Episódios
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Are you searching for a more effective and streamlined way to market your specialty practice? In this episode of BackTable Innovation, Dr. Reza Rajebi shares his thoughts on new frontiers in healthcare marketing and his innovative venture, Doctorize.
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SYNPOSIS
Doctorize is a digital platform designed to help specialists market their practices and directly connect with patients. Dr. Rajebi shares his journey from academic to private practice, the challenges he faced in marketing to physicians and patients, and how Doctorize aims to solve these issues by providing digital tools. He emphasizes the importance of educational content, AI-powered data analysis, and a growing professional network. Dr. Rajebi also discusses the role of team support and how Doctorize aims to expand by engaging primary care providers and leveraging social media.
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TIMESTAMPS
00:00 - Introduction
02:13 - Starting an Entrepreneurial Journey
06:50 - Challenges in Healthcare Marketing
10:51 - The Concept of Doctorize
23:50 - Increasing Physician Involvement
35:59 - Marketing to Patients
42:41 - Support from Physicians and Societies
44:12 - Balancing Entrepreneurship with Clinical Practice
47:41 - Welcoming Discomfort
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RESOURCES
BackTable VI Ep. 201- Jobs: The Good, the Bad and the Snugly with Dr. Reza Rajebi:
https://www.backtable.com/shows/vi/podcasts/201/jobs-the-good-the-bad-the-snugly -
Are you curious about the biotechnology startup world? Learn how our guest transitioned from trauma surgeon to entrepreneur in this episode of the BackTable Podcast. Dr. Chris Kinsella, CEO of Watershed Therapeutics and our host Dr. Bryan Hartley discuss the importance of using entrepreneurship to solve clinical needs. Watershed Therapeutics has created a novel bladder drug delivery platform to help women with recurrent urinary tract infections.
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SYNPOSIS
The doctors systematically cover the process of identifying market needs, inventing solutions, bringing a product to the market, and managing risk. They also share examples of successful startup ventures and underscore the importance of perseverance, innovative thinking, and strategic market focus in forging a path to success.
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TIMESTAMPS
00:00 - Introduction
04:30 - The Birth of a Surgical Trainer
07:04 - Challenges and Innovations in Trauma Surgery
22:06 - Evaluating and Killing Ideas
28:27 - Challenging Assumptions
29:53 - Meeting a Co-Founder
33:07 - Developing the Solution
37:29 - Raising Funds
40:28 - Navigating Regulatory Challenges and Market Expansion
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RESOURCES
Watershed Therapeutics:
https://www.watershedtx.com/
Stanford Biodesign Innovation Fellowship:
https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.html -
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Surgical arteriovenous fistula (AVF) creation has been a mainstay of dialysis care for multiple decades. What does it take to break into such an established space with a new endovascular medical device? In this episode of the BackTable Podcast, Dr. Jeffrey Hull discusses the challenging journey of developing the Ellipsys system for endovascular AVF creation.
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SYNPOSIS
We trace Dr. Hull’s path from the device's initial conception in 2006, through the first-in-human cases in 2013, to regulatory approval and acquisition by Medtronic in 2020. Dr. Hull highlights the roles of key business mentors, the importance of multidisciplinary collaboration with vascular surgery and nephrology, and the impact of investment. He also shares valuable insights on the benefits of having competitors and selecting a well-thought-out exit strategy. Additionally, we explore deep vein arterialization (DVA) as another application of endovascular AVF creation in the context of peripheral arterial disease.
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TIMESTAMPS
00:00 - Introduction
03:05 - The Birth of the Percutaneous AV Fistula Creation
15:04 - First-in-Human Cases
17:58 - Navigating the Startup Journey
21:52 - Identifying Mentors and Investors
27:33 - Competition and Criticism
36:43 - Regulatory Hurdles
44:45 - Acquisition by Medtronic
49:14 - Deep Vein Arterialization for Peripheral Arterial Disease
54:40 - Final Thoughts and Advice
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RESOURCES
Avenu Medical:
https://avenumedical.com/
Gracz KC et al. Proximal forearm fistula for maintenance hemodialysis (1977):
https://pubmed.ncbi.nlm.nih.gov/839655/
Hull JE et al. The Pivotal Multicenter Trial of Ultrasound-Guided Percutaneous Arteriovenous Fistula Creation for Hemodialysis Access (2018):
https://pubmed.ncbi.nlm.nih.gov/29275056/
Endovascular Today- Update on Percutaneous AV Fistula Creation (2015):
https://evtoday.com/articles/2015-june/update-on-percutaneous-av-fistula-creation
Mallios A, Jennings WC. Percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System-the state of the art (2020):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353338/ -
In a society where discussions about medical malpractice are often concealed from the public eye, this episode of BackTable shines a spotlight on the powerful documentary ‘A World of Hurt: How Medical Malpractice Fails Everyone,’ produced by Viknesh Kasthuri, a fourth-year medical student at Brown University. Released earlier this year, the film explores how the American medical malpractice system harms and disconnects patients and providers through three compelling case studies.
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SYNPOSIS
We delve into Viknesh’s motivations and the process behind creating the documentary, discussing the need for improved provider education on lawsuits, effective communication with patients and legal teams, and strategies for coping mentally and emotionally throughout this intensive process.
Additionally, Viknesh provides a behind-the-scenes look at documentary production, including filming during the COVID pandemic, creating environments for patients and providers to share their stories, and submitting the documentary to film festivals.
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TIMESTAMPS
00:00 - Introduction
02:40 - Inspiration Behind the Documentary
06:10 - Technical and Legal Aspects of Documentary Production
14:34 - Releasing the Documentary
17:04 - Physician and Patient Responses to Medical Errors
20:27 - Highlighting Communication Resolution Programs
23:04 - Educational Gaps in Medical Training
26:43 - Exploring Systemic Solutions to Management of Medical Errors
30:16 - Final Thoughts and Future Projects
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RESOURCES
A World of Hurt Documentary:
https://www.youtube.com/watch?v=09IVcL6pACU
BackTable VI Ep. 77- Doctors and Litigation: The L Word, with Dr. Gita Pensa:
https://www.backtable.com/shows/vi/podcasts/177/doctors-litigation-the-l-word
The L Word Podcast with Dr. Gita Pensa:
https://doctorsandlitigation.com/podcast-2
BackTable ENT Ep. 90- Coaching Physicians Through the Stress of Malpractice Litigation, with Dr. Gita Pensa:
https://www.backtable.com/shows/ent/podcasts/90/coaching-physicians-through-the-stress-of-malpractice-litigation
Michigan Model Communication and Resolution Program:
https://www.uofmhealth.org/michigan-model-medical-malpractice-and-patient-safety-umhs -
Superficial venous disease can pose significant management challenges, particularly after patients have exhausted conservative and invasive therapies. This week, our host, Dr. Sabeen Dhand, interviews Dr. Ali Golshan, an interventional radiologist and the founder of SOLVEIN. Dr. Golshan discusses the latest advancements in treating superficial venous disease, highlighting both the benefits and complexities of thermal and non-thermal ablation techniques.
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SYNPOSIS
Dr. Golshin introduces SOLVEIN, his innovative medical device designed to address these challenges. The conversation also includes practical tips for managing patients with venous insufficiencies, along with insights into the entrepreneurial journey involved in developing a new medical device.
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TIMESTAMPS
00:00 - Introduction
02:02 - Defining Superficial Venous Disease
05:43 - Diagnostic Techniques and Imaging
08:29 - Current Treatment Options for Venous Insufficiency
20:07 - Introducing SOLVEIN
29:42 - FDA Approval Pathway
33:37 - Advice for Aspiring Medical Entrepreneurs
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RESOURCES
Dr. Ali Golshan’s Practice:
https://www.beachwellnessmd.com/ -
Dr. Samir Shah and our host, Dr. Aaron Fritts, discuss upcoming disruptions in radiology due to artificial intelligence (AI), including AI's role in making healthcare more accessible and affordable.
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SYNPOSIS
Dr. Shah outlines his career trajectory, from his interventional radiology (IR) training to his entry into teleradiology. He describes his first encounter with AI through natural language processing for encoding radiology reports. Currently, he serves as the Chief Medical Officer of Qure AI, a platform that utilizes deep learning to aid in diagnosing medical conditions from pathology and radiology imaging. He emphasizes that AI will streamline medical workflows by automating patient summaries, image recognition, and cancer detection. These changes are particularly crucial in today's healthcare environment, which emphasizes productivity. The discussion also explores the benefits and challenges of integrating AI into modern radiology workflows and the learning opportunities it presents for trainees.
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TIMESTAMPS
00:00 - Introduction to the Podcast
03:12 - Dr. Shah’s Professional Journey
17:59 - Starting the CMO Role at Qure AI
20:42 - Mainstream Integration of AI
30:39 - Qure’s Mission and Global Impact
37:20 - Early Cancer Detection
46:18 - Training Radiologists in AI
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RESOURCES
BackTable Innovation Ep. 7- Viz.AI: Improving Access to Stroke Care using AI
with Dr. Chris Mansi:
https://www.backtable.com/shows/innovation/podcasts/7/vizai-improving-access-to-stroke-care-using-ai
BackTable Innovation Ep. 29- Artificial Intelligence & Imaging: Present & Future with Aidoc Founder Elad Walach:
https://www.backtable.com/shows/innovation/podcasts/29/artificial-intelligence-imaging-present-future-with-aidoc-founder-elad-walach
BackTable Innovation Ep. 68- Transforming Radiology with Workflow Solutions
with Dr. Woojin Kim:
https://www.backtable.com/shows/innovation/podcasts/68/transforming-radiology-with-workflow-solutions
BackTable Innovation Ep. 73- AI in Medicine: Navigating the New Frontier with Confidence
with Dr. Matthew Lungren:
https://www.backtable.com/shows/innovation/podcasts/73/ai-in-medicine-navigating-the-new-frontier-with-confidence
Qure AI: https://www.qure.ai/
Dr. Samir Shah’s email:
[email protected]
NightHawk Radiology:
https://www.nighthawkradiology.com/
vRad Teleradiology:
https://www.vrad.com/
Radiology Partners:
https://www.radpartners.com/
AI Doc:
https://www.aidoc.com/
Subtle Medical:
https://subtlemedical.com/ -
Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation.
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SYNPOSIS
Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis.
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TIMESTAMPS
00:00 - Introduction
06:00 - How ScribeMD AI Works
14:14 - Integration with EMR
20:31 - Legal Considerations with AI Technology
26:34 - Cost Implications of AI Scribes
38:46 - Future of AI in Medical Diagnosis
41:45 - Conclusion and Final Thoughts
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RESOURCES
ScribeMD.ai
https://www.scribemd.ai/ -
In this episode of the BackTable Innovation Podcast, host Dr. Bryan Hartley interviews Dr. Stephen Pomeranz, founder and CEO of ProScan Imaging, co-founder of Medality (formerly MRI Online), and a pioneering radiologist in MRI technology. This is the second part of a two-episode series on ProScan.
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SYNPOSIS
The doctors discuss the growth and evolution of ProScan Imaging, including Dr. Pomeranz’a personal journey to becoming an entrepreneur, as well as business strategies that have led to ProScan’s success. Dr. Pomeranz describes the business’s unique physician-owned structure, which allows physicians to team up and directly invest in tangible assets of technology and real estate. Additionally, a core principle of ProScan’s business has been an emphasis on service excellence, which has been made possible by recruitment of hospitality leaders.
Overall, this episode highlights the importance of high-quality patient care, learning from other industries, and the significance of finding mentors and the right business model for aspiring physician entrepreneurs.
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TIMESTAMPS
00:00 - Introduction to the Podcast
04:58 - Service Excellence and Scaling Up
12:09 - Technology Investment Opportunities for Physicians
21:37 - Teaching within the Private Practice Sphere
27:40 - Job Flexibility and Investment Opportunities Within ProScan
35:14 - Advice for Early Stage Entrepreneurs
38:19 - Future Endeavors for ProScan
43:18 - Episode Summary and Final Thoughts
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RESOURCES
BackTable Innovation Episode 75- ProScan’s Path: Medical Expertise to Business Success Part 1:
https://www.backtable.com/shows/innovation/podcasts/75/proscans-path-medical-expertise-to-business-success-part-1-with-dr-stephen-j-pomeranz
ProScan Imaging:
https://proscan.com/
MRI Total Body Atlas by Stephen J. Pomeranz:
https://www.amazon.com/Total-Body-Atlas-Stephen-Pomeranz/dp/1882576063
Medality:
https://medality.com/ -
This episode of the Back Table Podcast features Dr. Stephen Pomeranz, a trailblazing radiologist who shares his journey from taking over a struggling medical practice to founding ProScan Imaging, one of the leading imaging centers in the country.
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SYNPOSIS
Dr. Pomeranz discusses his early motivations for entering the field of radiology, his initial opportunity to learn about MRI in its early stages, and his unexpected but rewarding path to starting his own imaging company. He recounts obstacles of overcoming professional challenges, including dealing with resource limitations and navigating financial risks, during his mission to provide more patient-centered and efficient care.
Dr. Pomeranz also describes how he built networks based on his connections with radiologists all over the world, non-physician providers trained in radiology, and business partners. We end by discussing Dr. Pomerantz’s philanthropic efforts, his perspective on the integration of AI, and the importance of a growth mindset in transforming patient care.
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TIMESTAMPS
00:00 - Introduction
01:03 - Dr. Pomertanz’s Early Career and MRI Education
09:30 - Quality Patient Care with Independent Practice
13:22 - The Beginning and Expansion of ProScan
19:42 - Thoughts on the Future of Radiology
23:42 - Integrating Non-Physician Providers in Radiology
28:50 - Structured Training Within Radiology Practices
34:21 - Philanthropic Endeavors and Reflections
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RESOURCES
ProScan Imaging:
https://proscan.com/
MRI Total Body Atlas by Stephen J. Pomeranz:
https://www.amazon.com/Total-Body-Atlas-Stephen-Pomeranz/dp/1882576063 -
In this episode, host Dr. Bryan Hartley takes us on a deep dive into the origin story and mission of Pulmera, a medtech company dedicated to transforming the field of bronchoscopic lung cancer diagnosis by retrofitting existing fluoroscopy machines into cone beam CT-like scanners. Dr. Hartley is a vascular and interventional radiologist and co-founded Pulmera, alongside interventional pulmonologist Dr. Harmeet Bedi at Stanford.
Pulmera is developing a novel approach to enhance physicians’ ability to diagnose lung nodules accurately through innovative technology. Dr. Hartley shares insights into the challenges of existing diagnostic methods, the inspiration behind Pulmera, and the technology’s potential to combine the best of 3D imaging and endoscopy techniques. Dr. Hartley discusses the benefits for both patients and physicians, such as improved diagnostic yields and patient outcomes, and introduces an investment opportunity for the BackTable community to be part of this revolutionary project. The episode also explores the broader implications of this technology across various medical specialties beyond pulmonology.
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SHOW NOTES
00:00 - Introduction
02:18 - Personal Journey: From Vanderbilt to Stanford Biodesign
06:11 - Pulmera’s Mission: Enhancing Diagnostic Accuracy in Lung Biopsies
15:02 - Introducing a Game-Changing Technology for Bronchoscopic Procedures
22:09 - Challenges and Breakthroughs in Portable CT Imaging
27:44 - Economic Impact of Enhanced Diagnostic Procedures
29:48 - Building a Team and Securing Funding for Innovation
31:30 - Understanding Investment Opportunities and Equity Financing
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RESOURCES
Dr. Bryan Hartley’s email:
[email protected]
Dr. Bryan Hartley’s cell:
423-432-0612
Pulmera:
http://www.pulmera.com/
Stanford Biodesign Fellowship:
https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.html
BackTable Innovation Episode #1 - Needs Driven Innovation with Dr. Todd Brinton (Stanford BioDesign):
https://www.backtable.com/shows/innovation/podcasts/1/needs-driven-innovation
BackTable Innovation Episode #30 - Host Stories with Dr. Bryan Hartley and Dr. Eric Gantwerker (Stanford BioDesign):
https://www.backtable.com/shows/innovation/podcasts/30/host-stories
BackTable VI Episode #422 - Pathology 101: Solid Advice for Percutaneous Biopsies with Dr. Andrew Sholl:
https://www.backtable.com/shows/vi/podcasts/422/pathology-101-solid-advice-for-percutaneous-biopsies -
In this episode, Dr. Matthew Lungren discusses the transformative potential of Artificial Intelligence (AI) in healthcare, sharing insights into large language models, deep learning, and machine learning in improving patient care, enhancing clinical workflows, and optimizing medical research.
Dr. Lungren is a pediatric diagnostic and interventional radiologist, and the Chief Data Science Officer at Microsoft Health and Life Sciences. He advocates for a future where AI acts as a tool for healthcare professionals, allowing them to devote more time to patient care rather than administrative tasks. Additionally, the discussion explores concerns such as AI’s impact on employment and interactions with insurance companies, while presenting resources for healthcare professionals to engage with and learn about AI technologies actively.
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SHOW NOTES
00:00 - Introduction
03:00 - The Journey to AI Expertise: Dr. Lungren’s Story
05:48 - Decoding AI: From Basics to Large Language Models
13:07 - AI’s Impact on Healthcare and Beyond
15:57 - Exploring AI’s Potential in Content Creation and Clinical Efficiency
20:22 - The Future of AI in Healthcare: Opportunities and Challenges
25:27 - Leveraging AI for Diagnostic Radiology and Beyond
27:42 - The Transformative Potential of Generative AI in Healthcare
33:40 - Addressing Concerns: AI’s Role in Insurance and Patient Advocacy
36:41 - Empowering Healthcare Professionals with AI: Practical Applications and Future Outlook
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RESOURCES
Fundamentals of Machine Learning for Healthcare - Stanford University Coursera Course: https://www.coursera.org/learn/fundamental-machine-learning-healthcare
Dr. Matt Lungren’s LinkedIn Learning Course on Generative AI:
https://www.linkedin.com/learning/an-introduction-to-how-generative-ai-will-transform-healthcare/introduction-to-generative-ai-in-healthcare
DeepLearning.AI Website (Professor Andrew Ng):
https://www.deeplearning.ai/
Fast.AI Website (Professor Jeremy Howard):
https://www.fast.ai/
Professor Jeremy Howard YouTube:
https://www.youtube.com/@howardjeremyp/featured
Healthcare Information and Management Systems Society (HIMMS) Meeting:
https://www.himssconference.com/en/homepage.html -
In this episode of the BackTable Podcast, host Dr. Aaron Fritts interviews guest Dr. Ramsey Al-Hakim about the inception and journey of Auxetics, a med-tech company innovating in the vein stent market. Dr. Al-Hakim is the co-founder of Auxetics and the Section Chief of the Division of Interventional Radiology at Scripps Hospital in San Diego, CA.
Dr. Al-Hakim covers the initial challenges of understanding the market and securing capital, the clinical significance of addressing stent-adjacent stenosis, and the process of developing a stent with a negative Poisson effect to counteract it. Dr. Al-Hakim highlights Auxetics' approach to combining cutting-edge interventional technologies with world-class imaging tools for enhanced procedural efficiency in venous interventions. The company’s progress through benchtop work, animal testing, and plans for first-in-human studies outside the U.S., aiming for commercialization within the next four to five years, is also outlined. Contributions from key figures in the vascular community and the role of mentorship and perseverance in navigating the complexities of medical device innovation are discussed as well.
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CHECK OUT OUR SPONSORS
Varian, a Siemens Healthineers company
https://www.siemens-healthineers.com/
Reflow Medical
https://www.reflowmedical.com/
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SHOW NOTES
00:00 - Introduction
03:11 - The Market and Problem Solving
12:13 - Journey of Creating a Stent
22:28 - Birth of Auxetics
26:53 - Learning Process and Support from the University
29:16 - Building the Dream Team
33:01 - Starting a Company
36:42 - Challenges and Triumphs of Fundraising
37:44 - Current Status and Future Plans
45:32 - Importance of Community and Mentorship
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RESOURCES
Auxetics:
https://www.auxeticsinc.com
In-stent restenosis and stent compression following stenting for chronic iliofemoral venous obstruction:
https://pubmed.ncbi.nlm.nih.gov/34174500/
Venous Stenosis Animal Model Utilizing Endovenous Radiofrequency Ablation:
https://pubmed.ncbi.nlm.nih.gov/30717966/
The Messy Middle: Finding Your Way Through the Hardest and Most Crucial Part of Any Bold Venture:
https://www.amazon.com/Messy-Middle-Finding-Through-Hardest/dp/0735218072 -
In this episode of the BackTable Podcast, host Dr. Aaron Fritts interviews guest Dr. John Qiao about exploration of physicians’ role in medical innovation, particularly among interventional radiologists.
Dr. Qiao shares insightful information about the origin of RadioClash and details his journey as an entrepreneur. Through this discussion, Dr. Qiao covers the challenges encountered during the startup phase, the invention of a single-probe electroporation device, and the future applications of this novel medical technology. The episode concludes with broader advice on how to manage the demands of professional work, entrepreneurship, and personal life.
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SHOW NOTES
00:00 - Introduction
02:39 - Dr. Qiao’s Journey into Medicine and Entrepreneurship
11:40 - Birth of Radioclash: A Unique Solution for Cancer Treatment
17:58 - Future of RadioClash: Targeting Metastatic Cancer
25:20 - Future of Electroporation Therapy
35:21 - Challenges of Building a Company
44:37 - Path to Market and Future Plans
47:28 - Balancing Clinical Practice and Entrepreneurship
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RESOURCES
RadioClash website:
https://www.radioclash.co/
News Article on Dr. John Qiao:
https://voyagehouston.com/interview/meet-john-qiao-m-d-of-radioclash-ltd-co/
Radiation Therapy as a Modality to Create Abscopal Effects: Current and Future Practices:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086111/
The Abscopal Effect: A Reemerging Field of Interest:
https://ascopost.com/issues/november-25-2018/the-abscopal-effect-a-reemerging-field-of-interest/
BackTable VI Episode #402 - Immunotherapy in HCC: Evolving Treatment Paradigms:
https://www.backtable.com/shows/vi/podcasts/402/immunotherapy-in-hcc-evolving-treatment-paradigms
Tavo and Pembrolizumab in Patients With Stage III/IV Melanoma Progressing on Either Pembrolizumab or Nivolumab Treatment (Keynote-695):
https://clinicaltrials.gov/study/NCT03132675
PANFIRE-3 Trial: Assessing Safety and Efficacy of Irreversible Electroporation (IRE) + Nivolumab + CpG for Metastatic Pancreatic Cancer:
https://classic.clinicaltrials.gov/ct2/show/NCT04612530
Radiofrequency Ablation for the Palliative Treatment of Bone Metastases: Outcomes from the Multicenter OsteoCool Tumor Ablation Post-Market Study (OPuS One Study) in 100 Patients:
https://pubmed.ncbi.nlm.nih.gov/33129427/
The improvement of irreversible electroporation therapy using saline-irrigated electrodes: a theoretical study (Northwestern study):
https://pubmed.ncbi.nlm.nih.gov/21728392/
Irreversible electroporation reverses resistance to immune checkpoint blockade in pancreatic cancer:
https://www.nature.com/articles/s41467-019-08782-1 -
In this episode, Dr. Aaron Fritts interviews Dr. Patrick Neville, a vascular surgeon and entrepreneur. Dr. Neville shares his journey of identifying a clinical problem and developing a solution, which culminated in the innovation of Wire Watch, a tool designed for efficient wire management during endovascular cases.
Dr. Neville discusses the importance of believing in your solutions, the need for persistence, and the value of strategic partnerships in navigating the startup process. His partnership with the engineering firm BioTex led to the development of a simple product that is now used in cases by interventionalists across multiple specialties.
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SHOW NOTES
00:00 - Introduction
02:12 - Recognizing the Importance of Wire Management
06:42 - Partnership in Product Development
09:14 - Wire Watch in Action: User Experience
16:15 - Cost Savings and Clinical Adoption
22:44 - Mindset for Approaching Device Innovation
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RESOURCES
Wire Watch:
https://www.biotexmedical.com/wirewatch/
BioTex Medical:
https://www.biotexmedical.com/ -
In this episode of the Back Table Innovation Podcast, host Dr. Diana Velazquez-Pimentel, a radiologist and biomedical engineer, chats with Dr. Alim Mitha about the novel idea of biodegradable flow diverters and the future of interventional neuroradiology. Dr. Mitha is a cerebrovascular, endovascular, and skull base neurosurgeon and biomedical engineer at the University of Calgary.
During his neurosurgery residency, Dr. Mitha also completed a master’s degree in biomedical engineering. Afterwards, he pursued additional fellowships in cerebrovascular and skull base surgery, as well as endovascular neurosurgery. Since then, he has started a research lab focused on tissue engineering and biomedical device development. He explains the role of flow diverters and how they are used to guide blood flow away from the intracranial aneurysms.
While flow diverters have been applied to treatment of many different types of aneurysms, Dr. Mitha notes that these devices carry thrombogenic risks. During his training, he saw that it was not preferable to deploy a flow diverter in a young patient who would have to remain on antiplatelet therapy for the rest of their life. As a result, Dr. Mitha began to develop a polymer-based biodegradable flow diverter that could be absorbed by the body after the aneurysm had been occluded, in addition to being visible on non-invasive imaging. He explains the process of building a prototype, incorporating a company, joining a start-up incubator, and now performing first in-human-clinical trials.
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CHECK OUT OUR SPONSOR
RADPAD® Radiation Protection
https://www.radpad.com/
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SHOW NOTES
00:00 Introduction
03:05 Understanding the Role of Flow Diverters
08:17 The Conception of a Biodegradable Flow Diverter
11:35 The Challenges and Successes in Prototyping
13:53 A Path Towards Commercialization
16:10 Considerations for Clinical Adoption
24:00 Developing Skills for Engineering and Entrepreneurship
27:29 First-In-Human Trials and Early Feedback
30:36 Innovating Within the University of Calgary
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RESOURCES
University of Calgary Creative Destruction Lab:
https://creativedestructionlab.com/locations/calgary/
The Brain Conferences:
https://www.fens.org/meetings/the-brain-conferences -
In this episode, interventional radiologist Dr. Bryan Hartley interviews Dr. Woojin Kim, a musculoskeletal radiologist and serial entrepreneur. Dr. Kim is a musculoskeletal (MSK) radiologist with a background in imaging informatics and a founder of three companies. He outlines his journey, from his early life as an immigrant in the US to his entrepreneurial successes in the field of radiology.
Dr. Kim shares the processes, challenges, and lessons learned from founding and exiting three different startups. As an MSK fellow, he developed Yottalook, a search engine for radiology images, which eventually became his first company, iVirtual. After a brief time working in private practice, he returned to academia and co-founded his second company, Montage, a radiology search and data mining tool that offers clinical and operational analytics. Later on, he entered the artificial intelligence (AI) space and co-founded Equium, an application for radiology resource and staffing optimization. In recent years, Dr. Kim has shifted his focus to non-interpretive AI, a field that is centered around streamlining the radiologist’s workflow and improving work-life balance.
Throughout the episode, Dr. Kim shares advice for other entrepreneurs. He highlights the importance of building companies with good co-founders whose skills and experiences complement each other. He also encourages listeners to look at other industries and network to gain ideas about how to improve their own fields. Finally, he emphasizes that companies that are looking to be acquired should demonstrate adequate knowledge over return on investment, total cost of ownership, and regulatory requirements.
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SHOW NOTES
00:00 - Introduction
01:35 - Dr. Woojin Kim’s Medical Training
05:11 - Developing an Interest in Informatics
11:04 - Creating Yottalook and iVirtuoso
17:00 - Building Montage Healthcare Solutions
24:45 - Acquisition of Montage and Working for Nuance
27:33 - Leveraging AI for Resource Optimization
32:58 - Rad AI and the Impact of Noninterpretive AI
41:24 - Advice for Aspiring Entrepreneurs
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RESOURCES
Rad AI:
https://www.radai.com/
Equium:
https://www.equium.io/
Nuance:
https://www.nuance.com/index.html -
In this episode of Back Table ENT, host Dr. Gopi Shah explores the entrepreneurial journey of Dr. Rohan Walvekar, an otolaryngologist at Louisiana State University-New Orleans and innovator/CEO of nDorse, a team engagement software application.
Dr. Walvekar shares his experience in launching ‘nDorse’ — his novel team engagement software designed for healthcare providers. This idea was sparked from his realization that daily contributions and positivity within the healthcare space could be better recognized with real time feedback. He noticed that hospital nursing turnover was high, which could have been attributed to insufficient engagement and connection with coworkers.
The nDorse software application can be used by anyone in an organization and allows users to post meaningful recognitions (via messages, emojis, pictures, GIFs) for their coworkers, with the ability to tag recognitions to the organization’s specific mission and values. Since its implementation, nDorse has been adopted even in various educational and financial institutional settings. Dr. Walvekar describes his journey to creating the application, including the software building process, initial sales, mentors, and the nDorse team. He also offers advice for physician entrepreneurs about being thoughtful with innovation and resilience in the startup sphere.
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SHOW NOTES
00:00 Introduction to the Podcast
02:46 A Focus on Real Time Recognition for Coworkers
04:48 Introduction to nDorse: A Team Engagement Software
13:06 Market Research and a Minimum Viable Product
20:16 Product Launch and First Customers
23:04 Financing the Project
26:03 Pitching to New Clients
29:00 Team Members and Mentors
31:44 Balancing Innovation with Clinical Practice
36:20 Challenges During the Entrepreneurship Journey
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RESOURCES
nDorse:
https://www.ndorse.net/
BackTable ENT Ep. 115- Management of the Plunging Ranula:
https://www.backtable.com/shows/ent/podcasts/115/management-of-the-plunging-ranula
Healthcare Plus Solutions Group:
https://healthcareplussg.com/ -
In this episode, Dr. Eric Gantwerker and Dr. Nilesh Vasan, Founder/CEO of Adroit Surgical and Head & Neck Surgeon at University of Oklahoma (OU Health), discuss the development of Adroit Surgical.
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EARN CME
Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/4Wi8D5
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SHOW NOTES
First, Dr. Vasan describes his surgical training and lifelong passion for invention. Originally from New Zealand, Dr. Vasan completed a head & neck fellowship at OU Health. His surgical experience includes private and academic practice. During his time in private practice, Dr. Vasan worked on interdisciplinary teams to manage difficult airways. He credits this experience with sparking his interest in developing better tools for intubation.
Next, Dr. Gantwerker and Dr. Vasan review the development of Adroit Surgical’s first product, the Vie-Scope. The battery-powered Vie-Scope combines superior visualization with portability to facilitate intubation across settings. Hoping to improve visualization during hand-held laryngoscopy, Dr. Vasan sketched a modified anterior commissure laryngoscope that would become the Vie-Scope. He then worked with an experienced patent attorney who helped him develop and notarize his innovation.
Then, the surgeons cover advice to building networks. A pitch competition in Oklahoma City connected Dr. Vasan with associates whose complementary expertise helped grow Adroit Surgical. Dr. Vasan then worked alongside a well-connected distributor who raised awareness of the Vie-Scope in his target markets. Today, the Vie-Scope enables successful first-pass intubation in emergent and operating room settings.
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RESOURCES
Adroit Surgical:
https://adroitsurgical.com/
“Crossing the Chasm” by Geoffrey Moore
https://www.amazon.com/Crossing-Chasm-3rd-Disruptive-Mainstream/dp/0062292986
“Creativity, Inc: Overcoming the Unseen Forces that Stand in the Way of True Innovation” Ed Catmull & Amy Wallace
https://www.amazon.com/Creativity-Inc-Overcoming-Unseen-Inspiration/dp/0812993012 -
In this episode, host Dr. Dana Dunleavy interviews NFL player Taylor Rapp and neurointerventional radiologist Dr. Wayne Olan about the role of the Q collar in safeguarding the brain from impact.
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SHOW NOTES
Taylor Rapp, a native of Washington state, pursued his college education at the University of Washington, where he also played football. He was later drafted by the LA Rams and played for them for a few years. Recently, Taylor made a move to Buffalo, NY, and now plays safety for the Buffalo Bills. He recounts his brain injury and severe concussion in 2021 while he was playing for the LA Rams. Later on, he heard about the Q collar from his agent and subsequently incorporated it into his gear in the following season.
Dr. Olan discusses the origin of the Q collar, which was initially developed in the military to protect and minimize brain movement. He highlights a study from St. Xavier High School in Cincinnati and Cincinnati Children’s Hospital where the role of the Q collar was examined utilizing Diffusion Tensor Imaging (DTI), a type of MRI technique that specifically examines the white matter tract. Within a cohort of 500 athletes, 77% of athletes who wore the Q collage showed no evidence of shear injury whereas 73% of athletes who did not wear the collar showed gray-white matter shearing injury. He further discusses the mechanism by which the Q collar protects the brain from injury. It stabilizes the brain and minimizes movement by decreasing venous return to the brain by 30%, which he compares to wearing a necktie. He makes an important distinction that the Q collar does not occlude venous return, therefore, does not have significant clinical adverse effects.
They end the episode by advocating for the significance of educating younger athletes about the risks of contact sports and enhancing safety across all sports.
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RESOURCES
Neck Collar with Mild Jugular Vein Compression Study:
https://pubmed.ncbi.nlm.nih.gov/28437225/ -
In this episode, host Dr. Jose Silva speaks with Dr. Duke Herrell, CEO and CMO of Virtuoso Surgical, a robotic surgery tool known for its exceptional dexterity and precision.
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SHOW NOTES
Dr. Duke Herrell is a minimally invasive urologic surgeon and professor at Vanderbilt University. Dr. Herrell came to Vanderbilt for his surgical fellowship, where he met Bob Webster, a mechanical engineer who had developed concentric tube robots made out of an elastic metal. Together, they worked to form the metal into curves that could create a tentacle-like motion for clinical applications. Over the next 15 years, Dr. Herrell and three co-founders started their company, Virtuoso Surgical, and received grant funding to move forward with their startup.
The surgical device features two 1-millimeter dextrous tools inserted through a rigid scope that is capable of carrying a versatile array of instruments. The device is currently intended for the urologic procedures including removal and enucleation of prostate tissue, bladder lesion removal and sampling, and transurethral resection of bladder tumors (TURBT). Notably, the device addresses a critical issue in tumor staging by improving the accuracy of margin determination, which is a game-changer for the 50% of TURBT procedures that yield specimens lacking muscle or clear margin information. Beyond urology, the device has the potential to improve other surgical procedures that utilize a rigid scope in a constrained environment including pulmonology, neurosurgery, and ENT interventions.
Dr. Herrell and his team are also developing EndoTheia, a micromachine instrument that functions as a steerable catheter, specifically designed for flexible ureteroscopy. This device is currently in the verification and validation phase.
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RESOURCES
Virtuoso Surgical:
https://virtuososurgical.net/ - Mostrar mais
