JuanMiranda (@themskarchive) profile picture

Musculoskeletal Radiologist. Husband. Obsessive reader. Investor. Python. Grateful to share my daily MSK and Tanzanian activities #radiology #radtwitter #MSKRad

Madrid, Comunidad de Madrid
Joined December 2022
Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)Photo by JuanMiranda (@themskarchive)
25/6/2026. 🧠📄 Visual summary of my recent Scientific Reports paper on AI-based shoulder X-ray classification. 🔗 Full article: nature.com/articles/s41598-0… #Deeplearning #medicalAI #generalization #shoulder #XRAY
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🧠📊 In medical AI, data splitting is critical. A good strategy keeps the test set untouched until the final evaluation and uses stratified cross-validation only within the training set. This helps reduce bias and provides a more reliable estimate of generalization. #MedicalAI
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🧠 Data Generators are key for scalable deep learning with medical images. Instead of loading the full cohort into RAM, they stream mini-batches from disk to the model, enabling efficient CNN training and embedding extraction. 🔗 Code example github.com/mirandabautistaju… #MedicalAI
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16/12/2025🏃‍♂️💥Málaga Marathon (14 Dec 2025) → 1 day later I wanted to see the DOMS, not just feel it. 🧲🦵 Axial FSDP (R thigh): patchy exercise-related edema in VL/VI+adductor magnus+semitendinosus — classic post-endurance micro-trauma, not a tear. #Marathon #MalagaMarathon
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26/11/2025.🖐️37M with central dorsal wrist pain. US-guided arthrography showed immediate contrast passage from RC into the MC joint → intrinsic ligament tear. 📸 CT & MR arthrograms confirmed complete lunotriquetral ligament rupture #MSK #Radiology #SLIL #WristPain #MRI #CT🩻
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19/11/2025. 🦵 55 y/o woman with knee pain. FSPD #MRI, 1 year apart: 📍 Baseline: large osteochondral defect in the lateral aspect of the medial femoral condyle 🔧 Arthroscopic microperforations (microfracture) ✨ Follow-up: defect filled with fibrocartilage-like tissue👀 #MSK
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17/11/2025 – 53 y/o woman with heel pain. Sagittal & axial ankle FSPD MRI: ✅ Insertional plantar fasciopathy 💥 Plantar fat pad edema 💫 Edema deep to FDB + inferior calcaneal process ⚠️ Deep central band fibers disrupted → medium-grade partial tear #Radiology #MSKR #Ankle
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24/10/2025🧗‍♂️ 21-year-old climber with sudden pain + “pop” at the PIP joint of the right middle finger. US (volar, sagittal) shows widening between the volar cortex of P1 and the flexor tendons, with fluid occupying the gap → acute A2 pulley injury—classic in climbers. #MSK🖐️🔍
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21/10/2025.🦵 46F, knee MRI. Coronal & sagittal DP (± fat sat): AVM in Hoffa’s fat pad. 🩸 Serpiginous tubular flow-voids = anomalous arteries 🔎 Perivascular fat signal change → nidus #Radiology #MSK #KneeMRI #AVM #HoffasFatPad #FlowVoid
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20/10/2025. ✅🦴 56F, hip pain. AP pelvis + axial L hip: bilateral coxa vara, bilateral acetabular protrusion (severe L), OA advanced on the left with greater trochanter–superolateral acetabular impingement. #Radiology #XRay #HipPain #CoxaVara #ProtrusioAcetabuli #HipOA #MSK
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9/10/2025. 🟥🦴 What do you see here? (AP pelvis X-ray) Notice the altered trabecular pattern in the right femoral head — with a subtle articular collapse and a well-defined subchondral lytic lesion with sclerotic margins. Any guesses? 👀 #Radiology #MedTwitter
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3/10/2025.🦴⚠️69yo male, h/o bilateral TKA, c/o R knee pain. XR (Right knee): 🟥 Loss of polyethylene + metal-on-metal contact 🟨 Prosthesis loosening 🟩 Capsular distension w/ metallic debris ✅ Left knee: normal ❌ Right knee: advanced metallosis #Metallosis #Radiology #TKA
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2/20/2025🚨 Procedure! 🚨 3-min dorsal radiocarpal & distal radioulnar joint injection ✅ under #fluoroscopy → ready for Arthro-CT & Arthro-MRI. Do you prefer #ultrasound or fluoroscopy for guidance? 🔗 More cases: lnkd.in/dv2VxnDC #Radiology #ArthroMRI #ArthroCT
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1/10/2025. 🤚✅ Successful dorsal radiocarpal & distal radioulnar joint contrast injection in just 3 min under #fluoroscopy — ready for Arthro-CT & Arthro-MRI. 📸 Final X-ray image . #Radiology #MSKImaging #ArthroMRI #ArthroCT #Fluoroscopy
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29/9/2025.🟥 14y boy, h/o distal tibia epiphysiolysis II (7mo ago). MRI shows: Altered physeal/periphyseal signal Edema epi/metaphysis Oval lesion disrupting trilaminar pattern ➡️ Suspicious for physeal bar → risk of growth arrest, deformity, LLD. CT pending for confirmation.
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29/9/2025. 📢 New article available PDF free (until Nov 1st!) 🟧 Ultrasound-guided botulinum toxin: uses & techniques 🆓 👉 Download here: sciencedirect.com/science/ar… #Medicine #Ultrasound #BotulinumToxin #Radiology #Research
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