The Kinked Wire

"'If we know activity, or sphere activity, at the time of delivery, and we know the dose to tumor, and we know the dose that we gave, we could figure out where the sphere concentrations are ... but we'd need to figure out what the dose to tumor is.' And he was like, 'Just do it in Simplicit90Y.' And at that point it was basically like, 'Oh, boom—just use the dosimetry tool we have to solve a problem. And so, that's where we are."—Tyler Sandow, MD In this Journal of Vascular and Interventional Radiology (JVIR) audio episode, lead author Tyler Sandow, MD, speaks with journal Managing Editor Ana Lewis about his November 2024 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 article, "Using Voxel-Based Dosimetry to Evaluate Sphere Concentration and Tumor Dose in Hepatocellular Carcinoma Treated with Yttrium-90 Radiation Segmentectomy with Glass Microspheres," by Tyler Sandow, MD, Juan Gimenez, MD, Kelley Nunez, PhD, Richard Tramel, MD, Patrick Gilbert, MD, Brianna Oliver, MD, Michael Cline, MD, Kirk Fowers, PhD, Ari Cohen, MD, and Paul Thevenot, PhDRead the related commentary, "Known Unknowns: Gaps in Dose Distribution in Radioembolization, and in Our Understanding of Them," by A. Kyle Jones, MDRead the authors' response, "The Sphere Conundrum: Author’s Reply to Commentary on Voxel-Based Dosimetry with Glass Microspheres," by Tyler Sandow, MD, Juan Gimenez, MD, Kirk Fowers, PhD, and Paul Thevenot, 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

This recording features audio versions of December 2024 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Safety and Effectiveness of Large-Bore Percutaneous Cholangioscopy–Assisted Gallstone Retrieval for Inoperable Calculous Cholecystitis: A Multi- Institutional Retrospective Study ReadGenicular Artery Embolization for Treatment of Symptomatic Knee Osteoarthritis—2-Year Outcomes from a Prospective IDE Trial ReadDoxycycline Sclerotherapy of Aneurysmal and Unicameral Bone Cysts in the Appendicular Skeleton and Pelvis: Single-Center 14-Year Experience ReadIrreversible Electroporation in Treating Colorectal Liver Metastases in Proximity to Critical Structures ReadComparison of Effectiveness and Safety of Microwave Ablation of Colorectal Liver Metastases Adjacent versus Nonadjacent to the Diaphragm ReadEffectiveness of Initial and Repeat Drug-Coated Balloon Angioplasty of Restenotic Arteriovenous Fistulae Compared with That of Plain Angioplasty 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:Manbir Singh Sandhu, University of California Riverside School of MedicineAudio editor:Sonya Choe, University of California Riverside School of MedicineOutreach coordinator:Millennie Chen, University of California Riverside School of MedicineAbstract readers:Hannah Curtis, Loma Linda University School of MedicineSunil Balamurugan, Western University of Health Sciences - College of Osteopathic Medicine of the PacificSiddak Dhaliwal, University of Missouri School of MedicineMillennie Chen, University of California Riverside School of MedicineCrystal Chin, Touro University Montana College of Osteopathic MedicineDaniel Roh, Loma Linda University School of MedicineSIR 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

"One of the things entrepreneurs screw up a lot that I see is that they spend so much time on their product idea, or the invention ... and they don't spend any time talking to customers or doing sales. And like, the most important thing you can do to validate your business idea is prove that someone is willing to compensate you for something."—Nicolas Cary, co-founder and former CEO of BlockchainIn this episode, noted Blockchain co-founder and cryptocurrency expert Nicolas Cary speaks with moderators and audience members at an SIR Edge session on entrepreneurship on how IRs can apply the lessons he's learned in their daily practice, the future of digital finance and more. Related resources:IR Quarterly article: The entrepreneur mindsetSIR 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

"The vascular surgeons had felt like, 'The patients are going to you before they come to us and ... why don't we just take you on?' And there was sort of an interest in trying to get me to join up with them, but I told them 'I'm not trained ..." So if I had wanted, I could have ended up in the department of surgery as a nonsurgeon surgeon."—Arthur Waltman, MD, FSIRIn this episode, part of the ongoing celebration of the Society of Interventional Radiology (SIR) 50th anniversary, host Warren Krackov, MD, FSIR, speaks with one of his early mentors, interventional radiology pioneer Arthur Waltman, MD, FSIR, and his wife Carol Watson about the very early days of interventional radiology at Mass General, his work with Stanley Baum, MD, FSIR, and others, how the specialty and SIR have grown over the decades, and more. Related resources:SIR 50th Anniversary homepageContact 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

"It's not entirely unique to IR, but it's something that's encountered more because it is so fast-moving, and it's what kind of drew me into the specialty. But having done this project has given me a new perspective on the importance of good, quality research and engaging with it."—Hayley Briody, MB, BCh, MSCIn this Journal of Vascular and Interventional Radiology (JVIR) audio episode, lead author Hayley Briody, MB, BCh, MSC, speaks with journal Managing Editor Ana Lewis about her October 2024 paper, Mortality, Safety, and Effectiveness of Paclitaxel-Containing Balloons and Stents in the Femoropopliteal Artery: Systematic Review and Meta-Analysis of Randomized Controlled Trials since 2018."Related resources:Read the original article, "Mortality, Safety, and Effectiveness of Paclitaxel-Containing Balloons and Stents in the Femoropopliteal Artery: Systematic Review and Meta-Analysis of Randomized Controlled Trials since 2018," by Haley Briody, MB, BCh, MSc; Conor A. Kearns, BA (Mod), MSc, MRes; and Michael J. Lee, MB, BCh, MScRead the related commentary, "Paclitaxel Meta-Analyses in the Lower Limbs: Missing the Trees for the Forest," by Konstantinos Katsanos, MD, PhDContact 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 November 2024 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Outcomes Analysis of Yttrium-90 Radioembolization for Tumors Other Than Metastatic Colorectal Cancer from the Radiation-Emitting SIR-Spheres in Nonresectable (RESiN) Registry ReadOpen access: Using Voxel-Based Dosimetry to Evaluate Sphere Concentration and Tumor Dose in Hepatocellular Carcinoma Treated with Yttrium-90 Radiation Segmentectomy with Glass Microspheres ReadClinical Effectiveness of Drug-Eluting Microsphere Transcatheter Arterial Chemoembolization Combined with First-Line Chemotherapy as the Initial Treatment for Patients with Unresectable Intrahepatic Cholangiocarcinoma ReadComparison of Small-Sized (70–150 μm) and Intermediate-Sized (100–300 μm) Drug-Eluting Embolics for Transarterial Chemoembolization of Small Hepatocellular Carcinomas (≤3 cm) ReadOpen access: Technical Feasibility and Outcome of Cryoablation of Aneurysmal Bone Cysts in Pediatric Patients ReadPrimary Limb-Based Patency for Chronic Limb-Threatening Ischemia Treated with Endovascular Therapy Based on the Global Limb Anatomic Staging System ReadOpen access: Initial Outcomes of Embolization for Type II Endoleak: Comparison of n-Butyl Cyanoacrylate–Ethiodized Oil Mixture with n-Butyl Cyanoacrylate– Ethiodized Oil–Ethanol Mixture ReadTrack Sealing in CT-Guided Lung Biopsy Using Gelatin Sponge Slurry versus Saline in Reducing Postbiopsy Pneumothorax: A Prospective Randomized Study ReadJVIR and SIR thank all those who helped record this episode:Host:Manbir Singh Sandhu, University of California Riverside School of MedicineAudio editor:Hannah Curtis, Loma Linda University School of MedicineAbstract readers:Maximillion Hayama, Duke University School of MedicineLana Kamel, University of Minnesota Medical SchoolJessalyn Yam, University of Illinois College of Medicine at ChicagoSiddak Dhaliwal, University of Missouri School of MedicineJason Hoang, The Ohio State University College of MedicineAkumbir Singh Grewal, St. George University School of MedicineMillennie Chen, University of California Riverside School of MedicineDaniel Roh, Loma Linda University School of Medicine Support the show Support the show

The Association of Medical Colleges projects a shortage of 124,000 physicians by 2034. The demand for specialty physicians continues to outpace supply, especially in rural America. The causes of workforce shortages are multiple and multifaceted, but one can’t ignore the large impact that medical school debt has on the shortage—as well as the opportunity it offers for closing the gap.In the audio version of "The debt question: How medical school debt relief options can benefit doctors and patients (Fall 2024 IR Quarterly), author Hope Racine details how working in small and rural practices can help reduce your student debt. PLUS: Stacey Ruther, a medical student in Arizona, provides an introduction to both the topic and the article. Related resources:Read the articleRead other articles on small and rural practicesContact 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

"The procedures are not just vascular access and abscess drains and biopsies anymore. You know, the gamut of procedures that are done in pediatric now is ... across the board everything, practically, that is done in adult IR is done in pediatric IR. And I think you'd find that filing that niche and filing that need would make your pediatric specialists and your patients and families extremely satisfied." —James Donaldson, MD, the first president of the Society for Pediatric Interventional RadiologyIn this episode, part of the ongoing celebration of the Society of Interventional Radiology (SIR) 50th anniversary, host Sudhen B. Desai, MD, FSIR, speaks with James Donaldson, MD, the first president of the Society for Pediatric Interventional Radiology, about the early days and growth of the subspecialty, what its future holds and more.Related resources:Society for Pediatric Interventional RadiologySIR Clinical Specialty Council (including Pediatric IR Council)SIR Pediatric ForumSIR 50th Anniversary homepageIR Quarterly pediatric IR supplement, "Tiny patients, big impact"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 October 2024 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Mortality, Safety, and Effectiveness of Paclitaxel-Containing Balloons and Stents in the Femoropopliteal Artery: Systematic Review and Meta-Analysis of Randomized Controlled Trials since 2018 ReadEffect of Filtered Blood Return on Outcomes of Pulmonary Aspiration Thrombectomy ReadThe Predictive Value of Qanadli and Miller Index Scores in Patients with Intermediate-High–Risk and High-Risk Pulmonary Emboli Undergoing Aspiration Thrombectomy ReadImageable Radioembolization Microspheres for Treatment of Unresectable Hepatocellular Carcinoma: Interim Results from a First-in-Human Trial ReadMagnetic Resonance Imaging–Guided Cryoablation of Prostate Cancer Lymph Node Metastasis ReadCorrelation of Ablation Volume with Renal Function Loss after Cryoablation in Solitary Functioning Kidneys ReadIntra-arterial Pressure-Enabled Drug Delivery Significantly Increases Penetration of Glass Microspheres in a Porcine Liver Tumor Model ReadJVIR and SIR thank all those who helped record this episode:Host:Manbir Singh Sandhu, University of California Riverside School of MedicineAudio editor:Sonya Choe, University of California Riverside School of MedicineAbstract readers:Melissa Millett, MD, Southeast HealthSonya Choe, University of California Riverside School of MedicineAlena Khalil, Nova Southeastern University Dr. Kiran Patel College of Osteopathic MedicineAndrew Brandser, Frank H. Netter MD School of MedicineMark Oliinik, Loma Linda University School of MedicineDaniel Roh, Loma Linda University School of MedicineMillennie Chen, University of California Riverside School of MedicineSupport the show Support the show

Facilitating change and advocating for interventional radiology in your hospital requires strong communication skills and knowing how to approach hospital administration. However, effective communication, negotiation and consensus-building are not typically taught in medical schools. How can you improve these skills to strive for patient-centered care in your hospital setting?In the audio version of "Administrative advocacy: How to effectively negotiate with hospital administration,"  (Fall 2023 IR Quarterly ), author Melanie Padgett Powers explores the keys obtaining what you need from hospital administrators.Related resource:Read the articleRead other articles by Melanie Padgett Powers Support the show