Francis Deng, MD
@francisdeng.medsky.social
Neuro/head & neck radiologist | Asst Prof at Johns Hopkins | educator, editor, podcaster (AJR Podcast Series on Diagnostic Excellence and Error) | learn and teach something every day #MedEd #MedSky #RadSky #NeuroRad
https://about.me/francis_deng
https://about.me/francis_deng
Pinned
The greatest failure in medicine is to leave a patient undiagnosed, for without understanding, there can be no relief.
#RadSky
#RadSky
Radiology Match data this year: “surpassing one-third female representation in back-to-back years marks a meaningful shift for a field historically dominated by men and foreshadows a more diverse radiology workforce in the coming years” radiologybusiness.com/topics/healt...
Female representation in radiology continues to trend upward, new residency data show
Women accounted for 36.6% of diagnostic radiology applicants this year, up 10.1 percentage points since 2022.
radiologybusiness.com
June 7, 2025 at 11:05 PM
Radiology Match data this year: “surpassing one-third female representation in back-to-back years marks a meaningful shift for a field historically dominated by men and foreshadows a more diverse radiology workforce in the coming years” radiologybusiness.com/topics/healt...
Reposted by Francis Deng, MD
New AJR:
"Overdiagnosis: AJR Podcast Series on Diagnostic Excellence and Error, Episode 12"
By Drs @francisdeng.medsky.social & Jha #HopkinsRad @pennmedicine.bsky.social
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
"Overdiagnosis: AJR Podcast Series on Diagnostic Excellence and Error, Episode 12"
By Drs @francisdeng.medsky.social & Jha #HopkinsRad @pennmedicine.bsky.social
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
May 30, 2025 at 4:05 PM
New AJR:
"Overdiagnosis: AJR Podcast Series on Diagnostic Excellence and Error, Episode 12"
By Drs @francisdeng.medsky.social & Jha #HopkinsRad @pennmedicine.bsky.social
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
"Overdiagnosis: AJR Podcast Series on Diagnostic Excellence and Error, Episode 12"
By Drs @francisdeng.medsky.social & Jha #HopkinsRad @pennmedicine.bsky.social
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
Reposted by Francis Deng, MD
Overdiagnosis is more than a clinical challenge, it’s a societal one. In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, @francisdeng.medsky.social and Saurabh Jha, MD explore where clinical vigilance meets ethical complexity.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
May 28, 2025 at 1:43 PM
Overdiagnosis is more than a clinical challenge, it’s a societal one. In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, @francisdeng.medsky.social and Saurabh Jha, MD explore where clinical vigilance meets ethical complexity.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
Bad news: CTA head and CTA neck will be bundled into one CPT code starting in 2026, which portends a reimbursement cut (it was ~25% when CT abdomen+pelvis were bundled in 2011).
Good news: CT perfusion will have its own category I CPT code separate from CTA head, which may improve reimbursement.
Good news: CT perfusion will have its own category I CPT code separate from CTA head, which may improve reimbursement.
May 7, 2025 at 2:28 PM
Bad news: CTA head and CTA neck will be bundled into one CPT code starting in 2026, which portends a reimbursement cut (it was ~25% when CT abdomen+pelvis were bundled in 2011).
Good news: CT perfusion will have its own category I CPT code separate from CTA head, which may improve reimbursement.
Good news: CT perfusion will have its own category I CPT code separate from CTA head, which may improve reimbursement.
Head and neck radiology case review at 4pm EST today
RadDiscord members can register here us06web.zoom.us/meeting/regi...
Brand new content, 33 MCQs, 30s each, competition style.
My prior reviews here:
youtu.be/9RJr7h9dJVI
youtu.be/bepptfOXV2U
RadDiscord members can register here us06web.zoom.us/meeting/regi...
Brand new content, 33 MCQs, 30s each, competition style.
My prior reviews here:
youtu.be/9RJr7h9dJVI
youtu.be/bepptfOXV2U
May 3, 2025 at 6:38 PM
Head and neck radiology case review at 4pm EST today
RadDiscord members can register here us06web.zoom.us/meeting/regi...
Brand new content, 33 MCQs, 30s each, competition style.
My prior reviews here:
youtu.be/9RJr7h9dJVI
youtu.be/bepptfOXV2U
RadDiscord members can register here us06web.zoom.us/meeting/regi...
Brand new content, 33 MCQs, 30s each, competition style.
My prior reviews here:
youtu.be/9RJr7h9dJVI
youtu.be/bepptfOXV2U
Good news for IMG radiologists: the American Board of Radiology just revised its requirements for the Alternate Pathway to certification to allow doing the 4 years of US-based training/work at TWO, not exclusively one, academic institutions.
www.theabr.org/diagnostic-r...
www.theabr.org/diagnostic-r...
ABR
Alternate Pathway (International Medical Graduates) Last verified on May 1, 2025 On this page Prerequisites and Requirements Application Transfers Exams Board Eligibility Fees Prerequisites and Requ...
www.theabr.org
May 2, 2025 at 11:08 PM
Good news for IMG radiologists: the American Board of Radiology just revised its requirements for the Alternate Pathway to certification to allow doing the 4 years of US-based training/work at TWO, not exclusively one, academic institutions.
www.theabr.org/diagnostic-r...
www.theabr.org/diagnostic-r...
Radiology in #ERAS2026 is changing to separate signals for integrated IR/DR (8 signals) and DR programs (6 gold and 9 silver signals).
I’d advise applicants looking to maximize their chances of matching to apply to both.
youtu.be/plryJQb6-qY?...
I’d advise applicants looking to maximize their chances of matching to apply to both.
youtu.be/plryJQb6-qY?...
April 30, 2025 at 11:59 PM
Radiology in #ERAS2026 is changing to separate signals for integrated IR/DR (8 signals) and DR programs (6 gold and 9 silver signals).
I’d advise applicants looking to maximize their chances of matching to apply to both.
youtu.be/plryJQb6-qY?...
I’d advise applicants looking to maximize their chances of matching to apply to both.
youtu.be/plryJQb6-qY?...
Reposted by Francis Deng, MD
New AJR:
"Diagnostic Uncertainty: AJR Podcast Series on Diagnostic Excellence and Error, Episode 11"
By Drs @francisdeng.medsky.social & Shinagare #Hopkins #Brigham
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
"Diagnostic Uncertainty: AJR Podcast Series on Diagnostic Excellence and Error, Episode 11"
By Drs @francisdeng.medsky.social & Shinagare #Hopkins #Brigham
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
April 30, 2025 at 4:45 PM
New AJR:
"Diagnostic Uncertainty: AJR Podcast Series on Diagnostic Excellence and Error, Episode 11"
By Drs @francisdeng.medsky.social & Shinagare #Hopkins #Brigham
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
"Diagnostic Uncertainty: AJR Podcast Series on Diagnostic Excellence and Error, Episode 11"
By Drs @francisdeng.medsky.social & Shinagare #Hopkins #Brigham
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
Reposted by Francis Deng, MD
In radiology, uncertainty is part of the job—but how it is communicated matters. In the latest episode of the AJR Podcast Series on Diagnostic Excellence and Error, @francisdeng.medsky.social and Atul B. Shinagare, MD discuss the unintended consequences of hedging.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
April 23, 2025 at 6:34 PM
In radiology, uncertainty is part of the job—but how it is communicated matters. In the latest episode of the AJR Podcast Series on Diagnostic Excellence and Error, @francisdeng.medsky.social and Atul B. Shinagare, MD discuss the unintended consequences of hedging.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
Medical specialties differed in the degree to which residencies favored applicants from certain racial, ethnic, or nationality groups in the Match. @jennyxchen.bsky.social @jgmejournal.bsky.social meridian.allenpress.com/jgme/article...
April 22, 2025 at 3:17 AM
Medical specialties differed in the degree to which residencies favored applicants from certain racial, ethnic, or nationality groups in the Match. @jennyxchen.bsky.social @jgmejournal.bsky.social meridian.allenpress.com/jgme/article...
CT utilization is 30% higher today than in 2007 due to growth of low-value ordering. At this rate, CT-induced cancers is modeled to account for 5% of new cancers in the coming decades. jamanetwork.com/journals/jam...
Projected Lifetime Cancer Risks From Current Computed Tomography Imaging
This risk model projects how many future cancers in the United States could result from annual computed tomography examinations.
jamanetwork.com
April 15, 2025 at 9:23 PM
CT utilization is 30% higher today than in 2007 due to growth of low-value ordering. At this rate, CT-induced cancers is modeled to account for 5% of new cancers in the coming decades. jamanetwork.com/journals/jam...
Reposted by Francis Deng, MD
OMG this is even worse than I had imagined
Some exceptional excerpts from the Trump admin letter to Harvard
1/N
Disempower students and untenured faculty
1/N
Disempower students and untenured faculty
April 14, 2025 at 11:37 PM
OMG this is even worse than I had imagined
"No government — regardless of which party is in power — should dictate what private universities can teach, whom they can admit and hire, and which areas of study and inquiry they can pursue"
Harvard is standing up against the Trump administration www.nytimes.com/2025/04/14/u...
Harvard is standing up against the Trump administration www.nytimes.com/2025/04/14/u...
Harvard Will Not Comply With a List of Trump Administration Demands
Federal officials said Harvard must enact “merit-based reform” in hiring and admissions and report international students who broke rules, among other steps. Harvard called the demands unlawful.
www.nytimes.com
April 15, 2025 at 12:05 AM
"No government — regardless of which party is in power — should dictate what private universities can teach, whom they can admit and hire, and which areas of study and inquiry they can pursue"
Harvard is standing up against the Trump administration www.nytimes.com/2025/04/14/u...
Harvard is standing up against the Trump administration www.nytimes.com/2025/04/14/u...
Reposted by Francis Deng, MD
“No law in this country permits Trump to suspend billions from universities simply because he doesn’t like the constitutionally protected speech of their students & faculty,”
- Nikolas Bowie, AAUP-Harvard.
Motion of temporary restraining order here:
- Nikolas Bowie, AAUP-Harvard.
Motion of temporary restraining order here:
actionnetwork.org
April 12, 2025 at 1:42 PM
“No law in this country permits Trump to suspend billions from universities simply because he doesn’t like the constitutionally protected speech of their students & faculty,”
- Nikolas Bowie, AAUP-Harvard.
Motion of temporary restraining order here:
- Nikolas Bowie, AAUP-Harvard.
Motion of temporary restraining order here:
The most unrealistic thing about The Pitt is how much they bully the medical students. Not a chance in 2025.
April 13, 2025 at 3:15 AM
The most unrealistic thing about The Pitt is how much they bully the medical students. Not a chance in 2025.
Med students applying to residency: check out this site for program rankings (from Doximity) and Step 2 averages (from Residency Explorer) in one place residency.admit.org/program-stat...
April 13, 2025 at 1:25 AM
Med students applying to residency: check out this site for program rankings (from Doximity) and Step 2 averages (from Residency Explorer) in one place residency.admit.org/program-stat...
Reposted by Francis Deng, MD
New AJR:
"Artificial Intelligence as a Safety Net: AJR Podcast Series on Diagnostic Excellence and Error, Episode 10"
By Drs @francisdeng.medsky.social & Strong #HopkinsRadiology
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
"Artificial Intelligence as a Safety Net: AJR Podcast Series on Diagnostic Excellence and Error, Episode 10"
By Drs @francisdeng.medsky.social & Strong #HopkinsRadiology
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
April 2, 2025 at 8:06 PM
New AJR:
"Artificial Intelligence as a Safety Net: AJR Podcast Series on Diagnostic Excellence and Error, Episode 10"
By Drs @francisdeng.medsky.social & Strong #HopkinsRadiology
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
"Artificial Intelligence as a Safety Net: AJR Podcast Series on Diagnostic Excellence and Error, Episode 10"
By Drs @francisdeng.medsky.social & Strong #HopkinsRadiology
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
Reposted by Francis Deng, MD
Excited to bring this new product to the market today and to help support the amazing work of radiologists around the world! Vitamin D is so important to us all. Free samples ready to ship: bit.ly/xboost-order @radiopaedia.org 🍍
April 1, 2025 at 4:54 AM
Excited to bring this new product to the market today and to help support the amazing work of radiologists around the world! Vitamin D is so important to us all. Free samples ready to ship: bit.ly/xboost-order @radiopaedia.org 🍍
"Of all imaging, 4% to 26% is estimated as inappropriate..."
huge waste and environmental impact!
www.jacr.org/article/S154... @katehanneman.bsky.social
huge waste and environmental impact!
www.jacr.org/article/S154... @katehanneman.bsky.social
Excess Greenhouse Gas Emissions Associated With Inappropriate Medical Imaging in the US Medicare Part B Population From 2017 to 2021
Medical imaging is a source of greenhouse gas emissions, and inappropriate use results
in low-value, excess imaging. The environmental impact of low-value imaging has not
been quantified.
www.jacr.org
March 31, 2025 at 9:43 PM
"Of all imaging, 4% to 26% is estimated as inappropriate..."
huge waste and environmental impact!
www.jacr.org/article/S154... @katehanneman.bsky.social
huge waste and environmental impact!
www.jacr.org/article/S154... @katehanneman.bsky.social
Why do clinicians hate your radiology report?
1) No conclusion
2) Over-hedges
3) Misses the relevant finding
by Christoph Agten: www.youtube.com/watch?v=DzN6...
1) No conclusion
2) Over-hedges
3) Misses the relevant finding
by Christoph Agten: www.youtube.com/watch?v=DzN6...
Why Clinicians Hate Your Radiology Reports
YouTube video by Dr Christoph Agten
www.youtube.com
March 30, 2025 at 2:55 PM
Why do clinicians hate your radiology report?
1) No conclusion
2) Over-hedges
3) Misses the relevant finding
by Christoph Agten: www.youtube.com/watch?v=DzN6...
1) No conclusion
2) Over-hedges
3) Misses the relevant finding
by Christoph Agten: www.youtube.com/watch?v=DzN6...
Reposted by Francis Deng, MD
Is your AI strategy just a shopping spree? Benjamin Strong, MD warns against the 'hungry shopper' approach to AI adoption in radiology in the latest episode of the AJR Podcast Series on Diagnostic Excellence and Error with @francisdeng.medsky.social.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
March 28, 2025 at 2:21 PM
Is your AI strategy just a shopping spree? Benjamin Strong, MD warns against the 'hungry shopper' approach to AI adoption in radiology in the latest episode of the AJR Podcast Series on Diagnostic Excellence and Error with @francisdeng.medsky.social.
www.ajronline.org/doi/10.2214/...
www.ajronline.org/doi/10.2214/...
Reposted by Francis Deng, MD
It was a privilege to hear @asset25.bsky.social and @francisdeng.medsky.social speak about the future of #radiology #education and #AI at the #AAR25 #BrogdonPanel! Engaging talks challenging the status quo and underscoring challenges to come help us grow as educators!
March 13, 2025 at 7:04 PM
It was a privilege to hear @asset25.bsky.social and @francisdeng.medsky.social speak about the future of #radiology #education and #AI at the #AAR25 #BrogdonPanel! Engaging talks challenging the status quo and underscoring challenges to come help us grow as educators!
At #AAR25 keynote, Desiree Morgan advises us in times of change to keep in view your ‘horizon point’ - who/what you want to be in the future, eg, “an influential radiologist” and what that means
March 12, 2025 at 5:28 PM
At #AAR25 keynote, Desiree Morgan advises us in times of change to keep in view your ‘horizon point’ - who/what you want to be in the future, eg, “an influential radiologist” and what that means
Reposted by Francis Deng, MD
New AJR:
"Follow-Up Recommendations: AJR Podcast Series on Diagnostic Excellence and Error, Episode 9"
By Drs @francisdeng.medsky.social & Kapoor
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
"Follow-Up Recommendations: AJR Podcast Series on Diagnostic Excellence and Error, Episode 9"
By Drs @francisdeng.medsky.social & Kapoor
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
March 3, 2025 at 8:53 PM
New AJR:
"Follow-Up Recommendations: AJR Podcast Series on Diagnostic Excellence and Error, Episode 9"
By Drs @francisdeng.medsky.social & Kapoor
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
"Follow-Up Recommendations: AJR Podcast Series on Diagnostic Excellence and Error, Episode 9"
By Drs @francisdeng.medsky.social & Kapoor
ajronline.org/doi/10.2214/...
@ajrradiology.bsky.social
Reposted by Francis Deng, MD
Why aren’t follow-up imaging recommendations always followed? Neena Kapoor, MD and @francisdeng.medsky.social unpack the challenges and solutions on the latest episode of the AJR Podcast Series on Diagnostic Excellence and Error.
www.ajronline.org/doi/10.2214/AJR.25.32830
www.ajronline.org/doi/10.2214/AJR.25.32830
February 26, 2025 at 3:05 PM
Why aren’t follow-up imaging recommendations always followed? Neena Kapoor, MD and @francisdeng.medsky.social unpack the challenges and solutions on the latest episode of the AJR Podcast Series on Diagnostic Excellence and Error.
www.ajronline.org/doi/10.2214/AJR.25.32830
www.ajronline.org/doi/10.2214/AJR.25.32830