Thomas Heston, MD, FAAFP, FACNM

• Johns Hopkins School of Medicine, Molecular Imaging Fellowship
• University of Nicosia, MS in Blockchain and Digital Currency
• University of Washington School of Medicine, Family Medicine Residency
• Oregon Health and Science University, Nuclear Medicine Residency, Chief Resident
• Duke University School of Medicine, Family Medicine Internship
• Saint Louis University School of Medicine, MD
• University of the State of New York – Albany, BS, Liberal Arts
• University of Washington, BA, Music

• Assistant Professor (Adjunct), Johns Hopkins University, Department of Radiology, 2010 – 2014
• Clinical Instructor, University of Washington School of Medicine, Family Medicine, 2015 – 

Current projects include defining fragility in biostatistics, healthcare applications of blockchain technology, and artificial intelligence.

• Fellow, American College of Nuclear Medicine, 2007
• Fellow, American Society of Nuclear Cardiology, 2006
• Fellow, American Academy of Family Physicians, 1998

 

2024

Heston, Thomas F. (2024). A blockchain AI solution to climate change. International Journal of Science and Research Archive, 2024, 11(02), 450–454.  https://doi.org/10.30574/ijsra.2024.11.2.0471 

Heston, Thomas F. (2024). Foundations of scholarly writing.  In: Erokhin V, editor. An Overview on Business, Management and Economics Research Volume 8. London (UK): B P International; 2024 Jan 19. p. 113-154. https://doi.org/10.9734/bpi/aobmer/v8/2822G 

Heston, Thomas F. (2024). Quantifying uncertainty: potential medical applications of the Heston model of financial stochastic volatility.  In: Qassim RY, editor. Contemporary Perspective on Science, Technology and Research Volume 3. London (UK): B P International; 2024 Jan 1. p. 92-103. https://doi.org/10.9734/bpi/cpstr/v3/2797G 

Heston, Thomas F. (2024). Two Left Shoes. Journal of Artificial Intelligence General Science (JAIGS) ISSN:3006-4023, 2(1). https://doi.org/10.60087/jaigs.v2i1.71 

2023

Heston, Thomas F. (2023). Assessing illness and recovery with the clean plate sign. Zenodo. https://doi.org/10.5281/zenodo.8207106

Heston, Thomas F. (2023). Big tobacco, cigarettes and the foundation of Duke University. Journal of Clinical Medical Research, 4(3), 1-4. https://dx.doi.org/10.46889/JCMR.2023.4302 

Heston, Thomas F. & Jiang, John Y. (2023). Concordance of chest x-ray with chest CT by body mass index. PeerJ 2023 Mar 16;11:e15090. https://doi.org/10.7717/peerj.15090 

Heston, Thomas F. (October 13, 2023). The cost of living index as a primary driver of homelessness in the United States: a cross-state analysis. Cureus 15(10): e46975.  https://doi.org/10.7759/cureus.46975 

Heston, Thomas F. & Dullea, A. (2023). Distributed research networks. In: Stawicki, S. (ed.) Blockchain in Healthcare. Integrated Science, vol 10. Springer, Cham. https://doi.org/10.1007/978-3-031-14591-9_12

Heston, Thomas F. (2023). Gamifying exercise in the elderly. Journal of Clinical Medical Research, 4(2), 1–3. https://doi.org/10.5281/zenodo.8092455

Heston, Thomas F. (2023). Optimizing job design to improve healthcare employee satisfaction and patient care. Medium.com, 2023 Aug 23. https://doi.org/10.5281/zenodo.8240104

Heston, Thomas F. (2023). Prompt engineering for students of medicine and their teachers. Las Vegas: MegaSimple.com LLC. https://doi.org/10.5281/zenodo.8209182, https://www.amazon.com/dp/B0C9S1WPMS/

Heston, Thomas F., Khun, Charya. (2023). Prompt engineering in medical education. Int. Med. Educ. 2023, 2(3), 198-205. https://doi.org/10.3390/ime2030019 

Heston, Thomas F. (December 18, 2023). Safety of large language models in addressing depression. Cureus 15(12): e50729. doi:10.7759/cureus.50729

Heston, Thomas F. (2023). Selecting the safest public bathroom stall in the era of Covid-19. Jour Clin Med Res. 2023;4(2):1-4. https://doi.org/10.46889/JCMR/2023.4215 

Heston, Thomas F. (2023). Statistical Ethics in Medical Research: A Narrative Review. Jour Clin Med Res. 2023;4(3):1-10. http://dx.doi.org/10.46889/JCMR.2023.4308 

Heston, Thomas F. (2023). Statistical Fragility in Surveys. Academic Medicine 2023 Dec 7. doi: 10.1097/ACM.0000000000005584 

Heston, Thomas F. (2023). Statistical Significance Versus Clinical Relevance: A Head-to-Head Comparison of the Fragility Index and Relative Risk Index. Cureus, Oct 26;15(10):e47741. doi: 10.7759/cureus.47741

Heston, Thomas F. (2023). The Beholder – A Symphony of Life in Medicine. International Journal of Scientific Research. 2023;12(12):1-2. https://doi.org/10.5281/zenodo.10246612 

Heston, Thomas F., & Khun, Charya. (2023). The Good, the Bad, and the Ugly of Chat GPT in Medical Education. International Journal of Current Research, 15(8), 25496–25499. https://doi.org/10.24941/ijcr.45759.08.2023 

Heston, Thomas F. The Ochlocratic Trap in Bioethics. Jour Clin Med Res. 2023;4(3):1-5. https://doi.org/10.46889/JCMR.2023.4305 

Heston, Thomas F. (2023). The Percent Fragility Index. International Journal of Scientific Research, 12(7), 9–10. https://doi.org/10.5281/zenodo.8215816

Heston, Thomas F. (2023). To Mask or Not to Mask Correctly: An Empirical Look at Public Masking Behavior. Jour Clin Med Res. 2023;4(2):1-3. https://doi.org/10.46889/JCMR/2023.4214

Heston, Thomas F. (2023). We Thank You Lord. International Journal of Current Research, 15(8), 25668-25671. https://doi.org/10.24941/ijcr.45832.08.2023 

2022

Heston, Thomas F. (2022). Find the Joy: an Ode to Healing in F Major. Zenodo. https://doi.org/10.5281/zenodo.8185036

2021

Heston, Thomas F., Ray S. (eds.) (2021). Bioethics in Medicine and Society. London: InTechOpen. http://dx.doi.org/10.5772/intechopen.87361  

Heston, Thomas F. (ed) (2021). Topics in Primary Care Medicine. London: InTechOpen. http://dx.doi.org/10.5772/intechopen.83135 

2020

Heston, Thomas F. (2020). How Skateboarders Can Save the World From COVID-19. Medium. https://medium.com/@tomhestonmd/how-skateboarders-can-save-the-world-from-covid-19-c8e053a222a4. doi: https://doi.org/10.5281/zenodo.10079716 

Heston, Thomas F. (2020). Introductory Chapter: Blockchain Technology and Smart Healthcare. In: Smart Healthcare (pp. 1-4). London: InTechOpen. https://dx.doi.org/10.5772/intechopen.90633 

Heston, Thomas F. (ed) (2020). Smart Healthcare. London: InTechOpen. https://doi.org/10.5772/intechopen.77782 

2019

Heston, Thomas F. (2019). Fragile Data Requires High Statistical Caution. https://doi.org/10.5281/zenodo.8122528

Heston, Thomas F. (2019). Introductory Chapter: Telemedicine. In: Telehealth (pp. 3-5). London: InTechOpen. https://doi.org/10.5772/intechopen.82419 

Heston, Thomas F., & Pahang, Joshuel A. (2019). Moral injury and the four pillars of bioethics. F1000research, 8, 1193. https://doi.org/10.12688/f1000research.19754.1 

Heston, Thomas F. (ed) (2019). Telehealth. London: IntechOpen. http://dx.doi.org/10.5772/intechopen.78461 

2018

Heston, Thomas F. (2018). A Blockchain Solution to Gun Control. International Journal of Scientific Research, 3(7), 81–83. https://doi.org/10.5281/zenodo.8117806

Heston, Thomas F. (ed.) (2018). eHealth – Making Health Care Smarter. London: InTechOpen (London). http://dx.doi.org/10.5772/intechopen.71820 

Heston, Thomas F. (2018). Introductory Chapter: Making Health Care Smart. In eHealth – Making Health Care Smarter (pp. 1–7). London: InTechOpen. https://doi.org/10.5772/intechopen.78993 

2017

Heston, Thomas F. (2017). A Case Study in Blockchain Health Care Innovation. Int J Curr Res. 2017;9(11): 60587–60588. DOI: https://doi.org/10.5281/zenodo.8277804 

Heston TF, Olson AH, Randall NR. Canagliflozin lowers blood sugar, but does it also lower cardiovascular risk? Maybe not. Ann Transl Med. 2017;5(23):473. https://doi.org/10.21037/atm.2017.09.28.

Heston, Thomas F. , King, Jackson M. (2017). Predictive power of statistical significance. World J Methodol. 2017 Dec 26;7(4):112-116. doi: 10.5662/wjm.v7.i4.112

Heston, Thomas F. (2017). Sauna Bathing and the Cardiovascular System. International Journal of Scientific Research. 2017;6(11), 569–570. https://doi.org/10.5281/zenodo.8106462

2014

Heston, Thomas F. (2014). Standardized Predictive Values. Journal of Magnetic Resonance Imaging, 39(5), 1338. https://doi.org/10.1002/jmri.24564

Heston, Thomas F. (2014). What's Inside. Zenodo. https://doi.org/10.5281/zenodo.10420929

2013

Heston, Thomas F. (2013). Commentary on “Effect of Patients' Awareness of CVD Risk Factors on Health-Related Behaviors”. Southern Medical Journal, 106(11), 610–611. https://doi.org/10.1097/SMJ.0000000000000014 

2012

Heston, Thomas F. (2012). Letter by Heston Regarding Article, “Comparative Effectiveness of Exercise Electrocardiography With or Without Myocardial Perfusion Single Photon Emission Computed Tomography in Women With Suspected Coronary Artery Disease: Results From the What Is the Optimal Method for Ischemia Evaluation in Women (WOMEN) Trial.” Circulation 2012;125(19):e933 https://doi.org/10.1161/CIRCULATIONAHA.111.069286 

2011

Heston, Thomas F. (2011). Standardizing predictive values in diagnostic imaging research. J Magn Reson Imaging. 2011;33(2):505. http://dx.doi.org/10.1002/jmri.22466 

2010

Heston, Thomas F.  (2010). 123I-MIBG Versus 18F-FDG: Which Is Better, or Which Can Be Eliminated? Journal of Nuclear Medicine. 2010;51(2):330.  https://doi.org/10.2967/jnumed.109.069401 

Heston, Thomas F., & Gosselin, Marc. (2010). Medical Mythology: Its Etiology, Prevention and Treatment. Webmedcentral General Medicine. 2010;1(9). https://doi.org/10.5281/zenodo.8106435

Heston TF, Wahl RL. (2010). Molecular imaging in thyroid cancer. Cancer Imaging. 2010;10(1):1-7. https://doi.org/10.1102/1470-7330.2010.0002

Goldsmith SJ, Parsons W, Guiberteau MJ, Stern LH, Lanzkowsky L, Weigert J, Heston TF, Jones E, Buscombe J, Stabin MG and Society of Nuclear Medicine. SNM practice guideline for breast scintigraphy with breast-specific gamma-cameras 1.0.  J Nucl Med Technol. 2010 Dec;38(4):219-24. doi:  https://doi.org/10.2967/jnmt.110.082271. PMID: 21057112.

2009

Heston TF, Wahl R, Jacene H (2009). A systematic approach to PET/CT interpretation and reporting in oncology. Journal of Nuclear Medicine, 50(Supplement 2), 1089. https://doi.org/10.5281/zenodo.10306416 

Heston TF, Wahl RL (2009). Clinical Significance of Iodine-123 Metaiodobenzylguanidine Cardiac Imaging. J Am Coll Cardiol. 2009;54(6):575-576. https://doi.org/10.1016/j.jacc.2009.02.082 

Heston T, Merrill J, Bengel F, Wahl R. Coronary calcium scores in patients with normal myocardial perfusion. J Nuclear Med. 2009;50(supplement 2):1160.

Heston TF (2009). Detection of myocardial infarction by CT angiography. Heart 2009;95:1108. http://dx.doi.org.offcampus.lib.washington.edu/10.1136/hrt.2009.169508 

Heston TF, Cheng A. (2009). Electrocardiographic Markers of Cardioversion Success in Patients with Atrial Fibrillation or Flutter. Southern Medical Journal. 2009;102:877-878. https://doi.org/10.1097/SMJ.0B013E3181B08A4D  

Heston, Thomas F.,  & Szabo, Z. (2009). Giant cell arteritis on 18F‐FDG PET/CT. Clinical Physiology and Functional Imaging, 29(5), 382–384. https://doi.org/10.1111/j.1475-097X.2009.00881.x 

Heston, Thomas F., Wahl, Richard L. (2009). How often are statistically significant results clinically relevant? Not often. Journal of Nuclear Medicine 50, no. supplement 2 (2009): 1370–1370. https://zenodo.org/doi/10.5281/zenodo.10198933 

2007

Heston, Thomas F. (2007). Pharmacologic stress testing. Southern Medical Journal. 2007;100(10), 969–970. https://doi.org/10.5281/zenodo.8126709

2005

Heston, Thomas F. (2005). Anginal symptoms are not predictive of myocardial perfusion or function in diabetics. Journal of Nuclear Cardiology. 2005;12(4):S108. doi: https://doi.org/10.1016/j.nuclcard.2005.06.028  

2004

Baur DA, Heston TF, Helman JI (2004). Nuclear medicine in oral and maxillofacial diagnosis: a review for the practicing dental professional. Journal of Contemporary Dental Practice, 5(1), 1–7. https://doi.org/10.5005/jcdp-5-1-94 

2001

Heston, Thomas F. (2001). Self-Assessment in Family Practice: Hypertension Review Questions. Hospital Physician, 37(3), 37–38. https://doi.org/10.5281/zenodo.10144855 

Heston, Thomas F. (2023). Self-Assessment in Family Practice: Hypothyroidism Review Questions. Hospital Physician, 37(9), 31–32. https://doi.org/10.5281/zenodo.10144818 

2000

Heston, Thomas F. (2000). Primary Care Radiology. Journal of the American Board of Family Practice, 13(6), 473. https://doi.org/10.3122/15572625-13-6-473a

1999

Heston, Thomas F. (1999). Self-Assessment in Family Practice: Medical Imaging Review Questions. Hospital Physician, 35(9), 37–38. https://doi.org/10.5281/zenodo.10140106 

Heston, Thomas F. (1999). Self-Assessment in Family Practice: Prevention and Diagnosis of Osteoporosis Review Questions. Hospital Physician, 35(12), 37–38. https://doi.org/10.5281/zenodo.10144449 

1997

Heston, Thomas F, Norman, Douglas J, Barry, John M, Bennett, William M, & Wilson, Richard A. (1997). Cardiac Risk Stratification in Renal Transplantation Using a Form of Artificial Intelligence. American Journal of Cardiology. 1997;79:415–417. https://doi.org/10.5281/zenodo.8126728

Heston TF, Lawrence LM. (1997). Gender bias in acute myocardial infarction. The American journal of cardiology, 79(6), 844.  https://doi.org/10.5281/zenodo.10095949 

1996

Heston, T. F. (1996). Do Premedical Students Fear Being Sued. Western Journal of Medicine, 165(6), 398. https://doi.org/10.5281/zenodo.10150486 

1993

Heston TF, Lewis LM. (1993). Myocardial Infarction. Journal of Family Practice. 1993;37(1):13–14. https://doi.org/10.5281/zenodo.8135677

Heston TF. (1993). Smoking cessation strategies: a meta-analysis. Southern Medical Journal. 1993;86(Suppl):S36. doi: https://doi.org/10.5281/zenodo.10120006 

1992

Heston TF, Lewis LM. (1992). Gender Bias in the Evaluation and Management of Acute Nontraumatic Chest Pain. Family Practice Research Journal. 1992;12(4):383–389. https://doi.org/10.5281/zenodo.8111091

Heston TF, Mattfeldt-Beman M, Cohen JD. (1992). Predictors of weight loss in a hypertension prevention program. Southern Medical Journal 1992;85(supplement):3S-31.  https://doi.org/10.5281/zenodo.10079949 

1991

Heston TF. (1991). An Excess of Information. Southern Medical Journal. 1991;84(8):1063.

Heston TF, Simkin P. (1991). Carbohydrate Loading in Preparation for Childbirth. Medical Hypotheses. 1991;34:97-98. https://doi.org/10.5281/zenodo.8118178

Lewis, Lawrence M., Heston, Thomas F., Mecker, R, Lasater, L, & Rush, C. (1991). Do emergency physicians follow the American College of Emergency Physicians' policy regarding the evaluation of nontraumatic chest pain in the ED? Southern Medical Journal. 1991;84(9):2S-23. https://doi.org/10.5281/zenodo.8231103

Heston TF, Lewis LM (1991). Gender-specific differences in the evaluation and management of acute chest pain. South Med J 1991;84(supp):23. https://doi.org/10.5281/zenodo.8217989

Simkin PA, Heston TF, Downey DJ, Benedict RS, Choi HS. Subchondral architecture in bones of the canine shoulder. J Anat. 1991 Apr;175:213-27. PMID: 2050567; PMCID: PMC1224481. https://doi.org/10.5281/zenodo.8241671 

1990

Lewis, Lawrence M., Heston, Thomas F., & Rush, Carol. (1990). A comparison of care rendered by ED physicians with varying medical backgrounds. Southern Medical Journal. 1990;83(9):2S-19. https://doi.org/10.5281/zenodo.8229711

1989

Heston, Thomas F. (1989). The ochlocratic trap. MSLaneous 1989;16(6):18.

1987

Heston T: Deeper policy questions remain about N Reactor [Letter]. The Seattle Times 1987 Jan 5:A9(col 2).

1985

Heston TF. (1985). We thank you Lord. Zenodo. https://doi.org/10.5281/zenodo.8125183