because a lot of people already wear glasses, making it inconvenient plus added glare) although at Fortunately, by the time I got downtown, my lactic acid had abated because I had been given a mountain of painkillers. It is pretty normal to ignore small things in the images if they are not consistent with the clinical picture. Booked an appointment with our GP by week 3. I am pretty sure that you must be a technologist first before you can become a radiation therapist. Most of these cases are doctors suspect cancer and then order CT scans. " My mom was diagnosed back in February with stage 4 lung cancer, both large cell and small cell. If you have a specific cancer in mind, I suggest you look up the National Comprehensive Cancer Network website (you can make an account for free) and read more about it. However, I don’t think radiology is the right field for absolutely everyone, and has a lot of drawbacks to be aware of as well. O. For reference, airline pilots receive around 3 mSv/year above background radiation (which is about another 3 mSv/year) If it makes you feel any better, this is a problem almost everywhere. Licensed and dedicated centers lang talaga kailangan. Cancer in younger women has less incidence but is typically more aggressive. There's a nodule, probably cancer. During the scan, a very small lung nodule was found (I think 3mm). Hi all. As some of you may know, my dad is now battling esophagus cancer and soon he will receive chemotherapy and radiation therapy. they'll give you a vignette where the patient has some sort of cancer and then asks the next best step -> chemo, rads, surgical resection, etc. I think you're mistaking"rad techs" with radiation therapists. "I have a coffee and a pastry on my way to work. We aim to become the reddit home of radiologists, radiographers, technologists, sonographers and… There is no evidence that a physician properly following standard radiation safety practices would experience a meaningfully increased their risk of cancer (given the high baseline risk for cancer a modest increase in absolute risk is practically irrelevant). That means, you will get either one or both of radiation/chemo first, then surgery. Lumpectomy and they didn’t take nodes. Full body MR exists. you could also go from therapy to dosimetry (there’s another year of schooling if you have your bachelors). If radiation therapist is a “. Definitely. Radiation is very effective at killing the cancer, but, with the prostate still in place you still have the issue of some PSA showing up in tests years after treatment. I’ve known X-ray techs who go back for radiation therapy and don’t regret it one bit. Is there a way to approach these questions or is it best just to memorize the major types of cancer treatments? Technologist is someone who takes X-rays and can cross train into CT and MRI. Just a heads up, I choose radiation as I am older than you and had a Gleason of 8 with a PSA of 4. Work and life balance is also worse compared to pathology. 183K subscribers in the Radiology community. I did and read the UK study on this (fast track or fast forward forgot which name). I'm getting my 13th radiation dose in about an A board for anyone with questions about Cushing's Disease and Syndrome in humans. You're right tissue resolution suffers but you can still see individual nodes etc, and lots relies in lower resolution but more sensitive to pathology sequences eg. So the patient most likely has cancer and not that the CT scans caused . Bunch of noodles, not sure what it is, can't say it's not cancer though. 001). Like a tumor can be sensitive to radiation just like it can be sensitive to an immunotherapy. It is typically used to treat prostate cancer that is still localized to the prostate gland or that has spread to nearby tissues but not to distant sites. It is simply due diligence. Love how far of an outlier Rad Onc is. Look up ‘Chris Beats Cancer’ and his raw vegan anti cancer diet and books. 79 μSV (95% confidence interval, 3. He was examined in person on a Thursday, nothing unusual detected on One of the initial problems with tomo modality was the mandate to do the dual exposure 2d/3d early on (which was unfortunately necessary to study how effective the modality was). 66 . Currently have two bcc on my face and doing my research on how to proceed. For cancer screening, ideally we want molecular makers, since they can be highly sensitive and specific to the type of cancer, and can show up years before we'd see something on an MRI. A year and a half ago I was given a lower abdomen CT for some GI issues. The VIR integrated residency is for those who are willing to deal with the far busier residency and lifestyle of a surgical field. You could get Neoadjuvant therapy since it rectal. My radiation course for stage 2 was six weeks, 5x a week. This subreddit is created and moderated by fellow Reddit community members who have a desire and focus on not only prostate health, but overall men's health, as well. I finished the 5 weeks of radiation, been on Elligard for 8 months and go for Brachyerapy next month. i’m a vascular student at a hospital with a major limb salvaging clinic right now and i LOVE it tumor tax. It is very monotonous too. 400 mSv is generally regarded to be the amount of radiation that causes symptoms of radiation poisoning. The same amount of radiation delivered instantaneously vs. Life expectancy is proportional to lesion size so early detection is always best. I can't make up my mind between Radiology and Internal Medicine(gastroenterology to be specific). As a radiographer, between X-rays and CT imaging, which modality exposes you (the radiographer) to the least radiation based on your annual dose/experience. Yes the likely reason is due to the shift away from radiation-based therapeutics in cancer management in favor of immunotherapy, receptor-targeted meds, and radio/chemoablative procedures. I enjoy that aspect most. There was a post here a few months ago pointing out that in the past decade or so there has been an inflation-adjusted decline of around $100k/year in radiologist salaries. The highest LAR was observed in male and female radiologic technologists who started work in 1991 (264. I heard radiation normally can only be done once. Then I come home when my wrist is fatigued from the amount of time I spent burning cancer. By exposing those cancer cells to radiation, you are causing mutations in the cancer cell that stops it from surviving. Each case is different and requires a customized form of treatment. ' I was diagnosed stage 4 in 2020 but all my cancer was removed and I just had surveillance CT scans following treatment. First appointments were 2: radiology oncologist followed by hematology oncologist. It is basically said that x-ray techs only see a tiny increase in risk in some cancers (less in others) and it is pretty confined to techs from earlier decades where radiation safety was not as good and dose was higher. Matched at a good DR program. I have heard this argument countless of time. This subreddit is designed to share information about radiation oncology for every one. My primary reasons for selecting radiation were that I was so young, I did not want to have the risk of losing sexual function nor incontinence. My dr wants to do MOHS. e. So whenever a "Low dose" scan is offered alongside a regular scan, by definition the former must be incapable of something the latter is capable of (otherwise the low dose scan would be the regular scan). The studies cited by the article are limited by sample bias and small population size The best IR jobs are the following: One's with 50% DR/50% IR, in outpatient setting, cancer center. However I felt path was majority cancer driven and some inflammatory conditions while in radiology you get to see a wider variety like trauma, infection etc Depends if you want macro vs micro The only acute thing in pathology is probably frozen section. Especially grossing where you have to cut up the organ in a certain way. Some are big, some are smaller, but what do I know, I just fry 'em" The reason it works, is because cancer cells tend to replicate much faster than our other cells. Pre-covid there was a more even mix of normal vs abnormal studies on call, but now with covid I've noticed a much higher percent of abnormal studies (across all modalities). If you go into radiology you will have the power to scare the absolute shit out of nurses. Calcifications are often an early harbinger of cancer and they can only be seen well on mammograms. My PSA was 0. Yes there are other risks of other cancers and of the cancer returning. Heme/onc has a better ceiling as far as pay and is probably less intense mentally when you’re actually working. The radiologist was able to explain what the scans showed, and why radiation wasn’t a recommended option. Radiation medicine consists of using ionizing radiation for treatment, usually cancer. Sure, Hypofractionation has reduced the need to have as many Radiation Oncologists, further exacerbating the supply issue, but it’s still being used plenty. 2/100,000, respectively). The other cancer staging system is the TNM staging. They do however earn the degree. I. The cancer cells don't have time for DNA repair mechanisms. com and radiology assistant. So that would mean about 1% increased risk of cancer per 20 years of IR practice (assuming my math is correct). Nevertheless, roughly 50% of all cancer patients require radiation. 'You may have a PET-CT scan if the results of other scans aren’t clear or if the cancer has spread to your liver or lungs. I haven’t found any peer reviewed studies comparing rates of incontinence of standard robotic removal vs. Just like technologists, you may choose to state your title as “Nursing,” or “RN” for example. Each specialty claim they can read their own imaging and radiologist is useless. , salary support. Whole body STIR. Edit: bunch of nodules*** but we'll keep the original. 4mSv of background radiation. Marami rin PTCA patients sa Pilipinas. My hospital is an easy 8 minute drive. if you really love endo and minimally invasive work and are optimistic about its future chose IR, you will have the opportunity to treat patients in a number of sub-fields (oncology, liver, ports htn, PE, spine, pain, men, women’s healh, orthoIR, and more). But in super dense breasts the sensitivity for detection of cancer goes down to 60-65%. This reddit is a place for people with cancer and caregivers to come together and provide support for one other. Radio: Love its life-style, I don't mind to sit in a room alone and read the studies day after day. It is possible to receive this much radiation in one lifetime of background radiation plus some medical imaging. A radiation therapist is a skilled position that involves working with oncologists to provide radiation treatments for cancer patients. I am currently a radiology trainee, however recently I have become quite disenfranchised with work. I've always told myself that Rads residency/attendinghood will be so much better and worth the sacrifice, but starting to question that. In veterinary medicine, techs would be trained to do this Radiation oncologist: uses high dose radiation to treat cancers. “Radiology is on the phone for you” is never good. I’m not sure this really applies to veterinary medicine but in human med would use radiation to help treat cancers. 4 gy vs 40 gy on the 3 week regiment 5. So far, things are going great. While it doesn't have the footprint it once had, radiation beam therapy is still a component of management in certain cancers like breast and probably won't Well, I wouldn’t say it’s crap. CT uses the ALARA principle, which means dose is As Low As Reasonably Achievable. You are ALWAYS being hit by radiation, it never stops. 68 μSV; P < . I'll focus on my experience on call, which is a much different environment than daytime rotations. General estimates regarding cancer risk and radiation are about a 10% increase per 1 Sv. Snownyann Reddit . radiation therapist treats cancer patients only and doses an area of the patients body with radiation therapeutically. Radiology vs Pathology . My usual annual dose would be closer to 1mSv. i saw elsewhere in the thread you said you’re a bit interested in vascular- just as a heads up, vascular ultrasound will involve you regularly seeing, touching, and scanning things like gangrenous limbs, weeping open sores, and limbs with amputated fingers/toes, especially if you work inpatient. 30-6. There is a site about like increased risk of cancer per study. I’m old at 70 but run, swim etc. Members Online Prostrate biospy done now time to wait . Most trained oncology Dr's can tell (Radiologist) by the shape and formation that it is Cancer vs benign type tumour or other type of mass. I really enjoy radiology, but I am not enjoying the work environment NHS etc. I’d definitely seek out a second opinion from a Radiation Oncologist at an accredited Cancer Center. When I brought SRT to the nurse, she annoyingly responded “we don’t do that here”. My experience tells me no. Radiation therapy can be given externally or internally, and the treatment course usually lasts several weeks. Robotic bladder neck sparing is not standard robotic surgery. I understand the need for training Radiographers to interpret images to alleviate the shortage of radiologists in western countries where there is better regulations and control; but this sets precedent in developing countries where there are no regulations and politician trying to save face by producing lots of incompetent "professionals". <<IMPORTANT>> edit: yep, aware the article is focused on CT scans, which are way higher (5+ mSv) - I've had many x-rays myself, and swallowed a radioactive iodine pill for thyroid cancer - I have a friend that got a PhD in Nuclear Engineering and I've had many discussions with him about radiation because it turns out I found it rather important at that stage Hi everyone, quick question here. On the rare occasions, I’ve seen horrible looking areas that point to cancer but the biopsy turned out negative and imaging stayed stable for years. We all need to be on vegan anti cancer diets and high level nutrition to heal. Chemo can be curative, generally in blood cancers or lymphoma and testicular cancer. Meaning - if you show me 100 mammograms of extremely dense breasts and all 100 of them have a cancer — I would only find 60-65 of them. Starting to wonder if ~6 more years of training is worth the time/effort. My laymans understanding: a cancer forms in an amoeba like mass whereas a benign tumour or cyst is clearly defined like a circle shape. He cured himself of stage 3 colon cancer on this diet and now has helped thousands to heal. I work as an tech in medical imaging and if I worked in a high radiation area (Nuclear Medicine/PET) I receive 2mSv pa. Like so many others in the radiology profession (who understand sensitivity vs. In the event the cancer escaped you can still do radiation. Not a doctor just someone who's been in the Cancer system. They want schedulers to have all this knowledge about radiology but they didn’t go to school for it or get much training so it’s kind of a ridiculous expectation. If you enjoy managing vascular disease and also enjoy surgical techniques then chose VS. I’ve found not many robotic surgeons perform the procedure. Good luck. And like a patient getting an abdominal CT increases their chances dramatically. 30. Like grab an organ, cut it up, take perfect pictures etc. specificity; who understand the complex types of image sets produced by disease-specific MRI examinations; who understand the folly of false positives and cost of needless follow-up to healthcare systems) – I cringe when I hear viable news outlets promoting (yet again, and again…) this corporation and others. For example, a few minutes of searching found me this job. It's ludicrous to think to get rid of a whole specialty when a tumor is advertising itself as radiosensitive. Studies show roughly a 44% decrease in mortality rate in the 40-49 age group who were screened vs nonscreened. In most instances, we’re not even in the part of the room where the X-ray is being taken, we’re behind a lead lined wall. I've lately been reading up a lot about annual lung cancer screenings using low-dose CT and as a result more and more people in the risk categories doing yearly check-ups due to doctor recommendations and lower radiation levels, so I was just wondering if anyone could tell me whether this was also an effective way to detect other forms of lung diseases (COPD A CT is used to detect cancer, but I think a colonoscopy would be the most accurate at catching cancer. Not a medical professional, but my child (8yrs) had a tumor that doubled in size every 24-48 hours. thing”, they oversee the therapists/techs. The thought of that just creeps me out and still does. Starting chest fellowship in 6 months. Those who want to read imaging and do procedures are better served applying to the DR residency and doing a procedurally focused subspecialty such as mammography, msk, or body. Imaging will give us a pretty good idea (mammo tech here) but will never be definitive. T. Red dot radiology courses also offer some online courses (doubtless for a fee). Radiation Therapy. Fuck radiology am I right however when you need us it's all hands on deck to get some one to do an x-ray or neph tube or CTA or anything regarding radiology. My urologist and radiation oncologist both agreed radiation was my best course which consisted of three months of oral chemotherapy, 44 rounds of radiation and Eligard injection (hormone therapy. Until you know the stage etc, that's all just a FYI and doesn't necessarily mean that's what will happ I'm an average D. 2 per day plus 5 boost vs 2. Wondering if there is information by state on oncologists with the most experience with focal treatments. With that said; on Reddit on this form, it says a lot of Parker university students don’t pass their board. Edit: Mahal din ang NucMed scans, walang bababa ng 1k even sa government (so subsidized and GL pa more) Radiology is the biggest department in the hospital and we don't even have a break room. I could not safely drive myself for those last 2 weeks, even with the valet parking my cancer center offers for rads patients--I almost got in an accident because I was so fatigued physically , mentally, and emotionally and had to ask my husband to take me. I had my left testicle removed, and then went through 4 rounds of chemo. Amen. Medical students and residents may use MS1, PGY-2, etc. T stands for tumor size, N for (lymph) node involvement, M for metastasis. a head CT Scan will be the same as half your dose of radiation you experience normally in a year from the back ground. Grossing and post mortem are the only hands on parts while radiology has a wide spectrum. I was 36. Cancer Centers never take anything for granted and it does NOT mean they don’t trust the reading pathologist. Just did this end of July. By living in Melbourne each year you receive approximately 2. A common damage caused by UV and associated with melanoma is the formation of pyrimidine dimers (often Thymine). This route is not fun and there have been side effects. She does mostly plastic surgery. But so far so good. Radiology you just kind of sit around unless you're doing a procedure. Currently in intern year. A support group for patients who have been diagnosed with cancer, including AIS, are undergoing treatment, post treatment, recovered/in remission and caregivers and medical staff to find support or ask/answer questions about Cervical Cancer - please do NOT post here if you are afraid that you might have cancer, are pre-cancerous (CIN) or are dealing with HPV. This study goes over risk of cancer in x-ray techs. I would have to see the college but if MRT is a radiation therapist then it is a more specialized degree. I am hoping at the university level the classes are capped at 18 vs 50 with Dallas college and only 5 X-ray machines to Patrice. A banana gives you a higher radiation dose then living within 50 miles of a nuclear power plant. Radiation therapy uses high-energy rays or particles to destroy cancer cells. I do get overtime because where I work, we are one of the busiest cancer centers in my area. Question about how cells/cancer works. 4/100,000 and 391. Every med student and physician that has little experience in radiation always thinks it's in decline, hell they said that it was finished once chemo was introduced. It is 2 msv at most per scan. When I searched through the internet, a handful number of sources say negative things regarding chemo and radiation. A lot of these studies of CT scans increasing cancer are tainted by reverse causation. It’s like saying one of you patients is dying and you’re going to spend hours trying to fix it. My cancer had broke through the prostate. A hub to share & discuss all things radiology artificial intelligence & its various perspectives (industry, academic research, clinical etc). Made my stomach fall right out of my butt every time. over a lifetime is definitely different. I spend all day burning cancer. X-ray, especially CT, is a never ending list. And I'm sorry therapy people, I cannot for the life of me remember what your credentials are; my bad. ETA: Accident and Emergency Radiology by Nigel Raby was a low cost book (I got it used for like twenty bucks) that was excellent. Doctors sometimes use PET-CT scans if there are signs that bowel cancer has come back after treatment. We live in Arizona so interested in this location specifically. 6. That scan can catch tumors and cancer when it is very small, before any symptoms and when it's easier to treat. You should ask them to interpret imaging from a different field lol. 7. It would be foolish to throw away an effective therapy just because of small interval changes. 100% Outpatient IR PAD, $750k - 1M+ income, 10 weeks PTO Alazzoni et al12 tested the blue No Brainer cap during FGIs by again measuring the difference between the outside and inside cap dose and reported that the cap resulted in a significant reduction in the operator's head radiation exposure with an external to internal radiation dose of 4. Hi! So far all the materials I have gathered online suggest that a person with suspected malignancy of the lungs are supposed to get Chest CT with Contrast but screening for lung cancer is oftentimes done without contrast. Cancer is a metabolic disease from malnutrition. It is standard of care. Obviously that depends on a few things like how far it's spread etc but that is the rectal cancer standard now. In order to do radiation therapy you need to be a radiologic technologist first. That's the beam radiation and cancer treatment injection stuff (a lot of which is actually nuclear too). I think radiology is a great field if you love making the diagnosis and solving the puzzle. Reddit . Radiology also has tele-rads and night shift options as well as 2-4x as much vacation that make your schedule way more flexible if you want. Radiation is still standard of care for ~50% of cancer patients. Radiology has more anatomy, diverse pathology (not 95% cancer) and it's easier to look at computer than microscope, but some days I feel like it's quite monotonous (mostly normal scans) and I dont like interventional radiology at all. Imaging represents a large part of the cost of healthcare costs, anticipate changes in reimbursement in future years, i. student in terms of my scores--I think I can be more selective with path residencies (aim for mid-tier academic in-state) over radiology residencies (low-tier community out-of-state), possibly will be able to build local connections during residency and establish my career in my desired location sooner. I feel like they aren’t explaining any of my options to me. I choose radiation as if I had surgery, I would need radiation also. Sticking with cancer detection, say we wanted to screen for splenic lymphoma. . This did increase the radiation dosage (as they had to take both 2d/3d exposures) and so benefit/radiation ratio of early tomo was lower than just taking 2d ffdm. Radiation still knocks you around a bit, I had massive fatigue issues for a long time after. robotic bladder neck sparing surgery. I wanted a full body scan for that reason. My PSA has begun to rise so I’m back on hormone therapy for the next two years. reReddit: Top posts of November 8, 2018. I have been considering trying to make a transition into the Artificial intelligence field, whilst continuing in radiology for now. Ask a surgeon to interpret there is a stroke on MRI and decide to start tPA or not, ask a neurologist to interpret fetal imaging. Doctor has been wanting me to get a follow up scan, but I have health anxiety with a big fear of cancer and due to the radiation from a chest CT I've been putting it off. The technologist (R. My tumor was so large (it turned out to be stage 4) that the CT scan I received in the ER was enough to raise major red flags and get me to the front of the line for a colonoscopy to confirm the diagnosis (I went in for a colonoscopy a couple A lot of these Reddit posts will be biased toward radiology due to the field’s seemingly massive popularity and possibly Reddit’s higher fraction of introverted students (myself included). moving to interventional radiology will be a good option. So as I’m sitting here (3 months afte Dear fellow colleagues, I am a final year medical student in a Middle Eastern country. There's a gob of gunk, probably pneumonia, but also maybe cancer. I believe he is associated with the Red Dot courses. ) That was six years ago. 💚🍃 It depends on many factors. Ultrasound is no different, and you're going to be doing plenty of serial/surveillance ultrasounds on a lot of really sick people, including terminal patients. This is usually reported like "T2N1M0". No weekends, no holidays, some places take call depending on the facility but not like radiology. Gleason 9 and 10 are aggressive and you need a good team of a Urologist, Radiation Oncologist and Medical Oncologist for your best outcome. The rads get way more radiation (much closer to the source and typically don't/can't step away during exposure like a tech can) and do EVERY case! Our department has 4 rooms with 2 techs to a room who rotate scrubbing cases. However, cancer incidence from radiation is stochastic, so it will occur randomly with a higher probability with overexposure to UV radiation. Radiology resident here. We also have a “Radiology Enthusiast” flair for layusers that are simply interested in medical imaging exams, or the field of radiology in general. Radiology treats the image but oncology treats the patient. The type of cancer, whether the cancer is systemic or localized, some areas of the body are more sensitive to radiation than others, whether there is a surgical option or not, etc. So that means cancer cells go through DNA replication more often. Re: patients, hindi naman kami nauubusan dahil part sya ng cancer imaging (heck, we have at least 10 patients for PET/CT alone sa NKTI daily). Whether you think you may have it, have questions about it, or just need support from people going through the same thing, this board is the place to get opinions, advice, and support! CT scan to the head is the lowest radiation dose out of all CT scan areas of the body. Promotion for either job you can always become chief therapist or lead xray tech, and you can even go into management if you get your bachelors. No one really wears lead gloves during a procedure though and putting such things in the field can inadvertently increase radiation from automatic exposure control and thus scatter radiation to you. Doing fluoroscopy which is a series of X-rays happening to get real time images and being in the operating room are the two main places where you will likely get any readings of radiation exposure. I also could hand the idea of killing the prostate with radiation and then letting it dissolve slowly. I don’t believe any radiation was in the armpits. I'm honestly not sure if you can just jump into ultrasound the way you can Nuclear and Therapy. They figured out I had cancer of some kind, and then a biopsy revealed it was metastatic testicular cancer. However: the mean estimated lifetime cancer risk from occupational radiation exposure varied significantly by sex and occupational group. 7mm IDC oncotype 17. The good thing about abdominal imaging for the job market is that the specialties that order the imaging generally have no idea what they are looking at, so I feel that it’s pretty secure. People with end-stage liver disease or metastatic cancer coming in to drain fluid from their abdomens. My mission is to improve the radiology AI sector by providing a platform for conversation. Story time: he'd been looking a little pale, with a slightly reduced appetite x2 weeks. I’ve also seen subtle, tiny areas that could barely be noticed turn out to be aggressive cancers. The biggest factor is the primary type of cancer being treated. How's that for being underappreciated. Pick up the line to find out which one. R1, soon to be R2 resident here. A radiation therapist does the radiation therapy for cancer patients which is different than diagnostic X-rays which a general radiographer does. Big downside vs radiology is no opportunity for remote work (unless you do ICU telemed), holding in your pee a lot and not eating whenever you want to. The therapist delivers high doses of radiation to a specific site like to a tumor. Radiation therapy (depending on the facility you work at) is mainly Monday through Friday, 8-4:30. 1 after my radiation for a few years and is now slowly rising - latest 0. (R)) is the first step to many other modalities in imaging. Occupational limit is 20mSv bit I've never know anyone in radiology to come close to that. nl are free and good. Radiation therapist: NOT a DVM. Know that with second or more opinions in cancer care, if the hospital relies on path reports and does not have their own pathologist read the slides, avoid them. 4 years residency Yes, robotic vs traditional open I definitely agree. They said it was non cancerous but yet put he died of brain cancer on his death certificate 2 years later. Surgery to clean up after radiation is extremely difficult if not impossible. But radiation as a whole isn’t just being phased out for the sake of it. I'm in paediatric radiology and it's in fairly well established use for cancer screening with predisposition syndromes etc. Learningradiology. zayipt grcc rxmafm vgsf pzbqbb lpetg znrfudq vmoo setws mufp