Arthrograms with Dr. Sim Hoffman

Dr. Sim Hoffman is a nuclear radiologist who specializes in many imaging techniques to help with diagnosis and treatment. One of these methods is the x-ray arthrogram. This employs the use of a special kind of x-ray machine (fluoroscopy) to take a series of pictures of a joint using a radioactive dye. The use of the dye with the x-ray machine allows him to examine in detail the various structures of a joint in the human body. This can include muscles, tendons, ligaments, cartilage, and joint capsules. The dye is used because these intricate structures are not able to be seen with traditional use of an x-ray machine alone.

Sim Hoffman

Sim Hoffman

This method of diagnosis is most often used when an individual is experiencing pain in the joints. This technique allows a radiologist to examine the soft tissues within the joint. A traditional x-ray will only show bones, leaving much to be questioned regarding joint pain and/or joint damage. Arthrograms are traditionally performed on the following areas of the body:


1.       Hip
2.       Knee
3.       Ankle
4.       Shoulder
5.       Elbow
6.       Wrist
7.       Jaw

An arthrogram can be used in the following ways by a certified radiologist:

1.       Find injuries or other problems within a joint
2.       Locate cysts or other abnormal growths
3.       Monitor a needle when taking a tissue sample from a joint
4.       Monitor a needle when injecting pain treatments

There are a few individuals who should communicate important messages with radiologists like Dr. Sim Hoffman before receiving an arthrogram. These include pregnant women, those with allergies to contrast materials, iodine, or anesthetics, individuals with asthma, people taking blood thinning medications or who have any blood conditions, have a current infection in the joint, and those with diabetes.

Also can read: Sim Hoffman – How to Become a Medical Director


Sim Hoffman – How to Become a Medical Director

Sim Hoffman has been working as a Medical Director at various medical groups around Los Angeles for nearly twenty years. The field of medical management is growing, with an increased need for medical management in hospitals, managed care organizations, long-term care facilities, and other organizations. These types of positions require more than attendance at a medical school, they require specific training to be successful. Here are the steps you need to take to enter into the field of medical management.

Sim Hoffman (14)

1.You need to become a board-certified physician in order to be able to gain the respect of the physicians you manage.

2.Gain the practical knowledge, you need to become a clinician by practicing medicine for three to five years. You don’t need to practice full time, but you do need to have experience dealing with patients, insurance companies, and government regulations.

3.Serve on task forces and committees to gain experience performing management tasks.

4.Take management courses and participate in seminars. This will teach you the basics of management.

5.Improve your communication and listening skills.

6.Get to know people at the hospital and various medical associations. Networking can give you your best chance of landing a job as a Medical Director.

Experienced and competent Medical Directors are in high demand. Whether you are a practicing physician or resident thinking about starting your career as a Medical Director, these easy steps can get you started on the right path. Sim Hoffman is the Managing Director at Advanced Professional Imaging Medical Group in Buena Park, California.

Also can read: Sim Hoffman – Key Considerations for Starting a Private Practice in Radiology

Sim Hoffman – Key Considerations for Starting a Private Practice in Radiology

Every business, even Sim Hoffman’s Advanced Professional Imaging Medical Group, had to start somewhere. Starting up a new radiology practice can be a daunting and complex proposition, but can be successful if done correctly. With the following considerations, you can start your own radiology practice and get things right from the beginning. To ensure that nothing is left to chance here is a detailed checklist you can follow that will guide you through the key tasks of the process.

Before you form your new practice, there are things that you must consider during the pre-assessment stage. You will need to look at the risks and potential target market for your business, the potential volume of the business, and what you will need in terms of staffing. You will then need to find an attorney and a certified public accountant. These members will handle the legal and financial aspects of the formation of the business.

Sim Hoffman

Sim Hoffman

Once you have the governance structure established, there will be a number of decisions that will have to be made regarding every aspect of the operation. During this phase of the start-up, you will have to decide on the structure of your compensation plan, health insurance, a retirement plan, and making sure tax returns are filed before you can start up your business. After these decisions have been decided upon, you have to manage the day-to-day operations of the practice, including billing, getting credentialed through Medicare and Medicaid, create malpractice policies, among other things.

Starting up a new radiology practice is a long and daunting process. As Sim Hoffman knows, you have to stay flexible and maintain the ability to make changes as you go in order to be successful.

Also can read: Sim Hoffman – Understanding CT Myelograms

Sim Hoffman – Understanding CT Myelograms

When physicians need to detect injuries, lesions, or tumors on the spine, they have a radiologist like Sim Hoffman perform a myelogram. This is a type of radiological technique that is used to build up an image of the spinal cord. Due to the mineral content of the spine, it can be extremely tough to find any kind of issue or injury.

Sim Hoffman

The procedure begins with a spinal tap being performed on the lower region of the spine. Once this is completed, the radiologist injects a contrasting dye into the spine. At this point, you may be placed on a rotating table and strapped into place. The table is then rotated, so the patient is upside down for a few moments, before being returned to a normal position. This allows the contrast dye time to spread through the spine. From here, x-rays are taken of the affected area and a blood patch is used to seal the wound made to the spinal column.

This type of procedure may be completed in order to diagnose a variety of different disorders that are related to the spine. If you have numbness in your arms or legs your doctor may request a CT myelogram. It is also used to check for spinal stenosis or a narrowing of the spine. It is also used to determine if you have any tumors or infections along your spinal canal.

While myelograms aren’t used very often these days, it can be a great tool for radiologists like Sim Hoffman to build a three-dimensional, computer generated image of the spine. If you have been experiencing spinal pain, and diagnostic tests like a CT scan or MRI are inconclusive, you may have to undergo a myelogram procedure.

Also can read: Sim Hoffman – Types of Medical Diagnostic Imaging Technologies

Sim Hoffman – Types of Medical Diagnostic Imaging Technologies

Medical diagnostic imaging technologies, like those used by Sim Hoffman at Advanced Professional Imaging Medical Group, create images of the inside of the body as an aid in diagnosing medical conditions and diseases. There are many different kinds of medical imaging technologies that can be used to make a medical diagnosis. Here are some of the most common technologies used to check for abnormalities in the body.

Sim Hoffman

  • X-rays – these are quick and painless and use electromagnetic radiation to create images of the inside of the body. Denser objects, like bones, are highlighted and less dense objects, like fat, appear in shades of gray.
  • CT Scans – a high-powered type of x-ray, this technology can determine if a patient has internal bleeding, broken bones, blood clots, musculoskeletal diseases, heart disease, and arterial blockages.
  • Ultrasounds – this technology uses waves to create an image of the body’s tissues. They are used to examine the progress of a fetus, the heart, kidney, liver, blood vessels, and other internal organs.
  • MRIs – these types of medical diagnostic imaging tools are used to capture images of the brain, heart, spinal cord, blood vessels and other organs. It uses magnet and radio waves to create three-dimensional images.
  • Nuclear scans – these use radioactive substances and a gamma ray camera to capture images from inside the body.

Sim Hoffman and his colleagues at Advanced Professional Imaging Medical Group are all highly experienced and skilled in using these types of medical diagnostic imaging technologies.

Also can read: Sim Hoffman on the Future of Molecular Imaging

Sim Hoffman on the Future of Molecular Imaging

A leading radiology expert in the United States, Sim Hoffman is naturally fascinated by the potential of molecular imaging. In simple terms, the premise of the method is to one day be able to successfully identify local biological processes with the help of medical imaging. The body has an inflammation somewhere that the radiologist wants to see? The doctor wants to understand certain metabolic processes? The answer to these medical conundrums can be molecular imaging.

Sim Hoffman (13)

We Are Not Actually That Far

Molecular imaging is more than a concept. In fact, it is already used in some form, mainly in the oncology field. Pharmaceutical companies are basing some of their medical solutions on this technology. There are ongoing clinical trials that could change the process of imaging evaluation, as we know it.

Cardiovascular Molecular Imaging

What’s available in the field of oncology, is not much more than a mere concept when it comes to cardiovascular imaging. With that said, the metabolic imaging of the myocardium (heart muscle) is already available. It involves the injection of a contrast material that contains glucose into the arteries of the patient. Then the imaging technology shows the glucose uptake of the myocardium. Even some inflammatory processes can be detected that way, but the technology is simply not refined yet to really work as a wide-spread molecular imaging solution.

Fighting the good fight in the last several decades, Sim Hoffman fully understands the impact that a readily available, diverse molecular imaging technology could mean to the field of medicine, and to science in general.

Also can read: Sim Hoffman – A CT or MRI can be Valuable after Specific Concussions


Sim Hoffman – A CT or MRI can be Valuable after Specific Concussions

As an expert radiologist, Sim Hoffman follows the standard protocols. When it comes to concussions, the guidelines usually don’t require CT or MRI imaging, but in certain cases, they are in fact the recommended procedure.

Sim Hoffman

Not all Concussions Were Created Equal

Certain concussions are more problematic than others, in some cases not even producing major symptoms despite their serious nature. Regardless, their identification is only possible through a careful medical evaluation of the case, along with its unique circumstances. Taking a CT or MRI is recommended when some or a combination of the following symptoms occurs:

There are signs that could make the presence of a possible intracranial injury likely

  • Symptoms suddenly worsen
  • Lingering impairment, especially if the symptoms gradually worsen
  • Having difficulties while trying to speak or not remembering one’s language
  • Vision problems
  • Worsening coordination or lacking fine motor skills (the patient is not capable of touching their nose for example)
  • One of the eyelids start to close
  • The patient is having difficulties swallowing
  • The patient is having trouble staying awake or feels drowsy
  • The patient has seizures
  • Persistent symptoms (they should usually go away in a week, or maximum 10 days)

When there is a chance for an intracranial hemorrhage, CT is the way to go, whereas MRI’s are the better choice when the patient needs imaging one or two days after the incident. An experienced radiologist like Sim Hoffman will identify the warning signs early on.

Also can read: Sim Hoffman on Obstetric Ultrasound Scans