0:01

So most of the errors that, as I mentioned and Dr.

0:04

Bruno has talked about, are detection errors.

0:07

That is, that we miss the finding.

0:10

There are errors where we see the finding,

0:12

but we misinterpret it

0:14

as something benign when it's malignant

0:16

or something vascular, when it's inflammatory

0:20

or something neoplastic when it's congenital.

0:23

How do we reduce those type of interpretation errors?

0:26

The key is number eight, get smarter.

0:30

And um, of course since we're on the, uh,

0:33

true learn modality system, I would say look, you know,

0:36

learn a new subspecialty in just five minutes a day.

0:39

You can learn a lot from material that's online

0:43

and, uh, available to you at your fingertips.

0:47

Um, so you don't see what you don't know.

0:50

If you don't know about an entity, you may not know,

0:53

you know how to identify it.

0:55

So this is where you're improving your fund of knowledge.

0:58

Get smarter. I would say in my experience

1:01

and what I tell the fellows,

1:03

the most valuable time I had in my early academic career

1:07

as an attending was going to multispecialty clinics

1:10

or multispecialty conferences

1:12

and hearing the clinicians talk about patients,

1:15

it's fascinating and it really can help you

1:19

to be a better radiologist as far as

1:21

what you put into the report.

1:22

So whether it's tumor boards or going to pathology

1:25

or multidisciplinary, um, conferences,

1:29

that really is a great way

1:31

of expanding your fund of knowledge.

1:33

And I'll give a little shameless bug if you want

1:36

to expand your fund of knowledge and neuroradiology.

1:39

Here is the fifth edition of the requisites Neuroradiology.

1:44

For example, there was a case that I had read

1:49

and um, I just caught it, you know,

1:51

well it's a routine chronic small vessel

1:53

ischemic white matter change.

1:54

It kinda looked like this.

1:57

And um, I got peer reviewed by, um, my

2:02

brilliant colleague, Francis Dang, who's fund of knowledge,

2:05

even though he's only been out of fellowship for his

2:08

for a few years, is actually much wider than mine.

2:11

He is, he really is very well read.

2:13

And he said, Hey Dave, I think this is

2:17

CSF one R related leukoencephalopathy.

2:20

I said, what, what is that?

2:23

I hadn't even heard of the entity.

2:24

And he sent me the article.

2:26

And of course it looked just like that.

2:28

So this is an example of, you know,

2:31

by expanding your fund of knowledge, you might be able

2:35

to say, Hey, you know, this longitudinal,

2:39

continuous white matter abnormality here in the

2:42

corticospinal tract might not be just chronic small vessel

2:45

ischemic disease from atherosclerotic change,

2:48

but might actually be something else.

2:50

And look, I look on the CT scan

2:51

and I see these little hyperdense areas

2:54

and spotty white matter calcifications on ct.

2:58

Aha, this is CSF one R related leukoencephalopathy,

3:03

expand your knowledge even if you're as experie as me

3:07

and have enough gray hairs to prove it.