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DR. ANTONIO FERNANDES.

 

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Dr. Antonio Fernandes.
Consultant Neuroradiologist and Neurosurgical Spine Specialist, and well known as the only expert in Brain and Spinal Neuroradiology in Europe.

 

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Professional profile:

 

 

Dr. Antonio Fernandes is a highly experienced Consultant Neuroradiologist and Neurosurgeon currently based in London. He is recognised as a world-renowned expert in both Brain and Spinal procedures. He is not just limited to diagnostics but is also a skilled international expert on innovative non-invasive and non-surgical techniques for treating patients with lumbar back pain. These have shown to be proven and efficient techniques in the field.

His training in Neuroradiology at the University of California, Los Angeles and training in Managing the Delivery of Healthcare at Harvard Business school has subsequently led to his nomination as World Chairman of Neuroradiology for the World Academy of Medical Sciences, and on top of this - his nomination as UK and Portuguese Director and representative for Radiology.

 

As the only expert in Europe on Brain and Spinal Neuroradiology, his work is truly pioneering. His skills and knowledge in medicine is also equally paralleled in the study of Artificial Intelligence, standing as the Chairman and Founder of the British Institute of Artificial Intelligence. He is himself an expert in Deep Learning applications, a crucial innovation in technology for better locating the source of pain. By using AI technology to increase the accuracy of diagnoses, this in turn increases the efficacy of treating patients with Lumbar back pain - saving valuable time in such life-changing situations. This infusion of modern AI technology with medical diagnostics is an example of him being at the very forefront of innovation in the medical fields of this area. Another example is the Award for the innovation he brought to the UK, given by the British Embassy of Lisbon.

 

His mission is to apply the use of these cutting-edge technologies to provide a safer and more effective treatment of Lumbar back pain, using Ozone therapy through non-invasive surgeries. This is the future of Lumbar back treatment innovation.

 

In addition to this, Dr. Antonio Fernandes was ranked first in the entire country for Math, Physics, Biology and Chemistry and was also the top of the board at his medical school. He was awarded a restrictive scholarship from the Portuguese American Foundation for the Development of Science. He has a wealth of experience working for 12 years in the very top hospitals of Lisbon and chosen at the only JHS to work as an adviser for Schering Plough Companies. He developed ZEUS - the only open-source PACS platform in the World. 

 

 

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Personal profile:

 

 

Dr. Antonio Fernandes lives in Central London with his wife and his 6-year-old son. He originally moved to the UK from his home country of Portugal, due to his passion for the UK and love of British culture. When he is not practicing and studying Medicine and Anatomy, he is always learning more and particularly loves to spend time reading on the latest information in technology, Deep Learning and neural networks.

 

 

As a leading expert in his field, Dr. Antonio applies a different technique which utilises Ozone therapy for spine and joints. What truly sets him apart is the implementation of AI studies in his treatment, which is an advanced method for better locating the source of pain. This method of treatment is completely unique and distinguished in the world. Safety is the priority when it comes to Dr. Antonio's work, each type of treatment is carefully selected for each patient. Using this revolutionary, leading-edge treatment means you can avoid far more expensive, riskier and longer treatments that would traditionally be used. It cuts out the need for recovery time from surgeries, as it is non-invasive and so additionally does not require the patient to be on any heavy painkillers, or have to endure any physical disabilities or physiotherapy following the treatment.

 

 

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CURRICULUM VITAE

 

 

Dr. Antonio holds a Degree in Medicine by the Faculty of Medicine of the University of Lisbon in 1997, with further completion of an Interventional Neuroradiology Visiting Fellowship given by the University of California, Los Angeles in 2004. He also holds a European Qualification in Neuroradiology given by the European Board of Neuroradiology in 2006 with experience in reporting in all modalities of the Brain, Spine, Head and Neck, mainly using MRI and CT scans. He also has a keen interest in Spine intervention and a passion for Digital Imaging.

 

He is an advanced expert in PACS, DICOM and medical applications in medicine (TOP DOCTOR) and part of the clinical development team of the software ZEUS and TOP DOCTOR.

 

As of 2011 he completed the VII Neuroradiology National Course in Spain for "Cerebral Vascular Pathology". In the same year he attended the 19th Advanced course in Diagnostic Neuroradiology, the 3rd Advanced course in Interventional Neuroradiology and the 35th Annual meeting of the European Society of Neuroradiology in 2011 in Antwerp, Belgium.

 

He has a wealth of experience working in some of the most highly respected hospitals namely: 

-  As Clinical Lead, Deputy Clinical Lead of Neuroradiology, and Consultant Neuroradiologist for the S24 Group Healthcare under the direction of Dr. Maria João Quintela and Dr. Pedro Cruz based in Lisbon, Portugal.
-  At the University Hospitals of North Midlands, United Kingdom as Consultant Neuroradiologist.
-  At the Santa Maria Hospital - University of Lisbon Central as Consultant Neuroradiologist.
-  At the University Hospital Center of Lisbon Central as Consultant Neuroradiologist under the direction of Dr. Joao Reis.
-  At the University of California, Los Angeles, USA as Visiting Scholar for the Division of Interventional Neuroradiology.
-  At the Hospital de São Jose – University of Lisbon Central Hospital as Specialist Registrar in Neuroradiology.

 

 

 

Main areas of Clinical Interests: 

Neuroradiological treatment through non-invasive interventional techniques, avoiding the use and need of heavy painkillers, physiotherapy and surgery for:

Treatment of Sciatica, a condition caused by the irritation of the sciatic nerve which runs from your lower back to your hip, and down to your feet.
Treatment of Spinal Hernia, also known as Slipped Disc and Disc Herniation. A condition that occurs when the soft cushion of tissue that lies between the bones of your spines pushes out, which then presses on the nerve causing intense pain.
Treatment of Lumbar back pain (Lower back pain), both chronic and acute with a recovery rate of 90% within a single treatment and up to 95% within just 2 consecutive treatments. 
Treatment of Knees and Shoulder with a 50% recovery rate.
A Second opinion of MRI, CT brain and Spine scans.
Other conditions of the spine.
Other conditions of the joints such as shoulders or knees.
Ozone Oxygen Therapy.
Deep Learning AI to better locate and target the source of pain within the patient.

 

Scientific societies:

Royal College of Radiologists (RCR), UK.
British Institute of Radiology (BIR), UK.
European Society of Neuroradiology (ESNR), Europe.
SIG of UK Imaging Informatics Group (RCR), UK.
Radiology Society of North America (RSNA), USA.
Faculty of Occupational Medicine (FOM), UK.
Society of Occupational Medicine (SOM), UK.

Others:

GMC registration (registration number 4666615).
Portuguese Medical Council (registration number 37576).
Specialist registration as an Occupational Health Physician at GMC from 4th of June 2014.
 Member of the FOM – Faculty of Occupational Health Medicine, UK.
 International Friendship League NGO, founded in the UK in 1931. Vice Chairman of the Portuguese Group (1996-1999) and Chairman (2000-2003) and currently a member of the board ofhonour of the Group. 

Optional:   You can download and view a full copy of the CV here: [Link]

 

 

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Activity

 

We combine the latest tools, research and innovations in Artificial Intelligence and Deep Learning with the latest in advanced technology to treat many conditions including:

 

SCIATICA

 

 

This is a medical condition involving the sciatic nerve which runs down from your lower back, through to your buttocks, hips and down to the legs and to the calves even reaching as far as the extremities of the toes and feet. The pain may be felt as shooting sensations on the front, side or the back of the legs. 

Compression of this pinched nerve can also lead to symptoms of weakness, numbness and tingling in all the areas mentioned above. Usually, treatment for this condition would involve either heavy pain medication or direct surgery, whereas with our treatment you avoid the need for these completely. 
Nearly 90% of all cases of Sciatica are caused initially by pre-existing problems with a Spinal Disc herniation pressing on a Lumbar nerve. Treatment for this is also available.

 

 

 

SLIPPED DISC or SPINE HERNIATION

 

 

The vertebrae along the spine are each separated by cartilage known as discs. Each disc contains a cushioning ‘gel’ which protects the bones in the spine by absorbing the shock and impact of daily activities on the body such as walking, running, sitting and lifting. 

Each disc has two parts: a soft, gelatinous inner portion and a tough outer ring. Injury or weakness can cause the inner portion of the disc to protrude through the outer ring. This is known as a slipped, herniated, or prolapsed disc. This means that it starts offering less protection as the slipped disc begins to compress one of the spinal nerves, often resulting in spinal pain and numbness.

Physiotherapy, painkillers or direct surgical intervention is the standard treatment for this condition however, with our treatment we cut out the need for all three.

 

 

OZONE OXYGEN THERAPY: 

 

 

This uses injections directly into the herniated lumbar discs. Compared to other surgical routes of treatment, this boasts a drastically lower rate of complication while having a substantially faster recovery time.  It is considered equal in its effectiveness of pain relief and functionality when compared to surgical methods such as discectomy. Additionally, it does not require the use of some potentially unsafe drugs that are sometimes used in standard treatments.

The therapy works by utilising computer imaging in order to guide an injection (containing a gas mixture of oxygen and ozone) into the injured lumbar disc. The injection causes a chemical reaction with the cartilage called a 'redox', an oxidation process which in turn causes a reduction in pressure of the disc. This relief of pressure causes the volume of the disc to shrink, relieving any pain. 

Ozone is also what is known as a sterilising agent, ensuring that there is no risk of infection or contamination by any pathogens. It also has a direct anti-inflammatory effect as it puts a stop to our immune system attacking the cartilage, resulting in the reduction of chronic inflammatory reaction in the area. Lastly, it also provides oxygenation of the tissue around the herniated disc.

Success rate: Studies show that the injection is effective at resolving patients with a case of a herniated disc in 75% of all cases, with the benefits being felt up to 10 years later.

 

SPINAL STENOSIS

 

 

This condition occurs with the narrowing of the spaces within your spinal cord canal. This puts pressure on the various nerves that travel down the spine. It is often symptomatic of a disc bulge or bone spurs. Spinal stenosis can occur in the lower back and the neck.
Some symptoms of Spinal Stenosis include pain, tingling, numbness and muscle weakness. 

 

 

 

FACET SYNDROME

 

 

This develops in the Facet Joints which lie in between the vertebrae. They allow all the available motion within the spine, and so are the most prone to experiencing constant and repetitive stress. This causes wear and tear injury to the joints due to overuse and can also cause restriction of movement or the development of too much motion resulting in pain, soreness and stiffness and inflammation in the joints. 
Facet Joint Syndrome can affect anywhere along the spine, most commonly in the lumbar (lower back) or cervical (neck) regions.

 

 

 

DEGENERATIVE DISC DISEASE (DDD)

 

 

This disease is one of the most common causes of lower back and neck pain. It develops as you age and is caused by posture, trauma and wear and tear on the spinal discs which eventually make it more and more prone to degeneration. Symptoms consist of low-level chronic pain with brief periods of more severe pain.                
Degenerative Disc Disease can also lead to the onset of Osteoarthritis, Spinal Stenosis or Spondylolisthesis.

 

 

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SERVICES

 

 

With these services you avoid long surgeries and long recovery times - the treatment can work in just 48 hours.

 

We ensure prompt replies and fast bookings on the same day or within 24 hours to  any questions, queries  or issues you may have, as well as for any prescriptions or examination requests online.

 

Dr. Antonio Fernandes is available immediately from:

9am - 6pm Monday to Friday.

 

He aims to respond back to you within 24 hours at the very maximum.

 

If it is an emergency, you can receive a quote by contacting Dr. Antonio directly via Whatsapp on:

+44 7468 523876

If it is Urgent within 2 hours - A text is sent, or we refund your money.

Get in contact for:

-  A second opinion on examinations (Now available within 3 days).
-  An online consultation.
-  Online payments.
-  Statements, medical certificates, exam reports or Instructions for therapy.

Or if you need to request:

 

-  Prescriptions for medicines.
-  A letter for insurance, and reports on the medical situation.
-  Assessments on the state of fitness to work regarding lower back pain.
 

In Brain, Spine, Head and Neck the following procedures are available:

 

MRI including diffusion, perfusion, tractography, spectroscopy.
CT including perfusion.
X-ray.
Doppler.
Transfontanelar ultrasound.
Digital subtraction angiography (diagnostic and helper in therapeutic, mainly vascular).
Spine intervention (mainly ozone therapy).
Myelography (almost no cases recently).
Cisternography (almost no cases recently).
Treatment of Sciatica.
Treatment of Spinal Hernia.
Treatment of Lumbar back pain (Lower back pain) both chronic and acute with a recovery rate of 90% within a single treatment and up to 95% within just 2 consecutive treatments. 
Treatment of Knees and Shoulder with a 50% recovery rate.
A Second opinion of MRI and CT brain and Spine scans.
Other condition of the spine.
Other conditions of the joints such as shoulders or knees.
Ozone Oxygen Therapy.
Deep Learning AI to better locate and target the source of pain in the patient.

 

 

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PRICE LIST

 

 

-    Urgent within 2 hours – A text is sent, or we refund your money.   (€___.__)
-    Skype or Phone appointment (€0.99 per 15 minutes).
-    Ozone Therapy Fees for 1 Level (€2990).
-    2 Levels (€4930).

 Neurosurgery for:
-    Lumbar Back pain. Recovery rate of 90% within 1 treatment, and 95% within just 2 treatments.
-    Sciatica.
-    Hernia.
-    Other condition of the spine.
-    Other joints as shoulder or knee. Recovery rate of 50%.
-    Second opinion of MRI and CT brain and Spine scans.

 

 

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AWARDS

 

 

· Honourable Mention – “Internet based solution for transmission of pre-digitalized CT images”, article, first author (2000).
· Grant - from FLAD (Fundacao Luso Americana) for UCLA fellowship (2004).
· Award - UKTI – UK Trade & Investment – British Embassy, Lisbon, Portugal (2014).
· Nomination - WAMS (The World Academy of Medical Sciences) - 11 nominations (2017).
· Grant – “Allergic Rhinitis, ECT Release Kinetics following Nasal, 2nd Prize – “FML Award for Scientific Research article, 2nd prize, Faculty of Medicine, University of Lisbon, Portugal (1996).

Research Experience: 

· 2017 – Auditing in patient’s satisfaction, Nova Medical School, Lisbon, Portugal
Research/audit of new methods to measure patient satisfaction (future projects-ongoing
audit), besides the audit itself.
· 2017 - Effectiveness of the improvements of an innovative IT System for telemedicine,
Nova Medical School, Lisbon, Portugal.
Research on the efficacy of the use of ZEUS on Stroke. Part offuture larger project on
measure outcomes of telemedicine reporting on thrombolysis and thrombectomy.
· 2017 – Stroke and the benefits of teleradiology, Nova Medical School, Lisbon, Portugal
The Zeus system has been improved to a newer version. We want to measure the impact on time to report and outcomes of patients if any with those improvements.
· 2017 - Mummy research project – CT Scan and neuroradiological assessment and
interpretation of a child mummy, Portugal.
Innovative project in partnership with a Swiss University to compare and study some causes
of diseases more than 300 years ago, such as TB inspine.
· 2017 – ZEUS Project, Portugal
Research on the efficacy of the use of ZEUS on Stroke. Part offuture larger project on
measure outcomes of telemedicine reporting on thrombolysis and thrombectomy.
· 2015 – Top Doctor
Research on IT applications for HR healthcare personal and telemedicine. Successful
project implementation on the market.
· 2014 – Assessa Dementia Research – IXICO Technologies Limited
Research on the use of MRI as a tool to differentiate Vascular Dementia and Alzheimer, 
partnered withIXICUS to use this tool in our MRIs.
· 2004 - Research grant from FLAD – Fundacao Luso Americana.
Received aftercompetition for research on neuroradiologic vascular diagnosis and
therapeutics atUniversity of California at Los Angeles USA where I could participate in
several projects in endovascular treatments with GDC coils and in Diagnostic advanced MRI techniques.
· 2000 - “Low cost and low-tech archiving / telecommunication system to exchange
echocardiographiccineloops” – Faculty of Medicine, Lisbon, Portugal.
Researchdone in 2000 at Medical School when telemedicine was taking its initial stages
where it was proven that image transmission can be done in a low cost and easy manner.

Publications:

· 2018 “Vein of Galen aneurysmal malformations” (2nd and presenting author) – RCR
[submitted]
A different aspect of this malformation.
· 2018 “Telemedicine in Stroke” (1st and presenting author) – RCR [submitted]
We investigated the efficiency of a new system for the Stroke pathway. Those are challenging times with thrombolysis and thrombectomy saving independent lives. These are challenging times and neuroradiology and fast analyses is more necessary than ever.
· 2018 “Bilateral Dissection of Cervical Vertebral Arteries After Roller Coaster:
Diagnosis By MRI” (3rd and presenting author) – RSNA [submitted] 
A Classic pathology not frequent described after roller coaster.
· 2018 “Contrast Record: an audit” (1st and presenting author) – RSNA [submitted]
After some episodes of not reporting images after contrast, I decided to lead and organize an audit to the registration of the contrast finding that the level of registration was poor or incomplete. After the audit we introduced some changes in the IT system and the resultswere significantly different.
· 2018 “Case Report: Radiology and diagnosis aspects of hypothalamic lymphoma in a
HIV positive patient” (2nd and presenting author) – ESNR [submitted]
A challenging diagnostic in a non-common location.
· 2018 “Neurocysticercosis: Multiple Faces of a Parasitic Disease” (2nd and presenting
author) – ESNR [submitted]
Using the vast series of Brazilian hospitals, we have done a pictorial review of the disease.
· 2017 “Audit of the satisfaction of the patients of the S24 Clinic”, Matos, A., Fernandes,
A., 2017, [submitted]
We use a template of the RCR because patient satisfaction, in my opinion, is very important to accept the results, the difficult situations and after all the efficacy of a fast diagnosis and treatment.
· 2017 “Comparison in the improvement of the software for radiology reporting”
Dhietala, J., A., Fernandes, A. [in preparation]
We have done some improvements for early reporting mainly in spine compressions and
acute stroke so that we can speed the time to report. We will evaluate the impact of that on the speed end finally on patient outcome if possible.
· 2009 “Bilateral basal ganglia lesions & Behcet's disease”, Ferreira, M.; Fernandes, A.;
Rios, C.; Baptista, T.; Manaças, R.; Reis, J., 5th Portuguese Neuroradiology Society
Conference, 29 to 30 May 2009, Figueira da Foz. Summary published in Acta Med Port.
2009; 22(2):189 (Annex P4R)
A presentation of a case of the relatively rare pathology.
· 2006 “Aggressive intracranial and extracranial Epithelioid hemangioendothelioma: a
case report”; XVII Symposium Neuroradiologicum, Paris; published in Japanese Society of Neuropathology. Antonio L. Fernandes, Bernardo Ratilal, Manuela Mafra and Coriolano.
· Magalhaes, 2006, 26, 201-205 
A case of difficult pathology diagnosis with several discrepancies between pathologists which at that time challenged my strict believe in pathology as the final answer.
· 2003 “Cerebral Venous Thrombosis Mechanical and Chemical Thrombolyses”,
Fernandes, A.; Ribeiro, C.; Marques, C.; Reis, J.; Acta Med Port. May-June 2003;16(3):213-5
At the time this was innovative using techniques we now use to treat arterial thrombosis.
· 2003 “ACCESS-Acute CT Cerebral Evaluation of Stroke Study”, Fernandes, A. 2003,
Online publication at www.neuroimage.co.uk
My first study in discrepancies while Registrar comparing reports from different people
around the world.

· 2000 “Low cost and low-tech archiving / telecommunication system to exchange
echocardiographic cineloops” – Fernandes, A., Dias, E., Fiuza, M., Dionisio, I. Veiga, F.,
Pinto, F., Lopes, M., 2000, Scientific publication at Faculty of Medicine – Lisbon Medical
School, Lisbon, Portugal
First work done at the hospital using moving and not static imagens between two site using only internet.

· 1998/1999 Elaboration of contents in the Medicine field for the “Universal
Encyclopaedia” of Texto Editora, Fernandes, A.
I wrote all the medical related entries for this general encyclopaedia.

 

 

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BOOK APPOINTMENT

20-minute Skype appointments can be booked immediately after you have sent us your information.

Please enter the number and letter(s) indicating the location of the source of pain and injury:

 

 

 

 

Use the chart for reference below.

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C2 - Head and neck
C3 - Head and neck
C4 - Neck
C5 - Neck
C6 - Thumb
C7 - Middle finger
C8 - Little finger
12 thoracic dermatomes (T1-T12) - "T" refers to the thoracic, or to the upper torso area of the body or chest (frontal and dorsal).

T1- Inner forearm
T2 - Upper inner arm
T3 - Middle of the back (dorsal)
T4 - Level of the nipples
T5 - Bottom of the foot
T6 - Chest/rib area.
T7 - Upper section between the xiphoid process and the belly button
T8 - Halfway down from the level of the xiphoid process to the level of the belly button
T9 - From the middle section of the xiphoid process to the belly button.
T10 - Level of the belly button (umbilicus)
T11 - Between the level of the belly button and the groin (inguinal ligament)
T12 - The midpoint of the groin
5 lumbar dermatomes (L1-L5) that supply sensation from these spinal nerves in the lower limb (leg, foot, hip, etc.) - "L" refers to the five lumbar vertebrae, the disks below them, and the corresponding area of the lower back.

L1 - The hip and groin area
L2 - The inside of the thigh
L3 - Knee
L4 - The inside part of the ankle bone (medial malleolus)
L5 - Bottom of the foot and toes 1-3
5 sacral dermatomes (S1-5) - "S" refers to the sacral or the sacrum, which are located below L5.

S1 - Toes and 4 and 5, and the outside part of the ankle bone (lateral malleolus)
S2 - The outer side (lateral portion) of the heel bone (calcaneous)
S3 - The middle portion of the buttocks, perianal area, penis, and scrotum
S4 - The skin over the perianal area (in addition to S5); perianal areas, and genitals
S5 - The skin over the perianal region (along with S4) and the skin immediately at and next to the anus

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CONTACT

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Dr. Antonio Fernandes, M.D.
Consultant Neuroradiologist
UK Telephone: +44 7468 52387
Email: afernandes@s24global.com

Assistant: Ms. Marisa Clara 

Email: marisa.clara@s24global.com
UK Telephone: +44 7943901069 
Portugal Telephone: +35 1918430629

 

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