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Alexandra J. Golby, MD, Director, Image-guided Neurosurgery at Brigham and Women’s Hospital, discusses technological advancements to improve the precision of surgery to remove brain tumors.

It’s estimated that each year nearly 80,000 people are diagnosed with primary brain tumors and 100,000 with metastatic brain tumors. Nearly everybody is at risk for developing a brain tumor. Brain tumors can affect people from childhood to the last years of their lives. Men are slightly more affected than women and the causes of most brain tumors are not known.

There are a number of unique challenges in treating brain tumors. One challenge is that primary tumors can have indistinct margins that are difficult to see. Another challenge is that the tissue around a brain tumor is uniquely important and may impact things like language, visual and motor function.

The AMIGO Suite, opened in 2011 at Brigham and Women’s Hospital, is the Advanced Multimodality Image Guided Operating Suite. It's an NIH-funded national center which was developed with the goal of translating technological advances into improvements in surgical and interventional care for patients. In the AMIGO Suite, there is an intraoperative MRI scanner which can be brought in and out of the operating room during surgery to help surgeons visualize a patient’s tumor better.

Image-guided surgery uses the information obtained from advanced imaging and translates that into the planning and execution of surgery by acquiring high resolution and specialty structural images of the brain and also functional images of the brain. These images can be registered to one another and then to the patient's head during surgery. This allows surgeons to pinpoint the location of the tumor as well as the areas that we would like to preserve, areas that serve critical brain functions are located.

One of the big challenges, even with image-guided surgery, is that as we perform the surgery, the configuration of the brain is changing, and we call that brain shift. And it's due to changes in the brain itself and also as we remove tissue, things are constantly shifting and moving. When we're talking about doing brain tumor surgery, a few millimeters of movement can be a big difference. How to measure and track brain shift is an important area of research and a number of technologies are being studied to understand how to measure brain shift during surgery.

The development of various intraoperative imaging technologies allows surgeons to provide the most accurate surgical treatment for each individual patient.

Learn more about precision brain surgery at Brigham and Women’s Hospital:
https://www.brighamandwomens.o....rg/neurosurgery/brai

What are the symptoms of spinal meningitis in adults? Causes. The most common cause of viral meningitis is. ... Symptoms. Viral meningitis usually begins with symptoms of a viral infection, such as fever, a general feeling of illness (malaise), cough, muscle aches, vomiting, loss of appetite, and headache. ... Diagnosis. ... Treatment. ... Prognosis.

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#anatomy #histology #biology #bytesizemed

✨If you would like my help studying the structure of bones, check out my long-form video on it.
🔅Structure of Bone : https://youtu.be/MYInVEnnS_I

💫 For more videos like this, subscribe to my channel!
Byte Size Med: https://youtube.com/channel/UC....ZghvlgylH3r_CWfA18eF


📚Factual References & for Further Reading:
- DiFiore's Atlas of Histology
- Junqueira's Basic Histology
- Gartner's Concise Histology
- Openstax Anatomy and Physiology
https://openstax.org/details/b....ooks/anatomy-and-phy
- Openstax Biology
https://openstax.org/details/books/biology-2e
(The last two are links to open-source references. They are NOT affiliate links)

🌤 Note:
These are just a collection of my notes. So use them the way you would use borrowed notes from a friend. 📝
The images in this video are hand-drawn for illustration and explanation only.✍️ Hence, they may not be anatomically accurate. I am just one person making these videos. If there are any errors, that is unintentional. I try super hard to avoid them. Please let me know if you find any, so it gets clarified for other viewers. Science constantly evolves and changes. New discoveries are made everyday. So some of the information in these videos may become outdated. If you notice that, please let me know so I can update them.










⚡️Disclaimer:
These videos are NOT a substitute for a medical textbook. Textbooks are written by experts (which I do not claim to be), edited, proofread and referenced. Please use them.
The information has been sourced from multiple references as mentioned above. I draw all the pictures myself. But if I have inadvertently infringed on any copyright, that is completely unintentional. I only make these videos to impart education. If I have accidentally violated copyright in any way, do let me know so I can make the necessary changes or give credit to anyone who is owed the same.
These videos are NOT intended for patient education. They are NOT a substitute for diagnosis and treatment by a licensed medical professional. Always seek the advice of a qualified health care provider for any questions you may have regarding any medical condition, so that they can address your individual needs.

🔅They are ONLY meant to help students of medicine and health sciences with studying, and should be used for just that purpose and absolutely nothing else.


Byte Size Med. All Rights Reserved.

This video: Sickle cell anemia is an inherited form of anemia which is a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout your body. Normally, your red blood cells are flexible and round, moving easily through your blood vessels. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. These irregularly shaped cells can get stuck in small blood vessels, which can slow or block blood flow and oxygen to parts of the body. There's no cure for most people with sickle cell anemia. However, treatments can relieve pain and help prevent further problems associated with sickle cell anemia.

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Take your left leg and place your ankle against the knee. Hold the position for a moment before changing legs. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve causing pain. Repeat by switching sides and doing the same exercise with the other leg.

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A lot of women come to us, asking about breast enhancement procedures. They come asking for options, about what we can do to increase the size of their breasts, the different options for the service, what are the options most commonly used in breast implant, and are there different types of breast implants available in the market?

There are two ways of increasing the size of the breasts. The first is fat grafting surgery & second is breast implant surgery.

Fat grafting surgery a procedure in which we remove the fat from certain areas of the body where the woman wants to lose fat, and this is fat creates a pad and is grafted to the breast to enhance the size of the breast. This is an excellent technique since you get an autologous tissue to augment their own size of the breast. But the problem with this technique is that you can only increase the size of the breast from half to 1 cup size. Now if a woman desires for the increase in the breast's size from A cup to a C or D cup, then the best option available for them is breast implants.

Now, breast implant surgery is one of the most commonly done surgeries for women across the globe. It's a safe surgery if done properly by an excellent surgeon at a good center. If you are considering breast augmentation surgery, this video is for you because we will discuss a lot of finer nuances in breast augmentation surgeries–especially implant-based surgeries.

So let's start with approaches of breast implant surgery:
There are essentially three approaches in which we can place a breast implant in any female.
Either you can give a trans axillary cut, in which the incision hides in the armpit, you can give a perioral incision, in which the incision is at the border of an areola, or an inframammary incident in which the incision is beneath the breast.

Now, let's know what these approaches are. This is an armpit approach in which we hide the incision or the scar in the axilla. This is a perioral approach, in which the incision is at the edge of the areolar and the normal skin, and this is an inframammary incision, in which we keep the incision beneath the breast. All these options have their own pros and cons.
What I recommend to every patient is to discuss each one of these options with their respective doctors in much more detail and then decide about the best approach or a plan for every individual.

In my practice, the most commonly used infra-mammary incision because this incision is always hidden under the breast and is not visible even if a patient is standing naked. This incision is a much more direct approach to give you a breast implant.

The other approaches also have their own advantages in certain indications.

How do you decide the size of an implant?
Traditionally, every surgeon was using a technique of putting the original sizes of implants inside the woman's bra and asking them to look in the mirror & see and decide what implants they would prefer; what size they would prefer. This has been the technique that has been done everywhere across the globe, but it has its own fallacy because the implant is not going beneath the screen. It is on the skin, under the bra to give you an idea. But this is not very accurate. The surgeon would always assess you for your shoulder weight, for your pelvic weight & will discuss with you what your desired goals are & then decide about the size of the implant.

Now, what are the effects of these techniques on your overall aesthetic result?

Also, it is recommended that one should do this technique if the tissue thickness in the upper pole of a female is less than 2 centimeters because if you put a breast implant in a thin female just behind the breast tissue and the tissue is less, the implant will show & it will look unnatural over the long-term.

Related Videos:
1. How to Prevent Capsular Contracture? | Breast Implant & Augmentation: https://youtu.be/ufP6wJpnTbg
2. Do Breast Implants Increase Cancer Risk?: https://youtu.be/au1hhKp-f3Q


For more details, contact us on +91-9251-711-711 or contact@drrajatgupta.com

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About Dr. Rajat Gupta & RG Aesthetics

With 10 years of experience, brand-certification, and international recognition, Dr. Rajat Gupta solves all your contouring needs. His expertise in liposuction techniques combined with the state-of-the-art technology available at RG Aesthetics ensures we continue providing the most reliable services with incredible, instantaneous results!

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Like any syndrome, fetal alcohol syndrome (FAS) is a group of signs and symptoms that appear together and indicate a certain condition. In the case of FAS, the signs and symptoms are birth defects that result from a woman's use of alcohol during her pregnancy.

The Epley Maneuver for Vertigo can be very effective at relieving vertigo symptoms, but it’s a procedure that should be performed by a physical therapist or other health care professional. This video is for demonstration purposes only. See Doctor Jo’s blog post about the Epley

Examination of the arms

This 81 year old man with severe CAD and CHF was referred for VCE following a negative endoscopic workup for chronic guaiac positive stools. Seen on only three frames, this sequence reveals a single mid small bowel telangectasia, a possible source for his chronic GI blood loss. He has been managed c...onservatively and continues to require intermittent transfusions despite oral iron therapy.

A video showing the examination of femoral hernia.

Left pleura rupture during laparoscopy