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Posted by ricochet11 16 hours ago

Midjourney Medical(www.midjourney.com)
https://www.midjourney.com/medical

Video: https://x.com/midjourney/status/2067422898407837797

1210 points | 820 comments
jmhmd 5 hours ago|
Some initial thoughts as a practicing radiologist:

- This looks really cool and I hope they keep innovating on this. I love seeing new modalities develop and despite my (many) reservations and criticisms, if even one good use case comes out of it that truly helps people, it's tech money well spent imo.

- They show the reconstructed images as though they are a low resolution CT, and promise that quality will improve as they iterate. This is cool, but ultrasound is not CT. Ultrasound cannot image the lungs, as they are filled with air. You cannot find bone lesions, as the sound waves do not penetrate the cortex. You cannot image many structures in the abdomen if they are surrounded by gas-filled bowel. The brain is encased in bone, so you might get some penetration but it will be very limited. Even with theoretically perfect AI reconstruction, these scans will not be true "full body" in that there will be structures that are not reliably imaged. Imagine paying for weekly full body scans for years, everything looks fine, then its the lung cancer surrounded by air and invisible to ultrasound that kills you (that's why we use CT for lung screening!)

- The images they show are very cool, and do appear to show the correct structures. I realize this is early, but fuzzy shapes of organs is very, very far from medically useful. The whole point of screening is to identify problems early, often by definition, small. This technology looks like it will be best for seeing large, superficial (close to the skin) structures, whereas for effective screening, you want the opposite - small, deep structures.

- "Incidentalomas" or unexpected, probably benign, findings are annoying to physicians, but I in general have no problem with people collecting data on themselves where they can. To me it's similar to heart rate monitors or home blood pressure cuffs. The main issue here is education, so that patients know what the data is and is not telling them. The more complex the data, the more difficult that is.

- Many people mistakenly believe that early diagnosis is the final boss in medicine, that if only we could find every cancer early we could prevent all those deaths. There are, in fact, many, many other hurdles and bottlenecks. Many chronic, expensive diseases do not have clear imaging manifestations. The claim that "it's completely possible that with enough early imaging in the future, the world could avoid 30% of all deaths and 50% of all healthcare costs", I think, to any practicing physician, would sound completely divorced from reality.

ChrisRR 3 hours ago||
I'm not a medical doctor at all, just an engineer who works in medical devices and I'm definitely sceptical about this.

I'm not totally sure of the value of an imaging system that only gives you very low resolution images if they're not accurate enough to determine anything from. You'd need a secondary CT or MRI anyway so why not skip to that?

My real concern is the dependence on external servers to reconstruct the images

Edit: From reading other people's comments, people are acting as if this is the first device trying to sell itself as improving pre-diagnosis imaging and this is totally revolutionary. This is not, and if any of the other products have convinced the entire medical industry that frequent imaging is beneficial then neither will this

smith7018 51 minutes ago||
"why not skip to that?" MRIs and CT scans are expensive, require referrals, and you usually can't get them without believing you already have an issue. If this technology can get to a point where it's high enough resolution, cheap enough to just have at spas, and shared across the world then people will be able to know if/when they should get that secondary scan before symptoms start.
haldujai 18 minutes ago||
Probably cheaper and substantially better contrast resolution to use low field strength perma magnet MRIs with advanced computation to be honest.
haldujai 19 minutes ago|||
> The brain is encased in bone, so you might get some penetration but it will be very limited.

Radiologist as well. Remember this is full wave inversion not pulsed wave B mode. You can get much more useful information from both high low frequency and capture transmitted waves.

There is promise with this and we use it for example with MRgFUS. With advanced computational models or patient specific CT/ZTE MR aberration correction it is theoretically very feasible to image the brain with ultrasound, whether that’s more useful than say portable low field strength MR is a different question altogether.

> This is cool, but ultrasound is not CT.

Not to be pedantic but since this is a tech forum I would clarify that FWI US is computed tomography by definition (at least in this and many applications). Gas degrades conventional CT too, it’s just worse with US as you have little to no forward propagation and of course innumerable interfaces in the lungs to reflect and scatter.

SubiculumCode 50 minutes ago|||
I do a lot of MRI analysis including segmentation of small structures in the hippocampus called the hippocampal subfields. To collect these segmentations, we collect partial-field-of-view high in-plane resolution T2-weighted images on a 3 or 7 Tesla magnet. These sequences are generally only included in research protocols if the research specifically cares about hippocampal subfields...therefore they are rarely collected. There have been attempts to enable segmentation of these small structures using lower resolution T1-weighted scans, leveraging deep-learning or other models trained on concurrent T2w high resolution scans and the lower resolution scans within the same subject, allowing the model to predict the higher resolution information from the lower resolution inputs. This produces spectacularly beautiful segmentation on shitty data. Data whose resolution is about the same as the thickness of the structures you are segmenting or less. The problem is this: 1. The lower resolution image barely has any information in it on these smaller structures 2. The accuracy of the resulting segmentation depends entirely on how much the person fits the training distribution. But much research is on specific populations: children, autism, etc. 3. Some big names in imaging analysis tools have published these tools, lending their credibility to them. 4. The beautiful segmentations and (3) tend to convince non hippocampal experts that the resulting data is trustworthy, especially to an eager beaver researcher trying to maximize the impact of their already collected datasets.

I've rejected a number of papers for this.

But my point is this. Midjourney Medical might train a model to produce pretty images with this technique, but the more they need to depend on deep-learning models to get usable data, the more that the match between the training distribution and patient will matter.

conroydave 5 hours ago|||
this is why i always come to hacker news for the expert opinions. thank you for being critical yet optimistic.
b40d-48b2-979e 4 hours ago||
You don't know if the opinion is expert. You don't know who that person is or what credentials they even have. Blindly trusting something that sounds right is a terrible way to inform yourself.
mrandish 1 hour ago|||
I'd agree more if MidJourney had decided to announce their product plans with a white paper instead of glossy 'product vision' marketing spin and virtually no information as to how they hope to solve the vast technical leaps necessary to convert the transducer chip they licensed from Butterfly's low-cost, handheld, pocket-sized USB ultrasound device into a contactless, 360 degree, 60 second full body scanner.

Given MJ's extraordinary claims and lack of detail, I thought the GP's response was well-calibrated, especially given MJ's unfortunate choice to lean into vaguely implying this has 'medical' utility, despite providing zero evidence (or even plausible theory) their approach could ever have diagnostic value greater than Butterfly's FDA-approved, handheld, full contact USB pocket scanner which is available now and plugs into a mobile phone. They are using 40 of the exact same transducer chip (designed for full contact use) from 200-400 times farther away. You can use the existing full contact Butterfly scanner today and just move it to 40 different angles. It would take a couple minutes longer, provide vastly greater resolution and is proven to have diagnostic value.

arcticfox 4 hours ago||||
Bayes Theorem...the chances this rather milquetoast and balanced analysis was written by someone with no knowledge is vanishingly low IMO.
b40d-48b2-979e 4 hours ago||
With LLM tools being widely available, it's extremely high, imo.
pbhjpbhj 4 hours ago|||
Idea for a website/documentary -- have experts respond to a piece of news, or provide commentary. Put a few expert pieces alongside a few LLM outputs, have people guess/work out which is which. Have the same people tell you why.

If on a website, rank the results; present the 'how I worked it out' info for the best spotters (and you could interview them). Keep the answers secret for a few weeks, then reveal them in a way that the game is still playable.

It's repeatable, every few months you could interview new experts (or the old ones again), get new models.

Kinda like the critical thinking version of images of a pelican on a bike.

mrandish 1 hour ago||
I love your idea and would enjoy seeing the results of that controlled experiment.

I'm also interested in the broader impact of using LLMs in place of web search for general Q&A when we want 'to know things'. It's pretty clear the way LLMs are being used for knowledge acquisition now is often less accurate while 'feeling' more certain. Even if we set aside explicit hallucinations, I suspect it's still less accurate.

jmhmd 3 hours ago|||
Hah, I'm neither a bot nor written with any help from an LLM, but I'll take the fact that you can't tell the difference as a compliment :)
b40d-48b2-979e 3 hours ago||
It's not meant as a slight against you, but an observation on people blindly trusting Internet commenters in a time where our trust is (or should be?) at an all-time low for such content, so we should check our priors to ensure what we're consuming can be trusted and is verifiably true as LLMs exude confidently incorrect behavior.
cscheid 2 hours ago|||
I want to point out that you are posting from a 5-months old account (squarely within a time frame where LLM-powered accounts would be created), with an UUID-sounding username, claiming a 10-year-old professional history in the field, and using those credentials to bring up the possibility that a 14-year-old account claiming to be an MD with `md` in the username and _lots_ of comments is LLM-generated and asking for skepticism.

It's not particularly helpful; you could easily have done the 5 minutes of work.

b40d-48b2-979e 1 hour ago||
Congrats, you've discovered people are always joining an anonymous platform, and some want pseudonymity? If I put "md" in my name, am I suddenly a doctor then? Your reading comprehension needs some work, I've been working for 16 years and it isn't being used as a cudgel to appeal to authority, but sharing some context about who I am and what my perspectives are.
sarchertech 1 hour ago|||
Someone using md in their account name for 14 years is really committing to the bit if they aren’t a doctor.

I went back in their comment history before LLMs existed and found comments where they claim to be a doctor and sound like they know what they are taking about. I’m not a doctor but my wife and many of our friends are, so I know what they sound like.

b40d-48b2-979e 1 hour ago||
I appreciate your feedback, I did not dig through their comment history to make that discovery, but saw someone showing full trust in a random user on an anonymous forum and wanted to encourage more critical behavior.
sarchertech 54 minutes ago||
I get the intention, but you made an assumption that the person you replied to didn’t spend 30 seconds find some more supporting evidence before they made their post.

But as far as trust goes, Hacker News has historically been a fairly high trust community. LLMs have the potential to change this dynamic, but I don’t think encouraging people to assume that every post is an LLM is helpful. I don’t think a community with that level of distrust is possible, and at that point we should just all walk away.

nativeit 1 hour ago|||
The parent comment is demonstrating the exact type of internet savvy critical thinking that you’re ostensibly arguing for, but you seem to be reflexively defensive.
b40d-48b2-979e 1 hour ago||
Making an ad hominem attack on a random poster asking for critical thinking on who to trust and then making false claims is not "internet savvy critical thinking" since they can't string two thoughts together coherently (a bio blurb vs. an appeal to authority in a random comment).
jmhmd 2 hours ago|||
Not taken negatively, and you're right. This is even more difficult with things that are opinion, and not clearly verifiable.
sgustard 1 hour ago||||
"Blindly trusting" is not the same as "learning some new questions to ask about the validity of the given claims". The Midjourney announcement is not providing detailed medical credentials either.
dominotw 3 hours ago||||
they have md in the username
moralestapia 4 hours ago|||
True.

https://en.wikipedia.org/wiki/On_the_Internet,_nobody_knows_...

FriedPickles 3 hours ago|||
> ultrasound is not CT

They're using "CT" in its literal sense: tomography*, using computers. In this case, ultrasound is the penetrating wave rather than x-ray. It is of course a very different thing than what the medical world knows as "CT" today.

*https://en.wikipedia.org/wiki/Tomography

aghilmort 1 hour ago||
we can do tomography on any round-robin-rectify multi-pov source, doesn't have to be x-ray is just de facto use in medicine, closer to at min marketing ed problem
iandanforth 4 hours ago|||
Not a physician. Some observations on these statements.

The predicate is "given how we practice medicine and the limits of humans ability to interpret the imaging modalities we have."

The more specific predicate is "for my specialty would this replace or prove superior to the tools that I have?"

Both of these are totally reasonable, however the history of medicine, and science in general, is that creating new ways to look at things has a tendency to reveal information that we never knew we needed.

For example, for years I thought of blood sugar as something that was either in a good or bad range. Then I tried a continuous blood sugar monitor. The full picture of the body's response to specific foods that I ate was eye opening. There's so much more to learn when you get a higher resolution (temporal in that case) view into your body.

Another wonderfully hopeful example is the retinal imaging ML work done by google. A completely non-invasive image of the retina for diabetic issues, that also happened to be able to predict things like age, sex, smoking status, previous cardiac events and more! Just take high-res pictures of things! The body is interconnected in ways that you can infer from one system so much about others.

So while I don't think anything the Dr. said is "wrong", I think it represents a very common blinkered mindset of pragmatic practitioners who need to deliver reliable performance daily.

mrandish 4 minutes ago|||
It's true that sometimes deeply experienced professionals are less likely to discover or accept novel methods based on new approaches or technologies. Unfortunately, in this case MJ's proposed product is being deceptively presented to appear as if it's the kind of bold new approach we all hope to see in medicine - but it's not. It's a repackaging of an existing product that's already on the market.

MJ is buying the transducer chips used in Butterfly's low-cost, handheld, pocket-sized USB ultrasound device (it's not an R&D license, they're literally buying the same chip). The repackaging is to turn it into a contactless, 360 degree-at-once, 60 second full body scanner. Every aspect of the repackaging provides the same singular benefit over the Butterfly device: convenience. Unfortunately, every aspect of the repackaging has the same two downsides: lower resolution (meaning lower diagnostic value) and higher cost.

Spoiler alert: moving the imaging transducers 200-400 times farther away from your organs and introducing a large volume of water between the transducer and your skin in no way improves resolution or diagnostic value (quite the opposite (exponentially!)). Having 40 transducers on a hula hoop ring that far away offers no value over having one transducer much closer and moving to as many angles as necessary to image the volume of interest - except it might be a few minutes faster.

So, this isn't an "exciting new approach to medical imaging." It's a marketing repackage of an existing medical product into a non-medical, higher-cost, 'spa experience' with trendy, tech-adjacent appeal and vaguely medical-ish window dressing (it's carefully disclaimed has having no medical value in this form). Since the exact same chip is already available in a much less expensive, far more ideal form that's fully repositionable to any angle, is closer (and can deform skin to get closer still), the real question is how much medically-relevant diagnostic value could MJ's repackage of the same chip offer over the existing better, cheaper implementation? Butterfly's version is already FDA approved with proven diagnostic value. And all of MJ's hype around 'AI-powered' isn't about improving diagnostics, it's only necessary to recover at least some signal from the hurricane of noise and multi-path issues created by the adding MJ's cool-looking convenience features. But slowly being lowered into that tank with the neat ambient light ring sure looks sci-fi, right?

jmhmd 3 hours ago||||
Your points are well taken, and I think this is the fundamental struggle of anyone who works in a narrow and deep field. It's truly difficult to see things from a different point of view sometimes. It certainly could turn out that this ultrasound setup gives truly new information, but, it isn't really a new way of generating an image, it's the same physics we've used to generate images from sound waves for decades, and that modality comes with some pretty hard physical limitations that this demo does not directly address. Time will tell, if they don't run out of money. I'm hopeful!
dominotw 3 hours ago|||
> The full picture of the body's response to specific foods that I ate was eye opening.

you were surprised to find out that stress and carbs raise blood sugar?

lanstin 1 hour ago||
I'm doing this now, and the thing I find most surprising is that there seems to be some invisible persistent state that gives high or low sugar a sort of momentum - so if I've been doing a fair amount of physical activity for a month, I can lay slugabed for two days and still drive to have a slice of pizza in the afternoon without trouble; but if I've been slacking on the activity piece, or arguing with my spouse, or travelling and eating a lot of dubious things, I can walk five kms to a pizza place, eat the slice, walk the 5 kms back, and it will still spike. Also I have issues with the CGM being higher than the prick-blood test, like 40 points higher rather consistently. A1C is still dropping, but the CGM numbers are more directionally accurate than numerically accurate.
omnivore 3 hours ago|||
I'm far more willing to trust someone in the field every day (you), over keyboard warriors who want to validate their new toy is alive.
iaw 2 hours ago|||
I have a friend who may be dying. It's not cancer but equally dangerous. They caught it early but they're powerless to do anything. We're just watching, waiting, and hoping.
VikingCoder 4 hours ago|||
They spent a lot of time selling the spa, and not a lot of time showing us the data.
jmhmd 3 hours ago||
That's because there isn't any data yet, at least not enough from real patients to be meaningful. I would love to see some of the raw imaging data they have generated though, if that's what you mean.
mrandish 1 hour ago|||
> I would love to see some of the raw imaging data

Just look at images from the Butterfly IQ3 handheld ultrasound device which has been on the market a while (https://www.butterflynetwork.com/iq3). Midjourney is repackaging 40 of the exact same chip around a big, non-contact ring. Since MJ is placing the devices 200 to 400 times farther away from your organs and sending sound waves through a large volume of water before contacting your skin (instead of a thin smear of gel) the images will be much lower fidelity.

jmhmd 46 minutes ago||
Given that current ultrasound probe technology (including butterfly) relies on the probe being essentially in contact with the tissue being imaged, it’s hard to imagine how this set up can be effective with the imaged volume so far from the transducers, since there will be a huge amount of dissipation in the water bath, but maybe they have found a way to solve that? Also, I imagine that the quality of the images, such as they are, will fall off very quickly in larger patients. Will be interesting to see.
trogdor 2 hours ago|||
There also isn’t a spa yet.
vmg12 4 hours ago|||
> "Incidentalomas" or unexpected, probably benign, findings are annoying to physicians

For a lot of these things I wonder why they don't just do multiple scans just to see how things develop. Is it a cost issue?

jmhmd 4 hours ago|||
That's generally exactly what we do, which if we need to follow 2x or 10x incidental lesions in the population, leads to cost and availability problems. A lymphoma patient in remission needs follow up scans too, and I don't want them to have to wait 3 months because thousands of people are now following up their benign adrenal adenomas.
zdw 2 hours ago||
If you could dramatically reduce cost and improve availability, would this still be a problem?

What's the limiting factor that prevents medical imaging from getting cheaper and more available?

jmhmd 36 minutes ago|||
The machines are expensive (millions range per MRI scanner), staffing the machines nearly around the clock with highly educated technologists, repair/maintenance of expensive specialized machinery, radiologists to read each scan (esp with a current shortage), means it’s very expensive to set up and run an imaging center. Opening and owning an imaging center used to be seen as fairly lucrative. and many radiology private practices did just that, however, the economics have changed over the years with dropping reimbursements, staffing shortages, etc and now often these imaging centers are seen as a liability rather than an asset.
stalfie 50 minutes ago|||
Excluding the cost of X-ray/CT/MRI machines, operating them, getting people to them and through them, sometimes injecting contrast, and sometimes dealing with side effects of said contrast, radiologists, I think. You can scale all of the above except interpretation. AI is the natural next thought for how to scale that part, but it's been thought that this would happen any moment for over a decade.
joshgel 4 hours ago||||
This is definitely a part of standard follow up for small findings and part of the guidance for incidentally detected lung nodules smaller than <8mm.

I think mammography is a great example. Many people are quite surprised to hear that the Positive Predictive Value of a screening mammography is only in 10-15% range. This despite mammography being a pretty sensitive test. This is because despite good test performance characteristics, applied across a large population of relatively health people, the 2-5% false positive rate is a large number of people.

queuebert 3 hours ago||||
Statistically overdetection leads to poorer outcomes because interventions have a risk as well. That's why everyone doesn't get a yearly full body CT scan, for example. The current guidelines are based on optimizing for maximum good, and believe it or not some things are best not known about because the risk of dying from it is about the same as the risk of the treatment.
paduc 4 hours ago||||
Because people discovering "Incidentalomas" will be too freaked out to wait "just to see how things develop".
fridder 4 hours ago|||
Cost, time, and for things like CT's, trying to limit your radiation exposure
nixie 5 hours ago||
Couldn't have said it better.
tmhrtly 7 hours ago||
> You want as much data as you can get about your health as quickly and as cheaply as possible. In other words, you want a technology optimized for getting as many “megabytes per second per dollar” of information about your body.

This is so far from my vision of what I want from healthcare. I want a healthcare system that is optimised around A) proactively keeping me healthy, and B) reactively helping get back to healthy when I am not. I do not care about the amount of megabytes of data I have about my body.

moduspol 6 hours ago||
The way we figure out how to catch issues before you notice them (i.e. proactively keeping you healthy) and figure out the best ways to fix them (i.e. reactively helping you get back to healthy) is by having more data from more people in more situations, so we can make those determinations.

I understand some of the current fatigue around biohacking and chasing perhaps-irrelevant metrics, but takes like this surprise me. Do you think people said the same kind of things before the blood pressure cuff became widely available? Or heart rate monitors? Or bathroom scales?

Do we just want to walk around with blinders on because we think we feel OK right now? More data is the only way to get better at this stuff.

nancyminusone 5 hours ago|||
I can easily and cheaply generate nore megabytes per second per dollar by oversampling a heart rate monitor at hundreds of megahertz. Hell, why not hook up a second channel to the same signal and record it twice for double the megabytes?

Do you see the problem here? "yeah, but nobody's doing that" Well, then it certainly is odd of them to frame it tgat way, isn't it?

sbarre 5 hours ago|||
I think you (and others) are getting caught up in your own worse-case interpretation of the words of that statement, instead of looking at the intent of it.

It is perhaps not the best wording but I think it's pretty easy to take that "megabytes per second per dollar" statement and choose to interpret it less poorly, and more like "having better, cheaper and more abundant useful data about yourself and your health".

nancyminusone 5 hours ago|||
I'm sorry, I do not take implied statements lightly in regards to medical.
CooCooCaCha 5 hours ago||
The only relevant implication is the word “useful”. Clearly we want useful data, that’s obvious.
malfist 4 hours ago||
There is no indication that the data being sampled by midjourney is useful.
CooCooCaCha 4 hours ago||
The root level comment is talking about their general vision of healthcare. We’re talking about ideal goals here.

Whether midjourney helps with those goals or not is a related, but different conversation thread.

ForgotIdAgain 5 hours ago||||
The massive data gathering part should only be part of the learning phase of the system imo, once it get a good model of reality it should infer useful knowledge information from few data, like an expert.
airstrike 5 hours ago||||
Hard to say it's actually more useful data
tempfile 5 hours ago|||
Huh? You don't have to come up with an interpretation. The brief says it "looks a lot like today's MRIs but at nearly a hundred times the speed". They don't explain why having a hundred times as many MRI images would lead to better diagnostic outcomes. It is not like ultrasound scanning is a new idea, and they don't give any particular reason why this suggestion was not used before (other than "...data?")
atonse 3 hours ago||
It's not just about better diagnostic outcomes. Currently MRIs are a horrible, claustrophobic experience, and MRI machines are so insanely expensive that it is a bigger deal just to prescribe one.

So even if it is only as good as an MRI, or even 80% as good as an MRI, if it is much cheaper and much more pleasant to go through, you will get MORE people doing it, and get it prescribed in more situations.

That's at least how I read the benefits, democratization of imaging techniques rather than just improvement.

cptaj 5 hours ago||||
That is absolutely not what they meant. Do you really, honestly think they're that stupid?
LastTrain 5 hours ago|||
I think they think we are that stupid.
nancyminusone 5 hours ago|||
No I don't. So why say it?
moduspol 4 hours ago||||
I think if we already had everyone wearing commercially available continuous glucose monitors and gathered and analyzed that data, we'd already have diagnosed and solved a lot of our most common health problems.

Obviously not all data is useful or meaningful, but even with the tech we already have, there's a ton of it that we're just not collecting or using.

40four 5 hours ago|||
This is a bit of a contrived example. The “megabytes per second per dollar” is clearly in reference to their scanner technology that the say generates terabytes worth of data, with the goal of a scan taking around 60 seconds. So I’m confused about exactly what your point is?

That’s a lot of data really fast, so if you want this 3D scan of your body, yes, you do want as much data as fast as possible. 60 seconds sounds great compared to an MRI that’s going to take 15 minutes minimum & up to an hour or more.

If you don’t want then scan then carry on as usual.

randomfrogs 56 minutes ago|||
The problem is that it's not clear how useful those terabytes of information are. Ultrasound is very good for certain types of imaging, but the contrast mechanisms available are very limited - super high resolution images of uniform intensity aren't useful. An imaging method isn't useful if it doesn't help you discriminate what you want to see from what you don't. The reason MR is so useful is that it has so many contrasts available (T1, T2, proton density, flow speed, diffusion coefficient, diffusion direction, chemical composition, tissue elasticity, BOLD activation, and many other more esoteric ones). In an hour long scan, even with rapid acquisitions, you usually only get a few gigabytes of data, but that data has a LOT of information about your tissue - that's the reason the scanner keeps starting and stopping and making different noises, it's taking MANY different types of images with complementary information.
abustamam 4 hours ago||||
I once did IT support and I had a client who installed some malware that basically filled up his hard drive with nonsense. That was a lot of data really fast.

I think the point many commenters are making is that yes, lots of data IS necessary to do this scan effectively and quickly, it's not the only heuristic, and it's a bit misleading to compare it to the speed of an MRI given that this does not produce the same data as an MRI.

jmye 4 hours ago|||
> That’s a lot of data really fast, so if you want this 3D scan of your body, yes, you do want as much data as fast as possible. 60 seconds sounds great compared to an MRI that’s going to take 15 minutes minimum & up to an hour or more.

This is deeply silly and nonsensical framing. You don't want "lots of data really fast", you want high-quality, diagnostically useful data. If the fastest way to generate that is via 15-minute MRIs, then that is vastly more ideal than a bullshit scan that takes seconds.

nlkkjhlkjsd 6 hours ago||||
I've been reading this website on and off for years now, and I remember one time I read that a silicon valley startup was selling a "smart cup" that would send you detailed statistics of how much water you drank (assuming you used your smart cup for every drink throughout the day). I suspect if I pitched this to doctors, they would say just drink when your thirsty; you don't need all that data.

But that's not the point, right? The cup cost way more than your average cup. There's a certain type of person who will spare no expense on gadgets and supplements that promise "wellness," and it doesn't matter if it actually produces results or not. Ray Kurzweil supposedly takes dozens of vitamin pills a day, and I imagine the end result is expensive piss, but guys like that will pay anything for the fantasy that they could live forever.

I'm not a doctor, so I can't say if this midjourney stuff has actual value. But considering they first plan to deliver this in a fancy spa, and that it's coming from a tech company, not pharma, my reflex is to question the medical value of this data. It just smells too much like one of those pricey, dubious wellness products, and a lot of us here are the ideal marks for such a scam.

pigpop 3 hours ago|||
It's funny because these criticisms are similar to the ones that Raymond Damadian faced when he was trying to develop the MRI. He was criticized for just being a doctor and not an NMR specialist, criticized for making bold claims based on the crude initial images that he presented, criticized for being too exuberant about the potential of the technology, criticized for only having a small group of non-expert graduate students and his own self-taught electronics and machining knowledge. He eventually founded his own company to commercialize the technology and even then he fought an uphill battle for 8 more years.
stalfie 46 minutes ago||
The criticism is also similar to those faced by Theranos. Survivorship bias is always a factor when looking backwards.
moduspol 4 hours ago||||
I think the only way you figure out which data has value is by collecting it first. And I don't trust pharma any more than I trust tech.

I'm 100% OK with health-conscious yuppies that have too much disposable income being the guinea pigs paying for this until if/when it demonstrates medical value.

zephyreon 5 hours ago|||
> But considering they first plan to deliver this in a fancy spa, and that it's coming from a tech company, not pharma, my reflex is to question the medical value of this data.

I would be remiss if I didn’t point out that the entire pharma industry is not exactly known for their motivation to research and develop therapies for the betterment of humanity. Case in point, the opioid crisis, wherein pharma’s goal was to just sell as much of the drugs as possible without regard for the impact those drugs were having on the people taking them.

I’m not saying this to defend tech — they’re guilty of the same things. I am saying this to suggest that if this play by Midjourney to reject VC funding and really lean into a community supported research lab works then you might end up with something closer to an altruistic approach than you would have otherwise.

christina97 5 hours ago||||
GP is saying that the goal should be something entirely different from gathering lots of data.

Do you think the average person wants a higher resolution time series of their weight, or better access to a higher quality doctor, cheaper?

moduspol 4 hours ago|||
I think in a more sane universe, we'd be 50-100 years further along into medicine today just by gathering and analyzing more data with the technology we already have. And all doctors would be able to make better decisions.
forshaper 4 hours ago|||
In a more sane universe, we'd have been further along simply standardizing & centralizing patient records for providers, figuring out base rates, and communicating those base rates to providers.
jmye 4 hours ago|||
> I think in a more sane universe, we'd be 50-100 years further along into medicine today just by gathering and analyzing more data with the technology we already have.

What on earth do you think that load of garble means? "50-100 years further along" is absurd.

Why do you think "more data" is necessarily meaningful, in a health context?

moregrist 4 hours ago|||
Claiming “50-100 years” is a misleading and hand-waving way of saying “futuristic.”

It tries to get you to imagine that advances in the last 50-100 years will project linearly into advances in the next 50-100 years.

This is not generally the way that science and medicine work. Even if you add in gobs of questionable data collected by companies with a bad track record of doing right by it.

They’re essentially trying to get you to believe that AI + your data will give you the kind of step change in medicine that we got from penicillin and X-rays/MRI/CT imaging. It’s a cheap rhetorical trick.

moduspol 4 hours ago|||
> What on earth do you think that load of garble means? "50-100 years further along" is absurd.

It seems straightforward. Imagine where medical care was 50-100 years ago, and then imagine they had all the data, resources, and practices we have today. In that case, they would have been 50-100 years further ahead than they were.

> Why do you think "more data" is necessarily meaningful, in a health context?

I think the only way to find out what data is meaningful is to collect and analyze more of it. That does not imply that all data is equally worth collecting.

aerodexis 3 hours ago||
> I think the only way to find out what data is meaningful is to collect and analyze more of it

So the idea is to just muck around with data, then ???, then make people healthier? To a hammer, every problem looks like a nail I suppose.

I don't work in healthcare, but it seems to me that the main problems in the field are:

1) a focus on addressing symptoms, not causes 2) pathologization of normal processes 3) normalization of pathological processes 4) financialization of care + doctor evaluations 5) regulatory capture by care providers

1, 2 and 3 are inherently philosophical problems, and there's no amount of data that you can toss at these problems to solve them. Thinking that data can solve these problems is itself part of the problem.

All I want is an AI that can take in basic information about my demographics, lifestyle, family history, religious beliefs, symptoms and vital signs - and then provide me information on tests I should run and drugs I should take - and then most importantly : tell me how to obtain those tests and drugs without ever dealing with some doctor who's 200k in debt from medical school and needs to appease their administrator by recommending x-many surgical procedures a quarter.

The incentives are bad - not the data or lack thereof.

andai 5 hours ago|||
The synthetic doctor is raised on megabytes.

(They need to be high quality megabytes, of course!)

cseleborg 4 hours ago||||
It's not about being against technology. It's that we know the simple rules that will keep us healthy most of the time, and they don't need any technology at all. Eat healthy meals. Exercise. Get enough sleep. Get enough rest. Don't smoke. Don't drink alcohol. Don't do drugs. Spend enough time with people. Serve others. Spend time outside.

Midjourney Medical looks amazingly cool. But it, and megabytes of data, is not what we really need.

moduspol 4 hours ago||
We only learned how to do a lot of those things because we gathered and analyzed data to find out how best to do them! "Eat healthy meals" means something completely different today than 10, 20, or 50 years ago. How you exercise matters a lot. Smoking wasn't always considered unhealthy, nor was drinking. These "simple rules" and what they actually mean have been refined quite a bit.

You figure out this stuff by gathering and analyzing data. Whether or not this specific implementation will result in more meaningful actionable steps, I guess we'll see.

cseleborg 3 hours ago|||
True, we conducted science, part of which involved gathering and analysing data, to refine those "simple rules", though I'd say they've been pretty stable for a long time.

Both our unhealthy habits, and the "simple rules" to keep us healthy, have been around for decades. Building devices that give us gigabytes of data won't change anything. Dr Peter Attia makes a compelling argument in his book "Outlive" that science, as it is structured now, has achieved miracles when it comes to injuries and infectious diseases, but has been more or less powerless, for entirely systemic reasons, to do anything about neurodegenerative and cardiovascular diseases or against cancer and diabetes. His book is well worth reading to understand his argument--but the gist of it is that those require lifestyle changes.

pigpop 3 hours ago|||
Exactly, if they do reach their goal of deploying tens of thousands of these machines allowing everyone to scan their body frequently and cheaply then even if there are limitations to this technology it will still provide a massive amount of longitudinal data about the human body and the impacts of lifestyle, age, pharmaceutical effects, etc.

The person you replied to mentioned diet and exercise, that seems like an area that would benefit directly from this type of scan. Being able to track the effect on body composition in a highly accurate way where we know exactly how much muscle and fat are gained or lost and where that's happening could tell us a lot about not only the effect on the "average person" but for each individual. I'm sure there are many other less obvious things that could be tracked using this technology.

mawadev 5 hours ago||||
I hope it doesn't proactively Xray me 5 times a day
MichaelZuo 5 hours ago|||
That is a good point. There’s no point arguing about how well the map correlates with the territory… if the map isn’t even in your hands yet.
sobiolite 7 hours ago|||
Aren't they serving the same thing? Proactively and reactively keeping you healthy requires understanding your body, both the baseline of how it functions when you're healthy, and how it functions when you're not.

Right now we're often in a situation where the only data you have is expensive tests ran when you're sick enough to justify them, when it may already be too late.

logravia 6 hours ago|||
False positives are the primary issue. False positives lead to stress, invasive diagnostic procedures and wasted medical resources. Look into the debate about what is the appropriate age for mammographies and how Apple Watches have resulted in overdiagnosis of heart conditions.

For data to be useful we need rigorous medical science. We have shitton of worthless medical data with little science behind it.

jappgar 7 hours ago||||
Today only I'll sell you 6GB of data for 6000USD its a steal. Buy now.
jermaustin1 6 hours ago||||
> Right now we're often in a situation where the only data you have is expensive tests ran when you're sick enough to justify them, when it may already be too late.

In the USA, an annual physical includes a good deal of blood tests covered 100% by ACA-compliant insurance plans. The problem is most people don't do it.

As a person with a few chronic conditions, I'm getting bloodwork done every few months at the cost to me of $5/mo (heavily discounted by my insurer's portion of the payment).

What I have found is people who complain about the cost of the tests either don't have insurance (with many excuses for that: I'm too healthy, I can't afford it, doctors are for sick people, etc.) or don't go to the doctor, even though they pay a healthy percentage of their income for the privilege.

Health Insurance is too expensive to not use it. Get every bit of free benefit out of your insurer as you can (gym memberships, annual physicals, drug/alcohol counselling, lots of screenings and vaccines, etc), and if they are going to charge you and/or your employer to the tune of $2000/mo, fucking use it!

wl 5 hours ago||
Even those annual blood tests can be problematic.

When I first started getting annual blood tests there were two values in particular that were consistently elevated. A bunch more tests and some specialist visits later the explanation was that I have a harmless genetic mutation that just causes those values to be high.

A few years back I had some different values pop high. They implied scary things. More specialist visits than before. A lot more tests. After months of that all of the scary things were eventually ruled out. And then the values went back to normal. Nobody has an explanation even now.

This is just with a pretty standard battery of tests: CBC with differential, comprehensive metabolic panel, lipid panel, TSH with reflex, vitamin D. They catch enough bad things that they're generally worth ordering on a regular basis for healthy people at annual physicals. The occasional wild goose chases like what happened with me is the price we pay for catching the more serious things.

I guess we'll see just how valuable monthly whole body ultrasounds are. There's a real risk that it will catch a lot of benign things without catching enough serious things.

jermaustin1 4 hours ago||
I have 2 autoimmune disorders/diseases, and I have spent the last 2 decades managing them. One of them (thyroid) is relatively easy, take my synthetic thyroid hormones ever day, and check my levels every 3 months to make sure I'm still good. The other is symptom management, which is less consistent, and a flair up from one causes the other to flair as well. And flairs are particularly hard to handle and function well.

> I guess we'll see just how valuable monthly whole body ultrasounds are. There's a real risk that it will catch a lot of benign things without catching enough serious things.

I'm all for blood tests, I'm 1000% against everyone getting ultrasounds regularly. I have done them a few times for specific cases, and every time they have found something that looked absolutely terrifying, that turned out to be benign. And the time between ultrasound and biopsy is weeks sometimes, which is even more terrifying while you sit there wondering if you are dying.

ineedasername 5 hours ago|||
How do you keep robustly pro active without data? Of course megabytes of data isn't a direct measure of health. That also isn't what medjourney is proposing be the metric. They didn't say "doctors will review the storage requirements of your available data and be able to tell you...". It's a straw man. Comprehensive imaging isn't a full insight into health. Neither are many questions in a medical history. But accurate and easy to obtain medical imaging is certainly a strong addition. Neither are complete, both are extremely useful and important. It's defense in depth. Included in an annual physical, imaging from even existing methods would have saved the lives of more than one family member who died of cancer gone undetected despite following existing best practices for preventative health. It's also impractical and expensive, though cheaper than years before. Faster cheaper and more accurate seem better still when it will be an additional channel of information.
jon-wood 7 hours ago|||
Yeah, I want something which is optimized for getting me actionable and more importantly accurate information, preferably without flagging every outlier as the harbinger of a disease that'll kill me within the next six weeks.
noduerme 6 hours ago||
Okay, you're worried about too much data and false positives, but that's a problem you can get around by smoking a pack a day and not going to the doctor. The vast majority of people on the planet have exactly zero hard data on their ailments, and even if they spend their life savings trying to get a clear picture they may never have one.

Could this much potentially frivolous data unlocked for semi-literate worriers and conspiracy theorists lead to whole subreddits full of people freaking out about questionably meaningful physiological aberrations? Definitely. But that's just a variation of "a little knowledge is a dangerous thing," and I believe we crossed that threshold as a society some time ago. So bring on the terabytes and let's see what we can do with them.

santiagobasulto 6 hours ago|||
The fact that you're not naming any cost related variable reflects your own current personal situation (privileged, I'd assume). But this is NOT the situation for most people in the world.

Don't get me wrong, I'm also privileged. I can pay for pretty much any type of medical intervention that I'd need. So my variables are usually "comfort", "speed", "convenience", etc. But I know that this is NOT the most common scenario for everybody.

monkeydust 6 hours ago|||
If you ask people to rank say 5 things from top to bottom where the first thing at the top is what they are least cost conscious about and the one at bottom is what they are most - I would bet health would at the top slot for most of us. So relatively we would spend (whatever we have) on our health versus other things if we had conviction on the outcome.
jordanb 6 hours ago||
"I want to be able to walk without pain but if it's gonna be expensive forget it!"
estearum 5 hours ago|||
The best thing you can do for low cost is 1) eat better food and 2) move more

"More data" is quite literally irrelevant.

jmye 4 hours ago||
People don't do anything with the data they already have, to your point.

Stand on a scale at the same time of day, every day. Track your intake. Track your output. See your PCP for your free AWV-equivalent, and keep an eye on your metrics.

But no, we need GB of scanner outputs because some medically-illiterate (but still the smartest-guy-in-the-room) techbros want them for... reasons.

mr_mitm 7 hours ago|||
After an injury, you may want to get an MRI to help you recover and determine best course of action. If an MRI cost a million dollars, or a single MRI scan took an entire day (which means every machine within driving distance will be booked years in advance or will be reserved for only the most critical cases), you won't benefit from an MRI image.

"Megabytes per second per dollar" may not be the optimal way to phrase this, but cost and efficiency are a real concern.

MadrasThorn 5 hours ago|||
> A) proactively keeping me healthy, and B) reactively helping get back to healthy when I am not

You want technology to train you how to avoid environmental factors and then give you treatment?

we're still very far away from eliminating humans in the loop from medicine.

mawadev 5 hours ago|||
I want to give my money to actual individual doctors who studied this for a decade, have the work and life experience to make informed judgements and decisions to reason about my health. I dont want to pay a company to digitize my body and then sell the data back to me
rvrs 7 hours ago|||
>A) proactively keeping me healthy,

This will never happen and arguably should not be the *medical* system's problem. It is just not feasible

hombre_fatal 6 hours ago|||
To get a blood panel (cholesterol, liver enzymes, hemoglobin A1c, etc) I need to see my PCP who will order those tests from a testing facility. Else my insurance won’t cover it. And I have to schedule a whole visit and pay the copay for the privilege.

Being able to get free tests every 6 months directly from the facility would be an example of a feasibly proactive measure the system could do for us.

Maybe you’re only thinking of a system that will somehow get people to eat healthy and exercise?

AbsurdCensor 6 hours ago||||
I thought this was the main goal of things like preventative medicine. Earlier testing, and more frequent testing allows you to catch things while you still 'feel healthy' so they do not become a chronic problem in the long term. Simple things like tracking weight, blood pressure over time. Add in things like colonoscopies, breast exams, I would say most medicine should be preventative, ie keeping you healthy, rather than reactive, of just trying to try you when you are ill.
michaelscott 6 hours ago|||
This happens in a number of medical systems of countries across the world and is perfectly feasible, usually through premium subsidies for stuff like planned check ups, buying certain types of food and even installing equipment to monitor your driving behaviour. The thinking is that encouraging customers to be healthy reduces premium claims in the future
idontwantthis 3 hours ago|||
All I want is the safety that, if something is wrong, treating it won’t bankrupt me.
aimanbenbaha 6 hours ago||
Everything you want in your desired healthcare system can be stored as data.
keiferski 12 hours ago||
I have a mixed response:

1. It kind of makes sense that an AI imagery company would apply that to other novel applications of imagery and computing and try to do something cool with it.

2. Midjourney as a brand is all over the place and this feels -off, somehow. I think from a branding pov they should have just started a different company with a different name. Perhaps a single image-focused umbrella company named [Name] with Midjourney and this medtech company as separate subsidiaries.

3. AI imagery companies suddenly making medtech products and spas feels very “we don’t know what to do, so we’re going to throw spaghetti at the wall.” That doesn’t necessarily mean it’ll be bad, just that it’s not typically what you’d do if you’re working on something super successful already.

4. AFAIK they are entirely self-funded and so this really isn’t about VC scaling or anything like that. But that doesn’t mean they’re immune to the same cultural pressures.

aenvoker 1 hour ago||
Midjourney is not actually an AI imagery company. It's a research lab that happened to do AI images first.

The founder is a hardware guy who made enough money to retire young off of the sale of his company, Leap Motion. But, he decided what he really wanted to do was cool research with cool people. So, he started Midjourney. The goal for the AI image generator was to be cool research, pay for itself, and grow the lab. It ended up making far more money than ever expected.

I was a Discord mod for Midjourney when it was still in private beta. I got to participate in some of the discussions of "WTH are we doing and how should we do it?" DavidH is very much a smart hippie idealist. He isn't really motivated by even more money beyond how it enables more fun research. MJ actively refused investment. And, actively refused partnerships that would make them money but wouldn't help build the community or the lab.

So, put together: I can totally see how this looks weird from the outside. But, having spent a few years peeking inside, I'm only surprised it took so long for them to branch out like this.

andy99 8 hours ago|||
On the “we don’t know what to do”, I think it’s cool that they are trying something medical with it. Success obviously isn’t assured, probably it isn’t even probable, but I’m happy to see companies try this rather than launch yet another whatever or start a consulting business. I hope as the field (AI generally) matures, more people decide to try life changing stuff with it.
oinoom 8 hours ago|||
> we don’t know what to do, so we’re going to throw spaghetti at the wall

My opinion is that the money is in the verticals as the models and harnesses built around them become commodities. Specializing in a vertical, especially where hardware is involved, creates a buffer between companies and the frontier labs. The frontier labs are spreading themselves thin trying to capture verticals like finance or legal but aren’t narrow enough to be as competitive as a company that is going for a more targeted approach.

daralthus 7 hours ago|||
quite the opposite. it feels refreshing that ppl with talent and money can do inspiring things with it.
shishy 1 hour ago|||
yeah. they could have called it Medjourney.
altmanaltman 8 hours ago|||
> “we don’t know what to do, so we’re going to throw spaghetti at the wall.

this is pretty normal, i mean you have OpenAI and Anthropic trying the same as well. OpenAI is working on legal stuff [1] and also rolled out (or said they'll roll out) ChatGPT Health [2]. Then there was Sora etc.

These companies need applications for their tokens and someone has to build them. If they can win even with one, that's a net benefit for them no?

1 - https://www.artificiallawyer.com/2026/06/02/openai-targets-t...

2 - https://openai.com/index/introducing-chatgpt-health/

946789987649 4 hours ago|||
In a sea of AI products, the brand is still powerful though. Would I have clicked this if not for the Midjourney name? Probably not
raindropm 12 hours ago|||
The pivot to do things they want as AI research lab is perfectly understandable, but also..weird, like their loyal userbase are mostly creative people, and this pivot have ZERO things to do with those audience at all.

It also gives a vibe that they gives zero damn about to those creatives audience, or the things that made name for them in the past anymore, or that what I feel as their subscriber... I know that David Holz have his own unique way of doing things but it's still...weird!

oh, and the hypetrain on X. yikes..

leothetechguy 9 hours ago|||
to be fair I wouldn't call people operating AI Image generators creative people. At best they're people curious about the technology itself, anybody willing to learn and do it for the sake of being creative does it themselves.
altmanaltman 8 hours ago|||
I think you're romanticizing art generation a bit. A lot of it operates like a normal working job, there is no magic "truly creative genuis", a lot of working artists treat it as their jobs and if a tool helps them get their job done, it is helpful.

Not every creative profession is something where you create something you're proud of or you own. You're often just one part of a massive machine working on a project. It's a bit hard to keep sticking to the "creative noble artist" mythical vibe when it's a 9 to 5. And it's not fair to call them not creative just because you feel like it.

klabb3 7 hours ago||
Both ”creative mythical noble artist” and ”creative work is just work” are unhelpful strawman arguments. One is elitist, the other is reductionist.

Creativity is neither a property of who you are or what you do. It’s about how you do it. It’s closer to a mindset of curiosity, wonder and play. For example, many programmers have a need for creativity within coding, but don’t feel they get it at their 9-5 job, and instead work a side project (like FOSS, indie game) because it’s a more creative experience. The point is: same person, same activity yet one is more creative than the other.

The art/artifact itself is not creative. It’s the process that’s creative. Building a car can be creative. Buying a car is not. That’s not romanticizing and gatekeeping people who don’t have time to build a car. It would be genuinely misleading to equate those things.

altmanaltman 6 hours ago||
I don't understand your point. You say:

> Creativity is neither a property of who you are or what you do

Then you say:

> It’s closer to a mindset of curiosity, wonder and play.

Which has to be the property of what you do (the process) or who you are (the personality willing to embed those values), right?

> It’s the process that’s creative. Building a car can be creative. Buying a car is not.

Sure, but the process is "what you do" which directly contradicts what you're saying.

> For example, many programmers have a need for creativity within coding, but don’t feel they get it at their 9-5 job, and instead work a side project (like FOSS, indie game) because it’s a more creative experience.

Sure but most programmers don't do it. Simillarly many artists work on projects for companies and their own projects. My point is that you cannot reduce commercial work as not creative just because it's a 9-to-5.

I really fail to understand your point with this comment since it's not really saying anything coherent.

You also say

> The point is: same person, same activity yet one is more creative than the other.

Again, if that person is doing that activity then it is what they do i.e. you're calling the process creative. And in this case, we'll call that same person to be creative since they have the drive to work on their own project after a full 9-5 job. But if they were not doing it, we'll still consider them creative since it is a basic requirement at their 9-5. That is my point - both of them are creative. Degrees may vary depending on subjective perception but that was not what was being discussed.

klabb3 2 hours ago||
> Sure, but the process is "what you do" which directly contradicts what you're saying.

”What you do” was just short for the _activity_ that you’re doing, eg ”I am coding” or ”I am building a car”, which does not determine the extent of how creative it is. Building ikea furniture from instructions would be low on the creative scale, whereas making a chair from woodworking might be higher, for most people.

> Sure but most programmers don't do [side projects]. My point is that you cannot reduce commercial work as not creative just because it's a 9-to-5.

Of course not, some people find that perfect match. That said, employment is not optimized for creativity, so it simply appears unusual that it’s conducive to highly creative work. This is my theory of why many programmers pick up hobbies outside of 9-5 where they have better preconditions, whether it’s side projects (same domain) or woodworking (different domain). Some find it at their 9-5, and some don’t feel much urge.

> we'll still consider them creative since it is a basic requirement at their 9-5. That is my point - both of them are creative. […] Degrees may vary depending on subjective perception but that was not what was being discussed.

I don’t think it’s even meaningful to discuss creativity without acknowledging that it’s both subjective and that degrees may vary. And yes, problem solving is probably always creative to some degree. But the degree is the important part.

So, I wouldn’t call _them_ creative or not, because again I don’t think it’s a personality trait nor binary. Only the person doing it can tell how creative it feels. Personally I felt mostly uncreative when doing corporate work. I would have loved for it to feel creative, but it didn’t.

tychez 7 hours ago|||
This is just complete nonsense.

You really think creative people are not interested in new forms of visual expression?

This as simply being ignorant of art history.

keiferski 11 hours ago||||
Yeah, exactly. This would have been a cool side project company from the founder and team.

Doing it under their main brand is very weird and I don’t quite see how it translates to creatives at all.

pigpop 2 hours ago||||
Personally, I think the bigger problem is successful individuals and companies deciding to just stick with their original business model and squeeze every drop of money out of it for their own personal enrichment.

God forbid someone should try to do things to benefit society with their fortune.

davrosthedalek 8 hours ago|||
This is somewhat speculative, but as I see it, there are two ways to retain excellent people:

a) You pay them handsomely

b) You do shit they like, they way the like.

Sometimes it overlaps, of course. But this is essentially the reason why people stay in academia in the hard sciences. Most of us could earn considerably more in industry.

I'm not sure midjourney can compete with the bigwigs on a). But doing healthcare stuff is probably more fulfilling to the researchers, and with less "we stole from all the artists" vibes.

Of course, if this all works out, they might me able to do a) easily :)

tclancy 7 hours ago||
“To the man with a new hammer, all problems look like a nail.”
GTP 7 hours ago||
I find the technology side intriguing and worth a deeper dive.

But I'm not convinced about their view of having people casually going to a spa every week and getting a full body scan. AFAIK, some doctors tend to avoid full-body scans. The reason is that each body is different and has its own quirks. If you do a scan for no reason other than "I can do it fast", chances are that the scan will show something unusual. But, at the same time, it is likely that it isn't a problem. And now, you will be stressed about the chance of having some health condition and spend time and money digging into a rabbit hole of what the issue could be, only to find out it was nothing.

They also don't say anything about the price of such a machine. If they really envision a future where everyone can easily get a scan, this is a crucial factor.

aeonik 7 hours ago||
Why can't we do full body scans, learn about these "quirks", and document them in the wider science literature?

I understand there are many benign tumors that doctors prefer to ignore in people, but eventually when scanning becomes portable and safe enough having regular access to scans could really help a lot of conditions.

KaiserPro 5 hours ago|||
Good question!

Full body scanning is expensive, and in some cases not that higher resolution. CT full body scans are cheap and high resolution, but you are being blasted with Xrays for long periods. So there is a not inconsiderable health implication.

To get good data, ideally you need to have a longitudinal study, as in you measure people monthly/weekly and then correlate that to life outcomes. The ethical issue is that you'll see lots of lumps and bumps growing, and this could lead to lots of invasive checks. You can't not check because that's not fair "here is something that looks like cancer, if we grab it now it will stop you needing chemo. But it could just be a cyst."

So, its really really expensive to have 100k people getting monthly full body MRIs for 10+ years. Even more expensive to get them at the right resolution.

I think, that if these scanners are good and that is _Very much_ not proven. Then having a long term study would be good. I however have deep misgivings about how effective field array ultrasonic scans are, also safety.

I also do not trust midjourney, a company that exists through large scale copyright infringement to handle that data safely, ethically or in a way that would allow decent science to be done from it.

pigpop 3 hours ago||
The entire point of this machine seems to be to do non-invasive scans that don't have the type of side effects that constant CT scans would have and which are vastly cheaper and easier to do than MRI so that you can collect longitudinal data on any/all individuals.

Finding "lumps and bumps" or incidentalomas may be much less of a problem if you can keep a close eye on them without using CT or MRI, maybe your doctor would want a follow up MRI as a closer look but if it seems likely benign they could easily recommend you to just keep scanning with this ultrasound machine and only get another MRI or biopsy if it seems to develop in a malignant way.

The mistrust of private individuals and companies is a harmful belief when it comes to the development of new medical technology. Many groundbreaking devices were developed through the efforts of individuals, including the MRI.

KaiserPro 31 minutes ago||
> The mistrust of private individuals and companies is a harmful belief

the full body MRI was developed in the NHS/university along with CT scanners. But let us not pretend that modern companies have been acting in a way that is ethical. OR that there exists a legal framework that fights for the rights of normal people.

> incidentalomas may be much less of a problem if you can keep a close eye on them without using CT or MRI

They are a problem because we have no real data on cancer incidents that don't develop. (https://ima.org.uk/24626/making-sense-of-cancer-with-profess... buried in this article)

Biopsies are not risk free. General anaesthetic carries a risk. You'll be on antibiotics, the wound will have an infection risk. Also the build up of scar tissue is a real issue.

This is the ethical issue. Because suspicious lumps will need investigation, no ethics board is going to allow not investigating.

This also fucks up the data.

Its not impossible, but it needs sensible thought, thought from actual medical professionals, rather than a company who is at best operating in a legal grey zone.

mapkkk 6 hours ago||||
We can and do full body scans. Typically in the context of research, or for focus/metastasis search in current clinical settings.

The problem is that, in clinical practice, with every imaging technology there are trade-offs. Just because we see something out of the ordinary in a scan doesn't immediately tell us whether it's pathology, pathology worth investigating/treating, or if it's just a normal physiological variation.

Which means that, when "something" is seen on a scan, we must do further testing, either increasingly invasive, or increasingly time consuming and expensive.

I agree with the sentiment that if we had a way cheap, fast, and harmless way to scan an entire body we would unlock many new research areas and that it would further our medical understanding, and eventually ripen for clinical use.

However currently, I do not see any benefit in giving access to the population to such a technology, because we neither have the resources to chase down every single region of interest in a scan, nor do we have efficacious treatments for everything we might come across on a scan. Which is why we've settled on scanning things if there are other signs of disease, and only treating something when it significantly impairs life quality and/or expectancy.

Should such a quick and easy scan be in every hospital and research center? Yes. Should it be a spa for people to go to whenever they feel like? No.

pigpop 3 hours ago|||
I understand the argument but imagine if it were applied to other nascent technologies like the microscope, which incidentally was also viewed with suspicion by doctors who (accurately) cited flaws in early models such as chromatic and spherical aberration. Thankfully, many people persisted in developing it including non-medical polymaths like Robert Hooke. I recognize this may cause some headaches for doctors dealing with insistent patients but I doubt it will be a permanent problem as the technology develops further and becomes more widespread.
spongebobstoes 6 hours ago|||
"the people can't be trusted with knowledge" is a bad argument

we don't need to do much differently to take advantage of this data anyway. doctors already ask patients what changed recently

collect data passively. when a medical condition arises, you have a data source to correlate against the onset of the condition

currently we have almost no data, so doctors need to run multiple tests to identify possible causes

jmye 4 hours ago||
> we don't need to do much differently to take advantage of this data anyway. doctors already ask patients what changed recently

So your take is we just do the testing and ignore it's outputs entirely, until something comes up? And that is somehow different and better than current imaging processes?

> currently we have almost no data

This is absolute fucking nonsense.

GTP 7 hours ago||||
I think we may be looking at a very large, if not potentially infinite, set of quirks. And there's the risk of worrying people for nothing. So, if this is the plan, at the very least, it should take the form of a large medical study and not a shiny machine for fancy spas.
dd36 7 hours ago||
Isn’t that a similar argument against AI?
GTP 7 hours ago||
Sorry, I don't get your point.
fastasucan 7 hours ago||||
Because if a "condition" doesn't impact you, will it help to be aware of it? Over treatment can be a real problem. You dont want to take medisine you dont need, or spend much time in a hospital if there is no net positive outcome.
timjver 7 hours ago|||
> Over treatment can be a real problem.

Indeed, but having more data might be able to solve that? The whole problem seems to be that benign conditions sometimes look scary because we're currently not able to predict well enough whether it's something that will eventually cause problems.

aeonik 7 hours ago||||
For me?

If I could have daily full 3d body scans, and time lapse healing, track injury progress, visualize and correlate food and exercise.

And all I have to do is chill out about known benign cysts and tumors.

Yes I think it will help. I would take that trade off.

I already can feel a few cysts that have been with me for a long time, docs said I was fine, so I've already been through the stressful initiation of benign lumps.

cityofdelusion 5 hours ago|||
You won’t know they are benign unless you plan on a biopsy or surgery for every finding. It’s exactly this reason why we only regularly scan people that have say, known cancer.
pigpop 3 hours ago||
They'll know whether they're getting bigger or not. Pretty much the same for if you have a lump just under your skin that you can see and feel but this would allow you to see the ones further inside. So you just have to take the same attitude and advice towards them that a doctor would give you about the surface level lumps. What's the difference?
jappgar 7 hours ago||||
And for what? Is it just morbid curiosity or is there something you plan to do with that information.
senordevnyc 5 hours ago||
It’s right there in their second line
ChrisRR 3 hours ago|||
But from what this says, it's not accurate enough to determine benign vs cancerous lumps
GTP 7 hours ago||||
Just to add to this. My heart pumps blood in a known but different way than normal. I know because, to practice sports in my home country, it is required to undergo a specific checkup that includes an ECG. However, despite doing that visit many times, only two doctors ever mentioned this condition. The reason is that it causes no issue at all, so they just don't want to worry people for nothing by telling them their heart is pumping in a different way than most other people.
OGWhales 5 hours ago||
I would rather know that than have the information hidden from me. It's also not hard to imagine a scenario where such quirks are harmless on their own, but might be relevant in the future or for reasons the doctor is missing. I guess it's true some people would panic at any sort of quirk they find, but I find that frustrating as someone that doesn't think that way.

Further, as someone that has spent far too much time and money trying to find the root cause of a particular issue (with absurdly frustrating inefficiencies in terms of being bounced around, insurance nonsense, etc), I am generally in favor of improving our ability to find a lot of information in a manner like this. Doctors are generally good at finding very common issues they see all the time, much worse at anything uncommon. This can be a real problem. I think it could help the world a lot if we had something like this to improve our understanding of more outlier cases, we might find a lot of issues that were hard to catch without that scale of information. I also think preemptive scanning would catch a lot of issues that go otherwise unnoticed for much longer than they should go, something that also happened to me, but is mostly an issue of systemic inefficiencies in our current healthcare system rather than something that this technology is required to solve. In my case, doing some simple checks that they felt weren't necessary because I seemed healthy would've caught it much earlier.

GTP 3 hours ago||
> I think it could help the world a lot if we had something like this to improve our understanding of more outlier cases

Was this presented as an opportunity for researchers to be able to run more large scale studies involving full scans I woukd have a different take. This is however presented as a shiny toy to be put in a spa, that gives you images you don't know how to interpret anyway, or at best gives you some AI-powered report.

The rest that you're saying points more to issues of you country's Healthcare system, and it isn't clear if and how this technology would improve that.

x187463 7 hours ago|||
> Because if a "condition" doesn't impact you, will it help to be aware of it?

Fast and cheap full body scans could provide the data necessary to tune out the noise.

muggesmuds 7 hours ago||||
Because a lot of things showing up in scans you wont know what is until you cut them out or do a biopsy. And even then you might never know if that thing would have progressed to become a problem. Scanning more will not solve that.
dtj1123 6 hours ago|||
Realistically this data is going to be used to train a closed source model, not to contribute to the scientific literature.
dperfect 6 hours ago|||
Overdiagnosis can be a problem. On the flip side, I wonder if adding the time dimension to the data (i.e., you could realistically have scans from every few weeks over the course of years) could significantly change that.

Instead of looking at a single snapshot of a person, you're now looking at trends over time. We probably don't have the analytical tools to effectively evaluate medical imaging with that time dimension at such scale (because I assume it would be rare for someone to get MRIs so frequently), but maybe with more data and study, we'll be able to more definitively distinguish benign quirks from real concerns.

Rather than a human comparing a couple of scans five years apart, you're talking about computationally identifying outlying regions in the data (a motion picture of the entire body) that are trending towards areas of concern.

pigpop 3 hours ago|||
I agree, hopefully it becomes just like any other cheap and easy measurement like blood pressure. Most of the time, small changes and variations will be determined to be normal but having a record and a measurement allows you to determine what is abnormal or a symptom of a disease. It's the difference between having a measurement and having nothing at all (if you never got a scan with CT or MRI).
wj 5 hours ago|||
This seems like something MLB teams would install in their locker rooms if it works.
igortg 7 hours ago|||
I thought the same. There are papers analyzing data about that.

https://www.wiserhealthcare.org.au/too-much-of-a-good-thing-...

> As well as being unlikely to be beneficial, full body general health checks in asymptomatic people can potentially be harmful. The main harms are overdiagnosis, detrimental psychological effects, negative effects on health behaviours (for example, failure to quit smoking due to reassurance of good health), complications related to follow-up tests, and unnecessary treatments.

spongebobstoes 6 hours ago|||
those scans are one-off events, these scans are regular

the signal is improved by focusing on differences over time, instead of looking for insight from a single snapshot

in a production system, I look at the change log around incident start as one high signal way to diagnose the problem

I want the same ability with my own body. new pain? look for recent scan deltas, in conjunction with modern medical intuition

heironimus 6 hours ago|||
We already have had that for millennia. Moles. Benign cysts. Unusual body shapes. Doctors have learned to say more than “just pretend that’s not there”. They have learned what’s important and what’s not and how to explain such things.

Why can’t learning more about unusual things we can’t see with the naked eye be the same?

“Bury your head in the sand to avoid harm” does not seem to be the right path.

Scans like this will have short term difficulties while we better figure out what’s important and what’s not but will only help long term.

zipy124 7 hours ago|||
MedLifeCrisis the youtube channel has a great video [1] on why you shouldn't full body scan. He's a consultant (highest level of doctor) in the NHS in England (and has done a PhD and research as is common in the UK medical system).

[1]: https://youtu.be/BJ9soFmzYO8

khafra 7 hours ago|||
If this becomes cheap and widespread, there'll likely be an initial iatrogenic spike, of course--but how could you think that having an enormous amount of precise, quantifiable data about a lot of bodies, and the ability to analyze all that data, is a bad thing in the long run?
MPSimmons 7 hours ago|||
I learned this from watching House. I am certain that it's true, but I also kind of wonder how much backpressure there is against this kind of thing because the scanners are also insanely expensive to run per minute.
fastasucan 7 hours ago||
This backpressure is even with cheaper devices such as x-rays etc.
jon-wood 7 hours ago||
The backpressure on x-rays is because dosing yourself with radiation on a regular basis is a really great way to generate health problems in the course of trying to find some. There's a reason x-ray operators and anyone in the room with the patient get given lead lined aprons to wear while the machine is active.
thebruce87m 7 hours ago|||
> chances are that the scan will show something unusual

Something unusual in a single one-off scan vs something unusual and changing over the course of multiple scans give two different views.

Saline9515 6 hours ago||
The main potential of this technology is that it's easy and fast, unlike classic MRIs. So someone could do a scan a month without a problem.
TuringNYC 7 hours ago|||
>> But I'm not convinced about their view of having people casually going to a spa every week and getting a full body scan.

People are already doing this monthly with DEXA scans!

jappgar 7 hours ago|||
Another reason is that we don't actually know what negative effects regular "scans" might have.

Actually in some cases we do know. Regular xrays are harmful, for example.

pigpop 2 hours ago||
As crude as it sounds, you don't know until you try.
evrydayhustling 7 hours ago|||
"We shouldn't collect information because we don't know how to fit it into our care playbook" might be rational for a single patient, but it's a policy that will lock you into your current playbook.

Our medical industry is set up to only evolve via highly centralized research that fully situates a diagnostic within a particular treatment path. This approach makes it more and more expensive to improve care for narrower and narrower populations - driving medicine towards being a luxury good.

I'd like to see midjourney say more about price, but I love the idea of starting some new diagnostic pathways with different principles. There are probably all sorts of low hanging fruit to be found about new treatment strategies... It just takes some faith that nature hasn't hidden all of her secrets in the one place we already know how to look.

GTP 7 hours ago||
I understand your point, and I might even agree to some extent. However, the issue is that this isn't presented as an opportunity to do research, but as commoditizing a clinical test that, when it isn't done for medical reasons (i.e., investigating some existing symptoms), can lead to a lot of false positives.
mapkkk 6 hours ago||
This is exactly why it's a bad idea. I agree that if this technology comes to fruition, it should be in every clinical and research setting as a tool for us to further our understanding.

It shouldn't be a commodified test anyone can do at any time they feel like it. There are so many examples this leading to over or misdiagnosing already. I've seen patients who thought they had diabetes because they got a CGM over the counter and it showed a blood sugar spike during exercise (as in, their body doing exactly what it was supposed to do). He also now avoids oatmeal because "it spikes my blood sugar". Surprise: reddit and tiktok are awash with such stories as well.

I've seen a patient who on a whim decided to get 24hr blood pressure monitoring done, and thought they have severe hypertension because their systolic reached 170 when they were climbing stairs and during a football match because they were cheering and shouting.

In a similar vein, there are shady practicians who offer full body MRI scans, and fMRI brain scans to the well-to-do as a way of diagnosing things, when in fact neither are specific enough to actually diagnose something on their own.

23andme tests sending patients into clinics because they found a specific SNP that may be associated with worse outcomes for a disease.

We have neither the resources nor a specific enough technology (scan shows something: not specific enough to tell us what it is, but it sure is something) to unleash these for the general population to use.

bondarchuk 7 hours ago|||
I know you are right but it just sounds so dumb. In theory it should be possible to do a scan and then realize most things you find are likely not a problem and don't worry about them.
andrerath 7 hours ago|||
SOTA ultrasound devices are still very expensive, with e.g. a custom 3D probe with a few hundred piezo elements costing well over 10k. IF they want to use MEMS probe instead of piezo (which is implied by them saying that they will use a chirp), that's going to be even more expensive, considering the lack of manufacturing know-how. When sufficiently scaled, I wouldn't say it is an exorbitant price for large research hospitals, but I am a little skeptical of rolling these out as a health checkup "spa" service outside of areas with extreme wealth concentration (e.g., Silicon Valley? Sure. London? Yeah; Minneapolis? not so sure.)
mlrtime 7 hours ago||
Agreed, If you look for issues, you'll find them.

Anecdote: My wife had a high risk pregnancy. They did more than the usual scans and tests, and at one point we were told to go immediately to the NICU, spent 48h there , more tests. None of the tests really showed anything other than she was different than the normal pregnancy (I won't get into the specifics).

In the end, we have a healthy child but it was a lot of pain just going through test after test just because things were out of bands (my words).

telesilla 7 hours ago||
I'm grateful that modern science can monitor and predict such issues, even if in the end there's no problem. The alternative, as we know for thousands of years without modern health care, is far worse for women giving birth.

I'm in full favour of learning better and better tests. Over time we'll have enough data to know what's urgent and what's preventative. Losing friends and family to avoidable health issues is too heartbreaking.

GTP 7 hours ago||
Sure, but in this case, there was a good reason for the additional tests: a high-risk pregnancy. And still, the outcome was stress for nothing. Now, imagine thousands of perfectly healthy people doing full-body scans every week just because they can. This actually carries the risk of jamming real health care, because those perfectly healthy people will undergo additional clinical tests for nothing.
telesilla 6 hours ago||
Imagine all the data that gets us towards those scans actually being meaningful. Don't treat them like scans to find problems but scans to learn from, collectively.
GTP 3 hours ago||
As I wrote in replies to other similar comments, this would be the case if this technology was presented as an opportunity for researchers to run more large-scale studies. This isn't however the case, it is instead presented as a shiny toy for fancy spas.
mNovak 14 hours ago||
This is really interesting! And perhaps surprisingly doesn't trigger any immediate major technical red flags (as someone who has worked with MRI and phased array beamforming), as many HN HW articles do.

My only criticism from the tech video would be that they spend some time lauding the nanometer deflection sensitivity, which might lead some to believe that's indicative of the image resolution. It's not, and it's somewhat of a distraction -- that's just giving us amplitude information, which is comparatively less important than correlated time/phase across the 100k sensors. They do later on state ~mm resolution, which is still great!

Doppler and motion blur may be an issue (e.g. heart beating), as one slice requires a full ring of sequential exposures. But still way faster than MRI, so probably fine.

On a lighter note, it could seriously change the meaning of get FUCT (Full body Ultrasound Computational Tomography)!

intoXbox 12 hours ago||
MRI physicist here as well. I have a basic understanding of ultrasound, and this looks like an array of transducers organized to perform tomography, just as CT did for Xray.

However Ultrasound quality depends highly on transducer-skin contact.

Any physicists here to comment on the effects of sonar through liquid and the effects on image resolution and field of view?

lambdaone 8 hours ago|||
This is precisely why you do it in water - the water-skin contact is effectively perfect, as is the water-transducer interface, and the body of water is easily characterizable; in effect you are scanning one large object that consists of a body of water that just happens to have a human body in it, and then extracting the body from that scan.
mNovak 3 hours ago||||
The water is a clever impedance matching trick. The contrast in density between air and human flesh is high, so the waves all reflect off the surface rather than penetrating and reflecting off the internal structures we care about.

That's why normally you're concerned with really good transducer contact (squeezing out any air) or use a gel to match impedance.

I'm a bit rusty on CT, but I'd guess the resolution is proportional to the total number of transducers in the array (e.g. larger sensing surface equals tighter resolution) since you're basically taking a Fourier transform of the incident wave.

apaprocki 9 hours ago|||
This paper, “Whole Cross-Sectional Human Ultrasound Tomography”, goes into more detail.

https://arxiv.org/pdf/2307.00110

andrerath 9 hours ago||
Ultrasound researcher working on fast microvascular imaging here. Depends on the datarates, you can generally get pretty good blood flow data pretty fast, with <.5 seconds per slice if you do it with appropriate algorithms. A lot of this depends on motion though as you said, as the issue is generally getting a high-enough SNR (blood flow is generally 30-40 dB below tissue in energy, except for the biggest of vessels). Generally, higher frequencies have less of a separation between blood and tissue, but they have issue with attenuation. But I think with enough SNR (and with their element count that may indeed be possible), they could get pretty good blood flow data across the whole body.
Cort3z 11 minutes ago||
If this all works, and becomes widely available, I wonder if people would get a lot of health anxiety. Now they can see stuff that is normal, but strange or unexpected.

I’m no doctor by any means, but what if, as an example, an organ fluctuates in size, or composition, naturally. A medical professional would know these things, but a random person off the street might get stressed out and start to panic, or perhaps overcompensate with their diet or something.

I think more data is generally good, but data without context or insight can be problematic.

randusername 6 hours ago||
> Beyond that, regulation is the next limit. Normally, for every diagnostic medical capability you need FDA approval. We’re starting by just giving you detailed body composition maps — and we’ll be submitting regular test results to the FDA for increased capabilities.

This is just not how the FDA works. At all. You can't just email them slideware and marketing materials to keep them in the loop.

You have to hire an army of expensive compliance people (cheap ones aren't nimble enough for startups), develop the whole thing start to finish under strict design controls, and usually throw a lot of time and capital into convincing regulators your very innovative and disruptive new R&D endeavor is actually derivative enough to draft behind some existing medical device.

nDRDY 6 hours ago||
For reference, OP is talking about the 510(k) process. One of the issues with that process is that an approved medical device may end up with a whole tree of "derivative" devices approved through the 510(k) process. If that original device is then found to have problems and has its approval removed, those derivative devices do not also become unapproved.
renegade-otter 6 hours ago|||
That may be true, but the FDA is no longer run by fiduciaries of the United States.
baggachipz 5 hours ago||
Just grease the right tanned palms, and you're good to go!
spongebobstoes 6 hours ago||
do they need FDA approval to have a good impact? it doesn't need to be a licensed medical device for me to interpret the data, and then verbally tell my doctor what's wrong

this is similar to how people get a lot of medical value out of chatgpt today

randusername 5 hours ago|||
You can't have any impact at all if you can't legally operate it or if you are hamstrung in your marketing claims.

Chatgpt is just words. This is an ultrasound imaging system. Who knows what could go wrong: blown out eardrums from feedback, acoustic burns, wild inaccuracies that lead to misdiagnosis.

There's really no way around documentation as a way of collecting evidence that the team knows what they are doing. Things like enumerating all the possible patient risks, assessing their severity, updating the design to mitigate, and ultimately testing that it works as intended.

This is why you can't just bolt on the medical device part. Most devs will have a conniption if suddenly expected to attend lots of meetings and do a lot of paperwork. Different skillset and very expensive to switch out your whole workforce.

jcmontx 6 hours ago||||
Let's say you do a diagnostic based on the results of this machine. Later, patient suits and you have to answer for your diagnostic. If the only evidence for your diagnostic is coming from a non-FDA approved machine, you're liable.
Cthulhu_ 6 hours ago||||
It needs approval from someone to ensure it's safe first and foremost - health & safety inspections, hygiene, FCC approval, etc.

And FDA approval (I presume) if they want to give formal diagnoses, but I believe that if they don't get that it'll fall under the "alternative medicine" umbrella, which is very broad. But they can do whatever under that umbrella as long as it's safe.

StarlaAtNight 6 hours ago|||
I wonder how doctors feel about people consulting ChatGPT. I know a doctor who can't stand people getting medical advice from quacks on TikTok, but that's probably a different problem/pattern
singpolyma3 5 hours ago||
Since they hated Google I'm sure they also hate chatgpt.

Mostly they hate patients who have opinions

iDon 8 hours ago||
> ... It starts by stepping into a shallow pool of golden light. > ... Together they act as both a choir and an audience

I think I'm not the target audience. I guess they are going to need to sign up a lot of people, to train on their scans + their medical outcomes. So the article is talking to people who will get enthused by it, which is more difficult after the question of 23AndMe data sale.

JackFr 6 hours ago|
I’m a weirdo who vaguely enjoys my MRIs. I’m moderately claustrophobic, but they still don’t really bother me. And I love the warming feeling that makes me feel like I’m getting microwaved.
IAmGraydon 3 hours ago||
What warming feeling? An MRI shouldn't really make you feel warm unless they're pushing IV contrast.
JackFr 15 minutes ago||
My understanding was that your body was absorbing some amount of whatever electromagnetic stuff passes through you for the image. And the techs have told me it’s nothing to worry about.
unholiness 15 hours ago||
So, on the one hand, this is interesting! Reducing radiation from CT scans is a noble cause on its own. If on top of that it could make tomography cheaper and easier, you could imagine getting earlier detection of aneurisms, fibrosis, cirrhosis, thrombosis, stenosis, even plausibly cancerous masses (along with plenty of over-detection).

On the other hand, nothing here substantiates this promise. We've got a video render of what a hypothetical device could look like. It's probably more than nothing (they got exclusive license on these butterfly chips in 2025, and it's at least plausible that the best solution to the data bottleneck in an absurdly noisy system like this is real-time AI image processing)... But it's certainly less than something. It's a hype video that doesn't prove feasibility of anything, yet.

EDIT: This is all in reaction to the second video on the announcement post[0], which is much more informative than anything on the page currently linked.

[0]https://www.midjourney.com/medical/blogpost

justaguyonline 14 hours ago||
AI hype aside, this is one of those projects I'd like to know the open source stack of and the academic research behind. It's actually overlaps with an idea that started circling around in my head back when (deep) neural networks were the new hype cycle.

What's the relation between sensor density and resolution? If their array could give femtometer resolution, how much could you drop the density when you only needed to detect forearm muscle movements through the skim.

The way Ctl-labs was trying achieve the same results always seemed like it had fundamental physical limitations due to the nature of electromyography (to this software engineer...)

A_D_E_P_T 9 hours ago||
> femtometer resolution

The diameter of a carbon atom is 154 picometers. Nobody's going down into the femtos. And you're not going to get atomic resolution, either, because humans move around too much and things like scanning electron microscopes need very stationary samples. Even microscopic vibrations can blur the final image.

Which isn't to say that you couldn't get very good resolution...

davrosthedalek 8 hours ago||
Just for illustration: Gravitational wave detection is on the femtometer scale. The proton is about that size. We can measure these things, but the machines are, let's say, "big".
Kotlopou 32 minutes ago||
Sigh...

LIGO detects length changes of 10^-18 m, or attometers, not femtometers, which are a thousand times longer. (https://www.ligo.caltech.edu/page/facts) But this does not matter at all, because this is not resolution of the body image, but the size of the vibration on the speaker. That's a technical data point that I don't see any reason to include in this presentation other than to cause this exact confusion.

The video looks in general like it's trying to impress by giving a lot of incidental information about how the device works while being very light on what it would be able to actually see -- e.g., it doesn't matter how many gigabytes your device collects if the resulting image is blurry.

Compare the website of LIGO (https://www.ligo.caltech.edu/page/facts), which also has a lot about the technical marvels (huge vacuum tubes! precision engineering!) but crucially includes the goal of this all.

z7 9 hours ago|||
"I just tested my hand in a mini version of this scanner. Images that are higher quality than MRI, whole body captured in <1 minute, virtually free to run. This is going to change medicine."

https://x.com/SebastianCaliri/status/2067452733356122303

KaiserPro 6 hours ago|||
I can't see how ultrasonic tomography can actually get anywhere near the resolution or penetrative depth that MRI can have.

Also The other thing I am unsure of is what the health effect of dumping you into an industrial scale ultrasonic cleaner. For example you can have doppler to measure blood flow in real time, but you can't do that for early pregnancy because of some health reason or other.

Aromasin 9 hours ago|||
I help engineers design traditional scanners (Philips, GE, Siemens, etc). To be frank, this statement stinks like utter pig shit.

Some PE bro preaching miracles about a technology that I am sure they are in some way invested in making profit from does not convince me of it's legitimacy. My base instincts, from the unfortunate experience of working daily with PE bros, tell me the opposite in fact. It gives déjà vu of the Theranos hysteria.

wasabi991011 6 hours ago|||
The X post is obviously biased, but I couldn't spot any obvious scientific mistakes in the actual announcement video.

Someone else linked to this preprint which seems related [1]. Would you take a look and say whether it seems legitimate?

[1] Whole Cross-Sectional Human Ultrasound Tomography” https://arxiv.org/pdf/2307.00110

Aromasin 4 hours ago||
The authors report explicitly state that the system's resolution does not match clinical CT or MRI. The elevational resolution is 15–25mm, meaning each slice is effectively a thick 2D section rather than the fine isotropic 3D volume MRI provides. MRI also delivers far richer soft-tissue contrast; this device produces only three contrast types (reflectivity, speed of sound, attenuation), and because it uses a low 1MHz frequency, the reflection images come primarily from tissue boundaries rather than from internal tissue texture.

I could see this being valuable for adipose tissue mapping or fatty-liver monitoring at a large scale, as the machines would be significantly cheaper, but this isn't some revolutionary magic bullet like the Twitter post is insinuating.

femto 8 hours ago||||
As someone in the medical imaging field, are you aware of anyone working on passive sonar for medical imaging? I'm curious, as it's something that I've always thought would be fun to work on.
Aromasin 7 hours ago||
For context I'm in engineering consultancy, so by no means an expert but I probably have enough experience to be on the other side of the Kruger curve dip.

Passive sonar in the naval sense means listening only, not emitting. Do you mean imaging that relies solely on acoustic energy already present and emitted by the body? If so, then generally no. You have two types of "passive" imaging. First would be hardware-passive, as in MR elastography (most common), where the patient wears a transducer pad, and vibration is actively generated by a driver. You've then got algorithmically-passive, which is more analogue to passive sonar, reconstructing tissue stiffness from ambient broadband vibration without the emitted probing pulse, but that is very much entirely academic. I guess the question would be, why is it worth pursuing when you have something like optical coherence elastography (OCE) for non-invasive profiling. Doing it using noisy ultrasound method becomes redundant. There are other methods, but the outcome is the same.

Generally (this is true for all systems, not just humans) you need to induce energy into it to more effectively measure it's output. Think of it like a bell - if I want to hear the note it produces, it's much easier to hear what this is if I ring it with a hammer. Granted, it will be "passively" resonating to a point where, with a sensitive enough sensor, I could probably pick up the output without the hammer - but that is a pointless problem to solve. I could hit a bell with a soft hammer a million times over without causing damage to it. The lifetime of the person hitting it with a hammer is far shorter than the accumulative damage to the bell before it breaks. The same is true for humans. You could effectively run a very low-energy, 60Hz vibration through a person (which is how the pads work) for multiple lifetimes before it would cause significant damage, so there comes little point in solving that problem. As such, true "passive" imaging is functionally pointless if your outcome is "safely image a patient". You're overengineering your solution to solve a problem that is only relevant if your patient was planning on living for 1000+ years.

Pay08 8 hours ago|||
What does PE mean?
oinoom 8 hours ago||
private equity
cornstalks 14 hours ago|||
> Reducing radiation from CT scans is a noble cause on its own

Is it? Linear No Threshold has largely been rejected at this point. https://jnm.snmjournals.org/content/early/2024/06/21/jnumed....

adastra22 14 hours ago|||
We have no evidence in favor of the linear no threshold model. That is not the same as saying that we have evidence against it.
haldujai 13 hours ago|||
There is some evidence for hormesis - but yes no model is proven right now. LNT is the most conservative model and part of why it sticks around.

A good primer: https://pmc.ncbi.nlm.nih.gov/articles/PMC2477686/

looofooo0 9 hours ago||
LNT does also damage, as people refusing necessary CT scans or countries switching of nuclear power because of fear.
arcticbull 13 hours ago|||
Sure but we don’t prove negatives for a reason - it’s impossible. We assume the null hypothesis.
unholiness 13 hours ago||
LNT is the null hypothesis. No one disagrees a linear model fits the data very well in high doses. If you want to argue that model doesn't work in low doses, you need a model with more parameters and sufficient data to fit it. The issue is that, at these low doses we want to differentiate, we're also looking at effect sizes that are hard to separate from noise, and sampling biases that are hard to erase. There's still lively and ongoing debate.
looofooo0 9 hours ago||
Well problem is that humans are so noisy through lifestyle, enviroment and genes that any proof for either is really hard.
unholiness 6 hours ago||
Another problem is that there haven't been natural experiments in low dose exposures the way there unfortunately have been for high dose exposures.
KaiserPro 6 hours ago||||
Weekly CTs are going to give you cancer
dooglius 11 hours ago|||
Your link does not support, and in fact refutes, your claim
kibibu 14 hours ago|||
I'm not putting my head under. How do we know this won't cause aneurysms? Damage eyes and ears? Getting a medical device approved takes time because of concerns like this.
autoexec 14 hours ago|||
It might not actually cause harm or strange effects to people's bodies, but I'd certainly feel better if it was tested and used by doctors in a hospital and not some "spa" since those tend to be poorly regulated and where all kinds of quackery takes place (https://www.aafp.org/afp/afp-community-blog/med-spa-industry...).

The safety of the device itself is a concern, but so is the trustworthiness of the output. Midjourney already has some very questionable history with medical imagery (like this totally legit image of rat testicles published in "Frontiers in Cell and Developmental Biology" https://upload.wikimedia.org/wikipedia/commons/c/cc/AI_gener...)

Levitz 8 hours ago|||
>Midjourney already has some very questionable history with medical imagery (like this totally legit image of rat testicles published in "Frontiers in Cell and Developmental Biology" https://upload.wikimedia.org/wikipedia/commons/c/cc/AI_gener...)

I don't think "someone used their tool to produce a silly result and used it" qualifies as Midjourney having questionable history at all.

ElFitz 13 hours ago|||
> The safety of the device itself is a concern, but so is the trustworthiness of the output.

And the safety of the data as well. Am I supposed to entrust full body scans to a startup?

zythyx 14 hours ago||||
From my understanding of the post, the waves that are created are smaller than light waves, and there's no evidence that light waves, sound waves or sub-sonic waves have any aneurysm-causing effects.

(I researched more and found in the video a value) The waves are 50 nanometres, and this is basically the equivalent of having a full body ultrasound. We've been doing baby ultrasounds for decades with no ill effects, so I can't imagine this being different

mNovak 14 hours ago|||
We already ultrasound babies in the womb, so one would hope this has been studied.
reverius42 12 hours ago||
Before ultrasound, they used to x-ray pregnant women to see the fetus. At that time, someone might have said "one would hope this has been studied"... unfortunately that practice went on for about 60 years before being stopped in the late 1950s.

Side note: kinda crazy they had medical x-rays in the 1890s. X-Ray imaging was discovered in 1985 and used clinically within 2 years.

But I do agree with your point, these days, I hope we're better about studying the potential dangers of current technologies we use.

rdl 11 hours ago|||
We also used to x-ray people for shoe fitting/for lulz.

https://en.wikipedia.org/wiki/Shoe-fitting_fluoroscope

toasty228 7 hours ago||||
We also put lead in paint and gas because why the fuck not? Asbestos pretty much everywhere because it was a miracle material, etc. for decades, and we're still paying the price
krick 6 hours ago|||
> But I do agree with your point, these days, I hope we're better about studying the potential dangers of current technologies we use.

Sorry, but this is just pure "Gell-Mann amnesia effect" vibe to me. I mean, you've just brought up a perfect example yourself! What kind of mental gymnastics does it take to still hope that this time it's not like that?

I don't wanna start the whole "vaccines cause autism" thing and whatnot, and surely you shouldn't avoid ultrasound just because of irrational fear of some yet undiscovered side-effects, but it's really amazing, how people tell fun stories about how common was the narrative about major war being very unlikely in "modern days" (because who would dare to do that with this kind of technology!) right before WW1, and then conclude with firmly believing that these days (after WW2) it sure won't happen, because humans are not that dumb. And my point is, that perhaps it indeed might have been a bit less likely, if people didn't believe that it is so unlikely to keep stepping on the same rake.

carlosdp 15 hours ago|||
that's not a video render of a hypothetical device, that's a real video of the real working device, fwiw
mrandish 13 hours ago|||
> the real working device

Could you expand on the term "working"? Do you mean like "working to slowly lower a person into water while videos of animated Figma UIs play back on a monitor?" Or do you mean some crazy kind of "working", like "the ring of devices we see are scanning the organs of the woman we see and the images appearing on the monitor are those just-captured organ scans?"

datadrivenangel 15 hours ago|||
It's just a render? Where's the video?
roarcher 14 hours ago|||
The first video appears to be real. Who knows if it's a working prototype or just a mockup, but the fact that it's held together by C-clamps and other stuff you could get at Home Depot makes me lean towards the former. If it was purely for marketing they'd probably make it look more polished.
moffkalast 10 hours ago||
> The first video appears to be real

The video is clearly from Midjourney /s

bastawhiz 14 hours ago|||
The first video has the actual device (whether it's functioning or not) and the second video is a render.
camillomiller 10 hours ago||
This reeks of peak bubble, it’s ok say that.
owenthejumper 7 hours ago|
Almost nobody here is a doctor, and it shows...over diagnosis, over treatment, those are all terms that doctors learn about in medical school.

Image segmentation is a real problem, and achieving better precision is a good goal. The "golden" standard these days is likely https://github.com/wasserth/totalsegmentator, if someone can make it even more accurate, that would be very very good. But yet again, there are infinite amounts of variations in human bodies, which means even the best models focus only on segmenting known organs, and leave anything unknown alone.

andrewla 41 minutes ago||
Not a doctor, but the overdiagnosis concern is at the intersection of three phenomena:

1. Imaging is expensive, just in dollars and time, even without analysis

2. Imaging is not without impact -- CT scans, especially full body scans, expose the body to ionizing radiation

3. Imaging is time-consuming

The net result of these means that full body scans are difficult to interpret. If a doctor given a patient complaint suspects a condition that is sufficiently non-specific that a full-body scan is required, then the scan will be interpreted through the lens of the known progress of the differential diagnosis. And typically these scans must be done without a healthy baseline, so minor findings in this context might have significant diagnostic power when combined with history or other findings.

But on a healthy patient, minor findings are very likely to be noise, because we don't have a great deal of experience with scans of healthy people, for the reasons above.

This technology, if it pans out, gives a way of inverting 1, 2, and 3. If every healthy doctor visit includes one of these scans, then the medical field gets experience interpreting them, and more importantly, when new symptoms occur, previous scans can be compared to determine whether a particular finding in the current scan is new or has changed.

deadeye 6 hours ago|||
This is more true than people realize. My wife and I got full body MRI scans.

Both showed "possible" medical issues. My though was "Great, I have a baseline, in two years I'll get another one and compare".

My wife on the other hand got a bit obsessed about her results and had what was probably an unnecessary procedure to biopsy something, which turned out to be benign.

I suppose you could argue that another way...better safe than sorry...but the stress that is caused by known uncertainty vs unknown uncertainty can be too much.

gbrito 5 hours ago||
> ...unnecessary procedure to biopsy something, which turned out to be benign.

The point here is many issues can't be resolved safely with a biopsy or minor procedures, so one ends up under serious risk of a major surgery for something that would never cause any damage.

Plenty of people die this way. If not, one might even thank his doctor for saving his life afterwards.

khafra 7 hours ago|||
In the dark ages of machine learning, researchers tried to fit natural language into a defined, human-curated taxonomy.

It kinda worked, for a reasonable amount of stuff; but failed quite a lot of the time, and there's an extremely long tail of things that would have been pragmatically impossible to ever address with that method--indeed, without adopting an entirely new, unsupervised model of language, continuous in places where the old way was discrete.

saghm 6 hours ago||
It's not unreasonable to think that the level of acceptable risk for "the language model parsed my text wrong" is in average much higher than "the medical model misdiagnosed my condition". You can probably come up with scenarios where a language model behaving unexpectedly would have drastic consequences if you imagine them hooked up to automatic systems where they have immediate control over actions that can't easily be reversed, but like, that's why it's a bad idea to use them like that, and they're the exception rather than the rule. It seems plausible that scenarios like that for medical models are a lot closer to the norm than the exception, in which case the tolerance we have for them "filling in the gaps" incorrectly would need to be much smaller.
spongebobstoes 6 hours ago||
this doesn't need to be a diagnostic model, just a data source for existing doctors
nicoburns 7 hours ago|||
If something like this became commonplace (and accurate enough), then it could be fantastic for research: enabling us to map out what variations are common and which aren't in a way that hasn't previously been feasible.
MagicMoonlight 53 minutes ago|||
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Kenji 7 hours ago||
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