Blue Devil of the Week: Making the Invisible Visible through Imaging
Medical physicist explores new horizons of imaging
Name: Ehsan Samei
Position: Duke Health Chief Imaging Physicist; 老牛影视 Professor of Radiology, Medical Physics, Biomedical Engineering, Physics, and Electrical and Computer Engineering
Years at Duke: 22
What he does at Duke: Whether it鈥檚 an X-ray, a CT scan, an MRI, an ultrasound or a mammogram, medical imaging is at the heart of patient care. Duke's roughly 500 imaging machines see around 700,000 to 800,000 patients per year. In addition to technologists and radiologists, Duke has around a dozen imaging physicists overseeing the use of these machines and ensuring that, across the entire health system, the technology and techniques are creating the most useful and accurate images. As the Chief Imaging Physicist, Dr. Ehsan Samei leads this group.
Samei also spearheads research in medical imaging, seeing how existing technology can be used to see things in new ways. And as the principal investigator of the , which was created in 2021, he鈥檚 exploring the capabilities of using virtual patients and virtual machines to speed up the development of potential medical breakthroughs.
鈥淭he crux of the problem, both in the clinical domain and the research domain, is that imaging is an approximation, not reality,鈥 said Samei, who received the from the International Organization for Medical Physics. 鈥淚t鈥檚 never a perfect rendition of reality, but an approximation. So the question I鈥檓 working on is, how much of an approximation is it, and can we make a better one?鈥
What he loves about Duke: Samei is grateful to have a strong network of colleagues who combine innovative ideas with the collaborative and hard-working spirits needed to push those ideas forward.
鈥淲hat attracted me to Duke is that there are so many brilliant people here,鈥 Samei said. 鈥淚 feel that what makes programs and universities worthwhile isn鈥檛 the project, but the brilliance of the people who actually do the project.鈥
Most memorable day at work: In 2021, Duke became one of the few facilities in the world to acquire a Photon-Counting CT Scanner. For Samei, who had been advocating for Duke to add one, the chance to finally use it to was a thrill. He recalls seeing images with a level of clarity and detail that he鈥檇 previously been unable to see. And when those images were able to help doctors diagnose patients鈥 vexing health problems, it validated the efforts put into bringing the technology to Duke.
鈥淵ou can talk about photon counting and quantum mechanics and all of that stuff, but it only matters when you actually care for the individual and solve their problem,鈥 Samei said.
When he鈥檚 not working, he likes to: Classical music, from such iconic composers as Bach, Schubert and Brahms, is one of Samei鈥檚 passions. He cherishes opportunities to see live performances, and chances to perform himself. Growing up in Iran, Samei began playing the flute, one of the few instruments small enough to play discreetly in a country where music was banned. More recently, he鈥檚 enjoyed playing alongside other musicians in semi-professional ensembles.
鈥淚 used to play a lot more, but now I just don鈥檛 have the time,鈥 Samei said.
Something unique in his workspace: On a shelf in his office in Hock Plaza, Samei has what looks like a framed record. But a closer look reveals images of bones set within the disc. The item is what鈥檚 known as a Made in Soviet-era Russia, where western music was strictly banned, these bootleg records 鈥 often of jazz or early rock n鈥 roll 鈥 were pressed on discarded X-ray slides. A friend gave one to Samei as a gift.
鈥淭his embodies many of my interests,鈥 Samei said. 鈥淭here's medical imaging in there. It has music. And I grew up in Iran during the Islamic revolution when music was banned, so I know that music in itself is an act of resistance.鈥
Lesson learned during the pandemic: Samei gained an appreciation for the periods of time that exist between tasks, meetings and events that define a day. Prior to the pandemic, when offices were full of people and most interactions were in person, these times were when colleagues could chat, or when minds were allowed to wander.
鈥淚t鈥檚 amazing how much life happens in the margins,鈥 Samei said. 鈥淥n the days when you鈥檙e going from Zoom meeting to Zoom meeting, those margins are gone and your brain doesn鈥檛 have a chance to recalibrate.鈥
Something most people don鈥檛 know about him: Samei is an avid runner and has completed five marathons. One of those was the 2013 Boston Marathon, which was remembered for terrorist attack that claimed three lives near the finish line. Samei had completed the course and left the area roughly 45 minutes before the homemade bombs were detonated.
鈥淭hankfully my family decided not to accompany me,鈥 Samei said. 鈥淚 was incredibly grateful for that.鈥
Is there a colleague at Duke who has an intriguing job or goes above and beyond to make a difference? Nominate that person for Blue Devil of the Week.