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From The Viewbox Podcast

From the Viewbox is the podcast of the Department of Radiology at UMass Medical School hosted by Dr. Hao Lo and Dr. Christopher Cerniglia. This educational podcast series covers important topics (focusing on noninterpretive skills, diagnostic approach, and specific imaging diagnoses) that aim to prepare radiology trainees for future practice and the ABR CORE exam.

Episode 10: Basics of MR Imaging Safety (Part 2)

Guest: Christopher Cerniglia, DO, ME, FAOCR
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.  MR contrast safety and screening will be discussed separately in a future episode.

Special Episode S1: Diagnosis and Imaging Features of Covid-19 Infection

Special guest: Dr. Maria Barile (Cardiothoracic Imaging Division)

Summary:  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 infection
  2. Utility and role of PCR, XR, and CT in screening and diagnosis
  3. Imaging appearances of COVID-19 (typical, indeterminate, atypical) and progression of disease as well as recommended radiology reporting practices
  4. Fleischner Society recommendations for imaging PUI or COVID-19 positive patients 

Episode 9: Basics of MR Imaging Safety (Part 1)

Guest: Christopher Cerniglia, DO, ME, FAOCR
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 will be discussed separately in a future episode.

Episode 8: What Oncologists Look for in the Radiology Report

Dr. Lacey McIntosh discusses what Oncologists need in reports.

  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 “progression” unless you are going to calculate that this meets RECIST criteria - consider using “increased tumor burden” instead

Episode 7: Introduction to PET/CT

Dr. Lacey McIntosh introduces PET/CT.

  1. How functional imaging is different from anatomic imaging
  2. Different tracers - FDG, NAF, DOTATATE, AXUMIN, PSMA
  3. Limitations (size, lack of contrast in some places)
  4. Pitfalls - know expected physiologic uptake and other processes that cause uptake
  5. Future of PET - exciting implications for therapies 

Episode 6: IV Contrast and Acute Adverse Reactions (part 2)

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.

Episode 5: IV Contrast and Acute Adverse Reactions (part 1)

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 series on iodinated intravascular contrast.

Episode 4: Introduction to Meniscal Tears

Dr. Christopher 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 episode.

Episode 3: Aunt Minnie in CT Evaluation of Stroke

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

Episode 2:  Arthritis – An approach to Hand & Wrist radiographs

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 = Alignment
B = Bone production & density
C = Cartilage space
D = Distribution
E = Erosions
S = Soft tissues

The possible findings of each of these radiographic features are introduced.  Specific arthritis features will be discussed in more details in upcoming episodes.

Episode 1: Congestive heart failure on chest radiography.

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. Cardiomegaly
  2. Pleural effusion
  3. Interstitial edema
  4. Airspace edema