The Kinked Wire

I was literally at parade rest, in front of the chairman of the department, the colonel, and they want me to do mammo. I said, "I haven't done mammo in quite some time, sir." He was like, "When was the last time you read mammo?" and I said, "June 6, 1998, in Louisville, Kentucky." He was just like, "... Let me think about that ... " —Martin G. Radvany, MD, FSIR, reflecting on his experience as a military-based interventional radiologistIn a Saturday morning practice chat, interventional radiologists Warren Krackov, MD, FSIR, and Martin G. Radvany, MD, FSIR, compare notes on the pros and cons of their past diverse practice settings, how clinical practice culture has changed over the years, and more. Note: This episode was recorded on May 6, 2023. Senior Editorial Manager, Hope Racine, explains the work she does at SIR. Support the show

Rochester Radiology Associates (RRA) is a private combined DR and IR practice located in upstate Rochester, New York. We combine the world of a traditional private practice radiology group with many features of an academic IR service. RRA is a unique practice that straddles two different worlds, which as a result offers unique challenges.In the audio version of "Practice profiles: Rochester Radiology Associates—N.Y."  (Fall 2020 IR Quarterly ), author Raj Pyne, MD, FSIR, describes his search for the right practice after fellowship, the Rochester, New York, based practice that has been his professional home ever since, the challenges and opportunities its model has provided, and more.Related resources:Read the text article. Listen to Dr. Pyne discuss leadership, advice he gives today's interventional radiology residents and more."Crossroads: The evolution and divergence of private practice IR," by Raj Pyne, MD, FSIR Support the show

This recording features audio versions of June 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Public Awareness of Interventional Radiology: Population-Based Analysis of the Current State of and Pathways for Improvement ReadRadioembolization for Intermediate-Stage Hepatocellular Carcinoma Maintains Liver Function and Permits Systemic Therapy at Progression ReadThe Effects of Protrusion into the Outflow Vein on Outcomes of Stent Grafts Used to Treat Cephalic Arch Stenoses in Dysfunctional Brachiocephalic Fistulae ReadFive-Year Outcomes of the Bioresorbable Peripheral Remedy Stent in the Treatment of Iliac Artery Disease ReadThe Effect of Smoking Cessation on the Technical Success of Endovascular Treatment for Thromboangiitis Obliterans ReadOutcomes of Transarterial Embolization for Acute Nonvariceal Upper Gastrointestinal Bleeding: Correlation with Periprocedural Endoscopy ReadTransjugular Intrahepatic Portosystemic Shunt Creation in Children Weighing <10 kg Using an Unconventional Technique ReadJVIR and SIR thank all those who helped record this episode:Host and audio editor:Rommell Noche, Frank H. Netter MD School of Medicine at Quinnipiac University, ConnecticutAbstract readers:Jeremy Brown, MS, DO, Kaweah Health Medical Center, CaliforniaSarosh Din, William Carey University College of Osteopathic Medicine, MississippiJoan Hwang, A.T. Still University School of Osteopathic Medicine, ArizonaSiddhi Hegde, MBBS, Massachusetts General HospitalManbir Sandhu, University of California Riverside School of MedicineEmily Barr, MBA, Burrell College of Osteopathic Medicine at New Mexico State UniversityYandry Varela, Burrell College of Osteopathic Medicine at New Mexico State University ©  Society of Interventional Radiology Support the show

Julius Chapiro is an interventional radiologist renowned for his innovative work integrating AI in liver cancer treatment. He shares insights on how AI is transforming decision-making in interventional radiology, enhancing efficiency while supporting human expertise. The discussion reveals challenges in data collection due to regulations and the need for comprehensive registries. Chapiro emphasizes the potential for interconnected medical data and the importance of collaboration in advancing AI applications for improved patient outcomes.

From a basic science perspective, a number of questions remain unanswered regarding deep veins. Venous disease is a cause of morbidity and mortality for patients of all ages, though the past several years have shown marked progress in research and approval of techniques and devices used for the treatment of venous disease. Major areas of research potential include the inflammatory pathway from acute deep venous thrombosis (DVT) to chronic fibrosis, and venous wall biomechanics and flow dynamics in the normal and disease states.In the audio version of "The venous revolution: Where we are and where we’re going"  (IR Quarterly supplement: New Horizons in Interventional Radiology), authors  David S. Shin, MD, Frederic Bertino, MD, Ramsey A. Al-Hakim, MD, Ronald Winokur, MD, FSIR, Kush Desai, MD, FSIR, and Jeffrey Forris Beecham Chick, MD, MPH, discuss new and emerging research in superficial venous disease, inferior vena cava filters, thrombectomy and venous reconstruction, and venous stent reconstruction.Related articles:Read the text article Other articles in the "New Horizons in Interventional Radiology" supplement of IR Quarterly, covering genicular artery embolization, TACE and immunotherapy for immediate-stage HCC, and bariatric embolization.  "Predicting the Safety and Effectiveness of Inferior Vena Cava Filters (PRESERVE): Outcomes at 12 months" ReadContact 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 May 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Embolization of the Superior Rectal Arteries versus Closed Hemorrhoidectomy (Ferguson Technique) in the Treatment of Hemorrhoidal Disease: A Randomized Clinical Trial ReadOutcomes of Hemorrhoidal Artery Embolization from a Multidisciplinary Outpatient Interventional Center ReadSafety and Effectiveness of Percutaneous Image-Guided Thermal Ablation of Juxtacardiac Lung Tumors ReadPercutaneous CT-Guided Cryoneurolysis of the Intercostobrachial Nerve for Management of Postmastectomy Pain Syndrome ReadDesign of a High-Flow Catheter Connector to Enhance Fluid Transfer ReadImaging-Guided De Novo Retrograde Ureteral Access and Stent Placement without Cystoscopy in Women Read JVIR and SIR thank all those who helped record this episode:Host and audio editor:Rommell Noche, Frank H. Netter MD School of Medicine at Quinnipiac University, ConnecticutAbstract readers:Sarosh Din, William Carey University College of Osteopathic Medicine, MississippiYandry Varela, Burrell College of Osteopathic Medicine, New MexicoJeremy Brown, MS, A.T. Still University School of Osteopathic Medicine, ArizonaSiddhi Hegde, MBBS, Massachusetts General HospitalAnna Hu, George Washington University School of Medicine and Health Sciences, D.C.Joan Hwang, A.T. Still University School of Osteopathic Medicine, Arizona ©  Society of Interventional Radiology Support the show

“When we talk about errors, complications and adverse events, we have to understand that not all poor outcomes are the result of an error. There are so many contributors to something going wrong, which may be both individual or more commonly systemic.”— Mikhail Higgins, MD, MPH  In this audio version of an SIR Today recap on the SIR 2023 Annual Scientific Meeting session, " Building a Quality and Safety Program,"  Mikhail Higgins, MD, MPH,  Noor Ahmad, MD,  Hector Ferral, MD, FSIR,  Bradley B. Pua, MD, FSIR,  and Joshua Weintraub, MD, FSIR, describe the critical importance of human emotion and good data in developing a truly effective safety and quality program. Read the article.Purchase SIR 2023 On-demand.Note: Free for SIR 2023 annual meeting registrants.  Support the show

“They're our mentors, they're our friends, they're our colleagues, they're our peers. They recognize, 'Hey, we have this need ... you have these skills. How do we leverage this and really serve our patients to the best of our ability?'"  —Carrie Hayes, PA, Chair of the SIR Nurse Practitioner & Physician Assistant SectionHost Warren Krackov, MD, FSIR, speaks with SIR NP&PA Section Chair Carrie Hayes, PA, and Membership Chair Nick Oravetz, PA,  about how advanced practice providers (APPs) can help interventional radiologists meet the needs of patients, paths to becoming a PA or NP in IR, and more.Related resources:Information about the SIR NP&PA SectionIRQ article: "The advantages of nurse practitioners and physician assistants in IR," by Kathy Taylor, MS, FNP-BC (Winter 2019)Note: This episode was recorded on Feb. 25, 2023.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. Senior Editorial Manager, Hope Racine, explains the work she does at SIR. Support the show

This recording features audio versions of April 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Predicting the Safety and Effectiveness of Inferior Vena Cava Filters (PRESERVE): Outcomes at 12 months ReadLateral Subdermic Venous Plexus Insufficiency: The Association of Varicose Veins with Restless Legs Syndrome and Nocturnal Leg Cramps ReadAdverse Events Associated with Intra-Arterial Administration of Gadolinium-Based Contrast Agents: A Systematic Review and Meta-Analysis ReadPreoperative Arterial Embolization for Heterotopic Ossification of the Hip Read Multi-institutional Retrospective Study of Percutaneous Cholangioscopy-Assisted Lithotripsy for Inoperable Calculous Cholecystitis ReadPercutaneous Cystic Duct Interventions and Drain Internalization for Calculous Cholecystitis in Patients Ineligible for Surgery Read JVIR and SIR thank all those who helped record this episode:Host and audio editor:Daniel Kim, Edward Via College of Osteopathic Medicine, VirginiaAbstract readers: Rommell Noche, Frank H. Netter MD School of Medicine at Quinnipiac University, ConnecticutSydney Levy, University of Florida College of MedicineShalom Mammen, Lewis Katz School of Medicine at Temple University, PennsylvaniaPriya Gupta, MBS, Rutgers New Jersey Medical SchoolAnna Hu, George Washington University School of Medicine and Health Sciences, D.C.Khaleel Quasem, Michigan State University College of Human Medicine  ©  Society of Interventional Radiology Support the show

“The first rule of networking is to know what you’re looking for, and then to tell everyone. If you tell 50,000 people that you want to sit on a board, eventually someone will know someone who did that, and they’ll connect you. And things snowball from there.” —Aneesa S. Majid, MD, MBA, FSIR In this audio version of an SIR Today recap on the SIR 2023 Annual Scientific Meeting session, "Nonclinical Opportunities: Transitions out of the IR Suite," panelists Alexander Ding, MD, MS, MBA, Eleni Liapi, MD, Aneesa S. Majid, MD, MBA, FSIR, Michael D. Dake, MD, FSIR, and Venkat Tummala, MD, share their perspectives on how and why interventional radiologists should pursue opportunities outside of the clinic. The session was moderated by Meridith Englander, MD, FSIR.Read the article. Purchase SIR 2023 On-demand. Note: Free for SIR 2023 annual meeting registrants.  Support the show