AJR Podcasts

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.21.25651   Jeff Guccione, MD discusses an article has potential implications for future guidelines in how to manage axillary adenopathy following vaccination.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.25417   For patients who have undergone prior lumpectomy for localized breast cancer, no clear guidelines exist regarding use of diagnostic or screening mammography for post-lumpectomy imaging surveillance. Amber Liles, MD, MPH dives into a recently published article which seeks to answer this research question.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.25437   The triangular fibrocartilage complex is a structure which is often associated with ulnar sided wrist pain. Injuries to this structure can result in displaced tears which have a characteristic appearance. Shrey Patel, MD discusses a new AJR article that describes characteristic MRI findings and the frequency of this injury.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.25315   Giuseppe V. Toia, MD reviews a retrospective study exploring prognostic factors for patients with chemorefractory metastatic colorectal cancer treated with Y-90 radioembolization. The study emphasizes primary tumor location as a predictor of overall survival.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.25207   Shrav Sridhar MD, discusses a retrospective study in which target-specific prostate cancer detection rate in a cohort of patients who underwent in-bore MRI biopsy was compared to the rate in a cohort of patients who underwent ultrasound-MRI fusion-guided biopsy. 

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24918   Frederic J. Bertino, MD discusses a recent AJR article that investigates how to optimize the cores samples for in-gantry prostate MRI biopsy. It is suggested by this retrospective study that three cores from the dominant lesion achieves the "sweet spot" in balancing significant cancer detection and reducing anesthesia and proce...

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24874   Pei-Kang Wei, MD and Cinthia Cruz-Romero, MD discuss the importance of ultrasound as a reliable and affordable method to evaluate fatty liver and the applicability of ultrasound to evaluate fatty liver in various patient populations, both in children and adult.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24224   Kalen Riley, MD discusses a new AJR article in which the authors believe TI-RADS should be accounting for nodule location and that a revision to the scoring system should be considered.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.25124   Incidental infectious or inflammatory findings are commonly identified by lung cancer screening computed tomography but determine whether findings have little or no clinical consequence and which are significant enough to require further work-up is not always clear. Kerem Ozturk, MD discusses how adoption of a conservative mana...

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24708   David Ballard, MD discusses an important contribution to the literature in assessing the ongoing debate of conventional vs. drug eluting bead transarterial chemoembolization.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.25210   Identifying primary pain generators with lumbar spine MRI can be a challenging task. Adequate patient symptom information is often lacking and its absence may allow radiologists astray in their own interpretations. Drew Guino, MD discusses the development of a patient symptom questionnaire appears to address this very issue, ho...

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24509   David Robinson, MD discusses an AJR pilot study exploring 18F-Fluciclovine PET/MRI for initial staging of prostate cancer and the effects of androgen deprivation therapy on 18F-Fluciclovine uptake.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24264   Giuseppe V. Toia, MD reviews a timely meta-analysis which defines the normal reference ranges for MRI-derived left ventricular strain in healthy adults.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24758   Kerem Ozturk, MD discusses why awareness of early chest CT findings is required for early detection and accurate diagnosis of immune checkpoint inhibitor therapy-related adverse events such as pneumonitis, new consolidation, worsening thoracic tumor burden, pleural/pericardial effusion, and pulmonary emboli in the emergency dep...

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24536   Tyler Richards, MD discusses an AJR article that found no significant increase in the intrinsic T1 signal in the globus pallidus and dentate nucleus after more than 10 administrations of gadobutrol in pediatric patients compared to matched-age gadolinium naïve control and discussion of similar imaging based and autopsy studies.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24801   In this podcast, Pei-Kang (Ken) Wei, MD and Diana Litmanovich, MD first summarized the study by Reeves et al. and then provided an in-depth discussion about the current status and future direction of utilizing chest radiograph as a guiding tool for clinical management. Key aspects of the discussion are the practicality and appl...

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24364 While the primary manifestations of COVID-19 are respiratory in nature—it has become clear as we take care of patients and learn more that COVID can have an effect on the nervous system. On this podcast, Edgar Perez, MD discusses MRI findings of COVID related-Disseminated Leukoencephalaopathy, which should remain an important dif...

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24374   Wire localization has long been the standard of care for localization of non-palpable breast lesions. Additional wireless localization options exist, including use of radioactive seeds, magnetic markers, radar/infrared reflectors, or most recently a radiofrequency identification tags, which address some of the disadvantages inv...

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24567   Patients with borderline resectable and locally advanced pancreatic cancer receiving neoadjuvant therapy can have results comparable to patients with resectable tumor at presentation, however some patients have early recurrence after neoadjuvant therapy and resection. Jordan Perchik, MD discusses a new AJR study in which a team...

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24636 Michael Nellamattathil, DO discusses whether or not enteric contrast is necessary in the setting of penetrating traumatic injury in light of a recent AJR article on the subject.

Full article: https://www.ajronline.org/doi/10.2214/AJR.20.24117   Percutaneous interventions are the mainstay for patients with non-operative HCC. This podcast by Ben Kipper, MD examines a paper comparing outcomes between thermal ablation and stereotactic body radiation therapy following transarterial chemoembolization and how those outcomes might affect clinical treatment plans going forward.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.23935   Architectural distortion is a subtle but suspicious finding increasingly detected using digital breast tomosynthesis. Alicia Chen, MD discusses a timely meta-analysis by Dr. Choudhery and colleagues that found the pooled positive predictive value for AD without a known cause on DBT is 35%, the great majority of which represents...

Full article: https://www.ajronline.org/doi/10.2214/AJR.20.24120   In this episode, Yoon-Jin Kim, MD discusses a study evaluating the diagnostic yield of ultrasound guided percutaneous biopsy of small pleural lesions. Important findings include that the technique is safe and fairly high yield for lesions 20 mm or less and that features such as nodular.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.24370   Jeff Guccione, MD discusses a new article comparing atypical BPH prostatic nodules in the problematic prostate transition zone to traditional PI-RADS 3 lesions using PI-RADS version 2.1. All nodules contain pathologic confirmation from biopsy.

Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.20.23903   Transthoracic echocardiography (TTE) is the standard of care in cardiac imaging for patients with suspected cardioembolic stroke. In this podcast, Amber Liles, MD discusses how cardiac MRI and cardiac CT angiography perform in comparison to TTE in terms of prediction of stroke recurrence.