Topic: Imaging of Acute Trauma, Solid Organ InjurySummary: In this episode, we continue a discussion of imaging acute trauma. This part emphasizes the imaging of solid organ injury. The organs discussed are the liver, spleen, kidney, pancreas, adrenal gland and gallbladder. We focus on recent changes in diagnostic criteria since 2018 and their sign…

Summary: In this episode, we discuss the basics of imaging acutely traumatized patients. We explain the difference between Level 1 and Level 2 trauma centers. We discuss the idea of trauma activation in the emergency room, using the local UMass experience as an example. We describe the diagnostic evaluation process in the trauma bay. Finally, we di…

Classifying and categorizing ovarian masses can feel like a daunting task for radiology trainees. In this episode Dr. Alan Goldstein will discuss with us his approach to these lesions to help simplify the process. First, a few mimics and pitfalls will be presented. Then Dr. Goldstein will break down the three basic types of ovarian tumors with an e…

In this episode we continue our discussion of Gadolinium-based contrast agents (GBCA) from our introduction in Ep 27. Building on previous discussions of MRI safety (Ep9 & 11) and Contrast and Adverse Reactions from Ep 5 & 6, this episode will review specific considerations of gadolinium use in pregnancy and breast feeding. We also explore the non-…

In this episode we discuss Gadolinium-based contrast agents (GBCA) or media (GBCM). Building on previous discussions of MRI safety (Ep9 & 11) and Contrast and Adverse Reactions from Ep 5 & 6, this episode will introduce MRI contrast agents (GBCA or GBCM), their make-up, categories and general safety profiles. m including some of the inherent safety…

In this fourth and concluding episode on the economic history of radiology, Prof. Levy discusses prior attempts of outsourcing and artificial intelligence machine learning of today.Hosts: Christopher Cerniglia, DO, ME, FAOCR. Associate Professor of Radiology, Division of Musculoskeletal Imaging & Intervention, UMMS Dept of Radiology. Hao Lo, MD, MB…

In this episode we continue discussing a historical perspective of the economics of radiology. In part 3 of this 4 part series, Prof. Levy continues discussing the bubble years of the 1990s.Hosts: Christopher Cerniglia, DO, ME, FAOCR. Associate Professor of Radiology, Division of Musculoskeletal Imaging & Intervention, UMMS Dept of Radiology. Hao L…

In this episode we continue discussing a historical perspective of the economics of radiology. In part 2 of this 4 part series, Prof. Levy and Dr. Rosen present changes which occurred in radiology after Medicare, including advanced imaging and how this affected cost and the radiology job market. We continue by discussing how these changes led to th…

In this episode we welcome special guest, Frank Levy, PhD - an economist and Professor(Emeritus)at MIT. Professor Levy joins Max Rosen, MD – Chair of Radiology at UMMS to discuss a historical perspective of the economics of radiology. In part 1 of the series, Prof. Levy and Dr. Rosen begin by sharing how they begin to collaborate on this topic. We …

In this episode, we discuss the imaging of hepatocellular carcinoma and liver transplantation with our guest Dr. Mark Masciocchi, Director of Body MRI. This is part 2 of a two part series. Key points of discussion in this episode include:- Living liver donor transplantation- Anatomic and radiologic considerations for potential living liver donors- …

In this episode, we discuss the imaging of hepatocellular carcinoma and liver transplantation with our guest Dr. Mark Masciocchi, Director of Body MRI. This is the first of a two part series. Key discussion points in this episode include:- Diagnosis of HCC on imaging, with emphasis on MRI.- Importance of imaging for considering patients for liver t…

In this episode we welcome a special guest, Dr. Max Rosen – Chair of Radiology at UMMS. Dr. Rosen provides an overview of the department, including its history and growth. We discuss the organization of the department and introduce the clinical, research and educational missions of the department. Dr. Rosen shares his thoughts on what a prospective…

In this episode our guest, Dr. Carolynn Debenedectis rejoins us to discusses BI-RADS classification. This podcast is designed to give junior residents the basics they need to know to understand and use BI-RADS on their breast imaging rotation.Host: Christopher Cerniglia, DO, ME, FAOCR. Associate Professor of Radiology, Division of Musculoskeletal I…

In this episode our guest, Dr. Ryan Tai discusses septic arthritis and the radiologist’s role in its work-up, diagnosis and management. The learning objectives for this podcast include:1. Describe the pathophysiology of septic arthritis2. Discuss the clinical manifestations of septic arthritis3. Understand the role of imaging in the work-up of sept…

In this episode our guest, Dr. Carolynn Debenedectis - Residency Program Director and Vice Chair of Education, will summarize what programs directors are looking for in your application to radiology residency. We will also discuss how COVID is changing the application season this year.Host: Christopher Cerniglia, DO, ME, FAOCR. Associate Professor …

In this episode our guest, Dr. Carolynn Debenedectis, discusses what to do during your first year of radiology to be successful. We will discuss the top 3 things program directors look for in the ideal 1st year radiology resident.Host: Christopher Cerniglia, DO, ME, FAOCR. Associate Professor of Radiology, Division of Musculoskeletal Imaging & Inte…

In this episode our guest, Dr. Byron Chen, continues his discussion from Episode 14 on the art of taking a case in radiology. In part 2 of the series, Dr. Chen continues the step-by-step primer based on his approach. This episode includes a discussion of presenting differential diagnosis and management, as well as suggestions and insight for traine…

In this episode our guest, Dr. Byron Chen, discusses the art of taking a case in radiology, starting with the historical perspective. He gives us a step-by-step primer based on his approach, filled with many do’s and don’ts. Finally, we discuss the past, present and future of consultative radiology. This is the first of a two-part series.Guest: Byr…

Eponyms in radiology have historically been used to describe many types of imaging findings. In this episode, Dr. Watts will discuss with us why we use eponyms and present a list of MSK eponym “categories”. Selected eponyms used in MSK imaging will be presented. Guest: George (Chip) Watts, MD. Assistant Professor of Radiology, Divisions of Musculos…

Dr. Sereni returns to continue his discussion on meniscal injuries. In this podcast Dr. Sereni discusses the evolution of previously discussed basic tears into complex and displaced tears.Guest: Christopher Sereni, MD. Assistant Professor of Radiology, Division of Musculoskeletal Imaging & Intervention, UMMS Dept of Radiology.Host: Christopher Cern…

This is the conclusion of the two-part series on the basics of MR imaging safety beginning with Episode 9. In this episode we discuss the components of the MRI system including some of the inherent safety issues that arise from them; the concept of safety zones and its importance; examples of unique safety issues in MRI, and the screening process. …

This is a special episode recorded during the Covid-19 pandemic focusing on the diagnosis and imaging features of Covid-19 infection. Our guest is Dr. Maria Barile, our local expert in the Division of Cardiothoracic Imaging. We discuss the following topics:1. Epidemiology of COVID-19 infection2. Utility and role of PCR, XR, and CT in screening and …

In this episode we discuss the components of the MRI system including some of the inherent safety issues that arise from them; the concept of safety zones and its importance; examples of unique safety issues in MRI, and the screening process. This is part one of a two-part series on the basics of MR imaging safety. MR contrast safety and screening …

Summary:1. Staging - know where to look (based on primary site but also pathology)2. Restaging - know what to expect (based on type of treatment - XRT, chemo, immunotherapy)3. Big picture - same, better, worse; critical lesions that may require treatment (impending fractures, spinal cord involvement)4. Chose words carefully - careful about using “p…

Summary: 1. How functional imaging is different from anatomic imaging2. Different tracers - FDG, NAF, DOTATATE, AXUMIN, PSMA3. Limitations (size, lack of contrast in some places)4. Pitfalls - know expected physiologic uptake and other processes that cause uptake5. Future of PET - exciting implications for therapies Host: Christopher Cerniglia, DO, …

Summary: In this episode, we discuss the types of intravascular iodinated contrast media and their acute adverse reactions. Four practical case scenarios help review the diagnosis and management of acute contrast reactions, premedication for history of allergic type contrast reaction, and acute contrast extravasation. This is part one of a two part…

Summary: This is part two of a two-part series on iodinated intravascular contrast. In this episode, we conclude our discussion the types of intravascular iodinated contrast media and their acute adverse reactions. Two additional practical case scenarios are provided.Host: Christopher Cerniglia, DO, ME, FAOCR. Associate Professor of Radiology, Divi…

Summary: Dr. Sereni discusses basic meniscal anatomy, reviews the basic types of meniscal tears (horizontal, vertical longitudinal, radial), and provides a way to visualize them using kitchen implements. He briefly discusses the evolution of a basic tear into a complex/displaced tear. Complex tears and complications will be discussed in a future ep…

Summary: Hao and Chris discuss three Aunt Minnies in CT evaluation of Stroke with Dr. Aly Abayazeed from the division of Neuroradiology. 1. Hyperdense vessel sign.2. Insular ribbon sign.3. Delayed vessel sign.Resources:• Prognostic value of the hyperdense middle cerebral artery sign and stroke scale score before ultraearly thrombolytic therapy.T To…

Summary: Dr. Cerniglia presents a simple “ABCDEs” pneumonic (adapted from ABCs of Dr. Forrester’s original monograph Radiology of Joint Disease) to structure an approach to hand and wrist radiographs in patients with suspected or known arthritis:A = AlignmentB = Bone production & densityC = Cartilage spaceD = Distribution E = ErosionsS = Soft tissu…

Summary: Hao and Chris discuss the common diagnosis of CHF in the emergency department setting. The four most relevant radiographic findings are discussed. Important clinical and radiographic pitfalls are also considered.1. Cardiomegaly2. Pleural effusion3. Interstitial edema4. Airspace edemaResources:The Radiologic Distinction of Cardiogenic and N…