Episoder
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Proximity to innovation often gives rise to further innovation. This trend is especially true in interventional radiology. Dr. Gregg Alzate (interventional radiologist in San Diego, California) joins host Dr. Ally Baheti to share his career pearls for early and mid-career IRs, and how he came to pioneer the Alzate Retrograde Antegrade Maneuver (A-RAM).
---
This podcast is supported by:
Reflow Medical
https://www.reflowmedical.com/
---
SYNPOSIS
Dr. Alzate starts by sharing his early influences, including his time with interventional radiology giant Dr. Harold Coons. The doctors also cover the importance of proper vessel access techniques, innovative approaches to limb salvage, and how to address complex chronic total occlusions (CTOs). Dr. Alzate then goes on to give us a thorough walkthrough of the A-RAM. The episode concludes with Dr. Alzate’s closing thoughts on being open to adopt new techniques, the impact of strong mentorship, and importance for consuming and sharing knowledge.
---
TIMESTAMPS
00:00 - Introduction
03:05 - Dr. Alzate’s Journey
25:52 - A-RAM Technique
34:26 - CTO’s and Heavy Calcium
40:16 - Moral Injury in Medical Practice
43:35 - Honoring Dr. Harold Coons
46:23 - Closing Thoughts and Reflections
---
RESOURCES
Ohki, Takao et al. “Long-term results of the Japanese multicenter Viabahn trial of heparin bonded endovascular stent grafts for long and complex lesions in the superficial femoral artery.” Journal of vascular surgery vol. 74,6 (2021): 1958-1967.e2.
https://www.jvascsurg.org/article/S0741-5214(21)01011-9/fulltext
Kedora, John et al. “Randomized comparison of percutaneous Viabahn stent grafts vs prosthetic femoral-popliteal bypass in the treatment of superficial femoral arterial occlusive disease.” Journal of vascular surgeryvol. 45,1 (2007): 10-6; discussion 16.
https://www.jvascsurg.org/article/S0741-5214(06)01612-0/fulltext -
Of all the topics covered during interventional radiology training, dosimetry education is often delayed until after IRs enter clinical practice. In this episode, Drs. Tyler Sandow and Sabeen Dhand host a roundtable discussion with experts on the dosimetry fundamentals that all Y90 operators should understand. They are joined by interventional radiologists Drs. Zachary Berman, Kirema Garcia-Reyes, and Siddharth Padia, who provide their expert insights.
Physicians, nurses, nurse practitioners, and physician assistants can follow this link to earn CME / CE credits for completing an accredited learning activity related to this discussion:
https://www.cmeuniversity.com/course/take/125736
---
This podcast is supported by an educational grant from:
AstraZeneca
https://www.astrazeneca.com/our-therapy-areas/oncology.html
With additional support from:
Boston Scientific
https://www.bostonscientific.com/en-US/medical-specialties/interventional-radiology/interventional-oncology.html
---
SYNPOSIS
The group agrees that dosimetry is not a one-size-fits-all approach. Dosing strategies depend on factors such as tumor size, perfusion territory, underlying liver function, the choice between glass versus resin spheres, and treatment intent. These considerations are illustrated with real-life case examples. The doctors also explore voxel-based dosimetry, a method for calculating the amount of radiation absorbed by different parts of the tumor. They stress the importance of learning how to perform accurate dosage calculations.
Finally, the conversation touches on data from major Y90 trials, current guidelines, and the evolving perspective on Y90 as a potential curative treatment, rather than merely a bridging therapy.
---
TIMESTAMPS
00:00 - Introduction
01:59 - Dosimetry Education During Training
05:46 - Benefit of Individualized Dosing
11:01 - Complications from High Doses
15:19 - Dosage Calculation Cases
22:51 - Duration of Response to Y90
25:00 - Dosing Based on Treatment Intent
29:11 - Challenging Case Example
42:31 - Voxel-Based Dosimetry
45:15 - Using Dosimetry Software
---
RESOURCES
LEGACY Trial (Salem et al, 2021):
https://pmc.ncbi.nlm.nih.gov/articles/PMC8596669/
Voxel-based tumor dose correlates to complete pathologic necrosis after transarterial radioembolization for hepatocellular carcinoma (Pianka et al, 2024):
https://pubmed.ncbi.nlm.nih.gov/38913189/
RAPY90D Trial (Kappadath et al, 2023):
https://jnm.snmjournals.org/content/64/supplement_1/P268
Clinical, dosimetric, and reporting considerations for Y-90 glass microspheres in hepatocellular carcinoma: updated 2022 recommendations from an international multidisciplinary working group (Salem et al, 2023):
https://pubmed.ncbi.nlm.nih.gov/36114872/
International recommendations for personalised selective internal radiation therapy of primary and metastatic liver diseases with yttrium-90 resin microspheres (Levillain, 2021):
https://link.springer.com/article/10.1007/s00259-020-05163-5) -
Mangler du episoder?
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Robot-assisted technology has revolutionized surgical fields such as general surgery and urology—could interventional radiology be the next frontier? In this episode of the BackTable podcast, host Dr. Jacob Fleming explores the transformative potential of robotic-assisted percutaneous biopsies and ablations with experts Dr. Govindarajan “Raj” Narayanan from the Miami Cancer Institute and Dr. Sean Tutton from UC San Diego.
---
This podcast is supported by:
Quantum Surgical
https://www.quantumsurgical.com/
---
SYNPOSIS
Dr. Narayanan begins by sharing his initial interest in robotic applications for tumor ablations, aiming to maximize efficiency in his practice. Dr. Tutton then highlights the advantages of robotics for probe placement, especially in challenging cases. The two doctors discuss the logistics of the robotic system, including setup, imaging, and access choices. They also reflect on the learning curve associated with robotics and how it gradually enhances procedural efficiency while reducing mental fatigue. This improvement allows them to take on more complex cases with confidence. Overall, both experts agree that robotics has the potential to democratize minimally invasive procedures, offering new opportunities for skill development and advancement within the field of interventional radiology.
---
TIMESTAMPS
00:00 - Introduction to the Podcast
03:30 - Developing an Interest in Robotics
10:44 - Integration of Robotics in the Procedural Suite
13:27 - Logistics of Robot System
18:38 - Planning for Percutaneous Access
22:39 - Future Implications of Robotics on Training Programs
35:51 - Efficiency and Volume Management with Robotics
40:39 - Learning Curves for Robotic Procedures
48:09 - Conclusion and Final Thoughts
---
RESOURCES
Quantum Surgical Epione Robot:
https://www.quantumsurgical.com/epione/
ACCLAIM Trial:
https://www.sio-central.org/ACCLAIM-Trial -
Welcome to the first episode of BackTable Tumor Board, and our first recording session at our new in-person studio! Guest host Dr. Tyler Sandow (interventional radiologist) leads a multidisciplinary discussion about patient care coordination in hepatocellular carcinoma (HCC) diagnosis and treatment, with insights from his colleagues at Ochsner Health– Dr. Steven Young (hepatologist), Dr. Jonathan Mizrahi (medical oncologist), and Deondra Bonds-Adams (patient navigator).
Physicians, nurses, nurse practitioners, and physician assistants can follow this link to earn CME / CE credits for completing an accredited learning activity related to this discussion:
https://www.cmeuniversity.com/course/take/125735
---
This podcast is supported by an educational grant from:
AstraZeneca
https://www.astrazeneca.com/our-therapy-areas/oncology.html
With additional support from:
Boston Scientific
https://www.bostonscientific.com/en-US/medical-specialties/interventional-radiology/interventional-oncology.html
---
SYNPOSIS
The team speaks on the value of having multiple specialties weigh in on treatment conversations that are tailored to each patient’s medical history and risk factors, such as underlying cirrhosis and portal hypertension. Deondra highlights the importance of assessing the patient’s understanding of their disease and the role of physician extenders and schedulers in patient education. Dr. Young discusses the value of outreach clinics and streamlining the transplant evaluation process. Finally, Dr. Mizrahi gives advice on building referral networks and establishing early contact with transplant centers.
---
TIMESTAMPS
00:00 - Introduction
00:46 - Multidisciplinary Tumor Board
06:00 - Patient Experience in Treatment Pathways
10:10 - Barriers to Treatment
16:03 - Benefits of IR Clinic
19:33 - HCC Screening and Risk Factors
24:08 - Building Referral Networks
30:34 - Strategies for Effective Scheduling
35:43 - The Future of HCC Treatment -
Welcome to the first episode of BackTable Tumor Board, and our first recording session at our new in-person studio! Guest host Dr. Tyler Sandow (interventional radiologist) leads a multidisciplinary discussion about patient care coordination in hepatocellular carcinoma (HCC) diagnosis and treatment, with insights from his colleagues at Ochsner Health– Dr. Steven Young (hepatologist), Dr. Jonathan Mizrahi (medical oncologist), and Deondra Bonds-Adams (patient navigator).
---
This podcast is supported by an educational grant from:
AstraZeneca
https://www.astrazeneca.com/our-therapy-areas/oncology.html
With additional support from:
Boston Scientific
https://www.bostonscientific.com/en-US/medical-specialties/interventional-radiology/interventional-oncology.html
---
SYNPOSIS
The team speaks on the value of having multiple specialties weigh in on treatment conversations that are tailored to each patient’s medical history and risk factors, such as underlying cirrhosis and portal hypertension. Deondra highlights the importance of assessing the patient’s understanding of their disease and the role of physician extenders and schedulers in patient education. Dr. Young discusses the value of outreach clinics and streamlining the transplant evaluation process. Finally, Dr. Mizrahi gives advice on building referral networks and establishing early contact with transplant centers.
---
TIMESTAMPS
00:00 - Introduction
00:46 - Multidisciplinary Tumor Board
06:00 - Patient Experience in Treatment Pathways
10:10 - Barriers to Treatment
16:03 - Benefits of IR Clinic
19:33 - HCC Screening and Risk Factors
24:08 - Building Referral Networks
30:34 - Strategies for Effective Scheduling
35:43 - The Future of HCC Treatment -
Interventional treatment for pulmonary embolism (PE) has significantly evolved in recent years, largely due to advancements in techniques, knowledge, and device technology. Dr. Zarina Sharalaya (interventional and structural cardiologist) and Dr. Ripal Gandhi (interventional radiologist) join host Dr. Chris Beck to discuss the evolving landscape of PE treatment, comparing large-bore mechanical thrombectomy with catheter-directed thrombolysis and exploring outcomes from the PEERLESS randomized control trial.
---
This podcast is supported by:
Inari Medical
https://cwa.inarimedical.com/inari-learn
---
SYNPOSIS
Dr. Sharalaya and Dr. Gandhi begin by covering risk stratification and treatment algorithms for their patients with PE. The doctors then go onto discuss the procedure in detail, and best practices and techniques for mechanical thrombectomy. The conversation also focuses on the PEERLESS trial, highlighting how the study showed significant benefits of mechanical thrombectomy, including faster symptom improvement, decreased ICU stay, and reduced readmission rates. Dr. Sharalaya and Dr. Gandhi conclude the episode with a series of case presentations.
---
TIMESTAMPS
00:00 - Introduction
08:01 - Pulmonary Embolism Risk Stratification and Treatment Algorithms
14:49 - Procedure Overview
24:25 - Best Practices and Techniques in Thrombectomy
34:31 - Peerless Study Overview and Findings
46:50 - Gender Differences in PE Treatment
47:49 - Future of PE Treatment and Advice
51:55 - Case Presentations and Clinical Insights
---
RESOURCES
2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS):
https://pubmed.ncbi.nlm.nih.gov/31504429/
PEERLESS II: A Randomized Controlled Trial of Large-Bore Thrombectomy Versus Anticoagulation in Intermediate-Risk Pulmonary Embolism:
https://www.jscai.org/article/S2772-9303(24)01053-6/fulltext
Large-bore Mechanical Thrombectomy Versus Catheter-directed Thrombolysis in the Management of Intermediate-risk Pulmonary Embolism: Primary Results of the PEERLESS Randomized Controlled Trial:
https://pubmed.ncbi.nlm.nih.gov/39470698/ -
Interventional radiology is unique in the way that much of what an IR’s practice looks like is extremely contingent upon their practice setting following training - whether it be community, academic, private, or hybrid. Dr. Mark Wilson joins host Dr. Donald Garbett to discuss his own journey of transitioning from a large, physician owned group to forming his own private IR practice in Spokane, Washington following a major hospital contract shift.
---
This podcast is supported by:
Medtronic IN.PACT 018 DCB
https://www.medtronic.com/018
---
SYNPOSIS
Dr. Wilson shares the emotional impact of the career shift, and the technical aspects of how he was able to succeed following the change, and the details that went into creating his own private IR-only group and securing contracts with local hospitals. The doctors also spend time on the financial dynamics between DR and IR, as well as the true dollar value and impact IR brings to hospitals. The episode concludes with Dr. Wilson’s practical and thorough guide on how one can go about starting up their own IR-only private practice.
---
TIMESTAMPS
00:00 - Introduction
03:02 - Forming a New IR Group
04:43 - Impact of Practice Changes
11:02 - IR’s Value to Hospitals
30:49 - Independent IR Practice Set-Up
36:38 - Conclusion
---
RESOURCES
Karage, 2024. Attrition Rates in Interventional Radiology Integrated Residency Programs:
https://pubmed.ncbi.nlm.nih.gov/39586539/ -
It might be time to rethink your liver biopsy technique. Transfemoral transcaval core-needle liver biopsy has demonstrated key advantages over the transjugular approach and has become increasingly popular in recent years. Interventional radiologists Dr. Jacob Cynamon and Dr. Kapil Wattamwar join host Dr. Sabeen Dhand to discuss the inception and advantages of their novel approach.
---
This podcast is supported by:
Reflow Medical
https://www.reflowmedical.com/
---
SYNPOSIS
The doctors start with how they began using the transfemoral transcaval approach, along with the literature they published following adoption of this novel technique shortly thereafter. Dr. Cynamon and Dr. Wattamwar then go on to discuss the technique in detail, providing a thorough step-by-step and pausing to mention key considerations. The episode concludes with the doctors emphasizing the safety and efficacy of the transfemoral transcaval approach, citing specific findings and sharing exemplary cases.
---
TIMESTAMPS
00:00 - Introduction
05:47 - Percutaneous vs. Transvenous Biopsies
08:56 - Evolution of Transfemoral Biopsies
12:41 - Comparing Transjugular and Transfemoral Approaches
24:52 - Pre-Procedural Imaging and Sheath Selection
29:23 - Complications and Case Studies
35:46 - Transcaval Biopsy Technique
45:00 - Conclusion
---
RESOURCES
Cynamon, 2016. Transfemoral Transcaval Core-Needle Liver Biopsy: An Alternative to Transjugular Liver Biopsy:
https://pubmed.ncbi.nlm.nih.gov/26723528/
Wattamar, 2020. Transjugular versus Transfemoral Transcaval Liver Biopsy: A Single-Center Experience in 500 Cases:
https://pubmed.ncbi.nlm.nih.gov/32798119/
Wattamar, 2022. The Use of the Transfemoral Transcaval Liver Biopsy Technique for Biopsies of Hepatic Masses:
https://pubmed.ncbi.nlm.nih.gov/36182256/
Wattamar, 2022. Transcaval Creation of a Portal Vein Target for Transjugular Intrahepatic Portosystemic Shunt in a Patient with Portal Vein Thrombosis:
https://pubmed.ncbi.nlm.nih.gov/34448032/ -
En este episodio de BackTable, la Dra. María Luisa Die Trill conversa con la Dra. Sara
Lojo Lendoiro sobre la gestión emocional y la comunicación con los pacientes.
---
SYNPOSIS
Se explora la importancia de integrar el sufrimiento como parte de la vida, la necesidad
de una formación adecuada en comunicación médico-paciente, y las estrategias para
abordar complicaciones y situaciones complejas. Además, se analizan conceptos como
la empatía, la escucha activa, y la introspección, para mejorar la relación con los
pacientes y con el resto de compañeros del hospital. Finalmente, la Dra. Trill enfatiza la
necesidad de centrarse en el bienestar del paciente y en manejar el estrés profesional
para poder ofrecer un cuidado de calidad.
---
TIMESTAMPS
00:00 - Bienvenida y Comprendiendo la Psicología Oncológica
05:06 Habilidades de Comunicación en la Práctica Médica
10:19 Técnicas Prácticas de Comunicación
22:10 La Importancia de Escuchar
28:18 La Insensibilidad en la Sociedad Moderna
30:49 La Importancia de la Salud Mental en los Profesionales
34:24 La Empatía y la Conexión con los Pacientes
36:22 El Manejo del Estrés en el Personal Sanitario
48:35 El Ego y la Dinámica de Grupo en los Hospitales
52:54 Conclusión y Reflexiones Finales -
En este episodio del BackTable, Dr. José Andrés Guirola Ortíz, radiólogo
intervencionista, aborda la embolización como tratamiento para las hemorroides,
mediante la técnica Emborrhoid y comparte su valoración de la embolización como
técnica de futuro.
---
SYNPOSIS
En primer lugar, la Dra. Sara Lojo Lendoiro le invita a explicar qué son las hemorroides
y porqué y cuando hay que tratarlas. Además, el Dr. Guirola Ortíz analiza la historia de
las hemorroides, sus síntomas y opciones de tratamiento. También se discuten las
indicaciones, técnicas y posibles complicaciones de la embolización hemorroidal, así
como el futuro de esta técnica dentro de la radiología intervencionista.
---
TIMESTAMPS
00:00 - Introducción al BackTable y Dr. Ortíz
01:56 - Entendiendo las Hemorroides: Historia y Conceptos Básicos
03:39 - Síntomas y Causas de las Hemorroides
07:36 - Opciones de Tratamiento para las Hemorroides
12:50 - Explicación de la Técnica de Embolización
19:25 - Complicaciones y Seguimiento
29:05 - Futuro de la Embolización y Conclusión -
For patients with early-stage cancer, minimally invasive image-guided therapies like cryoablation can be both life-altering and life-saving. Patient Clinton Lanier, a kidney cancer survivor who underwent multiple cryoablations, sits down with host Dr. Eric Keller to share his story and raise patient-provider awareness of the positive impacts IR brings.
---
This podcast was developed in collaboration with:
Interventional Initiative
https://theii.org/
---
SYNPOSIS
Clinton shares his personal story of being diagnosed with a kidney tumor during a sailing trip and discovering cryoablation as a treatment option through his own research and advocacy. He discusses the effectiveness and ease of the procedure, the positive impact it has had on his quality of life, and the importance of raising awareness about cryoablation among patients and healthcare providers.
---
TIMESTAMPS
00:00 - Introduction
03:56 - First Cryoablation Experience
05:20 - Patient Experience
09:12 - Cryoablation Awareness
14:44 - Conclusion
---
RESOURCES
The Interventional Initiative:
https://theii.org -
How can we make life-changing treatments like uterine fibroid embolization (UFE) more globally accessible? To help answer this question, Dr. Janice Newsome and Dr. Azza Naif share what they’re doing in Tanzania to make UFE a standard option in fibroid care. Dr. Newsome is a Professor at Emory University and Dr. Naif is an IR attending physician at Muhimbili University of Health and Allied Sciences (MUHAS) and a member of the first generation of Tanzanian IR trainees.
---
This podcast is supported by:
Varian, a Siemens Healthineers company
https://www.varian.com/products/interventional-solutions/embolization-solutions
---
SYNPOSIS
The doctors focus on patient education, overcoming cultural barriers, training of IR specialists, and the economic aspects of UFE. The discussion highlights the importance of making women’s health treatments accessible worldwide and adapting procedures to fit local resources while maintaining high standards of care.
---
TIMESTAMPS
00:00 - Introduction
05:25 - Patient Care in Tanzania
16:28 - Challenges in UFE Adoption
21:38 - Equipment and Techniques for UFE
34:26 - Post-Procedure Follow-Up Care
41:16 - Cost and Accessibility of UFE
47:01 - Future Goals for Fibroid Care
---
RESOURCES
BackTable VI Podcast Episode #318 - Back on the Road2IR with Dr. Janice Newsome, Dr. Judy Gichoya and Dr. Fabian Laage Gaupp:
https://www.backtable.com/shows/vi/podcasts/318/back-on-the-road2ir
BackTable VI Podcast Episode #104 - Bringing IR to East Africa: The Road2IR Story with Dr. Fabian Laage Gaupp:
https://www.backtable.com/shows/vi/podcasts/104/bringing-ir-to-east-africa-the-road2ir-story
Road2IR:
https://www.road2ir.org/ -
As physicians, we have the unique ability to improve the health and wellbeing of individuals in underserved communities. But even if we possess the drive and the compassion to do so, it can be difficult to know how to take meaningful steps towards addressing local healthcare disparities. In this episode of the BackTable Podcast, Dr. Lyssa Ochoa of the San Antonio Vascular and Endovascular Clinic (SAVE) shares how her clinic improves access to care for underserved patient populations, and how you can emulate her success.
---
This podcast is supported by:
Philips Image Guided Therapy Solutions
https://www.usa.philips.com/healthcare/solutions/image-guided-therapy/all-products
---
SYNPOSIS
Dr. Ochoa shares her journey from joining a large private practice to founding her own clinic focused on underserved areas in San Antonio. She discusses the importance of addressing social determinants of health, the logistics of running multiple satellite clinics, and her approach to patient care. Dr. Ochoa also emphasizes the need for community engagement and outlines her vision for improving healthcare equity in San Antonio. The conversation highlights the challenges and rewards of providing quality care in economically segregated regions, and offers insights for healthcare providers looking to make a meaningful impact.
---
TIMESTAMPS
00:00 - Introduction
03:23 - Addressing Social Determinants of Health
05:20 - Innovative Approaches to Healthcare Delivery
08:46 - Challenges and Strategies in Underserved Areas
15:16 - Building Community Trust and Referrals
22:27 - Advice for New Practitioners
29:42 - Future Vision for Healthcare in San Antonio
32:07 - Resources
--
DISCLAIMER
Dr. Lyssa Ochoa is a consultant for Philips and was requested to provide their services in preparing and presenting this material for Philips. The opinions and clinical expertise presented herein by are specific to the featured speakers and are for informational purposes only. The results from their experiences may not be predicative for all subject, physicians or patients. Individual results may vary depending on a variety of patient-specific attributes and related factors. Nothing in this article is intended to provide specific medical advice or to take the place of written law or regulations. -
500 episodes of BackTable calls for a special reunion! The original hosts—Dr. Aaron Fritts, Dr. Chris Beck, Dr. Ally Baheti, Dr. Sabeen Dhand, Dr. Mike Barraza, and producer Kieran Gannon—come together to celebrate by reminiscing about the podcast’s origins and evolution. They discuss the challenges of improving the podcast, share funny behind-the-scenes moments, and highlight their favorite episodes. The team also offers insights into how they choose topics and reflects on their experiences with both virtual and in-person recordings. Finally, they introduce the new BackTable Studio and highlight the upcoming Creator Weekends.
---
SYNPOSIS
To our BackTable community, thank you for tuning in every week. We look forward to continuing to serve your vascular and interventional education needs!
---
TIMESTAMPS
00:00 Introduction
01:43 The Origin Story of Backtable
06:42 From Our Side of the Microphone: Hosting Episodes
25:57 Choosing Topics and Guests
32:55 Introducing the New BackTable Studio
38:27 Favorite Episodes and Memorable Moments
44:02 The Story Behind the Backtable Theme Music
47:49 The Iconic Backtable Hoodies
51:03 Closing Thoughts and Gratitude
---
RESOURCES
BackTable Special 100th Episode Interview: https://www.backtable.com/shows/vi/podcasts/special/special-100th-episode-interview-with-backtable -
IR technologists are a valuable part of the interventional team due to their technical expertise and hands-on contributions to patient and provider safety. Lake Odom, a seasoned IR tech with over 14 years of experience, sits down with host Dr. Ally Baheti to share his wisdom from his time in hospital-based and outpatient care settings.
---
This podcast is supported by:
RADPAD® Radiation Protection
https://www.radpad.com/
---
SYNPOSIS
Lake begins by describing his unconventional career path, the importance of passion in profession, and how he started his consulting businesses: IR Tech Tips and Image Guided Consultants. Lake also speaks on transitioning from the hospital to the outpatient-based lab (OBL) setting, and highlights key aspects of the tech’s role, including inventory management, patient workflow, and building efficient systems. The significance of understanding the financial intricacies within OBLs, common inefficiencies, and strategies to foster a culture of accountability and teamwork are also discussed. The episode provides valuable insights for IR technologists and other professionals seeking to improve their practices and operate at maximum potential.
---
TIMESTAMPS
00:00 - Introduction
06:55 - Image Guided Consultants
12:07 - Improving Practice Efficiency
17:51 - Daily IR Tech Responsibilities
20:56 - Inventory Management and Preparedness
28:03 - Building Trust and Credibility
---
RESOURCES
BackTable Ep. 130- Technologist Training & Retention with Andrew Struchen and Alisha Hawrylack: https://www.backtable.com/shows/vi/podcasts/130/technologist-training-retention
Image Guided Consultants:
https://igsconsults.com/
IR Tech Tips Course:
https://irtechtips.teachable.com/ -
Cone Beam CT has become a cornerstone of modern interventional practice. Are you utilizing it to its fullest potential? Dr. Michael Miller joins host Dr. Chris Beck to discuss Cone Beam CT, sharing advanced techniques and clinical pearls. Dr. Miller is an interventional radiologist and Associate Professor of Radiology at Atrium Health, Wake Forest Baptist Hospital, North Carolina.
---
This podcast is supported by:
GE Healthcare Allia Image Guided Systems
https://www.gehealthcare.com/products/interventional-image-guided-systems/allia
---
SYNPOSIS
Dr. Miller explains the importance of fundamental training and how fundamentals can be scaled across various procedures to improve outcomes, including vascular malformations and endoleaks. Dr. Miller then speaks to best practices that he has learned firsthand through his years of using Cone Beam CT. The doctors also touch on tips for setting up the IR suite and collaborating with anesthesia.
---
TIMESTAMPS
00:00 - Introduction
07:22 - Advanced Uses of Cone Beam CT
15:04 - Setup and Best Practices
22:34 - Vascular Malformations
23:32 - Understanding Sclerosant Distribution
26:53 - Trajectory Guidance in Complex Cases
32:45 - Contrast Bolus Timing and Spin Techniques
40:16 - Advice for New Angio Suites
---
RESOURCES
BackTable VI Podcast Episode #51 - Cone Beam CT Techniques with Dr. Austin Bourgeois:
https://www.backtable.com/shows/vi/podcasts/51/cone-beam-ct-techniques
Shujaat, S., Alfadley, A., Morgan, N., Jamleh, A., Riaz, M., Aboalela, A.A., Jacobs, R., 2024. Emergence of artificial intelligence for automating cone-beam computed tomography-derived maxillary sinus imaging tasks. A systematic review. Clin Implant Dent Relat Res 26, 899–912. https://doi.org/10.1111/cid.13352
Orth, R.C., Wallace, M.J., Kuo, M.D., Technology Assessment Committee of the Society of Interventional Radiology, 2009. C-arm cone-beam CT: general principles and technical considerations for use in interventional radiology. J Vasc Interv Radiol 20, S538-544. https://doi.org/10.1016/j.jvir.2009.04.026
Bapst, B., Lagadec, M., Breguet, R., Vilgrain, V., Ronot, M., 2016. Cone Beam Computed Tomography (CBCT) in the Field of Interventional Oncology of the Liver. Cardiovasc Intervent Radiol 39, 8–20. https://doi.org/10.1007/s00270-015-1180-6
Wallace, M.J., Kuo, M.D., Glaiberman, C., Binkert, C.A., Orth, R.C., Soulez, G., Technology Assessment Committee of the Society of Interventional Radiology, 2008. Three-dimensional C-arm cone-beam CT: applications in the interventional suite. J Vasc Interv Radiol 19, 799–813. https://doi.org/10.1016/j.jvir.2008.02.018
Bm, K., Sm, T., Mj, S., 2023. Cone-Beam CT With Enhanced Needle Guidance and Augmented Fluoroscopy Overlay: Applications in Interventional Radiology. AJR. American journal of roentgenology 221. https://doi.org/10.2214/AJR.22.28712
Kwok, Y.M., Irani, F.G., Tay, K.H., Yang, C.C., Padre, C.G., Tan, B.S., 2013. Effective dose estimates for cone beam computed tomography in interventional radiology. Eur Radiol 23, 3197–3204. https://doi.org/10.1007/s00330-013-2934-7 -
Varicoceles embolization is the least invasive treatment option for varicoceles, making it the favored option for most patients and a staple in the interventional radiologist’s procedural repertoire. Dr. John Matson joins host Dr. Ally Baheti to give us an essential guide to varicocele embolization, serving as an introduction for junior IRs and refresher for the more experienced. Dr. Matson is an Assistant Professor of Interventional Radiology at University of Virginia.
---
RADPAD® Radiation Protection
https://www.radpad.com/
---
SYNPOSIS
Dr. Mattson covers the indications, procedural setup, technique variations, and post-procedure follow-up for treating varicoceles, with specific attention to the different embolic materials used in clinical practice. He also delves into the importance of pre-procedure evaluations, imaging requirements, and managing potential complications.
---
TIMESTAMPS
00:00 - Introduction
02:05 - Indications for Varicocele Embolization
06:05 - Procedure Setup and Execution
12:57 - Coil Sizing and Embolic Materials
17:36 - Managing Complications
20:25 - Post-Procedure Care and Follow-Up -
Interested in setting up an Ambulatory Surgery Center (ASC) or Outpatient Based Lab (OBL)? Special guest Kristen Richards sits down with host Dr. Aaron Fritts to discuss the importance of establishing and tracking safety and quality metrics in the outpatient space to achieve success. Kristen is Vice President of Ambulatory Care at Cardiovascular Logistics in Chicago, IL.
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This podcast is supported by:
Philips Image Guided Therapy Solutions
https://www.usa.philips.com/healthcare/solutions/image-guided-therapy/all-products
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SYNPOSIS
Kristen shares insights from her experience in the cardiovascular ambulatory space, highlighting the necessity of patient safety, efficient care, and the benefits of outpatient settings over hospital environments. Patient selection, infection control, staff and physician satisfaction, economic drivers, and the future outlook for cardiovascular procedures in ASCs are some of the key topics discussed. Kristen also emphasizes the need for continuous data tracking to demonstrate and improve the quality of care provided in these centers.
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TIMESTAMPS
00:00 - Introduction
06:25 - Benefits of Out-of-Hospital Care
17:47 - Financial Incentives and Ownership Models
18:17 - Technological Advancements and Cost Reduction
25:00 - Considerations for Opening an ASC
31:58 - Importance of Quality Metrics
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RESOURCES
BackTable VI Podcast Episode #366
Navigating OBL & ASC Business: Pitfalls to Avoid with Teri Yates
https://www.backtable.com/shows/vi/podcasts/366/navigating-obl-asc-business-pitfalls-to-avoid
BackTable VI Podcast Episode #431
OBL or ASC for Your Private Practice? How to Decide with Teri Yates
https://www.backtable.com/shows/vi/podcasts/431/obl-or-asc-for-your-private-practice-how-to-decide
BackTable VI Podcast Episode #431
OBL or ASC for Your Private Practice? How to Decide with Teri Yates
https://www.backtable.com/shows/vi/podcasts/486/winning-the-revenue-cycle-game
Outpatient Endovascular and Interventional Society (OEIS) 2025 Conference:
https://oeisweb.com/
Cardiovascular Business:
https://cardiovascularbusiness.com/
SCAI:
https://scai.org/
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DISCLAIMER
Kristen Richards is a consultant for Philips. She has been compensated by Philips for their services in preparing and presenting this material. The opinions and clinical expertise presented herein by are specific to the featured speakers and are for informational purposes only. The results from their experiences may not be predicative for all subject, physicians or patients. Individual results may vary depending on a variety of patient-specific attributes and related factors. Nothing in this article is intended to provide specific medical advice or to take the place of written law or regulations. -
Is your microwave ablation technique up to date? Dr. Ed Kim sits down with guest-host Dr. Kavi Krishnasamy to explore cutting-edge techniques in tumor ablation, with a focus on hepatocellular carcinoma (HCC) treatment with microwave. Dr. Ed Kim is the Director of Interventional Oncology and Professor of Radiology and Surgery in the Division of Vascular and Interventional Radiology at the Mount Sinai Medical Center.
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This podcast is supported by an educational grant from:
Varian, a Siemens Healthineers company
https://www.varian.com/
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SYNPOSIS
The doctors discuss microwave ablation, radiation segmentectomy, and the decision-making algorithms for choosing appropriate procedures based on lesion characteristics. Dr. Kim touches on the complexities of ablation near the diaphragm and subcapsular lesions, emphasizing the impact of practitioner skill and experience on outcomes. Recent advancements in ablation technologies, software, and device-specific versus device-agnostic applications are also highlighted, along with the importance of post-contrast scans and ultrasound skills. Dr. Kim also delves into emerging technologies such as HistoSonics, augmented reality/virtual reality, and immunotherapy synergies. The doctors underscore the need for a multidisciplinary approach for optimizing patient outcomes and pushing the field toward future innovations.
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TIMESTAMPS
00:00 - Introduction
04:28 - Standardizing Ablation Algorithms
07:51 - Suboptimal Lesion Locations
13:06 - Device Selection and Properties
22:49 - Ablation Planning Software
32:53 - Real-Time Visualization
44:48 - Biopsy and Ablation Techniques
52:14 - Future of Ablation Technology
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RESOURCES
Dr. Ed Kim’s Publications:
https://scholars.mssm.edu/en/persons/edward-kim
ACCLAIM Trial:
https://www.sio-central.org/ACCLAIM-Trial
A multicenter randomized controlled trial to evaluate the efficacy of surgery versus radiofrequency ablation for small hepatocellular carcinoma (SURF trial): Analysis of overall survival:
https://ascopubs.org/doi/10.1200/JCO.2021.39.15_suppl.4093
Surgery versus thermal ablation for small-size colorectal liver metastases (COLLISION): An international, multicenter, phase III randomized controlled trial.
https://ascopubs.org/doi/10.1200/JCO.2024.42.17_suppl.LBA3501
SIR welcomes results of COLLISION Trial, presented at the 2024 ASCO Annual Meeting:
https://www.sirweb.org/media-and-pubs/media/news-release-archive/collision-trial-06032024/
HistoSonics:
https://histosonics.com/ -
How do interventional oncologists fit into the bigger picture of multidisciplinary cancer care? Today we hear the patient’s perspective from Lynn Lazzaro, a liver cancer survivor who underwent multiple interventional oncology procedures prior to liver resection and eventual transplant. Lynn sits down with host Dr. Eric Keller to discuss her journey from initial diagnosis to present day.
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This podcast was developed in collaboration with:
Interventional Initiative
https://theii.org/
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SYNPOSIS
Lynn provides insights on the importance of patient self-advocacy, seeking second opinions, and the benefits of a multidisciplinary approach when fighting cancer. Lynn encourages patients to be informed, ask questions, and connect with mentors, while also emphasizing the important duty physicians have in humanizing patient care. Her story highlights resilience, the value of teamwork among medical specialists, and the transformative potential of minimally invasive procedures.
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TIMESTAMPS
00:00 - Introduction
02:22 - Multidisciplinary Management
06:59 - Navigating TACE and Support Systems
13:39 - Surgical Interventions and Transplant Journey
19:09 - Reflections and Advice for Patients and Clinicians
26:13 - Conclusion
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RESOURCES
The Interventional Initiative:
https://theii.org/
The Cholangiocarcinoma Foundation:
https://cholangiocarcinoma.org/ - Se mer
