The Kinked Wire

Ezana M. Azene, an interventional diagnostic radiologist at Amplify Health, discusses the pressing challenges small and rural interventional radiology practices face, including increasing closures. He emphasizes the vital role of collaborative care in enhancing patient access to crucial, minimally invasive procedures. The conversation also touches on how advanced practice providers are evolving within the field and the need for comprehensive training. Advocacy for policy reforms and innovative solutions is crucial for sustaining healthcare in underserved areas.

"The time to decide what you're going to do outside of the IR suite when it gets to that point in time is not the week before, because you want to be able to hit the ground running."  Charles E. Ray, Jr, MD, PhD, FSIRIn this episode, host Merve Ozen, MD, speaks with Charles E. Ray, Jr., MD, PhD, FSIR, about his path into leadership positions, navigating transitions early in your career and the evolution of the SIR annual scientific meeting. This episode is part of our Early Career Section series.Related resources:Learn more about the Early Career Section here.Submit your abstract for the SIR 2026 Annual Scientific Meeting here. Submissions close on Sept. 25.SIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

This recording features audio versions of August 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Transarterial Embolization for Pulmonary Arteriovenous Malformation: A Systematic Review and Meta-Analysis ReadTransperineal MR Imaging–Guided Prostate Biopsy: A Prospective Randomized Controlled Study on Safety and Effectiveness Compared with Transrectal Biopsy ReadHistopathologic Response and Oncologic Outcomes after Segmental and Subsegmental Transarterial Chemoembolization and Radioembolization for Hepatocellular Carcinoma ReadClinical Effectiveness and Safety of Radiofrequency Ablation Combined with Percutaneous Osteoplasty in the Management of Pubic Skeletal Metastases ReadSingle-Center Experience of Portal Vein Recanalization and Transjugular Intrahepatic Shunt Placement in Patients with Portovisceral Thrombosis ReadTransjugular Splenocaval Shunt Creation for the Treatment of Portal Vein Cavernous Transformation with Recurrent Variceal Hemorrhage ReadJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.Host· Sonya Choe, University of California Riverside School of MedicineAudio editor· Sanya Dhama, University of California Riverside School of MedicineOutreach coordinator:· Millennie Chen, University of California Riverside School of MedicineAbstract readers:· Emily Jagenburg, Oakland University William Beaumont School of Medicine· Shobhit Chamoli, Armed Forces Medical College, Pune, India· Char Rai, Western University of Health Sciences College of Osteopathic Medicine· Andrea Serrato,  University of California Riverside School of Medicine· Andrew Sasser, University of Miami Miller School of Medicine, Florida· Ipek Midillioglu, Western University of Health Sciences, College of Osteopathic Medicine, California Read more about interventional radiology in IR Quarterly magazine or SIR's Patient Center. Support the show

"This was really the first of its kind where we had individual physicians as part of these societies give answers locally, what IR service is like and what education is like in their place of practice and where they trained. This was really the first time we were able to get firsthand information ... It really is something we need to know so that we can target efforts as an IR community."—Justin Guan, MDIn this Journal of Vascular and Interventional Radiology (JVIR) audio episode, lead author Justin Guan, MD, speaks with journal Managing Editor Ana Lewis about his May 2025 paper "Results of a Global Survey on the State of Interventional Radiology 2024"Related resources:Read the original article, "Results of a Global Survey on the State of Interventional Radiology 2024," by Justin J. Guan, MD; Tarig Elhakim, MD; Monica M. Matsumoto, MD; Thomas McKeon, MPH; Fabian Laage-Gaupp, MD;  Shams Iqbal, MD; Parag J. Patel, MD, MS; Philippe Pereira, MD; Alda L. Tam, MD, MBA; Christoph Binkert, MD, MBA; Constantinos T. Sofocleous, MD, PhDSIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

Not everyone in an underserved hospital is going to want to do all advanced procedures. And so fortunately, one of the things we have been able to do, as Dr. Ian Wilson coined, is we work where we're needed and live where we want to." -- J. Dana Dunleavy, MDIn this episode, host Ezana M. Azene, MD, PhD, speaks with J. Dana Dunleavy, MD, about the triumphs and tribulations of small and rural IR practices, particularly in the realm of spinal interventions.Related resources:Read more about small and rural practice models in IR Quarterly. Read moreLearn more about the Small and Rural Practice Committee and how to get involved. Open positions close at the end of July.SIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

Send us a textThis recording features audio versions of July 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Optimal Timing of Percutaneous Cholecystostomy across Different Grades of Acute Cholecystitis: A Retrospective Cohort Study ReadGallbladder Cryoablation for Calculous Cholecystitis Initially Treated with Percutaneous Drainage: A Prospective Trial in High-Risk Patients ReadComparative Prognostic Utility of Updated Model for End-Stage Liver Disease Scores for Prediction of Early Mortality after Transjugular Intrahepatic Portosystemic Shunt Creation ReadLong-Term Outcomes of Angioplasty and Stent Placement for Portomesenteric Vein Obstruction following Hepatobiliary and Pancreatic Surgery ReadThe Impact of Chronic Kidney Disease on Amputation and Death Rates in Patients with Peripheral Artery Disease in the United States ReadPercutaneous Microwave Ablation of Small (<4 cm) Renal Masses Performed under Moderate Sedation ReadJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.  Host and audio editor:Sanya Dhama, University of California Riverside School of MedicineOutreach coordinator:Millennie Chen, University of California Riverside School of MedicineAbstract readers:Tejal Gala, University of Southern California, CaliforniaEmily Jagenburg, Oakland University William Beaumont School of MedicineKevin Zhou, Kaiser Permanente Bernard J. Tyson School of MedicineAndrew Sasser, University of Miami Miller School of Medicine, FloridaJaimie Le, University of California Riverside School of MedicineYe Na Diana Lim, Loma Linda University School of MedicineSIR thanks BD for its generous support of the Kinked Wire.Read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center. Support the show

"The best quote that I still say (and I say it to my son all the time) is as Ernie says, 'Not every day can be the best day of your life.' And it's so true. So, if you're having a bad day, Ernie Ring said ... it's okay." —Maureen P. Kohi, MD, FSIR, recipient of the WIR Champion AwardIn this episode, host Natosha N. Monfore, DO, speaks with 2025 Women in IR (WIR) Champion Award winner Maureen P. Kohi, MD, FSIR, about her inspirations, the importance of groups like the Women in IR Section, advice she gives trainees and more. Related resources:Episode 50: Panel discussion with the Women in Interventional Radiology Champion Award winners ListenVisit the SIR Women in Interventional Radiology (WIR) Section pageSIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

This recording features audio versions of June 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Comparison of Bypass Surgery versus Endovascular Interventions for Peripheral Artery Disease through Systematic Review and Meta-Analysis of Randomized Controlled Trials ReadThe Incidence and Consequences of Endovascular Technical Failure in Patients with Chronic Limb-Threatening Ischemia: Results from the Best Endovascular versus Best Surgical Therapy in Patients with Critical Limb-Threatening Ischemia (BEST-CLI) Trial ReadComparative Radiologic Response Assessment after Transarterial Chemoembolization, Percutaneous Ablation, and Multimodal Treatment: Radiologic-Pathologic Correlation in 81 Tumors ReadBreast Cancer Recurrence after Cryoablation in Patients Who Are Poor Surgical Candidates or Who Refuse Surgery ReadKetamine/Midazolam versus Fentanyl/Midazolam Sedation for Interventional Radiology Procedures: A Prospective Registry ReadPortal and Hepatic Vein Embolization versus Portal Venous Embolization Alone in Cirrhotic and Noncirrhotic Swine: A Pilot Study ReadAssessment of Catheter-Directed Thrombolysis and Histotripsy Treatment for Deep Vein Thrombosis ReadExpanding Global IR Outreach to Address Postpartum Hemorrhage in Kenya Using Geospatial Analytic Mapping ReadJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.  Host and audio Editor:Sonya Choe, University of California Riverside School of MedicineOutreach coordinator:Millennie Chen, University of California Riverside School of MedicineAbstract readers:Marc Attalla, University of California Riverside School of MedicineAgnes Manish, Loma Linda University School of MedicineClare Necas, Western University of Health Sciences, College of Osteopathic MedicineGavin Shu, University of California San Francisco School of MedicineMark Oliinik, Loma Linda University School of MedicineAbhisri Ramesh, George Washington School of Medicine and Health SciencesAndrew Sasser, University of Miami Miller School of Medicine Sakeena Siddiq, Western University of Health Sciences, College of Osteopathic MedicineSIR thanks BD for its generous support of the Kinked Wire.Read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

In this Journal of Vascular and Interventional Radiology (JVIR) audio episode, JVIR blog Editor Peter Li, MD, MS, uses artificial intelligence (AI) platform ElevenLabs to produce a podcast discussion on the November 2024 JVIR paper, "Using Voxel-Based Dosimetry to Evaluate Sphere Concentration and Tumor Dose in Hepatocellular Carcinoma Treated with Yttrium-90 Radiation Segmentectomy with Glass Microspheres."Related resources:Read the original articleRead the blog entry, "Vox Voxel: Calculating Y90 Tumor Dose and Sphere Distribution with Voxel Dosimetry"SIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

"We had no tools. We just had to improvise. In a way, like you said, that was what made us think, 'How can I do this?' Because you had no tools, you had to think of ways to use what you had available to do procedures that otherwise you wouldn't have been able to do back then." —Wilfrido R. Castaneda-Zuniga, MD, FSIR, on innovation in early interventional radiologyIn this episode, part of the ongoing celebration of the Society of Interventional Radiology (SIR) 50th anniversary, hosts Keith Horton, MD, FSIR, and Hector Ferral, MD, FSIR, speak with interventional radiology pioneer Wilfrido R. Castaneda-Zuniga, MD, FSIR, reflecting on lessons learned working with Kurt Amplatz, MD, FSIR, and others, stories of how their most seminal work came into being, the importance of peer mentorship, and more.  Related resources:View the society's 50th Anniversary celebration page"Mechanics of angioplasty: an experimental approach" by Wilfrido R. Castaneda-Zuniga, MD, FSIR, et al.SIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show