In this episode, Dr. Nicole Lamparello discusses the strides and challenges in achieving gender equity in interventional radiology (IR), sharing insights from her research on gender disparities in IR, and revealing how women currently comprise a significantly low percentage of the IR workforce compared to men despite equal numbers of male and female medical students. Dr. Lamparello is an interventional radiologist and serves as the Program Director for Weill Cornell Medicine’s Integrated IR Residency in New York City.---CHECK OUT OUR SPONSORRADPAD® Radiation Protectionhttps://www.radpad.com/---SYNPOSISThe doctors cover the importance of workplace culture with flexibility for family and maternity needs, mentorship, visibility of female leaders in IR, and strategies for attracting more women to the field. The conversation also touches on the impact of diverse IR professionals on patient outcomes, and how outsourcing personal tasks can help maintain work-life balance. The necessity of early exposure to IR for medical students and addressing specific hurdles for women in IR, such as work-life balance, radiation exposure fears, and lack of female role models are also explored.---TIMESTAMPS00:00 - Introduction05:40 - Addressing Gender Disparity in IR13:48 - Importance of Physician Workforce Diversity18:31 - Challenges and Solutions for Gender Equity in IR25:28 - Work-Life Balance38:40 - Concluding Thoughts---RESOURCESThe Gender Gap in Interventional Radiology: Barriers, Opportunities, and the Role of the Integrated IR Residency:https://pubmed.ncbi.nlm.nih.gov/36870809/The IR Trainee Workforce 10 Years after Becoming a Primary Medical Specialty:https://www.jvir.org/article/S1051-0443(23)00651-6/fulltextLack of exposure and perceived occupational hazards as barriers to entry into IR for women: a survey of 143 female medical students:https://www.jvir.org/article/S1051-0443(16)31526-3/fulltextUntapped Resources: Attaining Equitable Representation for Women in IR:https://www.jvir.org/article/S1051-0443(18)31645-2/fulltextGender and racial diversity among plenary session speakers at the Society of Abdominal Radiology Annual Meetings: a five-year assessment:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226100/Bridging the Gender Gap in the Society of IR: A Benchmark Study:https://www.jvir.org/article/S1051-0443(18)31492-1/pdf

Dr. Aron Chary discusses cryoneurolysis for pain management, collaboration with Boston Scientific, procedural specifics, patient response, outcomes, and navigating insurance challenges. The podcast covers various areas such as genicular nerve, palliative care, celiac cryoneurolysis, outpatient settings, and future of pain management research.

In this episode, Dr. David Guez discusses the advancements in contrast enhanced ultrasound, its application in detecting endoleaks, and his journey of learning and applying this modality from residency to his current practice.Dr. Guez emphasizes ultrasound’s utility in lesion characterization, endoleak monitoring, and sparing patients from more invasive diagnostic procedures. The doctors delve into the specifics of using ultrasound contrast agents, particularly LUMASON and its intravascular utility for real-time monitoring of disease states with superior resolution compared to CT or MRI. Dr. Guez also discusses the potential for contrast enhanced ultrasound in interventional radiology, including diagnosing vascular lesions and augmenting tumor treatments. The conversation highlights the technique’s advantages, its high sensitivity for endoleaks, and potential areas for future research and application. The episode underscores the underutilized potential of contrast enhanced ultrasound in both diagnostic and interventional radiology settings.---CHECK OUT OUR SPONSORReflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction03:54 - Exploring the Basics of Contrast Enhanced Ultrasound06:49 - Clinical Applications and Advantages of Contrast Enhanced Ultrasound09:15 - Contrast Enhanced Ultrasound in Action: Diagnosing Endoleaks23:52 - Future of Contrast Enhanced Ultrasound in Interventional Radiology27:02 - Closing Thoughts---RESOURCESBracco LUMASON:https://lumason.com/Nontraditional Uses of US Contrast Agents in Abdominal Imaging and Intervention:https://pubs.rsna.org/doi/full/10.1148/rg.220016Book written by Andrej Lyshchik, MD, PhD (Thomas Jefferson) - Specialty Imaging: Fundamentals of CEUS:https://www.amazon.com/Specialty-Imaging-Fundamentals-Andrej-Lyshchik/dp/0323625649Contrast-enhanced Ultrasound Identifies Patent Feeding Vessels in Transarterial Chemoembolization Patients With Residual Tumor Vascularity:https://pubmed.ncbi.nlm.nih.gov/32890324/Contrast-enhanced ultrasound (CEUS) versus computed tomography angiography (CTA) in detection of endoleaks in post-EVAR patients. Are delayed type II endoleaks being missed? A systematic review and meta-analysis:https://pubmed.ncbi.nlm.nih.gov/26191109/

In this episode, guest host Dr. Krishna Mannava interviews Dr. Bob Tahara about the significant multilevel impacts, ripple effects, and fallout of cyberattacks on the healthcare industry, specifically covering the recent cyberattack that targeted major clearinghouse, Change Healthcare.Dr. Tahara is a vascular surgeon practicing in rural northwest Pennsylvania and President of Outpatient Endovascular Interventional Society (OEIS). Dr. Tahara shares his experiences as a solo vascular surgeon in rural Pennsylvania, highlighting the complexities of modern billing systems, the advantages of hiring a quality billing company, and the challenges posed by the consolidation of clearinghouses. The conversation also delves into the alarming ransomware attack on Change Healthcare, where 6 terabytes of patient data were compromised. This incident exposed vulnerabilities across the healthcare sector, from payment processes to electronic medical and prescription records. The doctors underscore the importance of cybersecurity preparedness, diversification of clearinghouses, and the role of physicians in advocating for more secure and efficient healthcare systems. They also touch on personal hobbies like Kendo to manage stress.---CHECK OUT OUR SPONSORReflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction02:02 - Cyberattack on Change Healthcare: An Overview06:37 - Impact of the Cyberattack on Healthcare Practices09:50 - Understanding Clearinghouses in Healthcare Billing14:30 - Fallout from the Cyber Attack: A Personal Account16:40 - Navigating the Aftermath: Strategies and Solutions22:54 - Value of Medical Records and Cybersecurity Measures29:18 - Action Items and Advocacy for Physicians35:00 - OEIS 2024 Meeting and Final Thoughts---RESOURCESOEIS Annual Meeting Schedule 2024:https://oeisweb.com/wp-content/uploads/2024/04/2024-AM-attendee-brochure-v4-FINAL-proof-lowres.pdfBackTable Episode 349 - Cybersecurity for Physicians with Jason Newton, Esq:https://www.backtable.com/shows/vi/podcasts/349/cybersecurity-for-physicians

Drs. Saleh and Watts share challenging cases in vascular interventions, emphasizing preparedness, interdisciplinary collaboration, and device management. They discuss hybrid OBL and hospital practices, highlighting the importance of handling complications effectively for patient safety.

In this episode, host Dr. Bryan Hartley takes us on a deep dive into the origin story and mission of Pulmera, a medtech company dedicated to transforming the field of bronchoscopic lung cancer diagnosis by retrofitting existing fluoroscopy machines into cone beam CT-like scanners. Dr. Hartley is a vascular and interventional radiologist and co-founded Pulmera, alongside interventional pulmonologist Dr. Harmeet Bedi at Stanford.Pulmera is developing a novel approach to enhance physicians’ ability to diagnose lung nodules accurately through innovative technology. Dr. Hartley shares insights into the challenges of existing diagnostic methods, the inspiration behind Pulmera, and the technology’s potential to combine the best of 3D imaging and endoscopy techniques. Dr. Hartley discusses the benefits for both patients and physicians, such as improved diagnostic yields and patient outcomes, and introduces an investment opportunity for the BackTable community to be part of this revolutionary project. The episode also explores the broader implications of this technology across various medical specialties beyond pulmonology.---CHECK OUT OUR SPONSORRADPAD® Radiation Protectionhttps://www.radpad.com/---SHOW NOTES00:00 - Introduction02:18 - Personal Journey: From Vanderbilt to Stanford Biodesign06:11 - Pulmera’s Mission: Enhancing Diagnostic Accuracy in Lung Biopsies15:02 - Introducing a Game-Changing Technology for Bronchoscopic Procedures22:09 - Challenges and Breakthroughs in Portable CT Imaging27:44 - Economic Impact of Enhanced Diagnostic Procedures29:48 - Building a Team and Securing Funding for Innovation31:30 - Understanding Investment Opportunities and Equity Financing---RESOURCESDr. Bryan Hartley’s email:bryan.hartley@pulmera.comDr. Bryan Hartley’s cell:423-432-0612Pulmera:http://www.pulmera.com/Stanford Biodesign Fellowship:https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.htmlBackTable Innovation Episode #1 - Needs Driven Innovation with Dr. Todd Brinton (Stanford BioDesign):https://www.backtable.com/shows/innovation/podcasts/1/needs-driven-innovationBackTable Innovation Episode #30 - Host Stories with Dr. Bryan Hartley and Dr. Eric Gantwerker (Stanford BioDesign):https://www.backtable.com/shows/innovation/podcasts/30/host-storiesBackTable VI Episode #422 - Pathology 101: Solid Advice for Percutaneous Biopsies with Dr. Andrew Sholl:https://www.backtable.com/shows/vi/podcasts/422/pathology-101-solid-advice-for-percutaneous-biopsies

In this episode, Dr. Jos van den Berg discusses the benefits of joining the Critical Limb Ischemia (CLI) Global Society, including discounts on Amputation Prevention Symposium (AMP) meetings, access to a specialized journal, and participation in Multidisciplinary CLI Network (MCLIN) discussion boards.Dr. van den Berg is an interventional radiologist at University of Bern in Switzerland and Europe Office Chairman and Member of Board of Directors for CLI Global Society. Dr. van den Berg also serves as a reviewer and editorial board member of multiple high-impact scientific journals.With members across the globe, the CLI Global Society emphasizes a multidisciplinary approach to combat CLI, aiming to prevent amputation and death through education, patient advocacy, and awareness about CLI. Dr. van den Berg also sheds light on the complexity of CLI management in Europe due to varied reimbursement systems among countries and the society’s efforts to tackle these challenges. The episode also touches on the society’s future goals, including expanding its global presence and continuing to offer extensive resources and networking opportunities to its members.---CHECK OUT OUR SPONSORSBD Advance Clinical Training & Education Programhttps://page.bd.com/Advance-Training-Program_Homepage.htmlReflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction02:08 - Meet Our Guest: Dr. Jos van den Berg05:42 - Deep Dive into CLI Global Society07:53 - Exploring the Impact and Initiatives of CLI Global Society14:42 - Challenges and Differences of CLI Management in Europe21:08 - Innovations and Future Endeavors in CLI Treatment23:45 - Closing Thoughts and the Importance of Membership---RESOURCESCLI Global Society:https://www.cliglobalsociety.org/Multidisciplinary CLI Network (MCLIN) Global CLI LIVE Meeting (every 2nd Friday of the month, 7am EST):https://www.cliglobalsociety.org/education/mclin/#myaccountAMP CLI Meeting:https://www.hmpglobalevents.com/amptheclimeeting

Dr. Blake Parsons discusses the role of spinal cord stimulation in treating vascular issues and diabetic neuropathy. They highlight the effectiveness of Nevro 10 kHz therapy in providing long-term pain relief and sensory improvements. Topics include outpatient care, future of spinal cord stimulation, multidisciplinary approach, and interventional radiologists managing complex cases.

Dr. Mark Lessne and Dr. John Martinie discuss the importance of collaboration between interventional radiology and surgery in treating biliary diseases. They emphasize the need for comprehensive patient care, decision-making in interventions, and the impact of multidisciplinary approaches on patient outcomes. The conversation highlights challenges in biliary decompression, balancing minimally invasive techniques with surgery, and the role of compassionate consent in patient care plans.

In this episode of the BackTable MSK Podcast, Dr. Dana Dunleavy interviews Dr. David Prologo about his perspective on current advancements in MSK interventions, including steerable spine needles, thermocouples for radiofrequency ablation, and the growing importance of advocacy and longitudinal follow up for patients with chronic pain. Dr. Prologo is an interventional radiologist at Emory University.Dr. Prologo starts by describing the evolution of interventional radiology’s role in MSK interventions. He explains that establishing solid referral networks is crucial to building this service line, and he gives examples of how new interventionalists can highlight their skills to others. Then, he describes a new steerable needle that allows operators to safely enter the vertebral body with a transpedicular approach and subsequently navigate directly to the location of interest. This device is especially useful when lesions are located in tricky areas where the trajectory of a straight needle would have difficulty reaching. He also discusses different devices for bone tumor ablation and his preferred methods for targeting lesions that are located at varying locations in the spine. For lesions below T5, he uses fluoroscopy for better visualization of the axial plane. For lumbar lesions, he emphasizes the importance of correlating and cross-checking vertebral levels with pre-procedural MRI.Dr. Prologo also discusses lessons learned from his extensive experience in spine interventions, especially from prior complications. He explains how thermocouple monitoring can give real time feedback on internal temperature during radiofrequency ablation, the necessity of understanding the ablation zone, and the importance of longitudinal follow up. He cites specific cases of patients struggling with chronic pain and how he advocated for each case.---CHECK OUT OUR SPONSORMerit Spinehttps://www.merit.com/merit-spine/---SHOW NOTES00:00 - Introduction02:09 - Dr. Prologo’s Career and Leadership Roles09:52 - Interventional Radiology’s Role in MSK Interventions13:37 - A Primer for Steerable Vertebral Needles21:40 - Increasing Standardization and Accessibility of Bone Tumor Ablation26:37 - Advanced Pain Management in Interventional Radiology’ Book30:24 - Thermocouples in Radiofrequency Ablation35:45 - Prior Complications and Importance of Longitudinal Care44:24 - SIR EDGE 202452:31 - Accessing Targets for Basivertebral Nerve Ablation1:01:17 - The Role of Advocacy in Patient Care---RESOURCESOsseoflex Steerable Needle:https://www.merit.com/product/osseoflex-sn-steerable-needle/STAR Tumor Ablation System:https://www.merit.com/product/star-tumor-ablation-system/Osteocool OsteoCool Radiofrequency Ablation System:https://www.medtronic.com/us-en/healthcare-professionals/products/spinal-orthopaedic/tumor-management/osteocool-ablation-system-rf.htmlOptaBlate Bone Tumor Ablation System:https://providers.strykerivs.com/products/optablate‘Advanced Pain Management in Interventional Radiology’ by J. David Prologo and Charles E. Ray Jr:https://shop.thieme.com/Advanced-Pain-Management-in-Interventional-Radiology/9781684201402Ablation zones and weight-bearing bones: points of caution for the palliative interventionalist:https://pubmed.ncbi.nlm.nih.gov/24745905/SIR EDGE 2024:https://www.sirweb.org/learning-center/meetings/sir-edge/‘The Catching Point Transformation’ by J. David Prologo:https://www.catchingpoint.com/